82,280 results match your criteria Complications of Myocardial Infarction


Randomized, controlled trial of two tranexamic acid dosing protocols in adult spinal deformity surgery.

Spine Deform 2022 Jun 25. Epub 2022 Jun 25.

Rady Children's Hospital, University of California, 3020 Children's Way, San Diego, CA, 92123, USA.

Background: Tranexamic acid (TXA) is an anti-fibrinolytic effective in reducing blood loss in orthopedic surgery. The appropriate dosing protocol for adult spinal deformity (ASD) surgery is not known. The purpose of this study was to evaluate two TXA protocols [low dose (L): 10 mg/kg bolus, 1 mg/kg/hr infusion; high dose (H): 50 mg/kg, 5 mg/kg/hr] in complex ASD surgery. Read More

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Real-life outcomes and readmissions after a TAVI procedure in a Glasgow population.

Br J Cardiol 2021 1;28(3):37. Epub 2021 Sep 1.

Consultant Cardiologist Department of Cardiology, Queen Elizabeth University Hospital, 1345 Govan Road, Glasgow, G51 4TF.

Transcatheter aortic valve implantation (TAVI) is a routine procedure for patients with symptomatic severe aortic stenosis who are deemed inoperable or high-risk surgical candidates. The aim of this study was to examine real-world data on death and readmission rates in patients following the procedure. Electronic health records for patients who underwent TAVI between April 2015 and November 2018 were reviewed. Read More

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September 2021

Increased 30-Day Postoperative Readmission and Medical Complication Rates Among Patients 65 Years and Older Following Arthroscopic Rotator Cuff Repair.

Arthrosc Sports Med Rehabil 2022 Jun 24;4(3):e1151-e1159. Epub 2022 May 24.

Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago Illinois, U.S.A.

Purpose: The purpose of this study is to use a large national database to assess short-term adverse events following arthroscopic rotator cuff repair in patients 65 years and older.

Methods: The ACS NSQIP database was queried to identify patients that underwent arthroscopic rotator cuff repair between December 31, 2015, and January 1, 2017. Patients were split into two groups: 1) between 40-65 years old and 2) 65+ years old. Read More

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Complications of Capsulectomies: An Analysis of the American College of Surgeons National Surgical Quality Improvement Program Database.

Aesthet Surg J Open Forum 2022 12;4:ojac025. Epub 2022 Apr 12.

Division of Plastic and Reconstructive Surgery, McGill University Health Center, Montreal, QC, Canada.

Background: Although plastic surgeons commonly perform capsulectomies for a variety of peri-prosthetic capsular conditions, the safety of capsulectomy remains unknown, and the literature lacks evidence describing its morbidity and complication rates for patients inquiring about its associated risks.

Objectives: The present study aims to identify and define the complication rates associated with capsulectomies.

Methods: An analysis of the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database was performed between the years 2015 and 2018. Read More

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Anterograde Injection of Alteplase Salvages Deep Inferior Epigastric Perforator Flap in Reconstructive Breast Surgery.

Plast Reconstr Surg Glob Open 2022 Jun 20;10(6):e4415. Epub 2022 Jun 20.

Department of Plastic, Aesthetic and Reconstructive Surgery, Hospital of St. John of God Salzburg, Paracelsus Medical University Salzburg, Salzburg, Austria.

The DIEP flap is currently considered the gold standard for autologous reconstructive breast surgery. Postoperative flap failure due to microvascular postanastomotic thrombotic occlusion is a rare but severe complication. Alteplase, a thrombolytic agent typically used in the setting of an ischemic stroke, myocardial infarction, or pulmonary embolism, has also been injected into the microcirculation of flaps as a rescue procedure due to imminent flap loss. Read More

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A Rare Case of Coronary Stent Thrombosis in the Modern Era.

Cureus 2022 May 22;14(5):e25207. Epub 2022 May 22.

Cardiology, Conemaugh Memorial Medical Center, Johnstown, USA.

In patients with acute coronary syndrome or obstructive coronary artery disease, stents, especially drug-eluting stents (DESs), are used for percutaneous coronary interventions (PCI). DES prevents abrupt closure of the stented artery. Stent thrombosis is an uncommon but serious complication of PCI, especially with the recent advancement of stent technology. Read More

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Cardiac Thromboembolism in COVID-19: A Case Series.

Cureus 2022 May 21;14(5):e25193. Epub 2022 May 21.

Department of Cardiology, Fairview Hospital - Cleveland Clinic, Cleveland, USA.

Venous thromboembolism (VTE) is a very common complication of coronavirus disease-2019 (COVID-19) because of the acquired hypercoagulability in these patients. Cardiovascular thromboembolism (CTE) is another complication that is relatively rare yet catastrophic. We present two cases of COVID-19 which were complicated by CTE. Read More

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Non-STEMI vs. STEMI Cardiogenic Shock: Clinical Profile and Long-Term Outcomes.

J Clin Med 2022 Jun 20;11(12). Epub 2022 Jun 20.

Cardiology Department, Heart Institute, Hospital Universitari Germans Trias i Pujol, 08916 Badalona, Spain.

Cardiogenic shock (CS) is a severe complication of acute myocardial infarction (AMI). In AMI-CS, the ST segment deviation on ECG may be elevated (STEMI-CS) or non-elevated (NSTEMI-CS), which may influence prognosis. Our aim was to analyze the clinical profile, acute-phase prognosis, and long-term outcomes of CS relative to the ST pattern on admission. Read More

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Short and long-term prognosis of admission hyperglycemia in patients with and without diabetes after acute myocardial infarction: a retrospective cohort study.

Cardiovasc Diabetol 2022 Jun 23;21(1):114. Epub 2022 Jun 23.

Institute of Clinical Pharmacology, School of Pharmaceutical Sciences, Sun Yat-Sen University, Guangzhou, China.

Objective: Admission hyperglycemia is associated with poor prognosis in patients with acute myocardial infarction (AMI), but the effects of baseline diabetes status on this association remain elusive. We aim to investigate the impact of admission hyperglycemia on short and long-term outcomes in diabetic and non-diabetic AMI patients.

Methods: In this retrospective cohort study, 3330 patients with regard to first-time AMI between July 2012 and July 2020 were identified. Read More

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Computer-Navigated and Robotic-Assisted Total Knee Arthroplasty: Increasing in Popularity without Increasing Complications.

J Arthroplasty 2022 Jun 20. Epub 2022 Jun 20.

Keck School of Medicine of USC, Los Angeles, California. Electronic address:

Introduction: Data on the clinical impact of computer navigation (CN) and robotic assistance (RA) in total knee arthroplasty (TKA) are mixed. This study aims to describe modern utilization trends in CN-TKA, RA-TKA, and conventional (CON) TKA and to assess for differences in postoperative complications and opioid consumption by procedure type.

Methods: A national database was queried to identify primary, elective TKA patients from 2015 to 2020. Read More

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Anomalous left coronary artery from pulmonary artery (ALCAPA) as a silent cause of mitral regurgitation in children.

Monaldi Arch Chest Dis 2022 Jun 23. Epub 2022 Jun 23.

Department of Cardiac Surgery, Liaquat National Hospital, Karachi.

Anomalous left coronary artery from pulmonary artery (ALCAPA), also known as Bland-White-Garland syndrome, is a rare cardiac disease. This condition may present with complications such as myocardial infarction, left ventricular dilatation, mitral regurgitation, and left heart failure in children. We report a case of a four-year-old boy who presented with shortness of breath, palpitations, and recurrent upper respiratory tract infections. Read More

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Acute acalculous cholecystitis and cardiovascular disease, which came first? After two hundred years still the classic chicken and eggs debate: A review of literature.

Ann Med Surg (Lond) 2022 Jun 29;78:103668. Epub 2022 Apr 29.

Department of Medical and Surgical Sciences, University Magna Græcia of Catanzaro, Italy.

The existence of a close association between disease of the biliary tract and disease of the heart is known from the mists of time. Acute acalculous cholecystitis (AAC) can be defined as an acute necro inflammatory disease of the gallbladder in the absence of cholelithiasis. AAC is a challenging diagnosis. Read More

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Spontaneous Coronary Artery Dissection: An Elusive Disease of the Coronaries.

Methodist Debakey Cardiovasc J 2022 3;18(3):89-93. Epub 2022 Jun 3.

Houston Methodist DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, Texas, US.

The articles in our Points to Remember column highlight important "need to know" facts about conditions that cardiovascular healthcare professionals may encounter. These may come from any medical specialty, such as nephrology or neurology. The article in this issue is provided by Swaminathan Perinkulam Sathyanarayanan, MD, Department of Internal Medicine, University of South Dakota, and Smitha Narayana Gowda, MD, and Alpesh Shah, MD, Houston Methodist DeBakey Heart & Vascular Center, Houston Methodist. Read More

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Impact of COVID-19 on the incidence of post-acute myocardial infarction mechanical complications.

Ann Cardiothorac Surg 2022 May;11(3):319-321

Department of Cardiovascular Surgery and Transplantology, Institute of Cardiology, Jagiellonian University Medical College, John Paul II Hospital, Krakow, Poland.

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Surgical management for mechanical complications of acute myocardial infarction: a systematic review of long-term outcomes.

Ann Cardiothorac Surg 2022 May;11(3):239-251

Division of Cardiovascular Surgery, University of Florida, Gainesville, FL, USA.

Background: Mechanical complications following acute myocardial infarction (AMI), though rare, are associated with significant morbidity and mortality. Surgical management remains a mainstay of therapy for these complications. The purpose of this review is to evaluate long-term outcomes data of surgical management for postinfarction free wall rupture, ventricular septal defect, papillary muscle rupture, and pseudoaneurysm. Read More

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The use of mechanical circulatory support in post-acute myocardial infarction mechanical complications.

Ann Cardiothorac Surg 2022 May;11(3):325-327

Cardio-Thoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre, and Cardiovascular Research Institute Maastricht, Maastricht, The Netherlands.

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Effects of concomitant coronary artery bypass grafting on early and late mortality in the treatment of post-infarction mechanical complications: a systematic review and meta-analysis.

Ann Cardiothorac Surg 2022 May;11(3):210-225

Department of Cardiothoracic Surgery, Heart and Vascular Centre, Maastricht University Medical Centre, Maastricht, The Netherlands.

Background: Mechanical complications of acute myocardial infarction represent life-threatening events, including ventricular septal rupture (VSR), left ventricular free-wall rupture (LVFWR) and papillary muscle rupture (PMR). In-hospital mortality is high, even when prompt surgery can be offered. The role of concomitant coronary artery bypass grafting (CABG) in the surgical treatment of these conditions is still debated. Read More

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Left ventricular pseudoaneurysm: the niche of post-infarction mechanical complications.

Ann Cardiothorac Surg 2022 May;11(3):290-298

Department of Cardiothoracic Surgery, Heart and Vascular Centre, Maastricht University Medical Centre, Maastricht, The Netherlands.

Left ventricular pseudoaneurysm (LVP) is a very rare, but potentially lethal mechanical complication of acute myocardial infarction (AMI). Despite representing a unique subset of cardiac rupture, it presents peculiar features that distinguish it from both ventricular free-wall rupture (FWR) and ventricular true aneurysm. LVP occurs in less than 0. Read More

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Post-infarction ventricular septal rupture.

Authors:
Tirone E David

Ann Cardiothorac Surg 2022 May;11(3):261-267

Division of Cardiac Surgery of the Peter Munk Cardiac Centre at Toronto General Hospital and the University of Toronto, Toronto, Ontario, Canada.

Coronary reperfusion therapies have led to a reduction in the incidence of mechanical complications of acute myocardial infarction (AMI), but the associated mortality of these complications has remained high. Ventricular septal rupture is the most common mechanical complication after myocardial infarction and occurs in approximately 0.21% with ST-segment elevation myocardial infarction and in 0. Read More

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Pre- and post-operative mechanical circulatory support in surgical repair of post-acute myocardial infarction mechanical complications.

Ann Cardiothorac Surg 2022 May;11(3):304-309

The University of Texas Health Science Center at Houston, Houston, TX, USA.

The outcomes of patients with acute myocardial infarctions (AMI) have significantly improved with advances in early reperfusion strategies; however, patients with massive infarcts or those who do not receive timely revascularization may develop mechanical complications of AMI. The most common mechanical complications are ventricular septal rupture (VSR), acute mitral regurgitation (MR) due to papillary muscle rupture, and free-wall rupture. Each complication is associated with a high risk of morbidity and mortality, and requires a multidisciplinary approach for prompt diagnosis and hemodynamic stabilization. Read More

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Overview of prevalence, trends, and outcomes of post myocardial infarction mechanical complications.

Ann Cardiothorac Surg 2022 May;11(3):322-324

Department of Medicine, Weill Cornell Medicine-Qatar, Doha, Qatar.

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Operative strategies for acute mitral regurgitation as a mechanical complication of myocardial infarction.

Ann Cardiothorac Surg 2022 May;11(3):328-336

Cardio-Thoracic Surgery Department, Heart & Vascular Centre, Maastricht University Medical Centre (MUMC), Maastricht, The Netherlands.

Severe mitral regurgitation secondary to papillary muscle rupture is one of the mechanical complications after an acute myocardial infarction. Surgical strategies represent the cornerstone of treatment in this disease; in addition to surgical valve replacement, approaches involving surgical valve repair have been reported over time in different clinical scenarios to restore valve competency, improve cardiac function and reduce mechanical prosthesis-related risks. Moreover, in recent years, percutaneous trans-catheter procedures have emerged as an important alternative in high risk or inoperable patients. Read More

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Surgical repair of post-infarction ventricular free-wall rupture in the Netherlands: data from a nationwide registry.

Ann Cardiothorac Surg 2022 May;11(3):310-318

Department of Cardiothoracic Surgery, Heart and Vascular Centre, Maastricht University Medical Centre, Maastricht, The Netherlands.

Background: Ventricular free-wall rupture (VFWR) is an infrequent but catastrophic complication of acute myocardial infarction (AMI). Most reports about outcome after surgical treatment are single-center experiences. We examined the early and mid-term outcomes after surgical repair of post-AMI VFWR using the Netherlands Heart Registration (NHR) database. Read More

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Systematic review and meta-analysis of the mechanical complications of ischemic heart disease: papillary muscle rupture, left ventricle rupture and post-infarct ventricular septal defect.

Ann Cardiothorac Surg 2022 May;11(3):195-209

Cardio-Thoracic Surgery Dept., Heart & Vascular Centre, Maastricht University Medical Centre (MUMC), Maastricht, The Netherlands.

Background: Improvements in revascularisation, including pharmacological, catheter-based and surgical, have resulted in improved outcomes for patients with acute myocardial infarction (AMI), leading to decreased frequency of mechanical complications. Improvements in both techniques and technology have permitted select patients to be managed with a purely percutaneous, transcatheter strategy. Through systematic review, this study aims to synthesise the collective experience of percutaneous treatment of the mechanical complications of ischaemic heart disease. Read More

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Association of CABG SYNTAX score with long term clinical outcomes in patients with acute myocardial infarction undergoing SVG PCI.

Eur Rev Med Pharmacol Sci 2022 Jun;26(11):3893-3902

Department of Cardiology, Ankara City Hospital, Ankara, Turkey.

Objective: The CABG SYNTAX score (CSS) has been recommended as an objective and quantitative evaluation tool for coronary anatomic complexity after CABG. We aimed at evaluating the long-term prognostic value of the CSS and its relationship with the composite criteria of all-cause death, cerebrovascular accident (CVA) and/or non-fatal myocardial infarction (MI) in patients who underwent percutaneous coronary intervention (PCI) of saphenous vein graft (SVG).

Patients And Methods: We retrospectively evaluated 232 patients who were admitted with MI and underwent PCI of SVGs, between 2012 and 2018. Read More

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Progression of aortic stenosis after an acute myocardial infarction.

Open Heart 2022 Jun;9(1)

Québec Heart and Lung Institute, Laval University, Québec City, Québec, Canada

Background: Myocardial infarction (MI) has been shown to induce fibrotic remodelling of the mitral and tricuspid valves. It is unknown whether MI also induces pathological remodelling of the aortic valve and alters aortic stenosis (AS) progression. We thus compared AS progression after an acute MI and in patients with/without history of MI, and assessed post-MI pathobiological changes within the aortic valve leaflets in a sheep model. Read More

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Insights from Egyptian ticagrelor study in patients who presented with acute coronary syndrome (ETS in ACS).

Egypt Heart J 2022 Jun 21;74(1):50. Epub 2022 Jun 21.

Department of Cardiology, Faculty of Medicine, Cairo University, 27 Nafezet Sheem El Shafae St Kasr Al Ainy, Cairo, 11562, Egypt.

Background: Dual antiplatelet therapy with aspirin and a thienopyridine is used to prevent thrombotic complications of acute coronary syndrome (ACS) and percutaneous coronary interventions (PCI). Ticagrelor is an oral, reversible inhibitor of the adenosine diphosphate receptor P2Y12 with a faster onset and more potent platelet inhibition than clopidogrel. A study was needed to evaluate the efficacy and safety of generic ticagrelor in Egyptian patients. Read More

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Chronic kidney disease is a key predictive factor for potential myocardial ischaemia and poor prognosis in asymptomatic patients with diabetes mellitus.

Sci Rep 2022 Jun 17;12(1):10268. Epub 2022 Jun 17.

Division of Cardiology, Showa University Hospital, 1-5-8, Hatanodai, Shinagawa-ku, Tokyo, Japan.

Some asymptomatic patients with diabetes mellitus (DM) have critical coronary artery disease (CAD), although the guidelines do not recommend aggressive screening for CAD in asymptomatic patients. Chronic kidney disease (CKD) is among the serious co-morbidities of severe systemic atherosclerosis. Thus, CKD may be associated with potential myocardial ischaemia. Read More

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Myocardial Infarction with Nonobstructive Coronary Arteries (MINOCA) in a Patient Taking Lisdexamfetamine.

S D Med 2022 May;75(5):210-211

Department of Cardiology, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.

Stimulant medications like amphetamines have been associated with various cardiovascular complications like coronary artery spasm, coronary dissections and thrombus formation, the pathophysiology of which is theorized to be the endothelial damage induced by the medication and the inflammatory cascade that follows. We report a case of 52-year-old male on lisdexamfetamine, a newer stimulant agent used for attention deficit hyperactivity disorder (ADHD) who presented with sudden chest pain and ECG changes concerning for myocardial infarction and mildly elevated troponins. However, coronary angiogram showed no obstructive coronary artery disease and there was spontaneous resolution of his symptoms and ECG changes. Read More

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Culprit plaque location within left circumflex coronary artery predicts clinical outcome in patients experiencing acute coronary syndromes with percutaneous coronary intervention - data from ORPKI registry.

Kardiol Pol 2022 Jun 20. Epub 2022 Jun 20.

Department of Cardiology and Cardiovascular Interventions, University Hospital, Kraków, Poland.

Background: The left circumflex (Cx) artery is the most challenging of coronary branches in terms of diagnostics because the clinical presentation and electrocardiography (ECG) results do not always suggest critical occlusion despite its presence. Therefore, it is important to determine the factors contributing to the clinical manifestation and outcome, such as culprit location.

Aims: To determine the relation between the location of the culprit plaque and clinical outcomes in the LCx artery. Read More

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