scholarly journals Ventricular Septal Defect in Delayed Presentation of ST-Elevation Myocardial Infarction (STEMI) Secondary to COVID-19 Pandemic

Cureus ◽  
2021 ◽  
Author(s):  
Pujon Purkayastha ◽  
Muhammad J Iftikhar ◽  
Maciej Kostrubiec
Keyword(s):  
Myocardial Infarction ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
St Elevation Myocardial Infarction ◽  
Delayed Presentation ◽  
St Elevation

scholarly journals Non-ST elevation myocardial infarction and post-stenting ventricular septal defect in the setting of viral myocarditis

2017 ◽  
Vol 7 (2) ◽  
pp. 230-234
Author(s):  
Lilia M. Sierra-Galan ◽  
Angel L. Alberto-Delgado ◽  
Ana-Camila Flores-Ventura ◽  
Eugenio A. Ruesga-Zamora ◽  
Raquel Mendoza-Aguilar ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Viral Myocarditis ◽  
St Elevation Myocardial Infarction ◽  
St Elevation

Characteristics of ST-elevation myocardial infarction with failed thrombolysis

2020 ◽  
Vol 28 (5) ◽  
pp. 266-272
Author(s):  
Ashish Mishra ◽  
Jayesh Prajapati ◽  
Gajendra Dubey ◽  
Iva Patel ◽  
Mukesh Mahla ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Myocardial Infarction ◽  
Fibrinolytic Therapy ◽  
St Elevation Myocardial Infarction ◽  
Delayed Presentation ◽  
Killip Class ◽  
Clinical Variables ◽  
Percutaneous Coronary ◽  
St Elevation

Background Fibrinolytic therapy is an important reperfusion strategy, especially when primary percutaneous coronary interventions cannot be offered to ST-elevation myocardial infarction patients. Given that failed reperfusion after fibrinolytic therapy is common, it is pragmatic that the predictors, outcomes, and angiographic profiles of patients with failed thrombolysis are carefully scrutinized. Methods We prospectively studied clinical variables and outcomes over 30 months in 243 ST-elevation myocardial infarction patients who received fibrinolytics as primary treatment. Logistic regression analysis was used to identify predictors of failed thrombolysis. Results Failed thrombolysis occurred in 38.68% of patients with a mean window period of 6.58 ± 1.42 h, and 55.32% of patients with failed thrombolysis had Killip class >I on presentation. Risk factors such as diabetes mellitus (55.32%), dyslipidemia (60.64%) and obesity (77.66%) were frequently associated with failed thrombolysis; 73.40% of patients with failed thrombolysis had Thrombolysis in Myocardial Infarction flow grade 0/1 in the infarct-related artery, and 58.51% of such patients needed a rescue percutaneous coronary intervention. The mean Thrombolysis in Myocardial Infarction risk score was 5.46 ± 2.77 in failed thrombolysis patients, with mortality of 4.25% at the 6-month follow-up. Conclusion Non-resolution of presenting symptoms and ST changes on electrocardiography at 90 min served as the earliest indicators of failed thrombolysis, with a significant angiographic correlation. Clinical variables such as delayed presentation (>6 h), dyspnea, Killip class >I, cardiogenic shock, Thrombolysis in Myocardial Infarction score, and conventional risk factors including diabetes mellitus, dyslipidemia, and obesity represented cluster of predictors of failed thrombolysis.

scholarly journals Percutaneous Repair of Post-Myocardial Infarction Ventricular Septal Defect: Current Approaches and Future Perspectives

2014 ◽  
Vol 41 (6) ◽  
pp. 613-619 ◽  
Author(s):  
Maria D. Baldasare ◽  
Mark Polyakov ◽  
Glenn W. Laub ◽  
Joseph T. Costic ◽  
Daniel J. McCormick ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Surgical Intervention ◽  
Post Myocardial Infarction ◽  
Critically Ill Patient ◽  
High Morbidity ◽  
Surgical Closure ◽  
St Elevation ◽  
Definitive Surgery

Post-myocardial infarction ventricular septal defect is a devastating complication of ST-elevation myocardial infarction. Although surgical intervention is considered the gold standard for treatment, it carries high morbidity and mortality rates. We present 2 cases that illustrate the application of percutaneous closure of a post-myocardial infarction ventricular septal defect: the first in a patient who had undergone prior surgical closure and then developed a new shunt, and the second as a bridge to definitive surgery in a critically ill patient.

scholarly journals 43. Predictors of delayed presentation among patients with STEMI (ST elevation myocardial infarction) in King Abdul-Aziz Cardiac Center, Riyadh, KSA

2015 ◽  
Vol 27 (4) ◽  
pp. 316
Author(s):  
Mohammed Abbas T. Albrahim ◽  
Amjad Ahmed ◽  
Abdulrahman Anwar Alwakeel ◽  
Faisal Muthana Hijji ◽  
Mohammed Abbas T. Albrahim
Keyword(s):  
Myocardial Infarction ◽  
St Elevation Myocardial Infarction ◽  
Delayed Presentation ◽  
St Elevation ◽  
Cardiac Center
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