scholarly journals Management of arrythmia in the COVID 19 era

2021 ◽  
Vol 2 (4) ◽  
pp. 106-111
Author(s):  
Sirma Tomos ◽  
Verginica Schroder ◽  
Doina Margaritti ◽  
Florica Busuricu
Keyword(s):  
Medical Staff ◽  
Infected Patient ◽  
Cardiovascular Complications ◽  
Lung Damage ◽  
Cardiac Damage ◽  
Coronary Syndrome ◽  
Use Of Resources ◽  
Artery Thrombosis ◽  
Standard Procedures ◽  
Coronary Artery Thrombosis

There is currently well-documented evidence that SARS CoV2 infection is frequently associated with secondary cardiac damage. Although lung damage is a priority, the evolution over time of COVID 19 infection frequently includes cardiovascular complications, the most common being: myocarditis, heart failure and acute coronary syndrome resulting from coronary artery thrombosis or plaque ruptures associated with SARS-CoV-2. Therefore, for the judicious use of resources, both human and material, and for the protection of medical staff, it is necessary to establish standard procedures to limit the contact of medical staff with the infected patient COVID 19.

scholarly journals Acute Spontaneous Coronary Artery Thrombosis as Initial Presentation of HIV Infection in a Young Man

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
James Kayima ◽  
Wilson Nyakoojo ◽  
Damalie Nakanjako ◽  
Marco A. Costa ◽  
Christopher T. Longenecker ◽  
...  
Keyword(s):  
Risk Factors ◽  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Hiv Infection ◽  
Young Patients ◽  
Coronary Intervention ◽  
Coronary Syndrome ◽  
Artery Thrombosis ◽  
Coronary Artery Thrombosis ◽  
Percutaneous Coronary

Introduction. The presentation of acute coronary syndrome (ACS) in young HIV patients may be atypical with different pathophysiological and clinical features. Acute coronary thrombosis, as a presentation of acute coronary syndrome in young patients with HIV, raises diagnostic and treatment challenges.Case Presentation. We describe a case of a 33-year-old African man, without traditional atherosclerotic risk factors, who presented with chest pain of acute onset. Emergent coronary angiography revealed extensive thrombus in the left anterior descending coronary artery with no evidence of atherosclerosis in this or other coronary vessels. Plaque and/or thrombus prolapse through the stent was noted following percutaneous coronary intervention (PCI). Resolution of chest pain and improvement in ST-segment elevation was noted after the procedure. A diagnosis of HIV infection was made during the workup for HIV infection.Conclusion. In young patients without traditional risk factors, HIV infection is a possible etiological factor for spontaneous coronary artery thrombosis. Percutaneous coronary intervention in patients with this presentation may be compounded with atherothrombotic complications. The likely pathophysiological pathway is superficial endothelial cell denudation as a result of chronic inflammation and immune activation.

OPTIMIZATION OF THE INVASIVE STRATEGY FOR ACUTE CORONARY SYNDROME IN PATIENTS OF THE OLDER AGE GROUP

2020 ◽  
pp. 87-91
Author(s):  
А. С. Петров ◽  
В. В. Яковлев ◽  
К. Л. Козлов ◽  
В. А. Яковлев ◽  
А. В. Барсуков ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Unfractionated Heparin ◽  
Postoperative Period ◽  
Cardiovascular Complications ◽  
Older Age ◽  
Percutaneous Coronary Interventions ◽  
Age Group ◽  
Invasive Strategy ◽  
Coronary Syndrome ◽  
Percutaneous Coronary

Представлено исследование по изучению эффективности и безопасности различных антикоагулянтов, используемых у больных старшей возрастной группы с острым коронарным синдром при чрескожных коронарных вмешательствах. Показана высокая эффективность бивалирудина по сравнению с нефракционированным гепарином и Монафрамом в отношении числа кровотечений, возникающих в послеоперационном периоде, и неблагоприятных сердечно-сосудистых осложнений . A study is presented on the effectiveness and safety of various anticoagulants used in patients of an older age group with acute coronary syndrome during percutaneous coronary interventions. Bivalirudin was shown to be highly effective in comparison with unfractionated heparin and monafram in relation to the amount of bleeding that occurs in the postoperative period and adverse cardiovascular complications.

scholarly journals Acute myocardial infarction following a hornet sting

2009 ◽  
Vol 66 (4) ◽  
pp. 333-337 ◽  
Author(s):  
Danica Cvetkovic-Matic ◽  
Milika Asanin ◽  
Dragan Matic ◽  
Branislava Ivanovic ◽  
Dragan Simic ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Case Report ◽  
Direct Action ◽  
Artery Thrombosis ◽  
Appropriate Treatment ◽  
Coronary Artery Thrombosis ◽  
Hymenoptera Sting ◽  
Cardiovascular Evaluation ◽  
Coronary Endothelium

Background. The occurrence of an acute myocardial infarction following a hornet sting has been very rarely reported in the previous literature. Pathogenetic mechanisms include direct action of the venom components on the coronary endothelium and allergic reaction with mediators released from mast cells. The anaphylactic reaction and venom components can produce acute coronary artery thrombosis. Case report. We reported a 45-year-old man with acute myocardial infarction after a hornet sting in the presence of anaphylaxis. We also discussed clinical implications and pathophysiological mechanisms of acute myocardial infarction caused by hymenoptera sting. Conclusion. A case report of this unusual acute myocardial infarction highlights the potential acute myocardial ischemia associated with hymenoptera sting which requests early diagnosis, thorough cardiovascular evaluation and appropriate treatment.

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