Acute cardiac care最新文献_第2页

Red thrombus-like appearance of protruding calcification into the lumen of the coronary artery by optical coherence tomography 光学相干断层扫描显示冠状动脉腔内红色血栓样的突出钙化

Acute cardiac care Pub Date : 2016-01-02 DOI: 10.1080/17482941.2016.1234052

M. Terashima, H. Kaneda, T. Matsubara, Takahiko Suzuki

引用次数: 2

Extrinsic compression of left main coronary artery due to dilated pulmonary trunk resulting in ischaemic symptoms 肺动脉干扩张导致左冠状动脉主干外源性受压，导致缺血症状

Acute cardiac care Pub Date : 2016-01-02 DOI: 10.1080/17482941.2016.1234053

R. Bhoil, S. Sood, Sabina Bhoil, Anshul Chamail, R. Sood

引用次数: 4

Left ventricular non-compaction cardiomyopathy: Incidental diagnosis after ST-elevation myocardial infarction 左室非压实性心肌病:st段抬高心肌梗死后的偶然诊断

Acute cardiac care Pub Date : 2016-01-02 DOI: 10.1080/17482941.2016.1234055

J. Liang, E. Fenstad, Christopher D. Janish, L. Sinak

引用次数: 1

Coronary artery spasm: Is ST-elevation key for diagnosis? 冠状动脉痉挛:st段抬高是诊断的关键吗?

Acute cardiac care Pub Date : 2016-01-02 DOI: 10.1080/17482941.2016.1234057

P. Villablanca, David F Briceño, Anand D. Jagannath, Martin N. Cohen, R. Pyo

引用次数: 1

Emergency physician accuracy in interpreting electrocardiograms with potential ST-segment elevation myocardial infarction: Is it enough? 急诊医师对潜在st段抬高型心肌梗死心电图的准确解读是否足够?

Acute cardiac care Pub Date : 2016-01-02 DOI: 10.1080/17482941.2016.1234058

G. Veronese, F. Germini, S. Ingrassia, Ombretta Cutuli, V. Donati, L. Bonacchini, M. Marcucci, A. Fabbri

{"title":"Emergency physician accuracy in interpreting electrocardiograms with potential ST-segment elevation myocardial infarction: Is it enough?","authors":"G. Veronese, F. Germini, S. Ingrassia, Ombretta Cutuli, V. Donati, L. Bonacchini, M. Marcucci, A. Fabbri","doi":"10.1080/17482941.2016.1234058","DOIUrl":"https://doi.org/10.1080/17482941.2016.1234058","url":null,"abstract":"Background: Electrocardiogram (ECG) interpretation is widely performed by emergency physicians. We aimed to determine the accuracy of interpretation of potential ST-segment elevation myocardial infarction (STEMI) ECGs by emergency physicians. Methods: Thirty-six ECGs resulted in putative STEMI diagnoses were selected. Participants were asked to focus on whether or not the ECG in question met the diagnostic criteria for an acutely blocked coronary artery causing a STEMI. Based on the coronary angiogram, a binary outcome of accurate versus inaccurate ECG interpretation was defined. We computed the overall sensitivity, specificity, accuracy and 95% confidence intervals (95%CIs) for ECG interpretation. Data on participant training level, working experience and place were collected. Results: 135 participants interpreted 4603 ECGs. Overall sensitivity to identify ‘true’ STEMI ECGs was 64.5% (95%CI: 62.8–66.3); specificity in determining ‘false’ ECGs was 78% (95%CI: 76–80.1). Overall accuracy was modest (69.1, 95%CI: 67.8–70.4). Higher accuracy in ECG interpretation was observed for attending physicians, participants working in tertiary care hospitals and those more experienced. Conclusion: The accuracy of interpretation of potential STEMI ECGs was modest among emergency physicians. The study supports the notion that ECG interpretation for establishing a STEMI diagnosis lacks the necessary sensitivity and specificity to be considered a reliable ‘stand-alone’ diagnostic test.","PeriodicalId":87385,"journal":{"name":"Acute cardiac care","volume":"18 1","pages":"10 - 7"},"PeriodicalIF":0.0,"publicationDate":"2016-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17482941.2016.1234058","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60085686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 22

Spinal cord infarction post cardiac arrest in STEMI: A potential complication of intra-aortic balloon pump use STEMI患者心脏骤停后脊髓梗死:主动脉内球囊泵使用的潜在并发症

Acute cardiac care Pub Date : 2016-01-02 DOI: 10.1080/17482941.2016.1232411

M. Harris, G. Karamasis, Shayna Chotai, K. Tang, G. Clesham, P. Kelly

引用次数: 4

Syncope, seizure or both? 晕厥，癫痫还是两者都有?

Acute cardiac care Pub Date : 2016-01-02 DOI: 10.1080/17482941.2016.1234056

Paraskevi Koutrolou-Sotiropoulou, Abhijeet Singh, Mason Leeman-Markowski, E. Rashba

引用次数: 0

Successful drug-coated balloon angioplasty and single anti-platelet therapy to treat an ischaemic stroke patient with haemorrhage and acute coronary syndrome 药物包被球囊血管成形术和单抗血小板治疗缺血性脑卒中合并出血和急性冠状动脉综合征的成功

Acute cardiac care Pub Date : 2016-01-02 DOI: 10.1080/17482941.2016.1234054

H. Ho, K. Mok

引用次数: 1

Assessment of safety of performing percutaneous coronary intervention after a recent episode of gastrointestinal bleeding 评估近期消化道出血后经皮冠状动脉介入治疗的安全性

Acute cardiac care Pub Date : 2016-01-02 DOI: 10.3109/17482941.2016.1174269

Saima Karim, Sweetheart T. Ador-Dionisio, M. Karim, Mohammad Karim, Sadaf S Khan, A. Atreja, S. Ellis

{"title":"Assessment of safety of performing percutaneous coronary intervention after a recent episode of gastrointestinal bleeding","authors":"Saima Karim, Sweetheart T. Ador-Dionisio, M. Karim, Mohammad Karim, Sadaf S Khan, A. Atreja, S. Ellis","doi":"10.3109/17482941.2016.1174269","DOIUrl":"https://doi.org/10.3109/17482941.2016.1174269","url":null,"abstract":"Background: Little literature exists on the risk of performing coronary intervention (PCI) on patients who have had recent gastrointestinal bleeding (GIB), although bleeding after PCI has been identified as a risk factor for long-term mortality. Methods: Patients within the Cleveland Clinic PCI database who had acute GIB within 30 days preceding PCI during the same hospitalization (n = 79) were retrospectively compared to those who had PCI without recent GIB (n = 10 979) for mortality and need for revascularization. Baseline characteristics, laboratory values, procedures, morbidities, and mortality were compared using chi-square test for categorical variables and using Wilcoxon rank sum test for continuous variables. Mortality data was obtained using Social Security Death Index and demonstrated using Kaplan–Meier method. Results: The GIB group had more prevalent history of peptic ulcer disease, GIB, gastrointestinal or liver disease (P < 0.0001), transient ischemic accident (P = 0.017), peripheral vascular disease (P = 0.0002), significant carotid artery occlusion (P = 0.023), and myocardial infarction (P < 0.0001). 47% of patients had upper GIB with 20% needing endoscopic intervention. This group had more anemia (P < 0.0001), heart failure (P = 0.0001), cardiogenic shock (10% versus 1.4%, P < 0.001), cardiac arrest (7.6% versus 1%, P < 0.001). GIB group had worse in-hospital mortality (P < 0.0001), long-term mortality (P < 0.001), and a 7.6% re-bleeding incidence. Conclusions: Overall, the patients who had GIB preceding PCI had higher in-hospital mortality and long-term mortality compared with those without GIB before PCI.","PeriodicalId":87385,"journal":{"name":"Acute cardiac care","volume":"18 1","pages":"1 - 6"},"PeriodicalIF":0.0,"publicationDate":"2016-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/17482941.2016.1174269","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69458215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Intrathecal baclofen withdrawal: A rare cause of reversible cardiomyopathy* 鞘内巴氯芬戒断:可逆性心肌病的罕见病因*

Acute cardiac care Pub Date : 2016-01-02 DOI: 10.3109/17482941.2016.1174273

Stephen O Awuor, Paul M. Kitei, Y. Nawaz, Amy M. Ahnert

引用次数: 2