http___medlib.mef.hr_180__1.xml
1.1 2.1 3.1 4.1 5.1 6.1 7.1 8.1 10.1 11.1 12.1 14.1 15.1 16.1 17.1 18.1 18.2 19.1 20.1 21.1 22.1 23.1 24.1 25.1 26.1 27.1 27.2 28.1 29.1 29.2 30.1 31.1 32.1 33.1 34.1 35.1 36.1 37.1 38.1 38.2 38.3 39.1 40.1 40.2 41.1 42.1 43.1 44.1 44.2 45.1 46.1 46.2
Regadenoson induced acute ST-segment elevation myocardial infarction and multivessel coronary thrombosis. Summary of "Regadenoson induced acute ST-segment elevation myocardial infarction and multivessel coronary thrombosis." No Summary Available Affiliation Department of Cardiology, Deborah Heart & Lung Hospital, 200 Trenton Road, Browns Mills, NJ, 08015, USA, davidhsi.md@gmail.com. Journal Details This article was published in the following journal. Name: Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology Pages: Links - PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/23460076 PubMed Articles Influence of the Extent of Coronary Atherosclerotic Disease on ST-Segment Changes Induced by ST Elevation Myocardial Infarction. The accuracy of the admission electrocardiogram (ECG) in predicting the site of acute coronary artery occlusion in patients with ST-segment elevation myocardial infarction (STEMI) and multivessel dise... Comprehensive analysis of intravascular ultrasound and angiographic morphology of culprit lesions between ST-segment elevation myocardial infarction and non-ST-segment elevation acute coronary syndrome. Some plaques lead to ST-segment elevation myocardial infarction (STEMI), whereas others cause non-ST-segment elevation acute coronary syndrome (NSTEACS). We used angiography and intravascular ultrasou... Prognostic significance of the distortion of terminal portion of QRS complex on admission electrocardiogram in ST segment elevation myocardial infarction. ECG on admission has been used in predicting prognosis and risk stratification in ST segment elevation acute myocardial infarction (STEMI). Longitudinal Strain Is a Marker of Microvascular Obstruction and Infarct Size in Patients with Acute ST-Segment Elevation Myocardial Infarction. We assessed the value of speckle tracking imaging performed early after a first ST-segment elevation myocardial infarction (STEMI) in order to predict infarct size and functional recovery at 3-month f... Effect of the terms of complete revascularization on the outcomes of treatment of patients with st segment elevation myocardial infarction and multivessel coronary artery disease. The study was aimed at evaluating the results of treating a total of 227 patients presenting with ST segment elevation myocardial infarction (STEMI) and multivessel coronary artery disease (MVD), who... Clinical Trials Postconditioning in the Treatment of Acute ST-Segment Elevation Myocardial Infarction Standard treatment of patients with acute ST-segment elevation myocardial infarction consist of acute re-opening of the occluded coronary artery (primary PCI). Despite successful treatment... MCC-135 as Adjunct Therapy to Primary Percutaneous Coronary Intervention in ST-Segment Elevation Acute Myocardial Infarction Patients This study is a multicenter, randomized, double-blind, placebo-controlled clinical trial. The primary objectives of this study are to examine the safety, tolerability, and efficacy of intr... Comparison Between Thrombolysis and Primary Percutaneous Coronary Intervention (PCI) to Treat ST-Segment Elevation Myocardial Infarction The main objective is to compare a fibrinolytic strategy with an interventional strategy initiated as early as possible, preferably in the pre-hospital phase, with respect to resolution of... Thrombus Aspiration Before Standard Primary Angioplasty Improves Myocardial Reperfusion in Acute Myocardial Infarction. In patients with acute ST-segment elevation myocardial infarction (STEMI), percutaneous coronary intervention (PCI) may cause thrombus dislodgment and impaired microcirculatory reperfusion... Comparison of Intracoronary Versus Intravenous Abciximab in ST-segment Elevation Myocardial Infarction (CICERO) The primary objective of this study is to investigate whether intracoronary bolus administration of abciximab is superior to intravenous bolus administration in improving myocardial perfus... Medical and Biotech [MESH] Definitions Anterior Wall Myocardial Infarction MYOCARDIAL INFARCTION in which the anterior wall of the heart is involved. Anterior wall myocardial infarction is often caused by occlusion of the left anterior descending coronary artery. It can be categorized as anteroseptal or anterolateral wall myocardial infarction. Myocardial Bridging A malformation that is characterized by a muscle bridge over a segment of the CORONARY ARTERIES. Systolic contractions of the muscle bridge can lead to narrowing of coronary artery; coronary compression; MYOCARDIAL ISCHEMIA; MYOCARDIAL INFARCTION; and SUDDEN CARDIAC DEATH. Acute Coronary Syndrome An episode of MYOCARDIAL ISCHEMIA that generally lasts longer than a transient anginal episode but that does not usually result in MYOCARDIAL INFARCTION. Inferior Wall Myocardial Infarction MYOCARDIAL INFARCTION in which the inferior wall of the heart is involved. It is often caused by occlusion of the right coronary artery. Nitric Oxide Donors A diverse group of agents, with unique chemical structures and biochemical requirements, which generate NITRIC OXIDE. These compounds have been used in the treatment of cardiovascular diseases and the management of acute myocardial infarction, acute and chronic congestive heart failure, and surgical control of blood pressure.
1.1 1.2 2.1 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 3.10 4.1 5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5.9 5.10 5.11 5.12 6.1
Radonić, Radovan (2004) Uloga određivanja laktata u krvi u diferencijalnoj dijagnozi akutne boli u prsištu. PhD thesis, Sveučilište u Zagrebu. Croatian abstract Dvostruko slijepom prospektivnom kliničkom strudijom testiran je klinički doprinos konentracije laktata u diferencijalnoj dijagnostici bolesnika s akutnom boli u grudima. Nakon isključenja bolesnika sa šokom i drugim mogućim uzrokom povišenja laktata, 159 bolesnika zadovoljilo je kriterije za uključivanje u analizu. Najviše prosječne vrijednosti laktata nalaze se u skupini bolesnika s infarktom miokarda s elevacijom ST spojnice (3,19 mmol/L), što se značajno razlikuje od svih ostalih skupina bolesnika. Statistički značajna razlika nađena je i između skupine bolesnika s nestabilnom anginom pektoris (2,12 mmo/L) i skupine bolesnika s akutnim infarktom miokarda bez elevacije ST spojnice (2,22. mmol/L) u odnosu na skupinu s nekoronarnom etiologijom tegoba (1,7 mmol/L). Logističkom regresijom ustanovljena je dobra sposobnost koncentracije laktata u krvi da predvidi ili isključi akutni infarkt miokarda. Uz graničnu koncentraciju laktata od 1,5 mmol/L senzitivnost iznosi 94 %, a negativna prediktivna vrijednost je 92,3%, uz slabu specifičnost (34,7%). Još je bolja senzitivnost za predikciju akutnog infarkta miokarda s elevacijom ST spojnice i iznosi 97,3% uz negativnu prediktivnu vrijednost od 97,4%. Uz koncentracije laktata u krvi manje od 1,5 mmol/L prilično pouzdano se isključuje mogućnost akutnog koronarnog sindroma (senzitivnost 90,8%, negativna prediktivna vrijednost 82%). Na razini granične koncentracije laktata od 2,5 mmol/L specifičnost za predikciju infarkta miokarda je 86,7%. a iznosi 100% uz graničnu koncentraciju laktata od 3,5 mmol/L i istu toliku pozitivnu prediktivnu vrijednost Slična prediktivna sposobnost laktata za predviđanje akutnog infarkta nalazi se ako se u analizu uključe samo bolesnici koji su došli u ranoj fazi infarkta prije nego što je došlo do porasta troponina I ili CPK i MbCPK; Postoji dobra podudarnost koncentracije laktata u krvi i veličine infarkta u bolesnika s akutnim infarktom miokarda. Zaključno možemo reći da određivanje koncentracije laktata u krvi bolesnika s bolovima u prsima u hitnoj službi može biti od pomoći u prepoznavanju bolesnika s akutnim koronarnim sindromom, a osobito bolesnika s akutnim infarktom miokarda s elevacijom ST spojnice i to i u ranoj fazi prije nego što dolazi do porasta biokemijskih markera kardijalne nekroze. English abstract Double blind prospective clinical study tested the usefulness of blood lactate levels for stratification of patients with chest pain in emergency department. 159 patients meet all inclusive criteria. The highest average blood lactate concentration was found in the group of patients with acute myocardial infarction with ST segment elevation (3,19 mmol/L), what is significantly different from all other groups of patients. Statistical significance was found between blood lactate concentrations in patients with unstable pectoral angina (average blood lactate concentration of 2.12 mmol/L) and patients with acute myocardial infarction without ST segment elevation (average blood lactate concentration of 2,22 mmol/L), comparing with patients with noncoronary aetiology of chest pain (average blood lactate concentration 1,7 mmol/L). By logistic regression the ability of blood lactate to predict acute myocardial infarction, when cut off point of 1,5 mmol/L is chosen, sensitivity is 94 %, negative predictive value is 92,3%, with specificity of 34,7%. The method is even more powerful for prediction of acute myocardial infarction with ST segment elevation where sensitivity is 97,3%, and negative predictive value is 97,4%. When blood lactate concentrations are less then 1,5 mmol/L, the probability of acute coronary syndrome is low. Sensitivity is 90,8% and negative predictive value is 82%. At cut off point level of 2,5 mmol/L specificity for prediction of acute myocardial infarction is 86,7%. At cut off point level of 3,5 mmol/L specificity is 100% as well as is the positive predictive value. Similar predictive power for prediction of acute myocardial infarction exists even when patients arrive in the emergency department in the early phase of myocardial infarction, prior to troponin I rises. There is a good correlation between blood lactate concentrations and infarct size. It can be concluded that blood lactate measurements in patients with chest pain in emergency department could be helpful in the recognition of patients with acute coronary syndrome, even in the early phase, particularly in those with acute myocardial infarction with ST segment elevation. Actions (login required)