ECG signs of acute myocardial ischemia in the prehospital setting of a suspected acute coronary syndrome and its association with outcomes

2014 ◽  
Vol 32 (6) ◽  
pp. 601-605 ◽  
Author(s):  
Nguyen Dang Thang ◽  
Birgitta Wireklint Sundström ◽  
Thomas Karlsson ◽  
Johan Herlitz ◽  
Björn Wilgot Karlson
Keyword(s):  
Acute Coronary Syndrome ◽  
Myocardial Ischemia ◽  
Acute Myocardial Ischemia ◽  
Prehospital Setting ◽  
Coronary Syndrome

scholarly journals Acute “Pseudoischemic” ECG Abnormalities after Right Pneumonectomy

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Nada Vasic ◽  
Sanja Dimic-Janjic ◽  
Ruza Stevic ◽  
Branislava Milenkovic ◽  
Verica Djukanovic
Keyword(s):  
Acute Coronary Syndrome ◽  
Myocardial Ischemia ◽  
Heart Rhythm ◽  
Diagnostic Procedures ◽  
Final Diagnosis ◽  
Acute Myocardial Ischemia ◽  
Ecg Changes ◽  
Postpericardiotomy Syndrome ◽  
Coronary Syndrome ◽  
Ecg Abnormalities

New onset of electrocardiographic (ECG) abnormalities can occur after lung surgery due to the changes in the position of structures and organs in the chest cavity. The most common heart rhythm disorder is atrial fibrillation. So-called “pseudoischemic” ECG changes that mimic classic ECG signs of acute myocardial ischemia are also often noticed. We report the case of a 68-year-old male, with no prior cardiovascular disease, who underwent extensive surgical resection for lung cancer. On a second postoperative day, clinical and electrocardiographic signs of acute myocardial ischemia occurred. According to clinical course, diagnostic procedures, and therapeutic response, we excluded acute coronary syndrome. We concluded that physical lesion of the pericardium, caused by extended pneumonectomy with resection of the pericardium, provoked the symptoms and ECG signs that mimic acute coronary syndrome. Our final diagnosis was postpericardiotomy syndrome after extended pneumonectomy and further treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) was recommended. It is necessary to consider possibility that nature of ECG changes after extended pneumonectomy could be “pseudoischemic.”

scholarly journals Acute Coronary Syndrome Manifesting as an Adverse Effect of All-trans-Retinoic Acid in Acute Promyelocytic Leukemia: A Case Report with Review of the Literature and a Spotlight on Management

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
K. Govind Babu ◽  
K. N. Lokesh ◽  
M. C. Suresh Babu ◽  
Gita R. Bhat
Keyword(s):  
Adverse Effect ◽  
Acute Coronary Syndrome ◽  
Retinoic Acid ◽  
Case Report ◽  
Myocardial Ischemia ◽  
Acute Promyelocytic Leukemia ◽  
Promyelocytic Leukemia ◽  
Acute Myocardial Ischemia ◽  
Coronary Syndrome ◽  
High Index Of Suspicion

Background.Acute promyelocytic leukemia is characterized by t(15;17). This leads to the formation of PML/RARαwhich blocks the differentiation of blasts at the stage of promyelocytes. This is reversed by all-trans-retinoic acid (ATRA), a vitamin A derivative. Acute myocardial ischemia is a rare side effect of ATRA.Case Report.We report a case of acute coronary syndrome manifesting as an adverse effect of ATRA in a lady with APL who had no other risk factors for cardiovascular disease.Conclusions.We emphasize the need for high index of suspicion for the diagnosis of this entity. In the light of this case, the rare instances of ATRA associated acute myocardial ischemia recorded in the literature and the options available for treatment of acute promyelocytic leukemia sans ATRA have been reviewed.

Beyond the ST-Segment: Novel Methods to Quantify Acute Myocardial Ischemia in Patients with Suspected Acute Coronary Syndrome

2019 ◽  
Vol 57 ◽  
pp. S110-S111
Author(s):  
Salah S. Al-Zaiti ◽  
Ziad Faramand ◽  
Christian Martin-Gill ◽  
Mohammad Alrawashdeh ◽  
Richard Gregg ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Myocardial Ischemia ◽  
Acute Myocardial Ischemia ◽  
Coronary Syndrome ◽  
St Segment ◽  
Novel Methods

Myocardial Ischemia in Acute Coronary Syndrome: Assessment Using 64-MDCT

2009 ◽  
Vol 193 (4) ◽  
pp. 1097-1106 ◽  
Author(s):  
Michinobu Nagao ◽  
Hiroshi Matsuoka ◽  
Hideo Kawakami ◽  
Hiroshi Higashino ◽  
Teruhito Mochizuki ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Myocardial Ischemia ◽  
Coronary Syndrome
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