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International Journal of Cardiology Apr 2022
Topics: Heart Failure; Humans; Myocardial Infarction
PubMed: 35134444
DOI: 10.1016/j.ijcard.2022.01.068 -
Circulation Nov 2019
Review
Topics: Humans; Myocardial Infarction
PubMed: 31765259
DOI: 10.1161/CIRCULATIONAHA.119.042157 -
The Western Journal of Medicine Jan 1981
Topics: Humans; Myocardial Infarction; Prognosis
PubMed: 7210662
DOI: No ID Found -
Arquivos Brasileiros de Cardiologia Nov 2012Over 230 million surgeries are performed annually worldwide, cardiac complications being the most common causes of postoperative morbidity and mortality. As life... (Review)
Review
Over 230 million surgeries are performed annually worldwide, cardiac complications being the most common causes of postoperative morbidity and mortality. As life expectancy has extended worldwide, a growing number of patients with multiple comorbidities have undergone noncardiac surgeries. Consequently, cardiovascular complications associated with those procedures are expected to increase, and perioperative acute myocardial infarction (AMI) might become a frequent problem. In Brazil, the number of noncardiac surgical procedures has also increased, and approximately three million surgeries are performed annually. Despite advances in surgical and anesthetic techniques, mortality and costs related to those procedures have also increased, thus, requiring the development of strategies to reduce mortality(4). The occurrence of perioperative AMI prolongs the need for intensive care and the hospital length of stay, increases the cost of hospitalization, and reduces long-term survival. This literature review approaches the pathophysiology, incidence, diagnosis and treatment of perioperative AMI based on current evidence.
Topics: Humans; Intraoperative Complications; Myocardial Infarction; Risk Factors
PubMed: 23138671
DOI: 10.1590/s0066-782x2012005000098 -
Preventive Cardiology 2004A number of studies have demonstrated a relationship between depression and low perceived social support and increased cardiac morbidity and mortality in patients with... (Review)
Review
A number of studies have demonstrated a relationship between depression and low perceived social support and increased cardiac morbidity and mortality in patients with coronary heart disease. There is also evidence that depression increases the risk of acute myocardial infarction and morbidity and mortality following it. This review examines those studies that have investigated these relationships as well as those that have attempted to explain them on the basis of various pathophysiologic mechanisms. Among the latter are studies that have shown that selective serotonin reuptake inhibitors are beneficial in the treatment of depression and that they appear to reverse the enhanced platelet activity observed in depressed patients with acute myocardial infarction. Depression increases hospital length of stay, procedures, readmission rates, and the cost of medical care. Much remains to be elucidated concerning the roles of depression and low perceived social support in predisposing to acute myocardial infarction and to increased morbidity and mortality following it. However, sufficient scientific evidence exists for physicians to make efforts to diagnose and treat depression to reduce the concurrent risk of acute myocardial infarction and morbidity and mortality following it.
Topics: Coronary Disease; Costs and Cost Analysis; Depressive Disorder; Female; Humans; Male; Myocardial Infarction
PubMed: 15133376
DOI: No ID Found -
BMC Cardiovascular Disorders Jun 2022Hyponatremia is a common electrolyte abnormality that has been associated with poor outcomes in several conditions including acute myocardial infarction (AMI). However,...
INTRODUCTION
Hyponatremia is a common electrolyte abnormality that has been associated with poor outcomes in several conditions including acute myocardial infarction (AMI). However, those studies were performed in the era before percutaneous coronary intervention (PCI), focused mostly on ST-elevation myocardial infarction (STEMI), and sodium levels up to 72 h of admission. The purpose of this study was to identify the association between hyponatremia and clinical outcomes in patients with acute myocardial infarction.
METHODS
We performed a retrospective analysis of patients with a diagnosis of non-ST-elevation myocardial infarction (NSTEMI) and STEMI presenting at our institution from March 2021 to September 2021. Our independent variables were sodium levels on the day of admission and up to 7 days later. Dependent variables were in-hospital mortality, 30-day mortality, length of hospital stay, intensive care admission, new heart failure diagnosis, and ejection fraction.
RESULTS
50.2% of patients had hyponatremia up to 7 days of admission. Intensive care admission was higher in patients with hyponatremia up to7 days (69.7% vs 54.3%, P 0.019, OR 1.9), they had worse 30-day mortality (12.7% vs to 2.2%, P 0.004, OR 6.5), in hospital mortality (9.9% vs 1.1%, P 0.006, OR 9.9), and new heart failure diagnosis (31.5% vs 17.9%, P < 0.043, OR 2.1). Hyponatremia on admission was associated with in-hopital mortality (16.3% vs 3.8%, P 0.004, OR 4.9), 30-day mortality (18.4% vs 5.9%, P 0.017, OR 3.5).
CONCLUSIONS
This study suggests that hyponatremia on admission and at any point during the first seven days of hospitalization are associated with in-hospital and 30-day mortality.
Topics: Cross-Sectional Studies; Heart Failure; Humans; Hyponatremia; Myocardial Infarction; Non-ST Elevated Myocardial Infarction; Percutaneous Coronary Intervention; Retrospective Studies; ST Elevation Myocardial Infarction; Sodium; Treatment Outcome
PubMed: 35717160
DOI: 10.1186/s12872-022-02700-y -
Current Problems in Cardiology Jul 2024The term MINOCA (Myocardial Infarction with Non-Obstructive Coronary Arteries) refers to myocardial infarction cases where coronary arteries exhibit less than 50 %... (Review)
Review
The term MINOCA (Myocardial Infarction with Non-Obstructive Coronary Arteries) refers to myocardial infarction cases where coronary arteries exhibit less than 50 % stenosis. MINOCA encompasses a diverse range of pathologies with varying etiologies. Diagnosis involves meeting acute myocardial infarction criteria and excluding other causes (myocarditis, takotsubo syndrome). Clinical features often resemble those of traditional myocardial infarction, but MINOCA patients tend to be younger and more frequently female. Etiological investigations include coronary angiography, intracoronary imaging, and vasomotor function tests. Causes include plaque rupture, coronary dissection, vasospasm, microvascular dysfunction, thromboembolism. Prognosis varies, with some subsets at higher risk. Management involves a tailored approach addressing underlying causes, with emphasis on cardioprotective therapy, risk factor modification, and lifestyle interventions. Further research is needed to refine diagnostic strategies and optimize therapeutic approaches in MINOCA patients.
Topics: Humans; Coronary Angiography; Coronary Vessels; Prognosis; MINOCA; Risk Factors; Myocardial Infarction
PubMed: 38679151
DOI: 10.1016/j.cpcardiol.2024.102583 -
Journal of the American Heart... Sep 2023
Topics: Humans; Myocardial Infarction; Percutaneous Coronary Intervention
PubMed: 37646210
DOI: 10.1161/JAHA.123.031415 -
Cardiology Clinics Aug 2022The global health crisis caused by the COVID-19 pandemic has evolved rapidly to overburden health care organizations around the world and has resulted in significant... (Review)
Review
The global health crisis caused by the COVID-19 pandemic has evolved rapidly to overburden health care organizations around the world and has resulted in significant morbidity and mortality. Many countries have reported a substantial and rapid reduction in hospital admissions for acute coronary syndromes and percutaneous coronary intervention. The reasons for such abrupt changes in health care delivery are multifactorial and include lockdowns, reduction in outpatient services, reluctance to seek medical attention for fear of contracting the virus, and restrictive visitation policies adopted during the pandemic. This review discusses the impact of COVID-19 on important aspects of acute MI care.
Topics: COVID-19; Communicable Disease Control; Humans; Myocardial Infarction; Pandemics; Percutaneous Coronary Intervention; ST Elevation Myocardial Infarction
PubMed: 35851458
DOI: 10.1016/j.ccl.2022.03.004 -
Kardiologia Polska 2016
Review
Topics: Female; Humans; Male; Myocardial Infarction; Poland; Prognosis; Risk Factors; Secondary Prevention; Young Adult
PubMed: 27296283
DOI: 10.5603/KP.a2016.0098