Long distance of spontaneous coronary artery dissection involving LMT in a middle-aged man — Complete rapid healing and clinical usefulness of CABG as a temporizing strategy

Publication date: Available online 3 December 2019Source: Journal of Cardiology CasesAuthor(s): Kazunori Takemura, Masaharu Maegaki, Ryuta Nakamura, Tetsuro Takase, Kaneto Mitsumata, Tomoaki Tanabe, Imun TeiAbstractSpontaneous coronary artery dissection (SCAD) usually occurs in women, which can result in significant morbidities. A 38 year-old obese man who is currently smoking was referred to our hospital with chest pain. His electrocardiography and echocardiography suggested myocardial infarction in proximal region of left coronary artery. Emergent coronary angiography revealed 99% stenosis at mid portion of LAD and diffuse 50% stenosis from LMT to LAD. Intravascular ultrasound identified intramural hematoma severely compressing the true lumen which extended from mid LAD to LMT suggesting SCAD. After failed fenestration of the false lumen with balloon angioplasty, emergent coronary artery bypass graft using right internal thoracic artery and saphenous vein graft was performed. Two weeks after the surgery, follow-up CAG found completely healed native coronary artery which resulted in occlusion of RITA-LAD graft. This case raises two clinical important issues. First, SCAD can be seen in middle-aged men who are likely to have atherosclerosis. Secondly, CABG is useful as temporizing strategy for unstable SCAD involving LMT. The rapid healing and temporal lifesaving CABG contributed to avoidance of lifelong antiplatelet therapy. Although SCAD is relatively uncommon manifestation ...
Source: Journal of Cardiology Cases - Category: Cardiology Source Type: research

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ConclusionManagement of pulmonary embolism in our cardiology department is characterized by the frequent use of non-invasive techniques on the diagnostic view and appeal to heparin on the therapeutic view.
Source: Archives of Cardiovascular Diseases Supplements - Category: Cardiology Source Type: research
ConclusionsA history of MST is common among older women veterans and associated with a range of medical and mental health diagnoses. These findings call attention to the need for additional research in this understudied population, and the importance of trauma-informed care approaches for women across the lifespan.
Source: Journal of General Internal Medicine - Category: Internal Medicine Source Type: research
This study was designed to look at the species of bacteria that use nitrate and convert it into nitric oxide, which when swallowed helps maintain a widening of blood vessels that leads to the ongoing effect of exercise on blood pressure. Published in the journal Free Radical Biology and Medicine, the study asked participants to fast for the night and then run on a treadmill the next day for 30 minutes on two separate occasions. At one, 30, 60,and 90 minutes after each run they were asked to wash their mouths with either a placebo of mint-flavored water or antibacterial mouthwash. Blood and saliva samples were collected and...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - Category: Consumer Health News Authors: Tags: Health News Offbeat Syndicated CBSN Boston CNN Exercise mouthwash Source Type: news
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Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
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Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
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Source: Archives of Cardiovascular Diseases Supplements - Category: Cardiology Source Type: research
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Source: International Journal of Circumpolar Health - Category: International Medicine & Public Health Tags: Int J Circumpolar Health Source Type: research
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Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
You're reading 5 Surprising Things Stress Can Do to Your Body, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles. You just got off a terrible meeting, your boss gave you an impossible deadline for the next project, your team is pushing you to make extra hours, and you still need to pick up the kids at school. Your body is in a “fight or flight response.” Your stress levels are high, you feel your breath get quicker and even feel your heart beating faster than usual. Although this is all a natural response from y...
Source: PickTheBrain | Motivation and Self Improvement - Category: Consumer Health News Authors: Tags: featured health and fitness self improvement stress Source Type: blogs
A 57-year-old man with a personal history of arterial hypertension and overweight was referred from his primary care medical centre to our tertiary hospital reporting refractory typical chest pain lasting 3  h with persistent electrocardiogram (ECG) changes. The initial ECG (Panel A) showed: (i) atrial fibrillation with marked upsloping ST-segment depression; (ii) hyperacute T waves from leads V2 through V5, with a millimetric J point rise at lead aVR (De Winter sign, which was recently recognized as a ST-segment elevation equivalent). TheST ‐segment-elevation myocardial infarction network was activated and the pa...
Source: European Heart Journal - Category: Cardiology Source Type: research
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