scholarly journals Boerhaave’s syndrome: case report and review

2018 ◽  
Vol 9 (1) ◽  
pp. 63-70
Author(s):  
S. A. Andreychenko ◽  
M. V. Bychinin ◽  
T. V. Klypa ◽  
Yu. V. Ivanov ◽  
D. V. Sazonov ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Medical Literature ◽  
Differential Diagnostics ◽  
Clinical Implications ◽  
Boerhaave’S Syndrome ◽  
Surgical Tools ◽  
Boerhaave's Syndrome ◽  
Artery Embolism ◽  
The Moment ◽  
Pulmonary Artery Embolism

Well-timed diagnostics of a spontaneous nontraumatic rupture of esophagus or Boerhaave’s syndrome, presents great difficulties because of his rarity and a variety of clinical implications. Esophagus ruptures may feign various organs pathology [2] that most often demands differential diagnostics with a stomach ulcer perforation, acute myocardial infarction, pulmonary artery embolism, aortic dissection and pancreatitis [16, 17]. The treatment can include conservative and surgical tools, but still accompanied by high mortality (up to 35%) [7]; results largely defined by the time between the moment of a rupture and start of the treatment. In addition to the review, described the experience of successful treatment of a patient with Boerhaave’s syndrome in the light of the generalized today data of world medical literature on this problem.

Boerhaave's syndrome complicating acute myocardial infarction thrombolysis

2001 ◽  
Vol 27 (10) ◽  
pp. 1682-1682 ◽  
Author(s):  
A. Dominguez ◽  
M. J. Garcia ◽  
M. Rayo ◽  
A. Duque ◽  
R. Marrero
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Boerhaave’S Syndrome ◽  
Boerhaave's Syndrome

Predictors and clinical implications of stent thrombosis in patients with ST-segment elevation myocardial infarction

2013 ◽  
Vol 168 (3) ◽  
pp. 2632-2636 ◽  
Author(s):  
Salvatore Brugaletta ◽  
Manel Sabate ◽  
Victoria Martin-Yuste ◽  
Monica Masotti ◽  
Yoshitaka Shiratori ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Stent Thrombosis ◽  
Clinical Implications ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
St Segment

Long-term results of treatment of patients with limb arterial embolism

1986 ◽  
Vol 67 (4) ◽  
pp. 300-300
Author(s):  
I. I. Strelnikov
Keyword(s):  
Myocardial Infarction ◽  
Causes Of Death ◽  
Long Term Results ◽  
Peripheral Artery ◽  
Arterial Embolism ◽  
Cardiac Defects ◽  
Results Of Treatment ◽  
Artery Embolism ◽  
Conservative And Surgical Treatment

We followed the fate of 166 patients with limb arterial embolism in the late stage of the disease after conservative and surgical treatment from 6 months to 10 years. Of 166 patients, 44 (26.5%) died after hospital discharge. Thirty of them were older than 61 years. The most frequent causes of death in the long-term period were acute cerebrovascular disease (11), myocardial infarction (7), progressive cardiovascular insufficiency due to cardiac defects (6), repeated peripheral artery embolism causing limb gangrene (7). In 7 patients the cause of death was not determined.

PROGRESSIVE ATHEROSCLEROTIC CORONARY ARTERIES IN PATIENTS WITH SEVERAL ISCHEMIC EVENTS IN ANAMNESIS

2021 ◽  
pp. 113-119
Author(s):  
Parkhomenko O.M. ◽  
Lozhkina N.G.
Keyword(s):  
Myocardial Infarction ◽  
Coronary Arteries ◽  
Clinical Signs ◽  
Risk Groups ◽  
Adverse Outcomes ◽  
Syntax Score ◽  
One Year ◽  
The Moment ◽  
Microsoft Office ◽  
Ischemic Events

Вackground. Progressive atherosclerosis is accompanied by unfavorable clinical outcomes; study and understanding of this process is necessary to identify the appropriate risk groups. Purpose of the study to study the dynamics of atherosclerotic lesions of the coronary arteries in patients with several ischemic events in history. Patient Characterization and Research Methods. The present subanalysis included 51 patients with recurrent nonfatal myocardial infarction (MI) out of the initially included 100 patients with index MI. All 100 patients had a history of two or more ischemic coronary or cerebral events, which corresponds to the clinical signs of progressive atherosclerosis. The dynamics of the degree of coronary stenosis from the moment of index MI to repeated MI was assessed according to the data of selective coronary angiography. The statistical program Microsoft Office Excel 2019 was used. Results. All patients with recurrent myocardial infarction (51 people) had signs of progression of coronary artery stenosis: "mild" progression - 82.3%, "moderate" and "severe" - 15.6% and 2.1%, respectively. SYNTAX Score> 22.5 points was a predictor of one-year adverse outcomes: OR 6.349, CI (2.548-15.823). The results obtained make it possible to distinguish a group of patients with accelerated atherosclerosis syndrome in order to stratify the risk and optimally manage this complex category of patients.

scholarly journals Myocardial infarction with nonobstructive coronary arteries

Kardiologiia ◽  
2020 ◽  
Vol 60 (3) ◽  
pp. 89-95
Author(s):  
Andrey V. Sherashov ◽  
A. S. Shilova ◽  
E. S. Pershina ◽  
D. Yu. Shchekochikhin ◽  
A. V. Svet ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Coronary Arteries ◽  
Final Diagnosis ◽  
Individual Case ◽  
Differential Diagnostics ◽  
Special Role ◽  
Disease Etiology ◽  
Magnetic Resonance Imaging Mri ◽  
Universal Definition ◽  
Definition Of

The review focused on a relatively new issue, myocardial infarction with non-obstructive coronary arteries (MINOCA). According to current ideas, almost 6% of all myocardial infarction (MI) cases may be MINOCA. This term can be used both as a “working diagnosis” at the time of further evaluation and a final diagnosis after establishing a cause for each specific case. Since some variants of cardiac, including non-coronary, pathology may be similar to MI in a number of signs, each individual case of MINOCA requires specification. Among major causes for this condition are vasospasm, CA embolism, spontaneous CA dissection, rupture of an eccentric atherosclerotic plaque in a CA, etc. Diagnostics of MINOCA includes both a set of diagnostic tests for verification of the MI diagnosis according to the Fourth Universal Definition of MI and specific studies for elaboration of the disease etiology. A special role in differential diagnostics belongs to gadolinium-enhanced magnetic-resonance imaging (MRI) of the myocardium, which allows to distinguish between MI and non-ischemic myocardial injury of different genesis. Methods of intravascular visualization, such as optical coherence tomography (OCT) and intravascular ultrasound are also important. Commonly accepted guidelines on the treatment of this pathology consistent with current ideas are not available. However, it is obvious that therapeutic possibilities and prognosis for MINOCA depend on the identified cause in each individual case.

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