Pathological findings in the heart and particularly in the coronary arteries are reported from 70 patients dying from pump failure after acute myocardial infarction. Fifty of the patients had died in cardiogenic shock, the remainder from refractory congestive heart failure. Three-vessel disease (greater than or equal to 75% occlusion) was present in 68 per cent of the group with cardiogenic sho...

Background: Cardiovascular diseases are the most common causes of death in the world and type 2 diabetes is one of them because it is highly prevalent and doubles heart disease risk. Some studies suggest that insulin resistance is associated with coronary artery disease in non-diabetics. The aim of this study was to evaluate the association of insulin resistance (IR) and coronary artery disease...

The structural and functional abnormalities that lead to cardiac death are coronary artery disease and left ventricular abnormalities related to remodelling (left ventricular hypertrophy, left ventricular systolic dysfunction, and left ventricular fibrosis). Aldosterone adversely affects all of these processes. It produces both a vasculopathy and left ventricular dysfunction and fibrosis. Endot...

OBJECTIVE To assess the use of acute coronary care facilities in the Republic of Ireland with regard to case mix, patient characteristics, mortality and factors associated with mortality, time intervals to admission, utilisation of thrombolysis, and risk factor profiles. DESIGN A 1 week prospective census of all hospitals admitting acute coronary cases. These comprised 23 coronary care units ...

The aim of this study is to determine the frequency of acute infarcts at autopsy in cases of unexpected abrupt deaths in persons with coronary heart disease. In addition, we want to estimate the time between onset of infarct and death based on evolving tissue changes in the infarct known to occur during the first hours. Thirty cases of unexpected, abrupt deaths were selected from a forensic aut...

Objectives To determine whether postal prompts to patients who have survived an acute coronary event and to their general practitioners improve secondary prevention of coronary heart disease. Design Randomised controlled trial. Setting 52 general practices in east London, 44 of which had received facilitation of local guidelines for coronary heart disease. Participants 328 patients admitted to ...

Cardiovascular disease is the leading cause of death in women. Because of the protective effects of estrogens, ischemic heart disease occurs predominantly in the postmenopausal period and, therefore, much later than in men. The proportion of women with acute coronary syndromes who present with typical chest pain is the same as in men. Nevertheless, atypical chest pain, which is usually associat...

Introduction: This study aims to examine the role of cognitive emotion regulation strategies in the degree of depression, anxiety, and stress of coronary heart disease patients by using predictive correlation method.   Materials and Methods: In this research population consisted of all coronary heart disease patients who referred to Cardiovascular Specialized Hospital in Kermanshah city among...