Survival After Neonatal Myocardial Infarction

PEDIATRICS ◽  
1991 ◽  
Vol 88 (1) ◽  
pp. 145-150
Author(s):  
JOHN BOULTON ◽  
RICHARD HENRY ◽  
LAURENCE G. RODDICK ◽  
DAVID ROGERS ◽  
LINDA THOMPSON ◽  
...  

These are case reports of two children with structurally normal hearts and with normal coronary arteries, who survived myocardial infarction in the early neonatal period. They are only the third and fourth reported survivors of neonatal myocandial infarction and the first in which hypercholesterolemia is postulated to have played an important role. The most likely cause of the myocardial infarction was thrombosis or thromboembolism. Changes in hemostatic function associated with hypencholesterolemia may be relevant.

Vaccines ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 38
Author(s):  
Anastasios Roumeliotis ◽  
Periklis Davlouros ◽  
Maria Anastasopoulou ◽  
Grigorios Tsigkas ◽  
Ioanna Koniari ◽  
...  

Kounis syndrome (KS) has been defined as acute coronary syndrome (ACS) in the context of a hypersensitivity reaction. Patients may present with normal coronary arteries (Type I), established coronary artery disease (Type II) or in-stent thrombosis and restenosis (Type III). We searched PubMed until 1 January 2020 for KS case reports. Patients with age <18 years, non-coronary vascular manifestations or without an established diagnosis were excluded. Information regarding patient demographics, medical history, presentation, allergic reaction trigger, angiography, laboratory values and management were extracted from every report. The data were pulled in a combined dataset. From 288 patients with KS, 57.6% had Type I, 24.7% Type II and 6.6% Type III, while 11.1% could not be classified. The mean age was 54.1 years and 70.6% were male. Most presented with a combination of cardiac and allergic symptoms, with medication being the most common trigger. Electrocardiographically, 75.1% had ST segment elevation with only 3.3% demonstrating no abnormalities. Coronary imaging was available in 84.8% of the patients, showing occlusive lesions (32.5%), vascular spasm (16.2%) or normal coronary arteries (51.3%). Revascularization was pursued in 29.4% of the cases. In conclusion, allergic reactions may be complicated by ACS. KS should be considered in the differential diagnosis of myocardial infarction with non-obstructive coronary arteries.


1980 ◽  
Vol 99 (4) ◽  
pp. 506-509 ◽  
Author(s):  
Edward H. Schuster ◽  
Stephen C. Achuff ◽  
William R. Bell ◽  
Bernadine H. Bulkley

Angiology ◽  
2001 ◽  
Vol 52 (11) ◽  
pp. 785-788 ◽  
Author(s):  
Bruno Laganà ◽  
Luigi Baratta ◽  
Luigi Tubani ◽  
Vincenzina Golluscio ◽  
Massimo Delfino ◽  
...  

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