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Management Of Cardiogenic Shock Complicating Acute Myocardial Infarction: The Henry Ford Hospital Experience And Review Of The Literature, Ali R. Moosvi, Mihai Gheorghiade, Sidney Goldstein, Fareed Khaja
Management Of Cardiogenic Shock Complicating Acute Myocardial Infarction: The Henry Ford Hospital Experience And Review Of The Literature, Ali R. Moosvi, Mihai Gheorghiade, Sidney Goldstein, Fareed Khaja
Henry Ford Hospital Medical Journal
Cardiogenic shock complicating acute myocardial infarction (MI) carries a high mortality which in some series prior to 1980 exceeded 80%. Neither the use of inotropic and vasopressor agents nor intraaortic balloon counterpulsation was found to improve survival in this group of patients. Intravenous thrombolytic agents improve survival in patients with acute MI, but their role in cardiogenic shock is unknown. Reports of the use of surgical and mechanical interventions in patients with severe left ventricular dysfunction were examined to determine if there was any benefit to be derived from restoring blood flow to ischemic areas of the myocardium. It was …
Special Feature: Management Of Acute Myocardial Infarction: Introduction, Mihai Gheorghiade
Special Feature: Management Of Acute Myocardial Infarction: Introduction, Mihai Gheorghiade
Henry Ford Hospital Medical Journal
No abstract provided.
Neuroendocrine Responses To Acute Myocardial Infarction, Arlene B. Levine, T. Barry Levine
Neuroendocrine Responses To Acute Myocardial Infarction, Arlene B. Levine, T. Barry Levine
Henry Ford Hospital Medical Journal
No abstract provided.
Recovery Of Left Ventricular Function Following Acute Myocardial Infarction, Hani N. Sabbah, Paul D. Stein, Mihai Gheorghiade
Recovery Of Left Ventricular Function Following Acute Myocardial Infarction, Hani N. Sabbah, Paul D. Stein, Mihai Gheorghiade
Henry Ford Hospital Medical Journal
No abstract provided.
Biochemical Diagnosis Of Myocardial Infarction, Craig C. Foreback
Biochemical Diagnosis Of Myocardial Infarction, Craig C. Foreback
Henry Ford Hospital Medical Journal
A rapid, sensitive, and specific marker for the diagnosis of acute myocardial infarction (MI) and the assessment of reperfusion following thrombolytic therapy has been sought by research workers for years. Creatine kinase-MB (CK-MB) is the best biochemical marker currently available to the cardiologist and the emergency room physician for the assessment of patients presenting with symptoms of acute Ml. CK-MB is best measured using immunoassay techniques at 3- to 4-hour time intervals during the first 12 hours after onset of.symptoms. Other currently available markers include lactate dehydrogenase and its isoenzymes and myoglobin. Future developments include assays for troponin, reported to …
The Role Of Echocardiography In Acute Myocardial Infarction, Mohsin Alam
The Role Of Echocardiography In Acute Myocardial Infarction, Mohsin Alam
Henry Ford Hospital Medical Journal
Our institutional experience with two-dimensional echocardiography and color flow Doppler tests, as welt as a review of the literature, reveals that echocardiography is useful in diagnosing myocardial infarction. Furthermore, complications of myocardial infarction such as mitral regurgitation with or without papillary muscle rupture, acquired ventricular septal defect, true and false left ventricular aneurysms, left ventricular thrombi, right ventricular infarction, and pericardial effusion in the setting of acute infarction can he detected by cardiac ultrasound. Echocardiography is also useful in assessing prognosis of postinfarction patients based on degree of left ventricular dysfunction. This test, however, is not 100% sensitive and specific …
Prehospital Care Of Acute Myocardial Infarction: A Review, Asit R. Gokli, Jay L. Kovar, Terry Kowalenko, Richard M. Nowak
Prehospital Care Of Acute Myocardial Infarction: A Review, Asit R. Gokli, Jay L. Kovar, Terry Kowalenko, Richard M. Nowak
Henry Ford Hospital Medical Journal
Each year more than 1 million people in the United States suffer from acute myocardial infarction (Ml) with most of the deaths occurring within hours of symptom onset. Over the last 25 years, different prehospital systems have evolved throughout the world which allow early cardiac monitoring and treatment of acute Ml patients. Thrombolytic therapy in acute Ml has been shown to decrease mortality and preserve left ventricular function when administered early after onset of symptoms. The potential role of Emergency Medical Services or Mobile Coronary Care Units in achieving early thrombolysis is under investigation. Several studies of prehospital interventions to …
Antiplatelet And Anticoagulant Therapy In Acute Myocardial Infarction, Syed M. Jafri
Antiplatelet And Anticoagulant Therapy In Acute Myocardial Infarction, Syed M. Jafri
Henry Ford Hospital Medical Journal
No abstract provided.
Psychological Factors Relevant To The Prehospital And In-Hospital Phases Of Acute Myocardial Infarction, Lori W. Kenyon, Mark W. Ketterer, Richard C. Preisman
Psychological Factors Relevant To The Prehospital And In-Hospital Phases Of Acute Myocardial Infarction, Lori W. Kenyon, Mark W. Ketterer, Richard C. Preisman
Henry Ford Hospital Medical Journal
Recognition and treatment of psychological factors relevant to the acute prehospital and in-hospital phases of myocardial infarction (Ml) are reviewed. Various emotions and personality characteristics can be both risk factors for and consequences of acute Ml. Components of the Type A behavior pattern and levels of somatic and emotional awareness have been linked with excessive treatment-seeking delay for Ml patients. Psychiatric conditions such as panic disorder may mimic symptomatic presentation of Ml and therefore have implications for differential diagnosis in the emergency room. Additionally. anxiety, depression, and neurobehavioral disorders such as delirium are relatively common during the hospitalization period and …
Thrombolytic Therapy In Acute Myocardial Infarction: An Emergency Department Perspective, Bradford L. Walters
Thrombolytic Therapy In Acute Myocardial Infarction: An Emergency Department Perspective, Bradford L. Walters
Henry Ford Hospital Medical Journal
No abstract provided.
Beta-Adrenergic Blocking Agents In The Treatment Of Patients After A Myocardial Infarction, Sidney Goldstein
Beta-Adrenergic Blocking Agents In The Treatment Of Patients After A Myocardial Infarction, Sidney Goldstein
Henry Ford Hospital Medical Journal
Beta-adrenergic blocking agents have been widely used in ischemic heart disease. They have achieved their greatest benefit in the secondary prevention of recurrent events in patients following acute myocardial infarction (Ml). This is a review of the major clinical investigations exploring the effects of beta-adrenergic blocking agents in patients following acute Ml and in a variety of patient subsets. These data indicate that the routine use of beta-adrenergic blocking agents in postinfarction patients results in a 25% to 35% decrease in mortality and has increased relative and absolute benefit in patients with ventricular ectopy and left ventricular dysfunction. The adverse …
Calcium Channel Blockers In The Management Of Myocardial Infarction Patients, Mihai Gheorghiade
Calcium Channel Blockers In The Management Of Myocardial Infarction Patients, Mihai Gheorghiade
Henry Ford Hospital Medical Journal
No abstract provided.
Role Of Coronary Angioplasty In Acute Myocardial Infarction, Susheel K. Sharma, Kenneth Retter, Fareed Khaja
Role Of Coronary Angioplasty In Acute Myocardial Infarction, Susheel K. Sharma, Kenneth Retter, Fareed Khaja
Henry Ford Hospital Medical Journal
No abstract provided.
Lidocaine Prophylaxis In Acute Myocardial Infarction, James E. Tisdale
Lidocaine Prophylaxis In Acute Myocardial Infarction, James E. Tisdale
Henry Ford Hospital Medical Journal
The prophylactic administration of lidocaine for the prevention of primary ventricular fibrillation (VF) following suspected acute myocardial infarction (Ml) is controversial. The incidence of primary VF following acute Ml ranges from 1.8% to 10.5%. "Warning arrhythmias" have not been shown to be reliable predictors of VF. In-hospital prophylactic administration of lidocaine has been shown to decrease the incidence of primary VF. whereas prehospital administration has not. However, prophylactic administration of lidocaine has not been shown to have a beneficial effect on mortality and may in fact increase mortality. The incidence of lidocaine-induced adverse effects during prophylaxis ranges from 4% to …
Surgical Treatment Of Acute Myocardial Infarction, Arthur R. Dresdale, Gaetano Paone
Surgical Treatment Of Acute Myocardial Infarction, Arthur R. Dresdale, Gaetano Paone
Henry Ford Hospital Medical Journal
In recent years, advances in surgical techniques and perioperative management of cardiac surgical patients have facilitated more aggressive operative treatment of many serious and even catastrophic complications of acute myocardial infarction (Ml). In addition, improved understanding of the natural history of these complications has helped to optimize the indications for and timing of surgical intervention. The role of emergency revascularization for postinfarction angina, evolving acute MI, cardiogenic shock after acute MI, and failed percutaneous transluminal angioplasty has expanded with overall satisfactory to excellent results. Surgical treatment of mechanical complications of acute Ml such as free-wall rupture, acute ischemic mitral insufficiency, …
Incomplete Versus Complete Myocardial Infarction, Mihai Gheorghiade, Sidney Goldstein
Incomplete Versus Complete Myocardial Infarction, Mihai Gheorghiade, Sidney Goldstein
Henry Ford Hospital Medical Journal
Incomplete myocardial infarction (MI), when compared with a complete Ml. is characterized by a small infarct size and a large mass of viable but jeopardized myocardium within the perfusion zone of the infarct-related vessel that is manifested clinically by early recurrent infarction. The pathophysiology involves early spontaneous or thrombolytic reperfusion. Clinical (i.e., residual ischemia), electrocardiographic, and echocardiographic findings and magnitude of serum cardiac enzyme elevations should be taken into account in diagnosing an incomplete MI.
Caring For The Acute Myocardial Infarction Patient: A Nursing Perspective, Denise L. Crimaldi Adams, Sandra R. Perez
Caring For The Acute Myocardial Infarction Patient: A Nursing Perspective, Denise L. Crimaldi Adams, Sandra R. Perez
Henry Ford Hospital Medical Journal
Cardiac nursing is nearly 30 years old. Changes in the rote of cardiac nursing have directly corresponded to the three distinct medical phases of care for the acute myocardial infarction patient—arrhythmia detection, pump failure, and limiting infarct size. Nursing care delivery in the cardiac setting, the cardiac patient, and the role of the cardiac nurse each have undergone changes over the years, which together has provided a challenge to health care delivery. Future effects of technological and pharmacologic advances, social changes, and nursing professional practice issues on cardiac care delivery are imperative to consider as health care moves into the …
Intravenous Nitroglycerin For Acute Myocardial Infarction, Steven Borzak
Intravenous Nitroglycerin For Acute Myocardial Infarction, Steven Borzak
Henry Ford Hospital Medical Journal
Intravenous nitroglycerin (IV TNG) has been increasingly used in the setting of acute myocardial infarction. The seven randomized trials comparing IV TNG with placebo, and one trial comparing IV isosorbide dinitrate with furosemide, were reviewed for evidence of beneficial clinical effects. IV TNG in low dosage is safe in the setting of acute myocardial infarction and modestly effective in relieving chest pain. Favorable hemodynamic effects are most pronounced in patients with congestive heart failure. Limited evidence suggests that IV TNG, particularly when administered early, reduces both infarct size and mortality when given prophylactically.
Non-Q Wave Myocardial Infarction, Steven Borzak, Howard S. Rosman
Non-Q Wave Myocardial Infarction, Steven Borzak, Howard S. Rosman
Henry Ford Hospital Medical Journal
Non-Q wave myocardial infarction is a distinct and changing clinical entity characterized by lower initial mortality and a higher rate of reinfarction compared to Q wave infarction. Clinical and pathologic data suggest that the syndrome results from transient or incomplete coronary occlusion resulting in an infarct which is smaller than when Q waves are present. High-risk patients can be identified during hospitalization, allowing for aggressive therapy aimed at revascularization. Relatively few clinical trials have examined initial therapy or secondary prevention in this group of patients. These studies are reviewed and management guidelines suggested.
Diagnosis And Management Of Tachycardias After Myocardial Infarction, Charles R. Webb
Diagnosis And Management Of Tachycardias After Myocardial Infarction, Charles R. Webb
Henry Ford Hospital Medical Journal
No abstract provided.
Post Myocardial Infarction Risk Stratification: 1991 Perspective, Michael Lesch
Post Myocardial Infarction Risk Stratification: 1991 Perspective, Michael Lesch
Henry Ford Hospital Medical Journal
No abstract provided.
Hospice Care: An Overview, Josefina B. Magno
Hospice Care: An Overview, Josefina B. Magno
Henry Ford Hospital Medical Journal
No abstract provided.
Why Palliative Medicine?, Robert G. Twycross
Why Palliative Medicine?, Robert G. Twycross
Henry Ford Hospital Medical Journal
No abstract provided.
Management Of Terminal Illness: The Hospice Concept Of Care, Josefina B. Magno
Management Of Terminal Illness: The Hospice Concept Of Care, Josefina B. Magno
Henry Ford Hospital Medical Journal
No abstract provided.
Palliative Care In The 1990s: Special Issues, Derek Doyle
Palliative Care In The 1990s: Special Issues, Derek Doyle
Henry Ford Hospital Medical Journal
No abstract provided.
Caring For The Terminally Ill: Communicating With Patients And Family, Dana G. Cable
Caring For The Terminally Ill: Communicating With Patients And Family, Dana G. Cable
Henry Ford Hospital Medical Journal
Caring for terminally ill patients requires effective communication skills. It is important that medical personnel understand appropriate ways to communicate with the patient in order to inform him about his illness, throughout its duration. Physicians must develop an understanding of how patients communicate and ways to respond to that communication. Furthermore, the physician needs to communicate with the family of the terminally ill patient. Effective communication must become a regular part of the treatment.
Quality Of Life: What Does It Mean?, Joyce A. Deshano
Quality Of Life: What Does It Mean?, Joyce A. Deshano
Henry Ford Hospital Medical Journal
No abstract provided.