AIMS To examine age-dependent in-hospital mortality for hospitalization with acute coronary syndromes (ACS) in England and Wales. METHODS AND RESULTS Mixed-effects regression analysis using data from 616 011 ACS events at 255 hospitals as recorded in the Myocardial Ischemia National Audit Project (MINAP) 2003-2010; 102 415 (16.7%) patients were aged <55 years and 72 721 (11.9%) ≥85 years. Pat...

BACKGROUND ST elevated myocardial infarction is a serious and life-threatening condition. In patients suitable for thrombolytic treatment, time is critical and reperfusion should be initiated as soon as possible. Reteplase is commonly used in the management of ST elevated myocardial infarction. OBJECTIVE To assess the safety and efficacy of intravenous Retelex (Reteplase) injection in managem...

Abstract&#x0D; Carbon monoxide (CO) poisoning is one of the most common causes death due to in world. Cardiovascular complications CO includes myocardial infarction, left ventricular dysfunction, cardiogenic shock, and various arrhythmias. Carboxyhemoglobin (COHb) levels do not always correlate with severity symptoms. In this article, We present a patient who developed rare ST elevated acute in...

Relationship has been established between epicardial ST-segment elevation, considered a reliable estimate of ischemic injury in experimental myocardial damage, and ST changes by multiple-lead precordial electrocardiography. However, 35-lead precordial mapping is time-consuming and suitable only for anterior infarctions. An alternate, more rapid method for recording ST segments is an external 3-...

Background: Early diagnosis and proper treatment of patient with acute coronary syndrome (ACS) and ischemic heart disease are important in determining prognosis, preventing adverse effects, and may even save lives. In this study, the level of pregnancy-associated plasma protein-A (PAPP-A) in ACS patients was compared with the control group, in addition to cardiac Troponin (cTn) and creatine kin...

Takotsubo cardiomyopathy (TCM) is usually characterized by transient left ventricular apical ballooning. Due to the clinical symptoms which include chest pain, electrocardiographic changes, and elevated myocardial markers, Takotsubo cardiomyopathy is frequently mimicking ST-elevation myocardial infarction in the absence of a significant coronary artery disease. Otherwise an acute occlusion of t...

UNLABELLED Cardiac metastases of malignant tumors are rare but associated with various presentations, including arrhythmia, heart failure and myocardial infarction. However, it may also cause typical electrocardiographic (ECG) changes, mimicking ST-segment elevated myocardial infarction (STEMI) when patients have chest pain. We reported a 59 year-old woman with cardiac metastases of buccal squa...

LGE and T2 Mapping Images of Representative Cases. On (A for Animals C Human), Infarcted Myocardium Demonstrated the Area with High Intensity; Maps (B D The Ntensity Decreases from 3 Days to Months Following MI. Measurement Remote is Performed within Defined White Contour Area. LGE: Late Gadolinium Enhancement; MR = Magnetic Resonance; MI Myocardial Infarction; STEMI ST†Elevated Infarction. BY ...

1. Participants should be familiar with the 2007 focused update on STeMI and its relationship to the 2004 ACC/AhA guidelines for the treatment of ST-segment elevation MI (STeMI). 2. Participants should understand the clinical decision making factors needed to determine the optimum reperfusion therapy in STeMI. 3. Participants should understand the recent clinical trial evidence and rationale be...

conclusions mortality from papillary muscle rupture remains elevated. survival largely depends on the early surgical repair or the replacement of the mitral valve. case presentation a 71-year-old woman presented to an outside hospital complaining of chest pain and shortness of breath. an electrocardiogram was obtained and revealed depression of the st segments from leads v1 to v4. troponin i wa...