scholarly journals A Series of Unfortunate Events: Prinzmetal Angina Culminating in Transmural Infarction in the Setting of Acute Gastrointestinal Hemorrhage

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Michael Ruisi ◽  
Phillip Ruisi ◽  
Hugo Rosero ◽  
Paul Schweitzer
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Gastrointestinal Bleeding ◽  
Gastrointestinal Hemorrhage ◽  
Vasospastic Angina ◽  
Autonomic Activity ◽  
Drug Ingestion ◽  
Transmural Infarction ◽  
Life Threatening ◽  
Clinical Phenomenon

Prinzmetal angina or vasospastic angina is a clinical phenomenon that is often transient and self-resolving. Clinically it is associated with ST elevations on the electrocardiogram, and initially it may be difficult to differentiate from an acute myocardial infarction. The vasospasm induced in this setting occurs in normal or mildly to moderately diseased vessels and can be triggered by a number of etiologies including smoking, changes in autonomic activity, or drug ingestion. While the ischemia induced is usually transient, myocardial infarction and life-threatening arrhythmias can occur in 25% of cases. We present the case of a 65-year-old female where repetitive intermittent coronary vasospasm culminated in transmural infarction in the setting of gastrointestinal bleeding. This case highlights the mortality associated with prinzmetal angina and the importance of recognizing the underlying etiology.

scholarly journals An unusual presentation of acute myocardial infarction in physiotherapy direct access: findings from a case report

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Lorenzo Storari ◽  
Valerio Barbari ◽  
Fabrizio Brindisino ◽  
Marco Testa ◽  
Maselli Filippo
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Case Report ◽  
Visceral Pain ◽  
Signs And Symptoms ◽  
Final Diagnosis ◽  
Outpatient Setting ◽  
Direct Access ◽  
Life Threatening ◽  
Medical Referral

Abstract Background Shoulder pain (SP) may originate from both musculoskeletal and visceral conditions. Physiotherapists (PT) may encounter patients with life-threatening pathologies that mimic musculoskeletal pain such as Acute Myocardial Infarction (AMI). A trained PT should be able to distinguish between signs and symptoms of musculoskeletal or visceral origin aimed at performing proper medical referral. Case presentation A 46-y-old male with acute SP lasting from a week was diagnosed with right painful musculoskeletal shoulder syndrome, in two successive examinations by the emergency department physicians. However, after having experienced a shift of the pain on the left side, the patient presented to a PT. The PT recognized the signs and symptoms of visceral pain and referred him to the general practitioner, which identified a cardiac disease. The final diagnosis was acute myocardial infarction. Conclusion This case report highlights the importance of a thorough patient screening examination, especially for patients treated in an outpatient setting, which allow distinguishing between signs and symptoms of musculoskeletal from visceral diseases.

scholarly journals In-hospital gastrointestinal bleeding in patients with acute myocardial infarction: incidence, outcomes and risk factors analysis from China Acute Myocardial Infarction Registry

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e044117
Author(s):  
Wence Shi ◽  
Xiaoxue Fan ◽  
Jingang Yang ◽  
Lin Ni ◽  
Shuhong Su ◽  
...  
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Logistic Regression ◽  
Gastrointestinal Bleeding ◽  
Secondary Outcome ◽  
Multivariate Logistic Regression ◽  
Independent Risk Factors ◽  
Receptor Inhibitor

ObjectiveTo investigate the incidence of gastrointestinal bleeding (GIB) in patients with acute myocardial infarction (AMI), clarify the association between adverse clinical outcomes and GIB and identify risk factors for in-hospital GIB after AMI.DesignRetrospective cohort study.Setting108 hospitals across three levels in China.ParticipantsFrom 1 January 2013 to 31 August 2014, after excluding 2659 patients because of incorrect age and missing GIB data, 23 794 patients with AMI from 108 hospitals enrolled in the China Acute Myocardial Infarction Registry were divided into GIB-positive (n=282) and GIB-negative (n=23 512) groups and were compared.Primary and secondary outcome measuresMajor adverse cardiovascular and cerebrovascular events (MACCEs) are a composite of all-cause death, reinfarction and stroke. The association between GIB and endpoints was examined using multivariate logistic regression and Cox proportional hazards models. Independent risk factors associated with GIB were identified using multivariate logistic regression analysis.ResultsThe incidence of in-hospital GIB in patients with AMI was 1.19%. GIB was significantly associated with an increased risk of MACCEs both in-hospital (OR 2.314; p<0.001) and at 2-year follow-up (HR 1.407; p=0.0008). Glycoprotein IIb/IIIa (GPIIb/IIIa) receptor inhibitor, percutaneous coronary intervention (PCI) and thrombolysis were novel independent risk factors for GIB identified in the Chinese AMI population (p<0.05).ConclusionsGIB is associated with both in-hospital and follow-up MACCEs. Gastrointestinal prophylactic treatment should be administered to patients with AMI who receive primary PCI, thrombolytic therapy or GPIIb/IIIa receptor inhibitor.Trial registration numberNCT01874691.

scholarly journals Validation of a Thai version of the Hope Scale among patients with acute myocardial infarction

2021 ◽  
Author(s):  
Ampika Inyoo ◽  
Rapin Polsook
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Reliability And Validity ◽  
Principal Component ◽  
Simple Random Sampling ◽  
Validity And Reliability ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Back Translation ◽  
Life Threatening

Background: Hope is essential for patients with acute myocardial infarction, which is often regarded as an active coping for those with life-threatening diseases. Higher hope consistently is related to better health outcomes. However, the instrument for assessing hope has not been previously tested among Thai patients. Objective: This study aimed to assess the validity and reliability of the Hope Scale among Thai patients with acute myocardial infarction patients. Methods: This was an instrument validation study conducted from March to December 2020. A total of 213 patients with acute myocardial infarction were included and selected using a simple random sampling. The back-translation method was used to translate an English version to a Thai version of the scale. Principal Component Analysis (PCA) and Cronbach’s alpha were used for construct validity and reliability. Results: The findings showed that the Cronbach’s alpha of the Thai version of the Hope Scale was acceptable (.75), and the scale consists of four factors, which explained 63.36 % of the total variance. Communalities in each factor ranged from .45 to .84. Overall, the appearance of the factor structures was reasonable and understandable. Conclusion: The reliability and validity of the Thai version of the Hope Scale were suitable for the measurement of hope in Thai patients. This scale can be used by nurses and others to assess hope in Thai patients with acute myocardial infarction. Funding: This study received funding from the 90th anniversary of Chulalongkorn University Fund (Ratchadaphiseksomphot Endowment Fund), Chulalongkorn University, Bangkok, Thailand (GCUGR1125633058M).

scholarly journals Transcatheter closure of post myocardial Infarction ventricular septal rupture with the Amplatzer Septal occluder

2021 ◽  
Vol 18 (2) ◽  
pp. 65-68
Author(s):  
Chandra Mani Adhikari ◽  
Manish Shrestha ◽  
Birat Timalsina ◽  
Amrit Bogati ◽  
Madhu Rokka ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Surgical Intervention ◽  
Transcatheter Closure ◽  
Amplatzer Septal Occluder ◽  
Ventricular Septal Rupture ◽  
Surgical Closure ◽  
Amplatzer Device ◽  
Life Threatening ◽  
Life Threatening Complication

Ventricular septal rupture is a rare yet life threatening complication of acute myocardial infarction. Surgical closure is the treatment of choice however despite surgical intervention mortality remains high.  Transcatheter closure of ventricular septal rupture has emerged as a new alternative strategy which is less invasive potentially allowing early hemodynamic stabilization. We report a case of a 60-year-old male with post infarction ventricular septal rupture who was treated with percutaneous closure using an Amplatzer device at Shahid Gangalal National Heart Centre, Nepal. 

Intensive cardiovascular care units: structure, organization, and staffing

2021 ◽  
pp. 11-24
Author(s):  
Eric Bonnefoy-Cudraz ◽  
Tom Quinn
Keyword(s):  
Myocardial Infarction ◽  
Cardiovascular Disease ◽  
Acute Myocardial Infarction ◽  
Working Group ◽  
Life Threatening ◽  
Coronary Care ◽  
The 1960S ◽  
And Function ◽  
Cardiovascular Care

The nature and complexity of acute cardiovascular care has changed markedly since the early days of the coronary care unit (CCU), introduced in the 1960s to prevent and treat life threatening arrhythmias associated with acute myocardial infarction. In the present day, the patient population is older, has more multimorbidity, comprises a range of conditions alongside critical cardiovascular disease and associated multi-organ failure, requiring increasingly sophisticated management. To reflect this, the Acute Cardiovascular Care Association (ACCA) published a comprehensive update of recommendations in 2018, developed by a multinational working group of experts. These recommendations, which inform this chapter, address the definition, structure, organisation and function of the contemporary intensive cardiovascular care unit (ICCU). Reflecting the modern casemix, three levels of acuity of care are described, and corresponding requirements for ICCU organisation defined. Recommendations on ICCU staffing (medical, nursing and allied professions), equipment and architecture, are presented, alongside considerations of the role of the ICCU within the wider hospital and cardiovascular care network.

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