Tag Archives: Acute Coronary Syndrome

Outcomes of Elderly Patients with ST-Elevation or Non-ST-Elevation Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention

Acute coronary syndromes (ACS) have been classified according to the finding of ST-segment elevation on the presenting electrocardiogram, with different treatment strategies and practice guidelines. However, a comparative description of the clinical characteristics and outcomes of acute coronary syndrome elderly patients undergoing percutaneous coronary intervention during index admission has not been published so far. Methods […]

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Sex Differences in the Management and 5-Year Outcome of Young Patients (<55 Years) with Acute Coronary Syndromes

Premature presentation of ischemic heart disease has become increasingly common. According to recent reports, patients younger than 55 years account for 23% of all patients with acute coronary syndrome.1 Premenopausal women are less likely than men of similar ages to present with acute coronary syndrome, accounting for only 17%-20%1, 2 of cases. Studies have consistently shown that the […]

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Magnetic resonance imaging (MRI) scan showing multifocal ischemic stroke. Diffusion-weighted imaging and T2 fluid-attenuated inversion recovery (FLAIR) images of brain MRI show multiple foci of diffusion restriction with FLAIR signal abnormality consistent with acute to early subacute infarcts. There was also an old lacunar infarct in left corona radiate and external capsule.

Double the Trouble: Acute Coronary Syndrome and Ischemic Stroke in Polycythemia Vera

Vague symptoms turned out to be life-threatening conditions. A 50-year-old man with a history of polycythemia vera presented to the hospital with epigastric discomfort and clumsiness of the right hand for 5 days. Polycythemia vera was diagnosed 1 year prior, with good control of hematocrit by intermittent phlebotomy. He did not have any other medical […]

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Chest radiograph with epigastric air-fluid level. The stomach has been displaced superiorly into the chest.

Intermittent Gastric Volvulus Mimicking Acute Coronary Syndrome

Intermittent gastric volvulus plagued a 61-year-old white woman with chest pain for months before it was observed on esophagogastroduodenoscopy (EGD). She presented to the Emergency Department with complaints of progressively worsening localized, burning, left-sided and substernal chest pain that was identical to her previous myocardial infarction. Her chest pain was associated with nausea, vomiting, and […]

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Multiple Chronic Conditions & Psychosocial Limitations in Patients Hospitalized with ACS

  As adults live longer, multiple chronic conditions have become more prevalent over the past several decades. We describe the prevalence of, and patient characteristics associated with, cardiac- and non-cardiac-related multimorbidities in patients discharged from the hospital after an acute coronary syndrome. Methods We studied 2174 patients discharged from the hospital after an acute coronary […]

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Patient flow. In the Biomarkers in Cardiology (BIC)-8 main trial, 902 patients were enrolled. Of these, 20 patients did not have high-sensitivity troponin T (hsTnT) or copeptin values available at admission. Thus, the study population of this BIC-8 substudy consists of 882 patients with complete biomarker results at admission. Patients were divided by their biomarker test. Relative and absolute frequencies are shown in the respective boxes.

Prognostic Value of Undetectable hs Troponin T in Suspected Acute Coronary Syndrome

  Background The search for improved strategies for safe and early discharge of patients with suspected acute coronary syndrome in emergency departments is ongoing. This Biomarkers in Cardiology (BIC)-8 biomarker substudy evaluated the usefulness of high-sensitivity troponin T (hsTnT) below or above the limit of detection (LoD) in low-to-intermediate-risk patients with suspected acute coronary syndrome […]

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