The Elderly Patient in the Coronary Care Unit. II. Incidence and Treatment of Arrhythmias

SummaryAnalysis of electrocardiograms tape-recorded from patients admitted to hospital with acute myocardial infarction revealed that the pattern of ventricular extrasystolic activity was not significantly different among those who subsequently developed ventricular fibrillation and those who did not. Episodes of ventricular fibrillation occurred predominantly within 4 hours from the start of infarction. Patients were 3 times less likely to survive an episode of ventricular fibrillation if they also had left ventricular failure than if this feature was absent. Management of episodes of ventricular fibrillation was compared in patients before and after the creation of a specially staffed and equipped coronary care unit. The success of electric shock as a treatment for ventricular fibrillation was similar before and after the creation of the coronary care unit. An attempt was made to determine which features in the management of ventricular fibrillation in this and in previously published series were associated with patient survival.

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Predictive Value of Decreasing Antithrombin III in Deep-Vein Thrombosis

Thrombosis and Haemostasis ◽

10.1055/s-0038-1650103 ◽

1980 ◽

Vol 44 (03) ◽

pp. 135-137 ◽

Cited By ~ 2

Author(s):

Thorkild Lund Andreasen

Keyword(s):

Deep Vein Thrombosis ◽

Predictive Value ◽

Coronary Care Unit ◽

Antithrombin Iii ◽

Predictive Values ◽

Vein Thrombosis ◽

At Iii ◽

Coronary Care ◽

Time Of Admission ◽

Deep Vein

SummaryAntithrombin III (At-III) was measured at the time of admission and two days later in 131 patients laid up in a coronary care unit. The patients were examined for deep-vein thrombosis (DVT) clinically and by means of 125I-fibrinogen scanning. 19 patients developed DVT. In 11 subjects with and 25 without DVT At-III decreased more than 10%. And in 7 with and 17 without DVT At-III decreased more than 15%. One person with DVT had subnormal At-III. By using decrease of At-III or subnormal initial At-III to predict DVT the following predictive value (PV) were found. Decrease ≤ 10%, PV pos.= 0.32 and PV neg. = 0.93. Decrease ≤ 15%, PV pos. = 0.32 and PV neg. = 0.90. The positive predictive values obtained were too low to let decreasing At-III give occasion for prophylactic anticoagulant treatment.

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Inter-individual variability in clopidogrel inhibition effect on platelet aggregation

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v9ispl1.1404 ◽

2018 ◽

Vol 9 (SPL1) ◽

Author(s):

Hussein Ali Sahib ◽

Bassim Irhiem Mohammed ◽

Ban A. Abdul Majid

Keyword(s):

Cardiovascular Disease ◽

Platelet Aggregation ◽

Coronary Care Unit ◽

Light Transmission ◽

Individual Variability ◽

Study Group ◽

Inhibition Effect ◽

Light Transmission Aggregometry ◽

Coronary Care ◽

Skewness And Kurtosis

Despite the unmistakable beneficial effect of clopidogrel on platelet aggregation,still there are some patient poorly responds to clopidogrel that may lead to worse cardiovascular clinical events.One hundred and twenty seven patients with cardiovascular disease (ACS,stroke,or TIA) were enrolled as a study group. Patients were recruited at coronary care unit (CCU) of Al-Yarmouk Teaching Hospital. Paletlet assessment was done by using light transmission aggregometry. between the patients that enrolled in this study there are significant inter-individual variability both skewness and Kurtosis were negative (-0.450,-0.130) respectively. 24% of patient enrolled in this study were hyporesponder.

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Character of adverse effects of prophylactic lidocaine in the coronary care unit

Clinical Pharmacology & Therapeutics ◽

10.1038/clpt.1986.141 ◽

1986 ◽

Vol 40 (1) ◽

pp. 71-80 ◽

Cited By ~ 32

Author(s):

Alfred W Rademaker ◽

Joyce Kellen ◽

Yun K Tam ◽

D George Wyse

Keyword(s):

Adverse Effects ◽

Coronary Care Unit ◽

Coronary Care

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