ABSTRACT
The acute coronary syndrome due to the left main coronary artery [LMCA] thrombosis is a clinically rare and catastrophic event. We describe a young man [smoker, alcoholic, and drug abuser] with a history of recent surgery and typical chest pain who had non-occlusive LMCA thrombosis in coronary angiography. The thrombosis was successfully treated with two 180 micro/kg intracoronary boluses of eptifibatide, which was continued through an intravenous infusion at 2 micro/kg/min for 48 hours postprocedurally. Control angiography, performed 3 days later, revealed that the LMCA was free of thrombosis. The patient had no complaints, including chest pain, and remained completely asymptomatic during the next 30 days' follow-up
ABSTRACT
We present a 35-year-old man with history of Kawasaki disease who referred with myocardial infarction, and angiography, revealing aneurysm of left main and left anterior descending coronary arteries. The patient underwent percutaneous coronary intervention and thrombectomy and was discharged after 6 d. Coronary artery sequels of Kawasaki disease should be considered as one of the underlying causes of acute myocardial infarction in young adults.
ABSTRACT
Improvement in the management of patients who are afflicted with acute myocardial infarction [AMI] has resulted in the increase of their survival after heart attacks. The purpose of this study was to determine the quality of life [QOL] after first AMI among patients who referred to teaching hospitals affiliated with Shahid Beheshti University of Medical Sciences. This cross-sectional study was performed with the participation of 300 patients. The inclusion criteria were age between 32 to 79, first AMI, 6 to 30 months after AMI and consent for participation. These patients had been admitted in Shahid Modares, Loghmane Hakeem, Taleghanee and Shahid Labafeenejad hospitals, affiliated to Shahid Beheshti University of Medical Sciences, for AMI and they had written medical records in these hospitals. The participants were enrolled in the study when they referred for routine follow-up visits at outpatient clinics. Data was collected by interviewing the patients. For measuring QOL, The Short Form Health Survey [SF-36] was used. The mean age of patients was 56.6 +/- 9.6 years from which 57.5% were men and 42.3% women. The mean scores of QOL in various aspects were 67.2 for physical function, 52.9 for role limitation due to physical health problems, 71.1 for bodily pain, 48 for general health, 52.6 for vitality, 71.3 for social function, 59.2 for role limitation due to emotional problems and 57.2 for mental health. In comparison with the general population, QOL in this study was reduced in all scales but the amount of reduction was not the same. With increasing age, QOL of patients decreased in all aspects. QOL in women after AMI, 9% to 23% more than men was reduced. The study showed that QOL of patients 6 to 30 months after the first AMI. The QOL decreased in physical scales more than mental and emotional scales. Decrease in QOL was related to increasing age and in women was more than men
Subject(s)
Humans , Female , Male , Quality of Life , Cross-Sectional StudiesABSTRACT
The aim of this study was to determine left ventricular [LV] mass index via echocardiography in end-stage renal disease patients [ESRD] before and after renal transplantation, and its association with one-year survival. Forty-seven patients with ESRD who were candidate for renal transplantation were evaluated with echocardiography before and 4 months after the operation. Left ventricular ejection fraction [EF], LV mass, and LV mass index were determined. All of the patients were followed up for 1 year. Mean LVEF was 51.6% which increased to 53.7% after renal transplantation [P = .001]. Mean LV mass was 209 gr before the operation which decreased to 189 gr after the operation [P = .001]. Mean LV mass index before the operation was 120 gr/m2 which decreased to 110 gr/m[2] following the operation [P = .002]. All of the patients survived during 1-year follow-up, and no death was reported. Renal transplantation had beneficial effects in terms of LV function in young patients with ESRD