BACKGROUND Administration of abciximab during primary percutaneous coronary intervention is an effective adjunctive therapy in the treatment of patients with ST-segment elevation myocardial infarction. Recent small-scaled studies have suggested that intracoronary administration of abciximab during primary percutaneous coronary intervention is superior to conventional intravenous administration....

OBJECTIVE Familiarize clinicians with recent information regarding the diagnosis and treatment of ST-segment elevation myocardial infarction. DATA SOURCES PubMed search and review of relevant medical literature. SUMMARY Definition, pathophysiology, clinical presentation, diagnosis, and treatment of ST-segment elevation myocardial infarction are reviewed. CONCLUSIONS Patients with ST-segme...

BACKGROUND Helicobacter pylori infection and interleukin-1 polymorphisms are associated with an increased risk of gastric cancer. We examined the prevalence of Helicobacter pylori seropositivity and interleukin-1 polymorphisms between ST-segment elevation myocardial infarction and non-ST-segment elevation acute coronary syndrome patients. METHODS We recruited consecutive acute coronary syndro...

S ubstantial intellectual and financial resources have been invested in the quest to reduce outcomes in patients with ST elevation myocardial infarction (STEMI) through improved pharmacological and mechanical reperfusion therapies. By contrast, little emphasis has been placed on enhancing the medical systems whereby these treatments are delivered, especially as it relates to pre-hospital reperf...

ST-elevation ACS (STE-ACS): patients present with acute chest pain and persistent (>20 minutes) ST-segment elevation. Most of these patients will develop an ST-elevation myocardial infarction (STEMI). Non-ST-elevation ACS (NSTE-ACS): patients present with acute chest pain but without persistent STsegment elevation. The ECG shows persistent or transient ST-segment depression or T-wave inversion,...

Background: The role of temperature changes, as an environmental risk factor, in the human health status has been investigated in recent studies. Accordingly, the present two-year study was conducted to evaluate the incidence of myocardial infarction (MI) in warm and cold seasons in Ali-ibn Abi Talib Hospital, Rafsanjan, Iran. Materials and Methods: In this descriptive and cross-sectional st...

ST-segment elevation by electrocardiography remains the hallmark for the diagnosis of acute myocardial infarction (MI), it helps in decision making and allows for early treatment to these patients. Here is a report of an unusual case of acute MI with ST-segment elevation in posterior ECG leads, in a patient with chest pain and ST segment depression anteriorly in the conventional 12-lead ECG, wh...

Dobutamine stress echocardiography (DSE) is an effective modality for determining the presence of myocardial ischemia from obstructive coronary artery disease (CAD) [1]. Several large studies have deemed DSE a largely safe imaging tool, with minimal side effects [2-5]. The most serious and rare side effects being sustained ventricular tachycardia, intracranial hemorrhage, and myocardial infarct...

Acute ST-segment elevation myocardial infarction after the administration of terlipressin in patients with hemorrhagic esophageal varices is a rare but life-threatening complication. We report the case of a 73-year-old female patient with esophageal variceal bleeding complicated with acute ST-segment elevation myocardial infarction after intravenous injection of terlipressin. We discuss the und...

background :in addition to diagnosing the acute myocardial infarction (mi), stratifying high-risk patients and proper treatment strategies are important issues in managing patients complaining of chest pain and suspecting mi. many studies have been conducted to predict the occlusion site by interpreting the st segment deviations in electrocardiogram (ecg).additional posterior and right precordi...