A 57-year-old patient was admitted to the emergency department for a clinical picture of intermittent chest pain, dysphonia and respiratory stridor, having received antibiotic treatment with poor therapeutic response. The only imaging study performed had been a chest X-ray interpreted as normal. The patient had an important history of alcoholism and smoking (>45 packs/year). On clinical suspici...

study (p ! 0.01). Patients with AF had a trend toward lower troponin values (Mann-Whitney U test p = 0.06), as well as lower fibrinogen, but not D-dimer concentration. The typical ECG sign S 1 Q 3 T 3 was less common in patients with AF. Patients with AF in PTE were less likely to receive fibrinolytic therapy [8] . As a limitation of the study, there were not enough patients in the subgroups ‘n...

BACKGROUND The incidence of venous thromboembolic disease (VTED) is estimated to be, on average, 1-2 cases per 1,000 individuals per year worldwide. There are few data concerning the incidence rate (IR) of VTED in the Argentinean population at large.Our aim was to estimate the IR of VTED at the Italian Hospital Medical Care Program (IHMCP) in Buenos Aires, the most populous city in Argentina. ...

OBJECTIVE To assess the applicability of three prognostic indexes--APACHE II, SAPS II and UNICAMP II--in a subgroup of critical heart failure (HF) patients. METHODS Ninety patients were studied, being 12 females and 78 males. Mean age was 56 (18-83). Patients were ranked in functional class IV (NYHA) or cardiogenic shock secondary to cardiomyopathies: dilated (44%), chagasic (25.5%), ischemic...

Background: The COVID-19 pandemic has raised a serious challenge for health care systems, which requires taking effective and intensive measures to provide patient care. can cause damages various organs, including heart, through causing changes in the inflammatory coagulation systems. Some cases of cardiac injury display mistakable signs myocardial infarction (MI). Cardiac mimic acute condition...

OBJECTIVES We evaluated the utility of tissue Doppler-derived right ventricular (RV) Tei (or myocardial performance) index in patients with chronic thromboembolic pulmonary hypertension (CTEPH) before and after pulmonary thromboendarterectomy (PTE) and assessed correlations with mean pulmonary artery pressure (mPAP), pulmonary vascular resistance (PVR), and cardiac output (CO). BACKGROUND The...

Pulmonary endarterectomy (PTE) is the definitive treatment for chronic pulmonary hypertension resulting from thromboembolic disease. Chronic thromboembolic pulmonary hypertension is estimated to occur in approximately 4% of patients who have developed an acute pulmonary embolism, though the true prevalence is suspected to be much higher. Chronic thromboembolic pulmonary hypertension is characte...

Methods Objective: Th e aim of this study was to compare the effi cacy and safety of a 50 mg/2 h rt-PA regimen with a 100 mg/2 h rt-PA regimen in patients with acute PTE. Design: A prospective, randomized, open label trial. Setting: A multicenter trial in China. Subjects: 118 patients with acute PTE and either hemodynamic instability or massive pulmonary artery obstruction. Intervention: Patien...