scholarly journals A Case of Acute Myocardial Infarction in a Patient Whose Initial Complaints Were Hematemesis and Epigastric Discomfort

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Kazuhiko Omori ◽  
Youichi Yanagawa
Keyword(s):  
Lupus Erythematosus ◽  
Vital Signs ◽  
Hemoglobin Level ◽  
Left Hemiparesis ◽  
Epigastric Discomfort ◽  
Blood Samples ◽  
Complete Occlusion ◽  
St Segment Elevation ◽  
Esophageal Erosion ◽  
St Segment

The patient was a 64-year-old woman with systemic lupus erythematosus, thrombophlebitis of the lower legs, cerebral infarction with left hemiparesis, and colostomy after perforation of the sigmoid colon. On the morning of her presentation, the patient felt epigastric abnormality. Thereafter, hematemesis occurred twice, leading her to call an ambulance in the afternoon. Upon arrival, electrocardiography before securing a venous route and obtaining blood samples revealed ST segment elevation in leads II, III, and aVF. As her vital signs were stable and her hemoglobin level had decreased by just 1.1 g/dl in comparison to the previous day, emergency coronary angiography (CAG) was performed. CAG revealed complete occlusion at section #4. She underwent right coronary angioplasty with stent placement. The patient’s course after angioplasty was uneventful. On the 15th hospital day, esophagogastroduodenoscopy revealed esophageal erosion and superficial gastritis. She was discharged on foot the following day. When physicians treat patients with hematemesis, electrocardiography and the measurement of troponin are essential before esophagogastroduodenoscopy.

scholarly journals Induction of PGC-1α Expression Can Be Detected in Blood Samples of Patients with ST-Segment Elevation Acute Myocardial Infarction

PLoS ONE ◽  
2011 ◽  
Vol 6 (11) ◽  
pp. e26913 ◽  
Author(s):  
Óscar Fabregat-Andrés ◽  
Alberto Tierrez ◽  
Manuel Mata ◽  
Jordi Estornell-Erill ◽  
Francisco Ridocci-Soriano ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Blood Samples ◽  
St Segment Elevation ◽  
St Segment ◽  
Elevation Acute Myocardial Infarction

scholarly journals ST-Segment-Elevation Myocardial Infarction Unmasking Underlying Systemic Lupus Erythematosus or Representing Thrombotic Thrombocytopenic Purpura? Report of a Challenging Case

2021 ◽  
Author(s):  
Saeed Ghodsi ◽  
Yaser Jenab ◽  
Mehrnaz Mohebi ◽  
Hosein Kamranzadeh ◽  
Zohre Mohammadi
Keyword(s):  
Myocardial Infarction ◽  
Thrombotic Thrombocytopenic Purpura ◽  
Lupus Erythematosus ◽  
Coronary Intervention ◽  
Multisystem Disorder ◽  
Initial Manifestation ◽  
Thrombocytopenic Purpura ◽  
St Segment Elevation ◽  
St Segment ◽  
Percutaneous Coronary

Thrombotic thrombocytopenic purpura (TTP) is a multisystem disorder that frequently manifests itself with renal and neurological involvements. Cardiac involvement, however, has been rarely reported. In this report, we present a rare case of acquired TTP with acute myocardial infarction (AMI) as the initial manifestation. Although AMI was successfully managed by percutaneous coronary intervention, the patient developed hemolytic anemia, fever, marked thrombocytopenia, oliguria, and renal dysfunction, requiring treatment with plasma exchange and corticosteroids. TTP, albeit extremely rare, should be considered in cases with unexpected thrombocytopenia during acute-phase treatment for AMI as it can be highly lethal if not treated immediately.

scholarly journals Proximal complete occlusion of right coronary artery presenting with precordial ST-segment elevation

Medicine ◽  
2016 ◽  
Vol 95 (41) ◽  
pp. e5113 ◽  
Author(s):  
Jianlei Zheng ◽  
Jingyang Lin ◽  
Naiji Shen ◽  
Baiming Qu
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Complete Occlusion ◽  
St Segment Elevation ◽  
St Segment

scholarly journals Kisspeptin serum levels in acute myocardial infarction patients and healthy individuals

2018 ◽  
Vol 5 (3) ◽  
pp. 2111-2118 ◽  
Author(s):  
Mohammad Shojaei ◽  
Saeideh Erfanian ◽  
Abdolreza Sotoodeh Jahromi ◽  
Naeimeh Yusefi ◽  
Abdolhossein Madani ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Serum Levels ◽  
Serum Concentrations ◽  
Healthy Individuals ◽  
Control Groups ◽  
Blood Samples ◽  
St Segment Elevation ◽  
St Segment ◽  
And Control

Introduction: Acute myocardial infarction (AMI) is a leading cause of mortality worldwide for which several risk factors have been identified. Kisspeptin is a multifunctional peptide observed in atherosclerotic plaques. This study aimed to compare kisspeptin serum levels in AMI patients and healthy individuals. Methods: This case-control study was conducted on patients visiting the Cardiology department of Peymanieh Hospital, Jahrom University of Medical Sciences, Iran. Participants were randomly divided into a case and a control groups; the former consisting of 90 AMI patients and the latter of 90 healthy individuals with no cardiac diseases. Blood samples were collected from the participants who also completed the given questionnaire. The enzyme-linked immunosorbent assay (ELISA) test was used to determine kisspeptin levels following serum separation from collected blood samples. Data analysis was performed in SPSS-19 using descriptive (mean and standard deviation) and analytical (The Mann-Whitney U test) statistical tests. Results: The mean age of treatment and control groups was 60.91 and 61.72 years, respectively. The majority (73.3%) of participants in this study were men. Kisspeptin serum concentrations were demonstrated to be significantly lower in the case group than the control group (P<0.001). The results of Mann-Whitney U test revealed that kisspeptin serum concentrations of case and control groups did not have a significant relationship with such variables as gender, smoking, and ST-segment elevation and non-ST-segment elevation (P>0.05). Conclusion: The results revealed that kisspeptin serum concentrations of AMI patients were significantly lower than those of healthy individuals. Accordingly, kisspeptin deficiency appears to be a risk factor for AMI. However, due to the multifunctional nature of this peptide, further studies are necessary to discover its precise mechanism of action.

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