keyword
MENU ▼
Read by QxMD icon Read
search

STEMI inferior

keyword
https://www.readbyqxmd.com/read/27793397/prognostic-significance-of-ischemic-mitral-regurgitation-on-outcomes-in-acute-st-elevation-myocardial-infarction-managed-by-primary-percutaneous-coronary-intervention
#1
Amgad Mentias, Mohammad Q Raza, Amr F Barakat, Elizabeth Hill, Dalia Youssef, Amar Krishnaswamy, Milind Y Desai, Brian Griffin, Stephen Ellis, Venu Menon, E Murat Tuzcu, Samir R Kapadia
Ischemic mitral regurgitation (IMR) has been associated with worse outcome myocardial infarction. However, severity of mitral regurgitation (MR) and its impact on patients with ST-elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI) remains unknown. We sought to determine impact of increasing severity of IMR on outcomes in patients with STEMI undergoing primary PCI. All patients presenting with STEMI who underwent primary PCI within 12 hours of symptoms from 1994 to 2014 were included...
September 29, 2016: American Journal of Cardiology
https://www.readbyqxmd.com/read/27774856/st-depression-in-right-precordial-leads-with-inferior-stemi-and-occluded-right-coronary-artery-intertwined-anatomy-and-ischemic-areas
#2
Luisa De Gennaro, Natale Daniele Brunetti, Massimo Ruggiero, David Rutigliano, Nicola Locuratolo, Matteo Di Biase, Pasquale Caldarola
Right coronary artery (RCA) occlusion in inferior acute myocardial infarction is usually heralded by ST-elevation both in inferior and in right precordial leads. We report the case of a 68-year-old male, who presented marked ST-elevation in inferior leads, mirrored by ST-depression in anterior-septal and lateral leads. Right precordial lead electrocardiogram unexpectedly showed ST-depression V1R-V5R leads. Coronary angiography showed mid-left anterior descending (LAD) coronary near-complete occlusion with distal wrapping LAD...
October 23, 2016: Acta Clinica Belgica
https://www.readbyqxmd.com/read/27739264/st-segment-elevated-acute-myocardial-infarction-changing-profile-over-last-24-years
#3
Trinath Kumar Mishra, Biswajit Das
BACKGROUND: Coronary artery disease (CAD) is rising in epidemic proportions with India not being an exception. CAD in Indian scenario has its onset at a younger age with multitude of risk factors. OBJECTIVE: This study was carried out to obtain complete information about demographic profile, risk factors, clinical scenario, therapeutic modalities, natural course, outcome and changing profile of acute ST-segment elevated myocardial infarction (STEMI) patients. METHODS: This cross-sectional study was conducted in 45,122 acute STEMI patients admitted 1st March 1990 to 1st March 2014...
June 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27617370/contemporary-management-of-st-elevation-myocardial-infarction
#4
Ashleigh Dind, Usaid Allahwala, Kaleab N Asrress, Sanjit S Jolly, Ravinay Bhindi
Recent advances have caused a major shift in the way ST-elevation myocardial infarctions are managed. This review explores the pharmacological and interventional techniques that have evidence for improving outcomes and the landmark trials that have sparked change. The new P2Y12 inhibitors, ticagrelor and prasugrel, have been shown to be superior to clopidogrel in STEMI patients undergoing primary percutaneous coronary intervention. Concurrently, many technical aspects of percutaneous coronary intervention have been further clarified by trial data, with bare-metal stents, routine thrombus aspiration and femoral access showing evidence of inferiority...
August 22, 2016: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/27586500/association-of-the-right-ventricle-impairment-with-electrocardiographic-localization-and-related-artery-in-patients-with-st-elevation-myocardial-infarction
#5
Jan Kanovsky, Petr Kala, Tomas Novotny, Klara Benesova, Maria Holicka, Jiri Jarkovsky, Lumir Koc, Monika Mikolaskova, Tomas Ondrus, Marek Malik
INTRODUCTION: The right ventricular myocardial infarction (RVMI) has traditionally been mainly related to inferior wall ST elevation myocardial infarction (STEMI). This study assessed the RVMI electrocardiographic (ECG-RVMI) signs in relationship to ECG-based STEMI localization and to the infarct related artery in patients treated with primary percutaneous coronary intervention (pPCI). METHODS: Three hundred consecutive adult patients (107 females) were referred to catheterization laboratory with the acute STEMI diagnosis...
August 5, 2016: Journal of Electrocardiology
https://www.readbyqxmd.com/read/27577194/pericardial-tamponade-due-to-haemorrhagic-pericardial-effusion-as-a-complication-of-prasugrel-a-case-report
#6
Fathima Aaysha Cader, M Maksumul Haq, Sahela Nasrin, Md Rezaul Karim
BACKGROUND: Striking an adequate balance between bleeding risks and prevention of stent thrombosis can be challenging in the setting of percutaneous coronary intervention (PCI) with drug eluting stents (DES) in acute myocardial infarction (MI). This is more pronounced in patients treated with both low molecular weight heparin (LMWH) and dual antiplatelet therapy (DAPT). Prasugrel, a second generation thienopyridine with more potent platelet inhibition capability, is associated with significant bleeding risks...
August 30, 2016: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/27503306/-preclinical-fibrinolysis-in-patients-with-st-segment-elevation-myocardial-infarction-in-a-rural-region
#7
T Viergutz, J Grüttner, T Walter, C Weiss, B Haaff, G Pollach, C Madler, T Luiz
BACKGROUND: In the current guidelines for the treatment of patients with ST-segment elevation myocardial infarction (STEMI), the European Society of Cardiology (ESC) recommends preclinical fibrinolysis as a reperfusion therapy if, due to long transportation times, no cardiac catheterisation is available within 90-120 min. However, there is little remaining in-depth expertise in this method because fibrinolysis is presently only rarely indicated. METHODS: In a rural area in southwestern Germany, where an emergency primary percutaneous coronary intervention was not routinely available within 90-120 min, 156 STEMI patients underwent fibrinolysis with the plasminogen activator reteplase, performed by trained emergency physicians...
September 2016: Der Anaesthesist
https://www.readbyqxmd.com/read/27412903/ecg-criteria-to-differentiate-between-takotsubo-stress-cardiomyopathy-and-myocardial-infarction
#8
Antonio H Frangieh, Slayman Obeid, Jelena-Rima Ghadri, Yoichi Imori, Fabrizio D'Ascenzo, Marc Kovac, Frank Ruschitzka, Thomas F Lüscher, Firat Duru, Christian Templin
BACKGROUND: ECG criteria differentiating Takotsubo cardiomyopathy (TTC) from mainly anterior myocardial infarction (MI) have been suggested; however, this was in small patient populations. METHODS AND RESULTS: Twelve-lead admission ECGs of consecutive 200 TTC and 200 MI patients were compared in dichotomized groups based on the presence or absence of ST-elevation MI (STEMI versus STE-TTC and non-ST elevation MI versus non ST-elevation-TTC). When comparing STEMI and STE-TTC, ST-elevation in -aVR was characteristic of STE-TTC with a sensitivity/specificity of 43% and 95%, positive predictive value (PPV) 91%, and a negative predictive value (NPV) 62% (P<0...
June 2016: Journal of the American Heart Association
https://www.readbyqxmd.com/read/27403139/vessel-healings-after-stenting-with-different-polymers-in-stemi-patients
#9
Qin-Hua Jin, Yun-Dai Chen, Feng Tian, Jun Guo, Jing Jing, Zhi-Jun Sun
BACKGROUND: Different stents implantation in ST-segment elevation myocardial infarction (STEMI) patients may influence the long term prognosis by affecting vessel healings after stenting. The aim of this study was to evaluate the vessel healings after implantation of drug eluting stents (DES) with biodegradable or durable polymer or of bare-metal stents (BMS) in patients with acute STEMI. METHODS: This study included 50 patients, who underwent follow up angiogram and optical coherence tomography (OCT) assessment about one year after percutaneous coronary intervention (PCI) for STEMI...
May 2016: Journal of Geriatric Cardiology: JGC
https://www.readbyqxmd.com/read/27358099/acute-st-elevation-myocardial-infarction-in-fulminant-systemic-p-anca-vasculitis-a-rare-catastrophic-complication
#10
Kanupriya Mathur, Aditya Saini, Tonjeh Bah, Pavan Katikaneni
A 45-year-old Caucasian man presented to the hospital with a 3-month history of fatigue, bilateral upper and lower limb paresthesias and gradually worsening ascending paralysis. A few weeks later, he developed acute renal failure requiring haemodialysis. Investigations revealed presence of myeloperoxidase (MPO) perinuclear antineutrophil cytoplasmic antibodies (ANCA). Renal biopsy was conclusive for rapidly progressive glomerulonephritis with crescents. Treatment for ANCA positive vasculitis was initiated with pulsed steroids, cyclophosphamide and plasmapheresis...
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27348525/regional-longitudinal-myocardial-deformation-provides-incremental-prognostic-information-in-patients-with-st-segment-elevation-myocardial-infarction
#11
Tor Biering-Sørensen, Jan Skov Jensen, Sune H Pedersen, Søren Galatius, Thomas Fritz-Hansen, Jan Bech, Flemming Javier Olsen, Rasmus Mogelvang
BACKGROUND: Global longitudinal systolic strain (GLS) has recently been demonstrated to be a superior prognosticator to conventional echocardiographic measures in patients after myocardial infarction (MI). The aim of this study was to evaluate the prognostic value of regional longitudinal myocardial deformation in comparison to GLS, conventional echocardiography and clinical information. METHOD: In total 391 patients were admitted with ST-Segment elevation myocardial infarction (STEMI), treated with primary percutaneous coronary intervention and subsequently examined by echocardiography...
2016: PloS One
https://www.readbyqxmd.com/read/27318741/new-st-segment-algorithms-to-determine-culprit-artery-location-in-acute-inferior-myocardial-infarction
#12
Xin Huang, Sachin K Ramdhany, Yong Zhang, Zuyi Yuan, Gary S Mintz, Ning Guo
OBJECTIVES: In acute inferior ST-segment elevation myocardial infarction (STEMI), multiple criteria have been proposed to predict the culprit artery based on the 12-lead electrocardiogram (ECG). We assessed the utilities of 11 traditional and 2 new criteria to devise a new ECG algorithm to localize the culprit artery in acute inferior STEMI. METHODS: We analyzed electrocardiographic and angiographic findings of 194 consecutive patients with acute inferior STEMI to devise a new ECG algorithm, further validated in another cohort of 80 patients with acute inferior STEMI...
September 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27278636/chronic-ischemic-mitral-regurgitation-and-papillary-muscle-infarction-detected-by-late-gadolinium-enhanced-cardiac-magnetic-resonance-imaging-in-patients-with-st-segment-elevation-myocardial-infarction
#13
Wobbe Bouma, Hendrik M Willemsen, Chris P H Lexis, Niek H Prakken, Erik Lipsic, Dirk J van Veldhuisen, Massimo A Mariani, Pim van der Harst, Iwan C C van der Horst
BACKGROUND: Both papillary muscle infarction (PMI) and chronic ischemic mitral regurgitation (CIMR) are associated with reduced survival after myocardial infarction. The influence of PMI on CIMR and factors influencing both entities are incompletely understood. OBJECTIVES: We sought to determine the influence of PMI on CIMR after primary percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI) and to define independent predictors of PMI and CIMR...
December 2016: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
https://www.readbyqxmd.com/read/27275168/differential-clinical-implications-of-high-degree-atrioventricular-block-complicating-st-segment-elevation-myocardial-infarction-according-to-the-location-of-infarction-in-the-era-of-primary-percutaneous-coronary-intervention
#14
Kyung Hwan Kim, Myung Ho Jeong, Youngkeun Ahn, Young Jo Kim, Myeong Chan Cho, Wan Kim
BACKGROUND AND OBJECTIVES: The clinical implication of high-degree (second- and third-degree) atrioventricular block (HAVB) complicating ST-segment elevation myocardial infarction (STEMI) is ripe for investigation in this era of primary percutaneous coronary intervention (PCI). We sought to address the incidence, predictors and prognosis of HAVB according to the location of infarct in STEMI patients treated with primary PCI. SUBJECTS AND METHODS: A total of 16536 STEMI patients (anterior infarction: n=9354, inferior infarction: n=7692) treated with primary PCI were enrolled from a multicenter registry...
May 2016: Korean Circulation Journal
https://www.readbyqxmd.com/read/27127021/ventricular-fibrillation-and-sudden-cardiac-death-during-myocardial-infarction
#15
Reza Jabbari
In this PhD thesis, we report that VF is still a common complication of STEMI, with an incidence of 11.6% in the population of Danish STEMI patients who survive to reach the hospital. In this STEMI population, we identified several risk factors associated with VF independent of MI. We identified and confirmed findings from several previous studies and found several risk factors, such as younger age, a family history of sudden death, a TIMI flow grade of 0, the absence of angina, anterior infarction (i.e., VF before PPCI), and inferior infarction (i...
May 2016: Danish Medical Journal
https://www.readbyqxmd.com/read/27040921/the-relationship-between-terminal-qrs-distortion-on-initial-ecg-and-final-infarct-size-at-4months-in-conventional-st-segment-elevation-myocardial-infarct-patients
#16
M E C J Hassell, R Delewi, C P H Lexis, M W Smulders, A Hirsch, G Wagner, S C A M Bekkers, I C C van der Horst, F Zijlstra, A C van Rossum, J J Piek, P van der Harst, R Nijveldt
BACKGROUND: In the Sclarovsky-Birnbaum Ischemia Severity Grading System for patients with ST-segment elevation myocardial infarction (STEMI), "Terminal QRS distortion" is considered as "Grade III". This evidence for most severe ischemia is associated with cardiovascular magnetic resonance imaging (CMR) markers of myocardial damage in the subacute phase. Our aim was to assess whether terminal QRS distortions on the initial electrocardiogram (ECG) is predictive for infarct size (IS) and left ventricular ejection fraction (LVEF) at 4months in anterior versus infarct locations...
May 2016: Journal of Electrocardiology
https://www.readbyqxmd.com/read/27030600/prediction-and-impact-of-failure-of-transradial-approach-for-primary-percutaneous-coronary-intervention
#17
Eltigani Abdelaal, Jimmy MacHaalany, Guillaume Plourde, Alberto Barria Perez, Marie-Pier Bouchard, Melanie Roy, Jean-Pierre Déry, Ugo Déry, Gérald Barbeau, Éric Larose, Onil Gleeton, Bernard Noël, Josep Rodés-Cabau, Louis Roy, Olivier Costerousse, Olivier F Bertrand
OBJECTIVES: To determine predictors of failure of transradial approach (TRA) in patients with ST elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI), and develop a novel score specific for this population. METHODS: Consecutive patients with STEMI undergoing primary PCI in a tertiary care high-volume radial centre were included. TRA-PCI failure was categorised as primary (primary transfemoral approach (TFA)) or crossover (from TRA to TFA)...
June 15, 2016: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/27022254/periprocedural-temporary-pacing-in-primary-percutaneous-coronary-intervention-for-patients-with-acute-inferior-myocardial-infarction
#18
COMPARATIVE STUDY
You Mi Hwang, Chul-Min Kim, Keon-Woong Moon
OBJECTIVE: High-degree atrioventricular block (AVB), including complete AVB in acute inferior ST-elevation myocardial infarction (STEMI), is not uncommon. However, there is no study evaluating the clinical differences between patients who have undergone temporary pacing (TP) and patients who have not. The present study was designed to investigate whether TP has any prognostic significance in inferior STEMI complicated by complete AVB. METHODS: From January 2009 to December 2014, 295 consecutive patients diagnosed with inferior wall STEMI in a university hospital were reviewed...
2016: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/26989121/painless-acute-myocardial-infarction-on-mount-kilimanjaro
#19
Nasiruddin Jamal, Mubina Rajhy, Mustaafa Bapumia
An individual experiencing dyspnoea or syncope at high altitude is commonly diagnosed to have high-altitude pulmonary edema or cerebral edema. Acute myocardial infarction (AMI) is generally not considered in the differential diagnosis. There have been very rare cases of AMI reported only from Mount Everest. We report a case of painless ST segment elevation myocardial infarction (STEMI) that occurred while climbing Mount Kilimanjaro. A 51-year-old man suffered dyspnoea and loss of consciousness near the mountain peak, at about 5600 m...
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/26964388/successful-primary-percutaneous-coronary-interventions-in-a-patient-with-two-consecutive-st-segment-elevation-myocardial-infarctions-and-dual-left-anterior-descending-artery-type-iv
#20
Marijan Spasić, Boris Dzudović, Sinisa Rusović, Zoran Jović, Predrag Djurić, Radoslav Romanović, Nemanja Djenić, Radomir Matunović, Slobodan Obradović
INTRODUCTION: Dual left anterior descending (LAD) artery is a very rare inherited anomaly. It can be incidentally revealed during primary percutaneous coronary intervention (pPCI) and may produce difficulties in detecting and treating the culprit lesion. CASE REPORT: We presented a 52-year-old male patient with ST-segment elevation myocardial infarction (STEM1) of inferior wall, in whom dual LAD anomaly was revealed during pPCI: a short LAD artery originated from the left main coronary artery and a long LAD artery originated from the proximal part of the right coronary artery (RCA)...
January 2016: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
keyword
keyword
90005
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"