Assuntos
Forame Oval Patente/complicações , Átrios do Coração/diagnóstico por imagem , Neoplasias Cardíacas/diagnóstico , Mixoma/diagnóstico , Acidente Vascular Cerebral/etiologia , Neoplasias Cardíacas/complicações , Humanos , Masculino , Pessoa de Meia-Idade , Mixoma/complicações , Recidiva , UltrassonografiaRESUMO
We describe a 34-year-old man who suffered an acute myocardial infarction after carbon monoxide domestic exposure. The coronary angiogram was normal. The necrosis is explained in part by a severe coronary spasm. The purpose of this work was to assess the pathophysiology and the treatment of this rare cause of myocardial infarction.
Assuntos
Intoxicação por Monóxido de Carbono/complicações , Infarto do Miocárdio/etiologia , Adulto , Angiografia Coronária , Ecocardiografia , Eletrocardiografia , Emergências , Fibrinolíticos/uso terapêutico , Seguimentos , Humanos , Masculino , Infarto do Miocárdio/diagnóstico , Infarto do Miocárdio/diagnóstico por imagem , Infarto do Miocárdio/tratamento farmacológico , Ativadores de Plasminogênio/uso terapêutico , Estreptoquinase/uso terapêutico , Fatores de TempoRESUMO
Congenital coronary aneurysms are an unusual anatomical entity. Their prognosis appears to be particularly dependent on the presence or absence of aneurysm thrombosis. We report three cases of congenital coronary aneurysms, diagnosed in one case after myocardial infarction. Two patients were treated successfully by an exclusion of the aneurysm and coronary bypass and the third patient was treated medically. The aim of this study is to discuss the clinical features, prognosis and management of this disease.
Assuntos
Aneurisma Coronário/congênito , Aneurisma Coronário/cirurgia , Ponte de Artéria Coronária , Infarto do Miocárdio/etiologia , Adulto , Aneurisma Coronário/complicações , Aneurisma Coronário/diagnóstico , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Over the past decades, the pacemakers have become the standard treatment for patients with symptomatic sinus node disease or high grade atrioventricular block. With the development of pacemaker technology, attempts have been made to apply pacing to the treatment of problems other than symptomatic bradycardia. These problems include pacing to prevent atrial arrhythmia, improve hemodynamic function and to prevent neurocardiogenic syncope. The aim of modern pacing is not only reducing mortality but also improving quality of life and reducing morbidity. Ongoing studies will help to identify better the patient population that benefits most of this treatment.
Assuntos
Estimulação Cardíaca Artificial , Marca-Passo Artificial , Cardiomiopatia Hipertrófica/terapia , Insuficiência Cardíaca/terapia , Humanos , Síncope Vasovagal/prevenção & controle , Taquicardia Supraventricular/terapiaRESUMO
Complete thrombosis of the left main coronary artery is a rare angiographic finding. It carries a very high mortality rate related to cardiogenic shock; malignant arrhythmia or sudden death. We report two case of a 37 and 65 years old women, admitted to our hospital with complete occlusion of the left main coronary responsible of anteroseptal myocardial infarct. The revascularisation consisted in surgical treatment in one case and percutaneous angioplasty in the second patient. The aim of our study is to discuss the different therapeutic approaches and the prognosis of this affection.
Assuntos
Trombose Coronária/complicações , Infarto do Miocárdio/etiologia , Infarto do Miocárdio/terapia , Adulto , Idoso , Angioplastia Coronária com Balão , Angiografia Coronária , Ponte de Artéria Coronária , Trombose Coronária/diagnóstico por imagem , Feminino , Hemodinâmica , Humanos , Infarto do Miocárdio/diagnóstico , Prognóstico , Choque Cardiogênico , Resultado do TratamentoRESUMO
Atherosclerotic disease in the aorta is associated with a high risk of cardiovascular events. This prospective study was conducted to correlate the presence of aortic plaques in the thoracic aorta detected by transesophageal echocardiography (TEE) and angiographically significant coronary artery disease. The presence of aortic plaques on TEE had a sensitivity of 97%, a specificity of 80% and positive and negative predictive values of 89% and 94%. Univariate logistic regression revealed that aortic plaques were the most significant independent predictor factor of coronary artery disease compared to other risk factors. This study reveals that the thoracic aortic plaques detected by TEE is a strong predictor of the presence and the severity of coronary artery disease.