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Laher S - - 1997
Evidence linking paclitaxel to cardiotoxicity arose from early Phase I trials in which continuous cardiac monitoring was performed because of the high incidence of major hypersensitivity reactions. A variety of cardiac manifestations have been reported, ranging from asymptomatic sinus bradycardia to fatal myocardial infarction. The following case report describes an ...
Kutz I - - 1997
The disturbed communication of the acutely psychotic patient with Emergency Room (ER) personnel can occasionally lead to a missed or delayed diagnosis of acute myocardial infarction. Conversely, miscommunication may also lead to a false positive diagnosis of acute myocardial ischemia or infarction. We describe a patient who failed to report ...
Catipović-Veselica K - - 1996
We examined Bortner scores for behavioral patterns and eight basic emotional dimensions named by Plutchik for patients with acute myocardial infarction who survived ventricular fibrillation and left ventricular failure. There were 70 patients, 48 men and 22 women ages 26 to 69 yr. (M = 54, SD = 8), admitted ...
Egerton W - - 1996
To determine whether plasma levels of homocyst(e)ine are affected by the acute phase response, we studied 10 subjects serially after acute myocardial infarction. Our data indicate that measurement of homocyst(e)ine in patients with myocardial infarction should ideally be deferred for 7 days if spuriously low levels are to be averted.
de Marchena E - - 1996
We describe a patient with a subarachnoid hemorrhage that presented with electrocardiographic evidence of transmural myocardial infarction. The patient was found to have normal coronaries and on autopsy revealed generalized myocytolysis with no evidence of transmural myocardial infarction. This case illustrates the value of acute coronary angiography in patients with ...
Wilson J M - - 1996
Isolated right ventricular infarction is uncommon, but when it occurs its prompt recognition may alter therapy substantially. Electrocardiographic changes accompanying acute right ventricular infarction are variable and may be difficult to recognize. The case of a 40-year-old man who had right ventricular infarction with unusual electrocardiographic findings is presented. The ...
Arnaud J - - 1996
This study was carried out to assess manganese (Mn) status after an acute episode of myocardial infarction. Plasma and erythrocyte Mn concentrations were measured from admission to hospital to day 15 postadmission in 21 patients suffering from acute myocardial infarction and in three control groups. The determination of Mn in ...
Kahn J K - - 1995
The role of coronary vasoconstriction in acute myocardial infarction is controversial. Two patients are presented who were studied with angiography during the early hours of acute myocardial infarction and in whom reversible spasm of non-infarct vessels was observed. A tendency towards coronary vasospasm may be a generalized phenomenon during acute ...
Kondo N I - - 1995
The mechanisms of acute coronary artery disease onset are receiving increasing attention. Study of these mechanisms has been stimulated by the finding that the onset of acute myocardial infarction is more likely during the morning hours after awakening, suggesting that activities of the patient often trigger the event. Triggering may ...
Coleman W S - - 1995
Acute myocardial infarction is an evolving event that lends itself well to surgical intervention. An historical review of surgery of acute myocardial infarction, with specific emphasis on the Spokane data, shows that this can be done safely and efficiently with myocardial salvage. Those people who were operated on within 6 ...
Mähönen M - - 1995
We evaluated the reliability hospital discharge register data in the assessment of acute myocardial infarction trends. In the FINMONICA study areas, trends in age standarized attack rates for the years 1983-90 were calculated independently from two sources: the nationwide Finnish hospital discharge register and the FINMONICA acute myocardial infarction register. ...
Guest T M - - 1995
At present the ideal method for the very early and very rapid diagnosis of acute infarction is still elusive, making it difficult to implement strategies in large numbers of patients. With further research and conjoint biochemical and imaging approaches, however, it is likely that the early diagnosis of infarction and ...
Attias D - - 1995
Early in the course of myeloblastic leukemia a patient concurrently developed febrile neutrophilic dermatosis and sterile acute myositis. The dermatitis and myositis were unresponsive to antibiotic therapy but remitted within a few days of institution of steroid treatment. The patient died of myocardial infarction. At autopsy the dermis was normal. ...
Avanzini F - - 1995
BACKGROUND: Recent clinical trials have shown increased, rather than decreased, mortality in patients treated with antiarrhythmic drugs after acute myocardial infarction. OBJECTIVE: To determine whether these findings had an impact on prescription of antiarrhythmic drugs after acute myocardial infarction. METHODS: We retrospectively analyzed the class I and III antiarrhythmic prescription ...
Chan P - - 1995
After intravenous injection of heroin, a 27-year-old male with altered mental status and hypotension was seen at the Emergency Service where acute pulmonary edema was noted. The problem was resolved three days later after oxygen therapy had been administered by face mask. Acute renal failure, rhabdomyolysis and monoplegia of the ...
Tanaka T - - 1995
BACKGROUND: The effects of diabetes mellitus and its treatment on the circadian variation of symptom onset in acute myocardial infarction were examined. METHODS: We obtained the time of symptom onset in 336 patients who had suffered acute myocardial infarction. RESULTS: As in earlier studies, the peak of symptom onset occurred ...
Mukhtar H T - - 1995
OBJECTIVE: To compare outcome after infarction in South Asian patients, comprising Indians, Pakistanis, Bangladeshis and individuals of East African origin, in Birmingham with that in white patients in the same city. DESIGN: A prospective case-control study. SETTING: Three large district general hospitals. PATIENTS: 102 South Asian patients discharged from hospital ...
Kyriakidis M - - 1995
The hematological profile of 12 patients with acute myocardial infarction and normal coronary arteriographic findings was compared to that of 8 patients with acute myocardial infarction associated with obstructive coronary artery disease, and of 12 patients with no evidence of myocardial infarction and normal coronary arteriographic and left ventriculographic findings ...
Rosamond W D - - 1995
Accurate separation of new cases of acute myocardial infarction from prevalent cases is critical for assessing trends in morbidity in population-based studies. This report presents data on the validity of self-reported history of previous acute myocardial infarction among 3,703 patients admitted to a coronary care unit with suspicion of acute ...
Shirai K - - 1994
A young female patient developed acute myocardial infarction during physical exercise. Coronary arteriography in the acute phase demonstrated a coronary fistula originating from the left coronary main trunk and communicating with the right atrium. Several branches of the left coronary artery were obstructed by thrombotic material originating from the fistula, ...
Yeh M L - - 1994
OBJECTIVE: The purpose of this study was to determine the usage and perceived effectiveness of coping strategies of spouses of patients with acute myocardial infarction in Taiwan, the Republic of China, during the acute phase of the illness. DESIGN: Survey. SETTING: Visitors room for a coronary care unit in Taiwan, ...
Lapinsky S E - - 1994
In the absence of ischemic heart disease, severe acute reversible myocardial dysfunction is uncommon, with sepsis most often being implicated in the ICU. We report a 38-year-old woman who developed profound transient myocardial depression due to nonseptic systemic inflammatory response syndrome caused by a necrotic kidney. Hemodynamic parameters and echocardiographic ...
Fujiwara Y - - 1993
Acute myocardial infarction after artificially induced abortion is an uncommon event because such patients are usually young females and are not usually subject to atherosclerosis. This report describes two premenopausal females who developed acute myocardial infarction after administration of ergot derivatives which were used following abortion. Coronary arteries in both ...
Strachan J R - - 1993
Twenty-one patients with post-operative retention following unassociated surgery and requiring transurethral resection of the prostate were compared with patients with acute retention (control group). Histological evidence of acute prostatic infarction was significantly increased in the post-operative retention group. Prolonged operative hypotension was associated with acute prostatic infarction, as were smoking ...
Dellborg M - - 1993
Myocardial infarct size is one of the most important predictors of prognosis in patients suffering an acute myocardial infarction. It can be assessed by enzymatic and electrocardiographic methods. The present report compares dynamic vectorcardiographic monitoring, serial plasma enzyme activity measurements and QRS scoring according to Palmeri as techniques for infarct ...
Marchant B - - 1993
OBJECTIVE: To determine the circadian and seasonal variations in the incidence of acute myocardial infarction and the influence of environmental temperature. PATIENTS: 633 consecutive patients with acute myocardial infarction admitted to a coronary care unit over four years. SETTING: Coronary care unit in a district general hospital. DESIGN: An observational ...
Congeni B L - - 1992
Several areas in the United States have experienced significant outbreaks of acute rheumatic fever. Reasons for the reappearance of acute rheumatic fever are incompletely understood but may relate to changes in the organism. Fortunately, however, GABHS has remained exquisitely susceptible to penicillin. Given the resurgence in cases of acute rheumatic ...
Riegel B J - - 1992
OBJECTIVE: To determine if overprotection on the part of the patient's family and friends contributes to the development of cardiac invalidism after acute myocardial infarction. DESIGN: Longitudinal survey. SETTING: Nine hospitals in the southwestern United States. SUBJECTS: One hundred eleven patients who had experienced a first acute myocardial infarction. Subjects ...
Ciampricotti R - - 1992
A 48-yr-old well conditioned man developed acute myocardial infarction twice during sporting activities. After both events right coronary angiography showed a moderate proximal stenosis and, 5 months later, a subtotal obstruction at the site of prior slight lumen irregularity. This case suggests a causal relationship between sport and the occurrence ...
Varty K - - 1992
A patient presented with an acutely ischaemic leg and mild abdominal pain. Arteriography showed an iliac occlusion and some distal occlusive disease. At laparotomy a perforated gastric ulcer was found, and by the end of this operation the foot was well perfused. This case exemplifies the serious reduction in limb ...
Rukavina M G - - 1992
Diagnosis of acute myocardial infarction as early in the course of its evolution as possible is an important requirement for successful coronary reperfusion. In spite of the availability of many newer diagnostic methods, electrocardiography retains its preeminent place in the diagnosis of acute myocardial infarction. The value and limitations of ...
Tobé, Thomas Josef Maria
Acute myocardial infarction is a very serious disease. In the acute phase, it causes a considerable mortality, and during the subsequent year after discharge another 4 -10% of the patients die. Over the last three decades, mortality in the acute phase is decreased (partly due to the introduction of the ...
Tschida V H - - 1991
Therapy for acute myocardial infarction has its most compelling effect when the patient is seen early in the course of illness. In this article, the authors discuss the status of nonlytic medications during the acute phase of Q-wave infarction and also examine the role of risk modification and stratification in ...
Pollard Z F - - 1991
Twenty-five newborns with acute dacryocystitis underwent probing of the nasolacrimal duct. All had a resolution of the acute dacryocystitis. Only one continued to have epiphora and had to undergo a subsequent probing with silicone intubation at 9 months of age. All were probed without anesthesia, being mummified and held by ...
Weitz Z W - - 1991
To investigate whether reperfusion after myocardial ischaemia leads to free-radical-mediated peroxidation of membrane lipids and cell damage, we measured pentane, a product of lipid peroxidation, in the breath of 10 healthy control subjects and in 20 consecutive patients with suspected acute myocardial infarction. 10 of these patients showed no myocardial ...
Mammi M V - - 1991
This is a retrospective study of patients with first attack of myocardial infarction admitted to Medical College Hospital, Calicut during the years 1969 to 1988. The data analysed were compared to other hospital based studies in India and abroad. A striking increase in the percentage of acute myocardial infarction was ...
Rasmanis G - - 1991
Twenty-five patients with myocardial infarction were monitored in the acute phase and during follow-up with regard to the in vivo production of prostacyclin (PGI2) and thromboxane (TxA2), by measurement of their major urinary metabolites, 2,3-dinor-6-keto-PGF1 alpha and 2,3-dinor-TxB2, respectively. In 22 of these patients PGI2 and TxA2 production were also ...
Thompson R C - - 1991
The detection of serial changes in magnetic resonance (MR) signal intensity of the heart following acute myocardial infarction may provide a useful method of characterizing tissue healing. Fourteen patients with acute Q-wave infarction underwent T2-weighted, spin-echo cardiac imaging during hospitalization, followed by one or more additional MR studies (total 31) ...
Lencz L - - 1991
Domperidone has been used as a gastrokinetic and anti-emetic drug within the frames of an intensive care programme in 57 patients with a history of 3-4 days of acute myocardial infarction. According to the observations, Motilium prevents the development of gastroduodenal complaints and nausea, vomiting in a period following the ...
van Walraven C - - 1990
Hospital medical records staff enter diagnostic codes on charts using the International Classification of Diseases (Clinically Modified), Ninth Revision (ICD-9-CM). In a downtown Toronto tertiary hospital, 209 consecutive charts coded for acute myocardial infarction as the primary diagnosis in 1987-88 were reviewed. Criteria for documentation of acute myocardial infarction included ...
Hendel R C - - 1990
Indium-111-labeled antimyosin has been utilized in the diagnosis and localization of acute transmural myocardial infarction. The present report describes a patient who presented with a massive subendocardial infarction. Two days after the injection of antimyosin, the patient's clinical status markedly deteriorated and he expired. Postmortem examination demonstrated severe three-vessel coronary ...
Wielgosz A T - - 1990
Concern has been expressed about allowing pilots to fly following an acute myocardial infarction. From the beginning of 1967 to the end of 1987, 141 Canadian pilots have been licensed following an acute myocardial infarction, 21 of these for the first time. About 200 pilots did not qualify for relicensure. ...
Takeshita S - - 1990
Many toxic neutrophils, characterized by cytoplasmic swelling, vacuolization and toxic granulation, can be seen in the acute phase of Kawasaki Disease (KD; mucocutaneous lymph node syndrome). Polymorphonuclear neutrophils (PMNs) of 36 patients with acute and convalescent phase KD were studied with reference to their morphological characteristics. The percentage of toxic ...
de Roos W K - - 1990
Acute mesenteric ischaemia can be caused by arterial embolism. The initial aspecific symptoms mostly lead to late recognition of acute mesenteric ischaemia which leads to intestinal infarction. Intestinal infarction with signs of peritonitis has a very high mortality. Since 1982, a pro-active approach is followed in our department. After thorough ...
Evans J R - - 1990
Calculation of osmolal gap in plasma and urine samples from patients after acute myocardial infarction was carried out to see whether changes in these variables support the concept of a "sick-cell" mechanism being responsible for the hyponatremia associated with acute myocardial infarction. Some supportive evidence was found on the first ...
Sakata K - - 1989
A 67-year-old man had an acute myocardial infarction with thrombosis in the left anterior descending artery shortly after normal exercise. We were able to measure the fibrinolytic components in this patient just prior to his developing acute myocardial infarction as well as during convalescence. In this case, marked increase in ...
Eichstaedt H W - - 1989
Twenty-six patients admitted to the Free University of Berlin University Hospital catheterization laboratory with acute myocardial infarction were studied. The diagnosis was confirmed by angiography, but acute revascularization was unsuccessful in every case. MR imaging was performed within 7 days of the acute event in 11 patients with uncomplicated clinical ...
Jensen K - - 1989
Segmental intestinal necrosis is a rare complication of acute pancreatitis. The pathogenesis of intestinal necrosis in acute pancreatitis has previously been attributed to arterial thrombosis, but we have observed an unusual case of segmental small intestinal infarction associated with pancreatitis that could not be explained by this mechanism. In our ...
Matsumoto M - - 1989
Acute occlusion of the infrarenal abdominal aorta is a vascular catastrophe, and the prognosis remains poor. This report describes a 52-year-old man with acute occlusion of the abdominal aorta following acute myocardial infarction. He was successfully treated with a transfemoral embolectomy with the use of a Fogarty catheter. The postoperative ...
Yasuda M - - 1989
Although some studies suggest that complement activation is involved in the development of acute myocardial infarction, there has been little convincing evidence of a change in the complement system in patients suffering from myocardial infarction. In this study circulating levels of C3a, C3, C4 and the total hemolytic complement titer ...
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