African American Women's Perceptions of Cardiovascular Disease After Myocardial Infarction: A Phenomenological Inquiry
Background The primary cause of death among African American women older than 50 years is cardiovascular disease. Cardiovascular disease affects more than 16.8 million Americans and occurs when plaque builds up in the arteries that provide blood to the heart. This often leads to a partial or complete blockage, causing a myocardial infarction (heart attack). There is limited research regarding the lived experiences of African American women before and after a myocardial infarction. Objective The purpose of this qualitative study was to explore the experiences of African American women living in the southern region of the United States who have experienced a myocardial infarction. Methods A hermeneutic phenomenological framework guided the study. Semistructured, audiotaped interviews were conducted to elicit narratives from 7 participants. Interview data were transcribed verbatim and then coded and analyzed using Colaizzi's phenomenological analysis framework. Results The findings revealed 6 major themes: life before myocardial infarction, causes of my myocardial infarction, myocardial infarction warning signs, life after myocardial infarction, cardiac rehabilitation, and family support. Lifestyle changes must be implemented to prevent a second blockage. Attending cardiac rehabilitation and incorporating regular physical exercise are recommended to help prevent further heart damage and to improve quality of life.
A new study assessed the prognosis of myocardial infarction with non-obstructive coronary arteries as compared with myocardial infarction with obstructive coronary artery disease.European Heart Journal
Increased mean platelet volume (MPV) has been associated with elevated risk of stroke and myocardial infarction in the general population and stroke/pump thrombosis in Heartmate II recipients. It has been proposed that contact with foreign surfaces and centrifugation promote prothrombotic states with platelet activation and increased MPV. An association between MPV and outcomes of patients treated with percutaneous short-term circulatory devices has not been investigated.
Anemia may confer a poor prognosis among patients with acute coronary syndrome. However, contemporary data are lacking on the prognostic importance of anemia in patients with left ventricular (LV) systolic dysfunction after acute myocardial infarction (AMI).
In-hospital mortality of patients with cardiogenic shock complicating ST-elevation myocardial infarction (STEMI-CS) ranges from 30% to 50%. The impact of nosocomial infection(NI) is not well addressed in these patients.
AbstractBackground and Aim of the StudyVentricular septal defect (VSD) following myocardial infarction (MI) is a relatively infrequent complication with high mortality. We sought to investigate the effect of concomitant coronary artery bypass graft (CABG) on outcomes following post ‐MI VSD repair.MethodsElectronic search was performed to identify all relevant studies published from 2000 to 2018. Sixty ‐seven studies were selected for the analysis comprising 2174 patients with post‐MI VSD. Demographic information, perioperative variables, and outcomes including survival data were extracted and pooled for systematic re...
We examined the influence of sex on the outcomes after aortic root replacement (ARR).MethodsMedical records of 848 patients (females, n = 159/848, 19%) who underwent ARR at our center from 2005 to 2018 were retrospectively reviewed. Sex differences of the following outcomes were analyzed: the primary end point (in‐hospital mortality or stro111ke), secondary end point (new requirement for permanent pacemaker), and long‐term survival (median follow‐up 21.4 months [interquartile range,1.3‐60.0]).ResultsFemales were significantly older (61.3 vs 58.7 [male]) with higher rates of pre ‐existing cerebrovas...
Right heart failure (RHF) is a severe complication of myocardial infarction (MI). For critical patients in cardiogenic shock after MI temporary circulatory support (TCS) is necessary to provide sufficient cardiac output. The ProtekDuo ® dual-lumen cannula provides a minimally invasive option for TCS, with the TandemHeart® pump or a CentriMag™ assist device. Here, we present the first results with the ProtekDuo® cannula in the setting of acute MI with subsequent RHF as temporary right ventricular assist device (t-RVAD).
Although various temporary mechanical circulatory support devices are utilized during acute myocardial infarction cardiogenic shock (AMI CS), comparisons of interdevice outcomes remain uncertain. We sought to determine patient characteristics and outcomes between venoarterial extracorporeal membrane oxygenation (VA ECMO) and Impella supported patients during AMI CS.
This study aimed to establish a large animal model of RI to test C-MIC application on RI after cardiopulmonary bypass (CPB).
In conclusion, a JEM can be a very handy too l for exposure assessment in occupational epidemiology, particularly in large-scale studies with limited occupational information. When selecting the most suitable exposure assessment method, however, researchers should always remain critical. Know when a JEM has added value and recognize its limita tions. References 1. Hoar SK, Morrison AS, Cole P, Silverman DT. An occupation and exposure linkage system for the study of occupational carcinogenesis. J Occup Med. 1980;22(11):722-6. 2. Pannett B, Coggon D, Acheson ED. A job-exposure matrix for use in population based studies in ...