Impact of posteromedial papillary muscle infarction on mitral regurgitation during ST-segment elevation myocardial infarction

AbstractThe exact role of papillary muscle infarction (PMI) during the acute phase of acute ST-segment elevation myocardial infarction (STEMI) is not well understood, as existing data on the impact of PMI location is conflicting. We hypothesized that infarction of the posteromedial papillary muscle (PM-PMI) as determined by cardiac magnetic resonance imaging might be associated with an increased incidence of mitral valve regurgitation in the first week after STEMI. 242 patients with first STEMI underwent a late-enhancement (LGE-) cardiac magnetic resonance imaging within a median of 2 (IQR 2 –5) days and echocardiography within 3 (IQR 2–5) days after primary angioplasty for the index event. PMI was scored based on short axis slices (AL-PMI: anterolateral PMI, PM-PMI, AL/PM-PMI: AL- and PM-PMI). Patients with PM-PMI had significantly higher odds (OR 2.62, p 
Source: The International Journal of Cardiovascular Imaging - Category: Radiology Source Type: research

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CONCLUSION: As reimbursement for emergency medicine in Germany was recently rearranged, quality benchmarking has gained incremental importance. Mandatory joint quality measurement in both concepts ensuring gap analysis and process improvement is encouraged. PMID: 31970463 [PubMed - as supplied by publisher]
Source: Herz - Category: Cardiology Tags: Herz Source Type: research
ConclusionThe early rule-out of myocardial infarction may be enhanced by recognition of patient out-of-hospital experience and improved communication surrounding reassurance and future cardiovascular health goals.
Source: Annals of Emergency Medicine - Category: Emergency Medicine Source Type: research
We report the case of a 33-year-old woman with no history of coronary risk factors or chest pain who experienced intermittent chest pain at rest for several minutes from 2 PM. At 8 AM the next day, chest pain recurred and persisted for about 1 hour. She was transported to our hospital by ambulance, where electrocardiogram showed ST-elevation in the precordial leads, and blood tests showed elevation of cardiac markers. She was diagnosed with ST-elevation myocardial infarction. Because she was a young woman without any risk factors, coronary spastic angina was suspected. Coronary angiography without intracoronary nitrate adm...
Source: International Heart Journal - Category: Cardiology Tags: Int Heart J Source Type: research
Dr Oliver Flower The latest on Myocardial Infarction Update in current chest pain protocols and risk stratification with the use of high sensitive troponin with Barbra Backus
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Clinical Crit Care SMACC19 Acute Myocardial Infarction Barbra Backus HEART Score troponin Source Type: blogs
Research has found that heart disease patients develop chest pain more readily if they smoke pot, while other studies suggest that marijuana use might even serve as a heart attack trigger, the review found.
Source: WebMD Health - Category: Consumer Health News Source Type: news
This study may be the first to provide details regarding the relationship between cell phone use and head and neck injuries. However, it had some significant limitations. Keep in mind that the study focused on head and neck injuries. People with multiple injuries or more serious injuries (such as a heart attack or an ankle fracture) might not have been included in the count. Individuals who sought care at their doctor’s office or urgent care centers would also be excluded from this study. In addition, information about the circumstances of an injury can be incomplete. Embarrassment or concerns about legal liability m...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Health Source Type: blogs
By ANISH KOKA, MD Mr. Smith has a problem.  He can’t see.  Even this cardiologist knows why.  The not so subtle evidence lies in the cloudy lens in front of his pupils.  He is afflicted with cataracts that obstruct his vision to the point he can’t really do his job refurbishing antique furniture safely.  His other problem is that he hates doctors. He hasn’t had reason to see one for more than a decade.  He’s 68, takes no medications, smokes a pack of cigarettes a day, and is a master of one word answers. He’s in my office because he needs a medical eval...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Medical Practice Patients Physicians Anish Koka cardiology low-value testing Source Type: blogs
CONCLUSIONS: More than two-thirds of patients with ACS reported at least 1 prodromal symptom, with some significant sex differences. Most patients do not attribute their symptoms to an impending ACS event. PMID: 31977563 [PubMed - as supplied by publisher]
Source: The Journal of Cardiovascular Nursing - Category: Nursing Authors: Tags: J Cardiovasc Nurs Source Type: research
Beyond its effects on the body, medical care can be a balm for the mind. Extensive treatment can feel like a promise that doctors have done everything possible. But that perceived security can come at a high price. As health costs soar, patients are emptying their pockets for care that may not make them healthier, research suggests. Last year, a 5,000-person trial showed that for patients with chronic but stable heart disease, surgical procedures such as stenting and bypass did not reduce the risk of heart attack or death more than lifestyle interventions and medication. Even patients with extensive damage did not, on aver...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Surgery Source Type: news
Given the increasing prevalence and legalization of marijuana, many patients have come to think that marijuana use is not worth mentioning to their physicians. After all, they reason, I would not necessarily tell my doctor that I had a glass of wine last night, so why should I disclose that I smoked marijuana yesterday? Unfortunately, this reasoning is flawed. Because marijuana has a variety of effects on the body and on anesthesia medicines, it is crucial that anyone undergoing a preoperative evaluation disclose their marijuana use. Don’t worry that your anesthesiologist is judging you. That’s not our job! Our...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Health care Marijuana Prevention Safety Surgery Source Type: blogs
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