RESUMO
Mediastinal compression syndrome is a commonly seen entity. Mediastinal compression, mostly due to a space-occupying lesion, is distinct and different from mediastinitis/mediastinal fibrosis, which could also lead to superior vena cava syndrome. Idiopathic mediastinal fibrosis should also be considered as differential diagnosis of mediastinal structures with various radiological, CT and MRI and histological features if feasible. Medical therapy is disappointing while surgical cure has limitations. This interesting patient presented as mediastinal compression syndrome, which on investigation was postulated as idiopathic mediastinal fibrosis, as a diagnosis on exclusion of other causes, which is rare, hence is being reported.
Assuntos
Adulto , Fibrose/patologia , Humanos , Masculino , Doenças do Mediastino/complicações , Síndrome da Veia Cava Superior/etiologiaAssuntos
Doença Aguda , Adolescente , Ampicilina/uso terapêutico , Transfusão de Sangue , Doença Crônica , Dexametasona/uso terapêutico , Feminino , Glucocorticoides/uso terapêutico , Humanos , Hemorragias Intracranianas/complicações , Masculino , Penicilinas/uso terapêutico , Contagem de Plaquetas , Púrpura Trombocitopênica Idiopática/complicaçõesRESUMO
Present study comprises of 44 patients with Acute Myocardial Infarction. Their QRS score was correlated with Infarct Size by estimating the CPKMB levels and the post infarction complications during hospital stay. A statistically significant correlation was found between the 2 parameters of QRS score and infarct size (r = 0.75). It was better in anterior wall infarction (r = 0.96) than in inferior wall infarction (r = 0.64). The interobserver agreement between 2 observers for QRS score was excellent (rho = 0.99) QRS score was found to be a good prognostic indicator in the post infarction phase.