| Coronary stenting during burn shock: diagnostic and treatment considerations. | |
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MedLine Citation:
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PMID: 17091091 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Myocardial injury is known to occur in victims of both thermal and electrical burns. A variety of mechanisms have been ascribed to the pathogenesis of cardiac damage during burn shock. However, limited evidence exists that coronary artery thrombosis plays a frequent role. Distinguishing between acute coronary syndrome (impending myocardial infarction from coronary artery occlusion) vs global cardiac injury is essential; the care diverges drastically. The following case describes a patient who was angiographically proven to have acute coronary thrombosis amidst burn shock ftera 50% TBSA electrical flash burn. Managing the patient's burn shock, myocardial injury, and multiple surgical procedures while considering antiplatelet medications for a newly placed coronary artery stent presented a number of challenges not previously reported. |
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Authors:
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Shea C Gregg; Philip E Fidler; Nabil A Atweh |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of burn care & research : official publication of the American Burn Association Volume: 27 ISSN: 1559-047X ISO Abbreviation: - Publication Date: 2006 Nov-Dec |
Date Detail:
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Created Date: 2006-11-08 Completed Date: 2007-02-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101262774 Medline TA: J Burn Care Res Country: United States |
Other Details:
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Languages: eng Pagination: 905-9 Citation Subset: IM |
Affiliation:
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Andrew J. Panettieri Burn Center, Department of Surgery, Section of Trauma, Burns and Surgical Critical Care, Bridgeport Hospital, Yale-New Haven Health, Bridgeport, Connecticut 06610, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty, Transluminal, Percutaneous Coronary Burns, Electric / complications*, therapy Coronary Thrombosis / diagnosis*, therapy Electrocardiography Heart Catheterization Humans Hypertension / complications, therapy Male Middle Aged Myocardial Infarction / diagnosis*, etiology, therapy Shock / complications*, therapy Stents Tachycardia, Sinus / diagnosis, etiology, therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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