Left ventricular free wall rupture is an uncommon but catastrophic event caused by acute myocardial infarction. In most of the cases, acute rupture results in cardiac tamponade and shock which is usually fatal within few minutes. Only immediate diagnosis and surgery can increase the survival rate. We report the case of the acute left ventricular free wall rupture, which was treated surgically w...

it would be useful to have a sensitive technique for the detection of this group of patients. The problem in the coronary care unit, however, is the separation of patients with unstable angina from those with frank infarction and with a higher risk of more immediate. life-threatening complications. It is evident from the study of Abdulla et a1 that scintigraphy for detection of acute myocar-dia...

BACKGROUND There has been increasing evidence suggesting that lipopolysaccharide or endotoxin may be an important activator of the innate immune system after acute myocardial infarction. Bovine intestinal alkaline phosphatase reduces inflammation in several endotoxin mediated diseases by dephosphorylation of the lipid A moiety of lipopolysaccharide. The aim of this study was to investigate the ...

BACKGROUND Prediction of functional myocardial recovery post acute myocardial infarction should be based not only on flow patency of the infarct related artery (IRA) but also on the quality of microcirculation in at-risk segments. Myocardial blush grade (MBG) is a method of perfusion assessment which has an established value in prediction of both ventricular remodelling and prognosis. However, ...

BACKGROUND Although the short-term and long-term beneficial effects of early coronary revascularization by primary PTCA or thrombolytic therapy have been established for acute myocardial infarction, thrombolytic therapy >24 hours after the onset of acute myocardial infarction has not been shown to improve clinical outcome. The purpose of this study was to assess the effect of late revasculariza...

Cardiogenic shock is a state of inadequate tissue perfusion due to cardiac dysfunction, most commonly caused by acute myocardial infarction. Mortality rates for patients with cardiogenic shock remain frustratingly high, ranging from 50% to 80%. This high mortality can be counteracted by urgent revascularization and these patients benefit from a prompt invasive procedure. We present an unusual c...

The purpose of this study was to investigate the relation of microvascular integrity and ventricular remodeling after acute myocardial infarction. Twenty-six patients with first acute anterior myocardial infarction were studied before discharge with myocardial contrast echocardiography (MCE). Opacification index (OI) and wall motion index were calculated in the left anterior descending artery t...

In order to determine the severity of contraction abnormalities in acute myocardial infarction and their response to sublingual nitroglycerin, 23 patients were studied by radionuclide angiography within 6-24 hours after the onset of chest pain. Radionuclide angiograms were obtained in the right anterior oblique projection before and after nitroglycerin and segmental shortening was determined us...

triggering of acute myocardial infarction   m. salehian [1]     abstract     coronary heart disease (chd) is the leading cause of death in the united states each year about 450.000 people die from chd, and 1.000.000 experience an initial or recurrent coronary event. plaque rupture and it's its subsequent thrombosis at the site of the plaque rupture is the most common underlying pathophysio...

results age was selected as the important factor based on all 7 statistics. exclusion of age variable decreased c index from 0.75 to 0.68 and r square from 0.25 to 0.15. duration of hospitalization was important based on 4 statistics. exclusion of this variable decreased r square from 0.25 to 0.21. while gender was a useful variable in separation of patients into risk groups, its omission did n...