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The Extent of Myocardial Injury During Prolonged Targeted Temperature Management After Out-of-Hospital Cardiac Arrest

  The aim of this study is to evaluate the extent of myocardial injury by cardiac biomarkers during prolonged targeted temperature management of 24 hours vs 48 hours after out-of-hospital cardiac arrest. Methods This randomized Scandinavian multicenter study compares the extent of myocardial injury quantified by area under the curve (AUC) of cardiac biomarkers during […]

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Tucked Away: An Infected Thrombus

Presentation A relic from a previously undiagnosed event was a persistent source of infection in a 50-year-old man. The patient presented to his primary care provider’s office with a 3-week history of fevers, dyspnea on exertion, nonproductive cough, and left shoulder pain. He was sent to the Emergency Department to exclude an acute pulmonary embolism […]

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Postcardiac Injury Syndrome: A Rare Complication of Elective Coronary Angioplasty

Postcardiac injury syndrome conventionally has been described after myocardial infarction or cardiac surgery, but it is an infrequent complication of endovascular procedures. We report an unusual case of postcardiac injury syndrome occurring immediately after elective angioplasty. A 58-year-old man attended our hospital (Northwick Park Hospital) for elective angiography for symptoms of exertional angina. He had […]

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Nearly Missed: Postpartum Type B Aortic Dissection

Presentation A new mother was evaluated 3 times over 2 weeks before the aortic tear responsible for her symptoms was identified. The patient, a 37-year-old woman who had been previously healthy, was 1 week postpartum when she presented to the emergency department with chest pain, shortness of breath, and lower extremity swelling. She was discharged […]

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Cardiac Rehabilitation, Readmissions, and Death After Acute MI

Background Participation in cardiac rehabilitation has been shown to decrease mortality after acute myocardial infarction, but its impact on readmissions requires examination. Methods We conducted a population-based surveillance study of residents discharged from the hospital after their first-ever myocardial infarction in Olmsted County, Minnesota, from January 1, 1987, to September 30, 2010. Patients were followed […]

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