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

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.”

Photonic Crystal Sensors for the Rapid Detection of Myocardial Ischemia

2007 ◽  
Author(s):  
Justin T. Baca ◽  
David N. Finegold ◽  
Sanford A. Asher
Keyword(s):  
United States ◽  
Coronary Heart Disease ◽  
Acute Coronary Syndrome ◽  
Myocardial Ischemia ◽  
Rapid Detection ◽  
Biochemical Markers ◽  
Hospital Admissions ◽  
Rapid Test ◽  
The United States ◽  
Coronary Syndrome

Coronary Heart Disease is the leading cause of death in the United States and was responsible for approximately one of every five deaths in 2003 [1]. Unnecessary admissions to US Hospitals of patients with suspected Acute Coronary Syndrome (ACS) is estimated to cost about 12 billion dollars a year [2]. The earliest biochemical markers currently assayed do not appear in the blood for hours after the onset of chest pain; a rapid test for myocardial ischemia would help to expedite treatment and avoid unnecessary hospital admissions [3].

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