OBJECTIVES The red blood cell distribution width has been associated with an increased risk of cardiovascular events. In the present study, we assessed the relationship between red cell distribution width values and cardiac troponin I levels in patients admitted with non-ST-elevation acute coronary syndrome. METHODS We analyzed blood parameters in 251 adult patients who were consecutively adm...

Acute coronary syndrome (ACS) is a term used to describe the acute myocardial ischaemic syndromes of unstable angina, non ST-elevation myocardial infarction and ST-elevation myocardial infarction. Despite diagnostic and therapeutic developments over the past decade the quality of care for many patients suffering from ACS remains suboptimal. This paper describes the pathophysiology, assessment a...

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...

Spontaneous coronary artery dissection remains a rare but important cause of acute coronary syndromes. Presentation depends on the extent of the dissection, the vessels involved and the rate of its development, and can encompass the entire spectrum of coronary syndromes, with some patients being asymptomatic and others presenting with angina, non-ST segment elevation myocardial infarction, ST-e...

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...

There are evidence-based guidelines for staging of patients with ST-elevation myocardial infarction undergoing percutaneous coronary intervention, but we are not aware of any evidence comparing the strategy of complete revascularization with percutaneous coronary intervention in the index admission versus the strategy of staging in a subsequent admission for patients with coronary artery diseas...

Primary percutaneous coronary intervention (pPCI) with routine stenting of the culprit lesion has greatly improved short-term and immediate outcomes ST-elevation myocardial infarction (STEMI).

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...

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....

OBJECTIVES Acute ST-segment elevation myocardial infarction patients presenting persistent no-flow after wire insertion have a lower survival rate despite successful mechanical intervention. The neutrophil-to-lymphocyte ratio has been associated with increased mortality and worse clinical outcomes in ST-segment elevation myocardial infarction. We hypothesized that an elevated neutrophil-to-lymp...