Reply to a fibrinolysis-first strategy for ST-elevation myocardial infarction in the COVID-19 era

In reply to Jamal et al., our study did not aim to demonstrate the non-superiority of fibrinolysis to primary PCI. It is noteworthy that delayed primary PCI if the symptoms persisted and elective PCI if stabilized were integral parts of the fibrinolysis-first strategy. We aimed to stress the overall in-hospital effect of such a ‘retrograde’ pattern of management (not fibrinolysis only) driven by extreme times when the COVID-19 pandemic hit China first at the beginning of 2020 [1]. Among those patients in whom fibrinolysis was not contraindicated, many refused fibrinolysis therapy for its potential bleeding risk.
Source: International Journal of Cardiology - Category: Cardiology Authors: Tags: Letter to the Editor Source Type: research

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Clin Immunol. 2021 Aug 27:108842. doi: 10.1016/j.clim.2021.108842. Online ahead of print.ABSTRACTSevere acute respiratory syndrome coronavirus-2 causes coronavirus disease 2019, a pandemic which was originated from Wuhan city of China. The pandemic has affected millions of people worldwide. The pathogenesis of SARS-CoV-2 is characterized by a cytokine storm in the blood (cytokinemia) and tissues, especially the lungs. One of the major repercussions of this inflammatory process is the endothelial injury-causing intestinal bleeding, coagulopathy, and thromboembolism which result in various sudden and unexpected post-COVID co...
Source: Clinical Immunology - Category: Allergy & Immunology Authors: Source Type: research
Ann Thorac Surg. 2021 Mar 18:S0003-4975(21)00522-1. doi: 10.1016/j.athoracsur.2021.02.086. Online ahead of print.ABSTRACTPost-infarction ventricular-septal-rupture (VSR) represents a well-known mechanical complication of myocardial infarction, determining cardiogenic shock with high mortality rates. Surgical correction requires significant expertise to avoid cardiac rupture, uncontrollable bleeding, residual shunts, heart failure and death. In the last year, we observed a substantial increase of VSR at our hospital, related to the delayed presentation of people with acute chest pain to the emergency departments during the ...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Source Type: research
This article originally appeared on Las Cruces Sun-News: Healers &Builders 2021: Flight medics and nurses provide crucial rural lifeline ___ (c)2020 the Las Cruces Sun-News (Las Cruces, N.M.) Visit the Las Cruces Sun-News (Las Cruces, N.M.) at www.lcsun-news.com Distributed by Tribune Content Agency, LLC. The post Flight Medics, Nurses in NM Provide Crucial Rural Lifeline appeared first on JEMS.
Source: JEMS Patient Care - Category: Emergency Medicine Authors: Tags: Coronavirus News News Feed Flight Medic New Mexico Source Type: news
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Source: The Medical Futurist - Category: Information Technology Authors: Tags: Artificial Intelligence in Medicine Future of Medicine Healthcare Design Healthcare Policy Portable Medical Diagnostics Robotics Telemedicine & Smartphones digital health Health 2.0 Innovation technology emergency emergency medicin Source Type: blogs
Stress caused by uncertainty can be paralyzing. The information we are getting about the coronavirus seems to be changing by the hour — creating unprecedented uncertainty. There is a good reason your nerves are jangle, or you are feeling unsettled or anxious. Uncertainty is perceived as unsafe and potentially painful. Whether the situation is predictably positive or predictably negative, your brain prefers something familiar to something unfamiliar. Under stress, our brains depend on instinct rather than rational thought because the part of the brain responsible for critical thinking is busy dealing with the psycholo...
Source: Embrace Your Heart Wellness Initiative - Category: Cardiology Authors: Tags: Stress Management uncertainty Source Type: blogs
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