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Search Results: 1 - 10 of 3314 matches for " myocardial infarction "
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Non Small-Cell Lung Cancer Metastatic to the Mitral Valve: Case Report and Review of the Literature  [PDF]
Daniel J. Axelson, Natalie P. Kreitzer, Gregory J. Fermann
Case Reports in Clinical Medicine (CRCM) , 2014, DOI: 10.4236/crcm.2014.37094

In 2008, 1.6 million new cases of lung cancer were diagnosed worldwide, representing 13% of all cancer cases for the year, and in 2010, 19% of cancer deaths were attributed to lung cancer. Though lung cancer frequently metastasizes to the adrenal glands, bone, brain, liver, and other lung, it infrequently metastasizes to the heart. Here, we report a case of lung cancer metastatic to the mitral valve.

Men’s Experience of Difficulties during First Year Following Myocardial Infarction—Not Only Fatigue  [PDF]
Pia Alsén, Susanna Th?rn, Linnea Nordqvist, Ina Berndtsson
Health (Health) , 2016, DOI: 10.4236/health.2016.815161
Abstract: Recovery from a myocardial infarction (MI) can be a very difficult process and some patients are also stricken by fatigue. The aim of the study was to describe the difficulties experienced by men with fatigue during the first year following their MI. The study was conducted using qualitative content analysis of semi-structured interviews with nine men in working age (mean age: 55 years) with verified fatigue (≥12 of 20 on the Multidimensional Fatigue Scale with a mean of 17) one year after their MI. During the first year after the MI the men suffering from fatigue experienced various difficulties in terms of both themselves and the care received. The analysis generated three themes with difficulties described by the interviewed men. 1) Going through involuntary change: not recognizing their body and the inability to recognize themselves. 2) Lacking individualized care: To be denied satisfactory health care treatment and to be denied respectful treatment. 3) Not being seen in the light of the social context: The MI affects the whole family and caregivers do not pay attention to the family. In order to make both the patient and relatives feel secure and cared for, it is essential that caregivers be aware of the importance of providing individualized care over time with particular attention for the patient’s social context.
Prognostic implications of type 2 myocardial infarctions  [PDF]
Hazim El-Haddad, Elijah Robinson, Katrina Swett, Gretchen L. Wells
World Journal of Cardiovascular Diseases (WJCD) , 2012, DOI: 10.4236/wjcd.2012.24039
Abstract: Purpose: A type 2 myocardial infarction (MI) is due to ischemia from increased oxygen demand or decreased supply. It is not an infrequent complication following non-cardiac surgery or in the setting of acute medical illness. The purpose of this study was to determine whether type 2 MIs had a worse prognosis than a type 1 MI. Methods: The hospital database of a large terti-ary-level academic medical center was queried for all patients with a troponin I ≥ 1.6 ng/mL during a one-year period. The outcomes of patients with a type 2 MI were compared to those with a type 1 MI. Results: This retrospective study found that a type 2 MI is more lethal than the usual type 1 MI, particularly among women and the elderly. There was no statistical difference in outcomes between those that occurred in the post-operative setting compared to those that occurred in the setting of acute medical illness. Conclusions: Type 2 MIs are common and are associated with increased mortality, as compared with type 1 MIs. To date, no guidelines exist for the management of this type of MI. Further research into underlying mechanisms resulting in type 2 MI as well as potential treatment strategies is needed.
Influence of atrial fibrillation on acute myocardial infarction  [PDF]
Mark McDonald, Nirav Desai, Chi-Hyan You, L. Julian Haywood
Health (Health) , 2014, DOI: 10.4236/health.2014.61013

Atrial fibrillation is an increasingly common significant arrhythmia with potentially serious outcomes. Myocardial infarction is a common consequence of atherosclerosis and coronary artery disease. When the two conditions occur together, the consequences can be compounded. This article briefly reviews some of the potentials for the relationship.

A case of successful survival from ventricular free wall micro-rupture without surgery  [PDF]
Jae-Bin Seo, Ki-Hyun Jeon, Jin-Hyun Park, Sang-Hyun Kim, Joo-Hee Zo, Myung-A Kim, Woo-Young Chung
World Journal of Cardiovascular Diseases (WJCD) , 2013, DOI: 10.4236/wjcd.2013.32029

We report a case of successful survival from ventricular free wall rupture without surgery, which was not overt rupture but micro-rupture. The patient was diagnosed with acute myocardial infarction (AMI) and underwent primary percutaneous coronary intervention (PCI). Myocardial blood leakage could be detected on transthoracic echocardiography with intravenous infusion of contrast dye 3 days after PCI. This examination revealed that there was not overt perforation but diffuse fissure. Because of his critical condition, he was treated conservatively without surgery. Nevertheless, he survived eventually.

Prognostic Role of Pulse Pressure in the Acute Phase of Myocardial Infarction  [PDF]
Justin Koffi, Christoph Konin, Yves N’goran, Arnaud Ekou, Ambroise Gnaba, Esaie Soya, Marie Paul N’Cho Mottoh, Bénédict Boka, Michel Adoh Adoh
World Journal of Cardiovascular Diseases (WJCD) , 2015, DOI: 10.4236/wjcd.2015.58028
Abstract: Objective: Pulse pressure is a cardiovascular risk factor. The aim of our study was to assess the short and medium term prognosis of myocardial infarction in the African black having a high pulse pressure. Methods: We performed a comparative retrospective study of 200 patients hospitalized in the Cardiology Institute of Abidjan. The first group (100 patients) had a high pulse pressure (≥60 mmHg). The second (100 patients) had normal pulse pressure (≤60 mmHg). The primary outcome was mortality. Secondary endpoints were represented by hemodynamic complications, rhythmic and conduction disturbances. Both groups of patients were matched. The matching is performed by socio-demographic criteria, the seat of necrosis and cardiovascular risk factors. The authors explained the choice of 60 mmHg as references because in all their studies they have realized that it is from 60 mmHg pulse pressure morbid events that occur in prospective studies and retrospective studies in stiffness of the great arteries is responsible for all these events. Pulse pressure is in itself, an independent cardiovascular risk factor in systolic blood pressure, diastolic blood pressure when associated with myocardial infarction, it becomes from 60 mmHg poor prognostic factor especially in the acute phase. Results: The mean age was 54.46 ± 10.10 years for patients with normal pulse pressure and 52.32 ± 10.89 years in patients with high pulse pressure. Patients with elevated pulse pressure were twice as left ventricular failure (Chi2 = 3.71; P = 0.048 = 2 OR 95% CI = 0.93 to 4.29). These patients had an ejection fraction and fractional shortening double bass (Chi2 = 31.23 P = 0.00001, OR = 2.2 95% CI 0.8 to 17.4) 10 mmHg for increased pulse pressure we observed an average growth of 18% mortality rate. Mortality was three times higher in patients with elevated pulse pressure (Khi2 = 15, 06 ddl = 1 P = 0.0001 OR = 3.34 95% CI 1.72 to 6.52). Conclusion: The high pulse pressure represented an independent poor prognostic factor in the acute phase of myocardial infarction in the black African.
The Significance of Hypoalbumineamia and Hypoproteinemia in Patients with Stroke  [PDF]
Hassan Naji Aboud, Haider Ali Mohammed, Mohammed Majeed Kamil, Bahaa Hassan
Neuroscience & Medicine (NM) , 2018, DOI: 10.4236/nm.2018.93011
Abstract: Objective: To determine if there is any significant association between stroke and both hypoalbuminema and hypoproteinemia. Patients and Methods: Total serum proteins “T.S.P.” and serum albumin were measured for 65 patients with stroke who were admitted to the medical and neurological wards at Baghdad Teaching Hospital in the Medical City from November 2003 to October 2004. Careful history was obtained and proper clinical examinations were done. Serum albumin, T.S.P., blood sugar, renal function, liver function and general urine examination “G.U.E.” were tested within 48 - 72 hours of the start of patient symptoms. These patients with hepatic and renal dysfunction and those with diabetes mellitus were excluded. The results were compared with the results obtained from control group, which consisted of 40 persons of matched age and sex. By application pf chi square test “X” to see the association of serum albumin with cigarette smoking, age, hypertension and the presence of carotid bruit. Results: The mean serum level of T.S.P. and serum albumin of those with stroke was 6.42 ± 0.322 g/dl, 3.26 ± 0.251 g/dl respectively, which was significantly lower than T.S.P. and serum albumin of the control “mean = 7.8 ± 0.257 g/dl, 4.73 ± 0.206 g/dl respectively” [P < 0.001]. This study reveals that there is an inverse relationship between the age [X2 = 25.14, P < 0.005], number of cigarettes [X2 = 15.57, P < 0.025] and the blood pressure with serum albumin P < 0.0005, and the presence of carotid bruit is associated with low level of albumin P < 0.005 “Fisher’s test”. Conclusion: Hypoalbuminemia and hypoproteinemia are significantly associated with stroke.
Abdul Hafeez Chaudhry
The Professional Medical Journal , 1995,
Abstract: Cross sectional echocardiography was used to find the incidence of mechanical complications in 90 patientswith first myocardial infarction. Seventy five patients were men, 15 women. Mean age was 52 years (range25-70 years). The infarct was anterior in 61 patients, inferior in 22 patients and subendocardial in 7. Leftventricular aneurysm was present in 12 patients (13.3%), 11 of them had anterior AMI. Left ventricular thrombuswas found in 19 patients (21.2%), all of them present in LV apex. Pericardial effusion was seen in 8 patients(9%). Ventricular septal rupture was seen in 4 patients (4.5%). Right ventricular infarction was seen in onepatient (1.1%). Papillary muscle rupture, Pseudoaneurysm or rupture of left ventricular free wall were seenin none of 90 patients.
Muhammad Javed Iqbal
The Professional Medical Journal , 1998,
Abstract: OBJECTIVE: To highlight the mortality in various groups of acute myocardial infarction. DESIGN:Retrospective study. SETTING: Coronary care Unit DHQ Hospital Faisalabad.PERIOD: January 1995to December 1995.PATIENTS AND METHODS: Total number of patients were 275, males 223, female52. Mean age was 54.85 ± 13.57 years, mean age of males was 53.52 ± 13.61 and for females 60.55 ± 11.91years. Presented with typical chest pain of Ischaemic heart disease for more than 30 minutes. Diagnosed byhistory, physical examination, 12 lead electrocardiography and ride of cardiac enzymes. RESULTS: Fromthe 275 patients, 102 were from inferior wall, 109 from anteroseptal and 64 were from extensive anteriorwall myocardial infarction. Forty two (15%) patients expired during hospital stay, 13(12.74%), 14(12.80%)patients expired from inferior, anteroseptal and extensive anterior wall myocardial infarction respectively.CONCLUSIONS: Mortality associated with acute anteroseptal MI and extensive anterior wall myocardialinfarction was significantly higher, so these patients be monitored and managed more aggressively.
Anticardiolipin antibodies do not mediate macrovascular complications of type 2 diabetes  [PDF]
Caroline Eickhoff Copetti, Myriam Perreynoud, Melissa Claudia Bisi, Henrique Luiz Staub
Open Journal of Internal Medicine (OJIM) , 2012, DOI: 10.4236/ojim.2012.21009
Abstract: The relationship of anticardiolipin antibodies (ACA), markers of the antiphospholipid syndrome, with vascular complications of diabetes mellitus is polemic. This cross-sectional study assessed the frequency of IgG, IgM, and IgA ACA in type 2 diabetics with and without history of vascular events for the last 5 years, and in healthy controls. ACA were detected by enzyme immunoassay. A total of 73 type 2 diabetics (33 with history of vascular events) and 54 healthy controls were tested. Most diabetics were female (p = 0.003), and older than controls (p < 0.001). Mean duration of disease was 10 years. The prevalence of a positive ACA test was 7.4% in controls and 9.5% in diabetics (p = 0.910). Comparison of healthy controls and diabetics with and without history of macrovasculopathy, after adjusting for gender and age, showed no significant differences as to the presence of ACA (p > 0.09). ACA positivity rates were also similar when diabetics with and without history of vasculopathy were compared (p > 0.47). After adjusting for gender, age, hypertension, and smoking status, a weak but statistically insignificant association between IgM ACA and diabetics with vasculopathy was found (adjusted OR 2.7; 95% CI 0.2 - 34.2; p = 0.441). Overall, levels of IgG (r = 0.25; p = 0.005) and IgM (r = 0.23; p = 0.010) ACA were associated with increasing age. In short, the frequency of a positive ACA test in type 2 diabetics (with or without previous macrovasculopathy) was not significant as compared to healthy controls. There was no association of ACA with vascular events in patients with type 2 diabetes.
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