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Leeder S R - - 1983
The Hunter Valley Heart Attack Study was conducted throughout 1979 to investigate all cases of suspected heart attack among permanent residents 20 to 69 years of age in a well-defined area in New South Wales, Australia. The study design followed that for the Myocardial Infarction Community Registers coordinated by the ...
Goldman L - - 1983
To determine the clinical utility and management impact of M-mode echocardiography, 182 echocardiograms were analyzed at a university teaching hospital. The physicians who ordered the echocardiograms said that 12 percent provided crucial information that was not available from other tests and that 26 percent resulted in a change in patient ...
Schoeppel S L - - 1983
Of 1104 consecutive noncardiac operations on 981 patients using general anesthesia, 63 were performed on 53 patients who had had a previous myocardial infarction. Patients with a previous infarct were compared to those with no prior infarct to determine the influence of a previous infarct on perioperative cardiac complications. Two ...
Dunn F G - - 1983
Because hypertension and myocardial infarction are closely linked in several ways, a better understanding of this relation leads to more effective prophylaxis and management. Management should be directed at three different areas: 1) the prevention of a first myocardial infarction, 2) the prevention of complications after an infarction, and 3) ...
Corday E - - 1983
The management of acute myocardial infarction in the past 25 years has emerged from a state of masterful inactivity to one of intensive care based on a new discipline of aggressive management. This has increased the chances of survival of the victim of infarction and could well be one of ...
Bulkley B H - - 1983
Today's sophisticated diagnostic techniques make it possible to determine, virtually at the bedside, the site and size of an infarct and its effect on the patient's hemodynamic status. Thus, it is now possible to identify the patient who will benefit from aggressive therapy and to spare those who do not ...
Hanks J B - - 1982
Gastrointestinal (GI) complications after surgery requiring cardiopulmonary bypass (CPB) can be serious, often lethal events. In our study, from 1970 through 1981 there were 43 such complications after 5080 CPB cases (0.85%). We noted on annual persistent occurrence of approximately 1%. The overall mortality rate was 63%. The most frequent ...
di Bisceglie A M - - 1982
Ischaemic heart disease seems to be on the increase in South African Blacks, and medical staff should be more conscious of this. Fifty-four Black patients with acute myocardial infarction are presented and their complications and management while in an intensive care unit reviewed. Epidemiological aspects of ischaemic heart disease in ...
Reeder G S - - 1982
Coronary artery disease and its sequelae are the most common problems in the current practice of cardiology and internal medicine. Two-dimensional echocardiography, a relatively new technique, has already demonstrated its usefulness in the diagnosis of congenital and valvular heart disease, sometimes replacing catheterization as the diagnostic method of choice. This ...
Byrick R J - - 1982
The anaesthetic management of cardiopulmonary bypass (CPB) for a patient with biopsy-proven malignant hyperthermia is reported. Specific changes in the technique used, such as venting the oxygenator before use, monitoring mixed venous PO2 and PCO2, as well as the safety of cold hyperkalaemic cardioplegia are described. Controversial aspects of malignant ...
Skoulas A - - 1981
Among 209 evaluable consecutive patients (mean age 57 years) admitted in 1978 and 1979 for acute myocardial infarction, 186 survived. The mean hospital stay of the survivors was 9.7 days. Of these patients, 99 (53%) with complicated myocardial infarction had a mean hospital stay of 11.2 days; 87 (47%) with ...
Harries A D - - 1981
Electrocardiographic abnormalities occur in approximately 50% of patients with subarachnoid haemorrhage. The changes can resemble those of myocardial damage, although in most cases post-mortem studies show no macroscopic evidence of injury. Failure to appreciate this can lead to misdiagnosis of organic cardiac disease, cause delay in surgical treatment or even ...
Hessel S J - - 1981
This study was designed to assess the complications of angiography, including transfemoral, transaxillary, and translumbar approaches. Detailed questionnaires were completed by radiologists at 514 of the 2,066 hospitals surveyed. The radiologists reported on the complications of 118,591 examinations. The overall arteriography complication rates were: transfemoral 1.73%, translumbar 2.89%, and transaxillary ...
Klein F A - - 1981
Percutaneous artery occlusion has been described for a multitude of clinical problems, including preoperative infarction of the kidney for renal cell carcinoma. The Gianturco wool coil provides a relatively new method for occlusion. Few complications with this device have been reported. We describe our experience with complications in 3 patients ...
Billings C K CK - - 1980
The psychologic responses of denial, anxiety, and depression occur in a natural, predictable sequence in patients suffering acute myocardial infarction. Therapeutic interventions are possible to smooth the patient's passage through these psychologic stages: cognitive structuring, environmental manipulation, relaxation exercises, anticipation, encouragement, physical conditioning and activity, and group interactions. Multidisciplinary cooperation ...
Poole N W - - 1980
A questionnaire on the management of acute myocardial infarction was sent to 100 randomly selected general practitioners. From the replies received, only 42 provided worthwhile information. The approach to the care and treatment of actual patients and their common complications is discussed and recommendations relating to future audits are made.
Trojanowski J Q - - 1980
Two cases are described in which therapeutic transcatheter Gelfoam embolization was complicated by fatal hepatic infarction in one patient and splenic infarction with abscess formation in another patient. These are unusual complications of this widely used therapeutic technique. The probable pathophysiology of these complications is discussed and suggestions for managing ...
Peter R H - - 1980
In summary, the Duke University Coronary Artery Disease Data Bank contains over 4,000 patients. It plays an important role in clinical decision-making in the management of individual patients. Current research projects involve the elucidation of natural history and the development of multivariable statistical methods for analyzing large numbers of baseline ...
Strauss H W - - 1979
Evaluation of ventricular performance is essential in the diagnosis and long-term management of patients with heart disease. This can be most easily performed clinically using simple tools. When more definitive objective assessment of cardiac function is indicated, the equilibrium gated blood pool study provides reliable angiographic evaluation of the heart. ...
Wenger N K - - 1979
Coronary atherosclerotic heart disease and myocardial infarction constitute an epidemic in this century, mandating that the primary care physician be familiar with their recognition and management. However, in recent decades, an improved understanding of pathophysiologic alterations, an enormous advance in technology and significant accomplishments in pharmacology and operative procedures have ...
Riles T S - - 1979
In a series of 683 consecutive carotid endarterectomies, there were 16 postoperative myocardial infarctions which resulted in five deaths. Of 399 operations on patients with no previous history of heart disease, there were only two myocardial infarctions (0.5%). Two hundred and eighty-four operations were performed on patients with heart disease, ...
Moffitt E A - - 1978
The patient with chronic disease of the myocardium must be evaluated perceptively as to the extent of abnormal function. The degree of reduction of cardiac reserve must be estimated and all efforts must be made to improve cardiac performance before operation; then a carefully managed anaesthetic is needed to assure ...
Dunn F G - - 1978
The prehospital management of acute myocardial infarction by general practitioners and emergency-treatment service physicians was analysed in 53 patients. The correct clinical diagnosis was made or suggested before admission in 47 patients. Only 25 patients received analgesics from the general practitioner, and 32 were still in pain and needed diamorphine ...
Goble A - - 1978
It appears that the mortality from coronary heart disease, particularly in men between the ages of thirty and sixty-four, has fallen slightly in recent years. The reasons for this are not clear, but some of this mortality reduction has been attributed to better management of patients, arising through the introduction ...
Hill J D - - 1978
Home and hospital management of patients with suspected myocardial infarction were compared in a randomised trial in which a hospital-based team responded to calls from general practitioners. 500 calls were received, and 349 patients (70%) were suspected of having myocardial infarction. Of these, 24% were excluded from the trial on ...
McNeer J F - - 1978
Sixty-seven consecutive patients who had suffered an acute myocardial infarction but no serious complications during the first to fourth hospital days were considered for a trial of hospital discharge at one week. Thirty-three of the 67 patients were discharged at one week, the remainder having a mean hospital stay of ...
Weinberg S L - - 1978
Recognition of significant mortality among hospitalized patients with myocardial infarction after dismissal from the coronary care unit (CCU) has led to the introduction of the intermediate coronary care unit (ICCU). It had been hoped that protracted monitoring during the convalescent phase of acute myocardial infarction might prevent sudden death, as ...
Beamish R E - - 1977
Thirty-two patients who had remained ambulant and active after suffering an acute myocardial infarction were observed for 6 months. Complications were present initially in 11 but proved transient. One patient died of a new coronary thrombosis 15 weeks after the initial episode. There were no recurrences among the 31 surviving ...
Gopalakrishna K V - - 1977
Remote myocardial infarction in a 60-year-old, blind diabetic man, was complicated by suppuration within the old fibrotic area by a group F streptococcus. Osteomyelitis of the fifth (right) metatarsal bone served as the primary focus. A review of the literature uncovered no findings which could help to predict the onset ...
Zainal N - - 1977
Patients with acute myocardial infarction admitted to open wards of three hospitals were given either oral disopyramide (100 mg four times daily) or matching placebo, prophylactically, for seven days. The drug was associated with a significant reduction in mortality (p = 0-0025) and in incidence of extension of infarction (p ...
Corr P B - - 1977
Automated data processing is playing an increasing role in evaluations of left ventricular function, infarct size, and ventricular dysrhythmia in patients with acute myocardial infarction. For example, radionuclide angiocardiography permits accurate, serial non-invasive assessments of ejection fraction and detection of ventricular wall motion abnormalities; estimation of infarct size from observed ...
Bergreen P W - - 1976
Certain hemodialysis patients need to be made anephric, either surgically or physiologically. Bilateral renal infarction with shredded absorbable gelatin sponge (Gelfoam) was performed on a woman with malignant hypertension being maintained on chronic center dialysis who was too great a surgical risk for bilateral nephrectomy. Peripheral embolization complicated the procedure ...
Sloman J G - - 1976
A comparison has been made between the first 300 patients admitted from 1963 to 1967 to the Coronary Care Unit (CCU) of The Royal Melbourne Hospital with transmural cardiac infarction, and two groups of similar numbers admitted in 1969 and 1974. While the age spectrum and duration of stay of ...
Williams B O - - 1976
The clinical features of myocardial infarction were compared in 104 patients over the age of 70 and 399 younger patients admitted to a coronary care unit. Absence of an age bar at 70 years has increased the number of admission to the unit by 24%, and the number of patients ...
Trappler B - - 1976
In this article 2 cases of myocardial infarction with haemodynamically dominant right ventricular infarction are reported. The incidence and significance of the condition are discussed. The use of haemodynamic monitoring in diagnosis and management is stressed and the response to fluid therapy, either alone or together with inotropic drugs, is ...
Nitter-Hauge S - - 1976
A review is presented of 1094 selective coronary artery studies during a 3-year period in which 7001 coronary artery injections were performed using the percutaneous transfemoral artery approach as described by Judkins. A total of 24 serious complications occurred, including 11 ventricular fibrillations, 5 asystoles or severe bradycardias, 3 acute ...
Levenstein J H - - 1975
The history of myocardial infarction ('coronary thrombosis'), a condition which was only recognised as a clinical entity in the 20th century, is reviewed up to the time of the introduction of the intensive coronary care units. Early observations of presentations, complications, diagnosis and treatment of the disease are emphasised. The ...
Shah A - - 1975
Complications encountered during 351 selective coronary artery and coronary artery bypass examinations performed by the Judkins technique are reviewed. The over-all incidence of cardiac and peripheral vascular complications was 3.13 per cent. The cardiac complications included four ventricular fibrillations and one acute myocardial infarction. Peripheral vascular complications included three femoral ...
Garrity T F - - 1975
The literature relating psychic factors to pathogenesis, onset, and complication of acute myocardial infarction was selectively reviewed. A study which suggests that psychic factors affect six-month mortality rate after myocardial infarction was described. Specifically, patients showing a trend toward emotional adjustment early in their hospitalization had a far smaller mortality ...
Jones J W - - 1975
Cardiac contusions are being recognized with frequency. Among 507 patients with non-penetrating chest injuries, 210 had serial electrocardiograms sufficient to evaluate the heart. Forty-five of these 210 patients (21%) had cardiac contusions. These 45 patients and 3 others who were confirmed to have cardiac contusions at necropsy, comprise the 48 ...
McNeer J F - - 1975
This report represents our experience with 522 consecutive patients with acute myocardial infarction admitted directly to the Duke Coronary Care Unit. Fifty items of information were used to characterize the patients, their hospital course and follow-up. Serious complications included death, ventricular tachycardia or fibrillation, second- or third-degree heart block, pulmonary ...
Roberts R J - - 1975
This report deals with a case of acute iron intoxication in a child in which acute and chronic gastrointestinal abnormalities developed as a consequence of severe intestinal infarction and corrosion. Microscopic examination of resected small bowel revealed prominent iron deposits in areas of necrosis, in basement membranes of lymphatics, capillaries, ...
Megyeri J - - 1975
Prostatic infarction is a relatively frequent complication of adenoma of the bladder neck. Nevertheless its importance is minimal as compared with infarctions of vital organs like the brain, heart, lungs or kidneys. General and local factors may play a role in its pathogenesis. Besides other factors, it may contribute to ...
Black D P - - 1973
In an attempt to determine the most appropriate type of facility for the treatment of myocardial infarction in a rural community, the five-year experience of a practice serving 10,000 people is reviewed. This population is found to have a low incidence of myocardial infarction, a low death rate from the ...
James T N - - 1971
A brief review is presented on the coronary circulation in acute myocardial infarction. The format of presentation is general anatomy of the human coronary arteries, the blood supply of certain special regions of the heart, and a consideration of how ischaemic malfunction in these regions leads to some of the ...
The American College of Cardiology has produced this series of detailed practice guidelines covering such major topics as the management of patients with acute myocardial infarction; perioperative cardiovascular evaluation for noncardiac surgery; radionuclide imaging; ambulatory electrocardiography; cardiac catheterization; clinical intracardiac electrophysiological and catheter ablation procedures; coronary angiography; coronary artery bypass ...
Derks, A.
Abnormalities in the number and function of platelets may contribute to thromboembolic complications in patients with essential thrombocythaemia (ET). Rarely this can lead to an acute myocardial ischaemic syndrome. We describe a young patient with a myocardial infarction, in whom ET was found as the probable cause. We discuss the ...
Chummun Harry - - 2009
Acute coronary syndrome (ACS) describes a spectrum of symptoms arising from the development of atherosclerosis. The degree of myocardial ischaemia depends on plaque stability and the extent of vessel occlusion. This article examines underlying pathophysiological processes and reviews current guidance and principles of managing ACS through symptom control, reducing mortality ...
Hubner P J - - 1969
In a coronary care unit patients and electrocardiographic monitors are under almost continuous observation by trained personnel. This paper suggests that in a general medical ward without this facility routine cardiac monitoring with E.C.G. oscilloscopes is unlikely to lower the overall mortality from acute myocardial infarction. A mortality of 25% ...
HURLBURT F W - - 1965
The mortality from acute myocardial infarction has remained unchanged over the past three decades. The records of 200 patients hospitalized because of acute myocardial infarction were analyzed at St. Paul's Hospital, Vancouver. Criteria for diagnosis were autopsy evidence and electrocardiographic evidence of acute muscle necrosis. Sixty-two patients died, 30 in ...
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