Cardiogenic shock in acute myocardial infarction

Cardiogenic shock [CC] is the most common cause of death in acute myocardial infarction [MI] and it has been often associated with fatal evolution. The aim of this study is to emphasize the positive impact of myocardial revascularisation especially percutaneous coronary angioplasty [PTCA] on short and mid term survival of 35 patients hospitalized for acute MI with CC. All the 11 patients who were on conventional therapy died, whereas the hospital mortality rate of the 24 patients who underwent primary PTCA was 41 percent. PTCA in CC complicating MI is highly effective and reduces the mortality rate in the literature from 80 percent to 40 percent for this reason PTCA should be performed in each case of MI with CC seen in the first 6 hours

Contraced endocardial fibroelastosis in childhood: about one case

Endocardial fibroelastosis is un uncommon diseases and it has a very bad prognosis since fatal evolution is usual before 2 years old. We report the case of a 20 years old woman who is affected with the contracted form of this disease associated with atrial septal defect [ASD] and mitral regurgitation. This disease was discovered by endocardial biopsy when she was 4 years old and underwent surgical resection of endocardial fibrosis, a path on the ASD and mitral valve replacement. She was rehospitalised 15 years later with heart failure although continuous digitoxin therapy