Metabolic treatment of myocardial ischaemia
نویسندگان
چکیده
منابع مشابه
A challenge to the metabolic approach to myocardial ischaemia.
The negative results of glucose-insulin-potassium (GIK) in the very large CREATE-ECLA trial that studied 20,201 patients with ST-elevation acute myocardial infarction (AMI), are disappointing and warrant thorough evaluation. We attempt to put the new data into perspective and uncover the serious flaws in the trial design, otherwise the whole metabolic concept will be disparaged. The crucial iss...
متن کاملMarkers of myocardial ischaemia.
and the heart, ignoring the possibility that poor cardiac function leads to depression rather than the other way round. The study by van Melle et al. is very important because it shows that the severity of left ventricular dysfunction is significantly related to the severity of depressive symptoms in patients with myocardial infarction. This at least suggests the possibility that heart damage m...
متن کاملPerioperative myocardial ischaemia.
The goal of anaesthetic management in patients with coronary artery disease (CAD) is the prevention of perioperative myocardial ischaemia. This approach is based on the assumption that sustained intraoperative ischaemia may precipitate postoperative myocardial infarction (MI) with its attendant complications. This presentation will review available information regarding perioperative ischaemia,...
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Sir,—We did not study the Belscope with the prism attached. The instructions with the Belscope state that the prism is only needed three times per 1000 intubations and is not recommended for routine use, as the medium restricts the field of view. The instructions state, and this is borne out by our experience, that where the difficulty of laryngoscopy requires the prism to be used, the tracheal...
متن کاملThe pathology of myocardial ischaemia.
To understand the pathology of myocardial ischaemia detailed knowledge of the anatomy and physiology of the coronary arterial tree is required. The anatomy of the major coronary arteries running on the epicardial surface of the heart has been common knowledge for years. The equally important micro-anatomy of vessels within the myocardium has been neglected along with the physiology of intramyoc...
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ژورنال
عنوان ژورنال: European Heart Journal
سال: 1999
ISSN: 0195-668X
DOI: 10.1053/euhj.1999.1719