Tag: myocardial infarction

Left ventricular (LV) pseudoaneurysm is a rare but potentially lethal complication of acute myocardial infarction (MI).

Cardiogenic shock (CS) affects the prognosis in patients with myocardial infarction (MI). An additional factor affecting the prognosis is diabetes mellitus (DM).

We present the case of a 77 year-old male patient diagnosed with ST-segment elevation myocardial infarction of anterior wall due to coronary embolism secondary to paroxysmal atrial fibrillation. The patient was qualified for emergent coronary angiography and aspiration thrombectomy. Due to lack of atherosclerotic lesions and probable embolic origin of the occlusion of the infarct-related artery, the patient underwent a successful thrombus aspiration procedure without stent implantation, followed by oral anticoagulant therapy.

Kontrpulsację wewnątrzaortalną (IABP, intra-aortic balloon pump counterpulsation) do użytku klinicznego wprowadzono w 1968 roku [1]. Jest najczęściej stosowaną metodą bier nego wsparcia hemodynamicznego u chorych z zawałem serca (MI, myocardial infarction), zwłaszcza powikłanego wstrząsem kardiogennym (CS, cardiogenic shock) [2]. Jej zastosowanie niesie za sobą duże korzyści hemodynamiczne poprzez zmniejszenie obciążenia następczego lewej komory, ograniczenie zapotrzebowania na tlen i poprawę przepływu wieńcowego w okresie rozkurczu [3].

Despite great progress in the treatment of acute coronary syndromes (ACS), patients with cardiogenic shock (CS) still remain a group at the greatest risk of death. Simple, easily measurable prognostic factors are sought to distinguish those patients who are at risk of death despite successful recanalization of infarct related artery in CS group...

The appearance of periodontal diseases (PD), which cause extensive infl ammatory processes, can develop increased susceptibility to vascular illnesses based on atherosclerosis. Periodontal pathogens affect organism directly by damaging the vascular endothelium and indirectly by activating hypercytokinemia (infl ammatory-cytokine storm) [1, 2]...

Percutaneous coronary intervention (PCI) has revolutionized the management and outcomes of patients with ST-segment elevation myocardial infarction (STEMI) [1]. Primary PCI, according to the European Society of Cardiology (ESC) 2008 guidelines, is the treatment of choice in patients with STEMI within 12 h of chest pain onset [2]. However, the time delay associated with transportation to a hospital with a catheterization laboratory is a major drawback of primary PCI and may have an adverse effect on outcomes [3]...

Atrial fi brillation (AF) is twice as prevalent among patients with chronic kidney disease (CKD) and over 10 times more prevalent in patients on dialysis than in the general population [1, 2]. In the Chronic Renal Insuffi ciency Cohort of 3,267 adult participants, nearly 1 in 5 participants had evidence of AF; age, female gender, and a history of cardiovascular disease were the major predictors of AF in the study. Also, among 956 outpatients with coronary artery disease in the Heart and Soul Study, kidney dysfunction was independently associated with prevalent AF [3]...

Platelet activation plays a pivotal role for the initiation of acute coronary syndromes. Platelet size has been shown to correlate with their function. Large platelets are considered metabolically and enzymatically more reactive than smaller ones [1]. Increased mean platelet volume (MPV) is associated with extent of slow coronary flow [2]. MPV has been reported as increased in unstable angina pectoris and myocardial infarction (MI) [3]...

Restoration of blood flow to an infarct-related artery (IRA) in the first 12 h of evolution is a cornerstone of contemporary treatment of acute myocardial infarction (MI) [1, 2]. It decreases the infarct size, preventing the expansion of myocardial necrosis and its consequences [1, 2]. However, due to their late presentation, up to one third of patients do not receive reperfusion therapy [3]...