scholarly journals Differences in Inflammatory Activity at the Onset of Acute Myocardial Infarction According to the Clinical Presentation of Preinfarction Angina

2001 ◽  
Vol 65 (8) ◽  
pp. 707-710
Author(s):  
Masami Kosuge ◽  
Kazuo Kimura ◽  
Toshiyuki Ishikawa ◽  
Tsutomu Endo ◽  
Makoto Shimizu ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Clinical Presentation ◽  
Inflammatory Activity

scholarly journals MULTICENTRIC ANALYSIS OF CLINICAL PRESENTATION OF PATIENTS WITH ACUTE MYOCARDIAL INFARCTION: THE ROAD REGISTRY

2020 ◽  
Vol 75 (11) ◽  
pp. 223
Author(s):  
Pedro Gabriel Melo De Barros E Silva ◽  
Rodrigo Balada ◽  
Lucas Macedo ◽  
Thiago Macedo ◽  
Valter Furlan ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Clinical Presentation ◽  
The Road

Clinical evaluation of immunochemical assay of lactate dehydrogenase isoenzyme 1 in early detection of acute myocardial infarction.

1982 ◽  
Vol 28 (10) ◽  
pp. 2152-2154 ◽  
Author(s):  
T Y Wang ◽  
J H Godfrey ◽  
L G Graham ◽  
M N Haddad ◽  
T C Hamilton
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Lactate Dehydrogenase ◽  
Myocardial Ischemia ◽  
Clinical Presentation ◽  
Myocardial Infarct ◽  
Acute Myocardial Infarct ◽  
Group Iii ◽  
Dehydrogenase Isoenzyme ◽  
Group I

Abstract We immunochemically measured lactate dehydrogenase isoenzyme 1 (LD-1), calculated LD-1/LD ratios (% LD-1) for 122 specimens from 60 patients, and compared the results with those for the conventional cardiac profile and other findings such as clinical presentation and electrocardiogram. Results for LD-1 and % LD-1 could be classified into three groups: group I, with LD-1 less than 64 U/L; group II, with LD-1 greater than 64 U/L and % LD-1 between 17 and 37%; and group III, with LD-1 greater than 64 U/L and 5 LD-1 greater than 38%. These three groups correlated closely and consistently with three patients of cardiac profile, i.e., those of no acute myocardial infarct, myocardial ischemia, and acute myocardial infarct, respectively.

scholarly journals Miopericarditis - diagnostic dilemmas in relation to acute myocardial infarction

2013 ◽  
Vol 66 (9-10) ◽  
pp. 396-400
Author(s):  
Igor Ivanov ◽  
Jadranka Dejanovic ◽  
Olivera Ivanov ◽  
Milovan Petrovic ◽  
Robert Jung ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Chest Pain ◽  
Significant Contribution ◽  
Clinical Presentation ◽  
Case Reports ◽  
Good Condition ◽  
Diagnostic Dilemma ◽  
Small Series ◽  
Electrocardiographic Changes

Introduction. Miopericarditis with clinical presentation of chest pain, electrocardiographic changes and positive cardio specific enzymes is often a differential diagnostic dilemma in relation to acute myocardial infarction. Literature data are very scarce and only case reports or small series of patients can be found in the literature so each case is a significant contribution to this issue. Case report. A 19-year-old patient was admitted to the intensive care unit, with chest pain, electrocardiographic signs of suspected myocardial lesion and highly positive cardio specific enzymes. Since echocardiography revealed segmental hypocinesia of the left ventricle, urgent coronary angiography was done, which diagnosed normal luminogram of coronary arteries. Having received the adequate therapy, the patient was subjectively asymptomatic, hemodynamically stable, sub-febrile at the beginning of hospitalization. Two weeks after admission, the patient was discharged in good condition with diagnosis of myopericarditis. Conclusion. This case shows that it is sometimes difficult to differentiate acute miopericarditis from acute myocardial infarction only according to anamnesis, clinical, electrocardiographic sings and echocardiography.

scholarly journals Role of Early 2D Echocardiography in Patient with Acute Myocardial Infarction in Correlation with Electrocardiography and Clinical Presentation

2014 ◽  
Vol 1 (2) ◽  
pp. 51
Author(s):  
Jitendra Kodilkar ◽  
Mrunal Suresh Patil ◽  
Neelima Chafekar ◽  
Ashwinkumar More
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Heart Disease ◽  
Clinical Presentation ◽  
Health Centre ◽  
Left Ventricular ◽  
Prior History ◽  
Killip Class ◽  
2D Echocardiography

<strong>Introduction:</strong> Echocardiography is noninvasive, most frequently used usually the initial imaging test to evaluate all cardiovascular disease related to structural, functional, or hemodynamic abnormality of the heart or great vessels. The major advantage of echocardiography is the ability to obtain instantaneous real time image even in emergency units. The present study was undertaken to evaluate left ventricular function, extent of myocardium involved and complications of acute myocardial infarction by 2D ECHO, to correlate these findings with ECG and clinical presentation, and to assess the role of 2D ECHO in management and prognosis of patients with acute myocardial infarction. <strong>Materials and Methods:</strong> The present study was conducted on patients visiting our tertiary health centre, Nasik over a period of 2 years. 55 patients were included in the study. Patients with prior history of acute myocardial infarction, valvular heart disease, cardiomyopathy, cardiac surgery, congenital heart disease and non ST elevation MI were not included in the study. Patients were classified as per Killip classification and 2D ECHO was performed on the patients within 24 hours of admission. The findings of which were correlated with clinical and ECG findings. <strong>Results:</strong> Of 55 patients studied it was found that MI had male preponderance with hypertension as major risk factor. Also, the severity of the infarction increased with the increase in the Killip class. Mean ejection fraction was also observed to be decreasing in patients with increase in severity of the infarction. <strong>Conclusion:</strong> 2D ECHO performed within 24 hours of admission helps the clinician to predict and diagnose complications in patients with acute MI and take proper steps in the management of the patient.

scholarly journals Acute Myocardial Infarction due to Multiple Thrombosis without Cardiogenic Shock

2018 ◽  
Vol 28 (1) ◽  
pp. 87-90
Author(s):  
Yurdaer Dönmez ◽  
Armağan Acele ◽  
Zikret Köse
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Cardiogenic Shock ◽  
Clinical Presentation ◽  
Inferior Myocardial Infarction ◽  
Thrombotic Occlusion ◽  
Severe Chest Pain ◽  
St Segment Elevation ◽  
St Segment ◽  
Severe Hypotension

Objective: Acute thrombotic occlusion of > 1 major coronary arteries is very rare (2.5%). Herein, we report a patient with simultaneous anterior and inferior myocardial infarction without cardiogenic shock. Clinical Presentation and Intervention: A 43-year-old woman was admitted with severe chest pain. Electrocardiography showed ST segment elevation in anterior and inferior derivations. There was no severe hypotension. Urgent coronary angiography showed that there were thrombotic occlusions in both left anterior descending artery and right coronary artery. Both lesions were successfully treated with coronary stenting. Conclusion: If there is multiple ST segment elevation on presentation electrocardiography, clinicians should be aware of possible simultaneous coronary occlusions.

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