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7.
G Ital Cardiol (Rome) ; 11(10 Suppl 1): 61S-65S, 2010 Oct.
Article in Italian | MEDLINE | ID: mdl-21416829

ABSTRACT

Treatment of ST-elevation myocardial infarction has advanced tremendously over the past years; this development has proven to be beneficial in reducing mortality and cardiovascular events. Clinical baseline factors remain the cornerstone of prognostic stratification. Tools for prognostic stratification after myocardial infarction are targeted at evaluating myocardial damage, left ventricular dysfunction, residual ischemia and electrical instability. Primary coronary angioplasty is the preferred therapeutic option because, when it can be performed expeditiously by an experienced team, has shown better clinical outcomes; nevertheless we have to pay attention to avoid procedure-related risks such as bleeding and contrast-induced nephropathy.


Subject(s)
Angioplasty, Balloon, Coronary , Coronary Angiography , Myocardial Infarction/diagnosis , Myocardial Infarction/therapy , Age Factors , Aged , Contrast Media/adverse effects , Electrocardiography , Female , Hemorrhage/complications , Humans , Hypotension/complications , Kidney Diseases/chemically induced , Male , Myocardial Contraction , Myocardial Infarction/diagnostic imaging , Myocardial Infarction/drug therapy , Myocardial Infarction/mortality , Myocardial Infarction/physiopathology , Prognosis , Randomized Controlled Trials as Topic , Risk Factors , Sex Factors , Tachycardia/complications , Time Factors , Treatment Outcome , Ventricular Dysfunction, Left
8.
Recenti Prog Med ; 93(3): 186-99, 2002 Mar.
Article in Italian | MEDLINE | ID: mdl-11942172

ABSTRACT

Although a close relationship between haemorrheological disorders and thrombogenesis has been known for a long time, only the recent introduction of newly developed analytical techniques has allowed a precise assessment of the main haemorrheological parameters. The employment of these techniques in routine clinical practice has enabled, for instance, a more accurate investigation of the pathogenetic triggers underlying numerous thrombotic disorders affecting the cardiovascular system. A survey of the most exhaustive prospective studies shows that some haemorrheological parameters (e.g. plasma and blood viscosity) as well as their main determining factors (e.g. haematocrit and fibrinogen) are well defined independent cardiovascular risk factors. Nonetheless, further large scale studies are required to adequately dissect the relative contribution of both haemorrheological alterations and other thrombophilic factors in the pathogenesis of different cardiovascular diseases related to thrombotic disorders.


Subject(s)
Cardiovascular Diseases/etiology , Hemorheology , Adult , Blood Sedimentation , Blood Viscosity , Cardiovascular Diseases/blood , Cardiovascular Diseases/physiopathology , Cerebrovascular Disorders/blood , Cerebrovascular Disorders/etiology , Child , Diabetic Angiopathies/blood , Diabetic Angiopathies/etiology , Female , Fibrinogen/analysis , Fibrinogen/physiology , Hematocrit , Humans , Leukemia/blood , Leukemia/etiology , Leukocytes/physiology , Malaria/blood , Middle Aged , Myocardial Infarction/blood , Myocardial Infarction/etiology , Peripheral Vascular Diseases/blood , Peripheral Vascular Diseases/etiology , Prospective Studies , Risk Factors , Thrombosis/blood , Thrombosis/etiology
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