scholarly journals Successful surgical repair of left ventricular pseudoaneurysm in a patient with subacute ST-elevation myocardial infarction

2021 ◽  
Author(s):  
Rosangela Cocchia ◽  
Gabriele Iannelli ◽  
Valentina Capone ◽  
Salvatore Chianese ◽  
Giuseppina Langella ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Surgical Repair ◽  
Left Ventricular ◽  
St Elevation Myocardial Infarction ◽  
Cardiac Rupture ◽  
Ventricular Wall ◽  
Left Ventricular Pseudoaneurysm ◽  
Life Saving ◽  
St Elevation

We report a successful surgical repair of left ventricular pseudoaneurysm in a patient with subacute ST-elevation myocardial infarction (STEMI). In the case of expansion of the infarct related ventricular wall, early (within 24 hours) or late (3-5 days after STEMI) cardiac rupture should be always borne in mind in order to proceed to life saving prompt surgical repair.

scholarly journals Reducing Cardiac Injury during ST-Elevation Myocardial Infarction: A Reasoned Approach to a Multitarget Therapeutic Strategy

2021 ◽  
Vol 10 (13) ◽  
pp. 2968
Author(s):  
Alessandro Bellis ◽  
Giuseppe Di Gioia ◽  
Ciro Mauro ◽  
Costantino Mancusi ◽  
Emanuele Barbato ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Reperfusion Injury ◽  
Therapeutic Strategy ◽  
Ventricular Remodeling ◽  
Ischemia Reperfusion Injury ◽  
Ischemia Reperfusion ◽  
Left Ventricular ◽  
St Elevation Myocardial Infarction ◽  
Ischemic Time ◽  
St Elevation

The significant reduction in ‘ischemic time’ through capillary diffusion of primary percutaneous intervention (pPCI) has rendered myocardial-ischemia reperfusion injury (MIRI) prevention a major issue in order to improve the prognosis of ST elevation myocardial infarction (STEMI) patients. In fact, while the ischemic damage increases with the severity and the duration of blood flow reduction, reperfusion injury reaches its maximum with a moderate amount of ischemic injury. MIRI leads to the development of post-STEMI left ventricular remodeling (post-STEMI LVR), thereby increasing the risk of arrhythmias and heart failure. Single pharmacological and mechanical interventions have shown some benefits, but have not satisfactorily reduced mortality. Therefore, a multitarget therapeutic strategy is needed, but no univocal indications have come from the clinical trials performed so far. On the basis of the results of the consistent clinical studies analyzed in this review, we try to design a randomized clinical trial aimed at evaluating the effects of a reasoned multitarget therapeutic strategy on the prevention of post-STEMI LVR. In fact, we believe that the correct timing of pharmacological and mechanical intervention application, according to their specific ability to interfere with survival pathways, may significantly reduce the incidence of post-STEMI LVR and thus improve patient prognosis.

Left ventricular function recovery after ST-elevation myocardial infarction: correlates and outcomes

2021 ◽  
Author(s):  
Jeroen Dauw ◽  
Pieter Martens ◽  
Sébastien Deferm ◽  
Philippe Bertrand ◽  
Petra Nijst ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Left Ventricular Function ◽  
Ventricular Function ◽  
Left Ventricular ◽  
St Elevation Myocardial Infarction ◽  
Function Recovery ◽  
St Elevation

scholarly journals 281 Accuracy of the E/e’ Ratio as a Measure of Left Ventricular Filling Pressures in Patients with Non ST-Elevation Myocardial Infarction

2020 ◽  
Vol 29 ◽  
pp. S159
Author(s):  
K. Arasaratnam ◽  
A. Camuglia ◽  
A. Lo ◽  
D. Holland ◽  
K. Guppy-Coles ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Left Ventricular ◽  
Left Ventricular Filling ◽  
St Elevation Myocardial Infarction ◽  
St Elevation ◽  
Ventricular Filling

scholarly journals Circadian Dependence of Infarct Size and Left Ventricular Function After ST Elevation Myocardial Infarction

2012 ◽  
Vol 110 (1) ◽  
pp. 105-110 ◽  
Author(s):  
Ronald Reiter ◽  
Cory Swingen ◽  
Luke Moore ◽  
Timothy D. Henry ◽  
Jay H. Traverse
Keyword(s):  
Myocardial Infarction ◽  
Left Ventricular Function ◽  
Infarct Size ◽  
Ventricular Function ◽  
Left Ventricular ◽  
St Elevation Myocardial Infarction ◽  
St Elevation
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