scholarly journals Atypical Presentation of Acute Coronary Syndrome and Importance of Wellens’ Syndrome

2018 ◽  
Vol 19 ◽  
pp. 199-202 ◽  
Author(s):  
Kyaw Kyaw ◽  
Htun Latt ◽  
Sammy San Myint Aung ◽  
Nay Min Tun ◽  
Wut-Yi Phoo ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Atypical Presentation ◽  
Coronary Syndrome

Atypical presentation of acute coronary syndrome in young patient

2014 ◽  
Vol 99 (792) ◽  
pp. 109-110
Author(s):  
María Sierra-Girón-Prieto ◽  
Gema García-Prieto ◽  
Margarita Martínez-Zaldivar-Moreno
Keyword(s):  
Acute Coronary Syndrome ◽  
Young Patient ◽  
Atypical Presentation ◽  
Coronary Syndrome

scholarly journals ACUTE CORONARY SYNDROME AS AN ATYPICAL PRESENTATION OF BILATERAL PHEOCHROMOCYTOMA

2020 ◽  
Vol 75 (11) ◽  
pp. 2766
Author(s):  
Andre Luiz Kummer Hora Nascimento ◽  
Fracisco Eberth Marinho Marques ◽  
Silas Furquim ◽  
Gabriela S. Scopel ◽  
Gabriel M. Fonseca ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Atypical Presentation ◽  
Coronary Syndrome ◽  
Bilateral Pheochromocytoma

scholarly journals Bleeding predictors in acute coronary syndrome: does the age or clinical presentation matters?

2021 ◽  
Vol 10 (Supplement_1) ◽  
Author(s):  
C Marques Pires ◽  
I Campos ◽  
P Medeiros ◽  
R Flores ◽  
F Mane ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Cardiac Arrest ◽  
Multivariate Analysis ◽  
Clinical Presentation ◽  
Cox Regression ◽  
Inhospital Mortality ◽  
Atypical Presentation ◽  
Coronary Syndrome ◽  
Previous Medication ◽  
St Elevation

Abstract Funding Acknowledgements Type of funding sources: None. INTRODUCTION Bleeding is a quite common non-cardiac complication of acute coronary syndrome (ACS) and is associated with a negative prognosis impact. AIMS To determine the predictors of inhospital major bleeding (IHMB) in ACS and to evaluate whether they differ according to age and clinical presentation. METHODS A multicentric retrospective study which analysed 25524 patients(pts) with ACS, 25141 without and 383 with IHMB. By multivariate analysis, we determined IHMB predictors and evaluated the differences between age groups (<80 years; ≥80 years) and clinical presentation- ST elevation myocardial infarction (STEMI) or non-ST elevation ACS (NSTEACS). RESULTS By multivariate analysis we found 15 significant IHMB predictors (pvalue < 0,05): age≥75years, hypertension, previous angina, pulmonary disease, previous bleeding, atypical presentation (without pain), cardiac arrest, admission heart rate (HR)>100bpm, Killip4 at admission, ST-elevation, admission haemoglobin (Hb)<10g/dL, aspirin or Vitamin K antagonist (VKA) or ivabradine as previous medication and  glycoprotein IIb/IIIa inhibitors (GPIIb/IIIa) use. Then, we made a sub-analysis in STEMI pts which revealed that IHMB predictors of pts <80 years were: female gender, age≥75years, chronic kidney disease (CKD), active neoplasm, previous bleeding, atypical presentation, cardiac arrest, admission HR > 100bpm, Killip IV on admission and GPIIb/IIIa use. By contrast, IHMB predictors of pts with ≥80 years were: valvular disease, atypical presentation, aspirin as previous medication and GPIIb/IIIa use. Finally, we made a sub-analysis in NSTACS pts which revealed that IHMB predictors of pts <80years were: previous angina, CKD, previous bleeding, cardiac arrest, Killip≥2 at admission, admission Hb < 10g/dL and VKA as previous medication. Conversely, IHMB predictors of pts with ≥80 years were previous bleeding, cardiac arrest and absence of normal QRS. In addition, by multivariate analysis we found that IHMB had an impact on inhospital mortality (OR = 2,2;pvalue < 0,001), however, by Cox regression there wasn’t an impact on 1-year mortality. CONCLUSION This study suggests that IHMB has impact on inhospital mortality and that its predictors differ with age and clinical presentation. The most powerful predictor was previous bleeding. Considering the importance of IHMB, increased efforts are needed to tailor antithrombotic therapy according to age, renal function and other comorbidities.

scholarly journals Unusual pharyngeal pain caused by acute coronary syndrome: a report of three cases

2017 ◽  
Vol 7 (1) ◽  
Author(s):  
Takashi Anzai ◽  
Yuu Hiroshige ◽  
Masahiro Nakamura ◽  
Takashi Iizuka ◽  
Yuji Nakazato ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Tract Infection ◽  
Respiratory Tract ◽  
Respiratory Tract Infection ◽  
Initial Symptom ◽  
Atypical Presentation ◽  
Upper Respiratory Tract ◽  
Cardiac Biomarker ◽  
Coronary Syndrome ◽  
Upper Respiratory

Most patients complaining of pharyngeal pain have an upper respiratory tract infection or other local explanation for their pain. Here we show 3 rare cases of patients visiting our Otorhinolaryngology Department who had an initial symptom of pharyngeal pain caused by acute coronary syndrome (ACS). An electrocardiogram and a cardiac biomarker test are recommended to exclude ACS with atypical presentation in cases without pharyngolaryngeal findings comparable to pharyngeal pain.

scholarly journals Acute coronary syndrome

2017 ◽  
Vol 21 (1) ◽  
pp. 5 ◽  
Author(s):  
Tatiana A Dubikaitis
Keyword(s):  
Acute Coronary Syndrome ◽  
Atypical Presentation ◽  
Detailed Consideration ◽  
Coronary Syndrome ◽  
Special Groups ◽  
Outpatient Settings

Current approaches for outpatient diagnosis of acute coronary syndrome are presented in the article with detailed consideration for atypical presentation of special groups of patients. The first steps management of acute coronary syndrome in outpatient settings is described.

scholarly journals Atypical presentation of acute coronary syndrome: A significant independent predictor of in-hospital mortality

2011 ◽  
Vol 57 (2) ◽  
pp. 165-171 ◽  
Author(s):  
Ayman El-Menyar ◽  
Mohammad Zubaid ◽  
Kadhim Sulaiman ◽  
Wael AlMahmeed ◽  
Rajvir Singh ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Hospital Mortality ◽  
Independent Predictor ◽  
Atypical Presentation ◽  
Significant Independent Predictor ◽  
Coronary Syndrome

Atypical presentation of acute coronary syndrome (ACS): a case report

2018 ◽  
Vol 73 (6) ◽  
pp. 453-459
Author(s):  
Axel Van Damme ◽  
Philippe Vanderheeren ◽  
Tine De Backer ◽  
Françine Desimpel
Keyword(s):  
Acute Coronary Syndrome ◽  
Case Report ◽  
Atypical Presentation ◽  
Coronary Syndrome
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