Presentation
Patients with myxomas most frequently present with embolism, intracardiac obstruction, constitutional symptoms, and arrhythmia [3]. [ajronline.org]
Conversely, there are cases of left atrial myxoma presenting as acute MI but with normal coronary arteries. [hindawi.com]
We present a case report and review of the literature on this disease association. A 57-year-old woman was admitted to our coronary care unit with a diagnosis of non-ST elevation acute myocardial infarction. [elsevier.pt]
Case report An 80-year-old woman with a history of hypertension, dyslipidaemia and previously treated localised breast cancer, presented to a regional hospital with central chest heaviness. [tandfonline.com]
This book consists of a series of chapters by experienced cardiologists and cardiovascular surgeons that present today's state of the art in managing acute myocardial infarction. [books.google.com]
Entire Body System
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Coronary Atherosclerosis
Coronary atherosclerosis, cross sections, gross. Coronary atherosclerosis, minimal, gross. Coronary atherosclerosis, severe, gross. Coronary atherosclerosis, composite, microscopic. Coronary atherosclerosis, intimal plaque, microscopic. [library.med.utah.edu]
Gender and the extent of coronary atherosclerosis, plaque composition, and clinical outcomes in acute coronary syndromes.JACC Cardiovasc Imaging. 2012; 5(suppl):S62–S72. doi: 10.1016/j.jcmg.2012.02.003.CrossrefMedlineGoogle Scholar 364. [ahajournals.org]
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Constitutional Symptom
Patients with myxomas most frequently present with embolism, intracardiac obstruction, constitutional symptoms, and arrhythmia [3]. [ajronline.org]
symptoms, although there may also be symptoms resulting from atrioventricular valve obstruction or systemic embolization, and so early diagnosis is a challenge in clinical practice. [elsevier.pt]
Gastrointestinal
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Periumbilical Pain
In the evening on the same day, he complained of acute and persistent periumbilical pain without abdominal distension. Bowel sound was decreased, but nausea or vomiting were absent. [e-jnc.org]
Cardiovascular
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Heart Disease
In addition, continuous electrocardiographic monitoring has resulted in the recognition of specific arrhythmias related to acute ischemic heart disease and thus to the development of appropriate strategies for their management. [books.google.com]
Zipes: Braunwald's heart disease: a textbook of cardiovascular medicine. 7th ed. Philadelphia: WB Saunders; 2005:803–863. Google Scholar 32. Berisso MZ, Ferroni A, Molini D, et al. [link.springer.com]
This risk was especially high in patients with structural heart disease 64, 65. [nature.com]
DISCUSSION Atrial infarction is a rare event that occurs in ischemic heart disease and is usually diagnosed on autopsy. [ncbi.nlm.nih.gov]
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Chest Pain
After coronary angiography, the patient had chest pain associated with hypotension, sinus bradycardia, periods of complete atrioventricular block, and one episode of ventricular fibrillation. [jamanetwork.com]
Because of the continuous chest pain associated with a rapid rate of AF, electrical cardioversion to sinus rhythm was carried out with 50 J monophasic synchronized cardioversion. [ncbi.nlm.nih.gov]
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Retrosternal Chest Pain
chest pain during sexual intercourse. [ajronline.org]
A 53-year-old man with known diabetes mellitus and hypertension and no reported history of ischemic heart disease presented to the emergency department complaining of severe retrosternal chest pain. [ncbi.nlm.nih.gov]
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Slow Pulse
MIs involving the inferior (lower) wall of the left ventricle may result in abnormally slow pulse (bradycardia) and low blood pressure (hypotension). [calshipleymd.com]
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Skipped Beats
Rapid and irregular heart rates may be perceived as the sensation of the heart beating too fast, irregularly, or skipping beats (palpitations) or exercise intolerance and occasionally may produce anginal chest pain (if the high heart rate causes the heart's [en.wikipedia.org]
Neurologic
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Altered Mental Status
Since clinical signs and symptoms of acute SMA occlusion are often nonspecific, careful examination and close monitoring is required especially for patients with altered mental status or language function impairment. [e-jnc.org]
Workup
The patient's hypercoagulation workup returned with antithrombin III of 89, total protein S of 98, free protein S of 60, and protein C of 110, and was negative for both lupus anticoagulant and a prothrombin gene mutation. [n.neurology.org]
The results of the diagnostic workup included: 1) chest X-ray: an enlarged left ventricle (LV) and a bilateral alveolar infiltrate in pulmonary bases; 2) electrocardiogram (ECG): atrial fibrillation, necrosis and ST segment elevation in the lateral wall [scielo.br]
The stroke unit handles all stages of acute care, workup, and all stages of rehabilitation in all patients, regardless of the age of the patient, the severity of the stroke, and the condition of the patient prior to the stroke. [ahajournals.org]
Rhythm
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Sinus Arrest
TABLE 1 Atrial infarction complications Complication Incidence Rhythm disturbances 61%–74% Supraventricular tachycardia Atrial fibrillation Wandering atrial pacemaker Sinus tachycardia with or without atrial premature contractions Sinus arrest [ncbi.nlm.nih.gov]
[…] of tutorial videos) *An easily searchable rapid reference for more than 90 of the most common ECG diagnoses, including: Normal ECG, Incorrect Electrode Placement, Artifact, Atrial Enlargement, Sinus Rhythm, Sinus Arrhythmia, Bradycardia, Tachycardia, Sinus [play.google.com]
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Premature Atrial Contractions
Arrhythmias are quite common in the setting of atrial infarctions and include paroxysmal AF, wandering atrial pacemaker, premature atrial contractions and runs of atrial tachycardia (9). [ncbi.nlm.nih.gov]
In previous studies, echocardiographic left atrial diameter (LAD) and premature atrial contractions on Holter monitoring were the predictors of PAF in patients with acute ischemic stroke [4, 5]. [medsci.org]
Other ECG Findings
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Electrocardiogram Change
Findings: Septal MI Anatomic Distribution Electrocardiogram Changes Lead V1 to lead V2 Distribution Left Coronary Artery : LAD-Septal Branch Complications Infranodal and Bundle Branch Block X. [fpnotebook.com]
Treatment
Table 6 Odds ratios (and 95% confidence intervals) for 30 day and one year mortality, comparing the different in-hospital treatment of atrial fibrillation Maintenance treatment with different antiarrhythmic drugs at the time of hospital discharge did [heart.bmj.com]
Once diagnosed, treatment approach should be decided to restore intestinal perfusion as quickly as possible [ 10 ]. [e-jnc.org]
This seems to apply for all patient populations studied without significant differences related to the treatment of AMI. [academic.oup.com]
Following treatment with DC cardioversion, dopamine hydrochloride, and a temporary pacemaker, his condition rapidly stabilized. An ECG demonstrated marked elevation of the P-T a segments in leads II, III, and aV F consistent with atrial infarction. [jamanetwork.com]
Prognosis
However, the long-term prognosis is still unknown. We aimed to assess 1-year prognosis in patients experiencing silent AF in AMI. [heart.bmj.com]
Impact of atrial fibrillation type during acute coronary syndromes, Clinical features and prognosis, Rev Port Cardiol., 2015, 34 (6), 403-410 PubMed Google Scholar [20] Sörensen N.A., Shah A.S., Ojeda F.M., Peitsmeyer P., Zeller T., Keller T., et al [degruyter.com]
Atrial fibrillation in myocardial infarction: predictors and prognosis. Int J Clin Pract 2009;63:712-21. 6. Shakir D.K., Arafa S.O. [rpcardio.com]
It is important to diagnose this condition because surgical intervention is the only means to improve the prognosis [18]. [hindawi.com]
Etiology
Its etiology may include left ventricular dysfunction with hemodynamic disturbances [1–6], pericarditis [7], metabolic abnormalities, excess catecholamine release or iatrogenic factors (e.g., use of sympathomimetic drugs) [8]. [onlinejacc.org]
Conclusion: Of the many etiologies that cause bradycardia, there is the most dangerous etiology. Two different rhythms are AV degree II and AV block III (total AV block). [bikinflipchart.wordpress.com]
The imaging techniques described above can demonstrate the presence of an area of decreased perfusion but not the etiology of the infarction. The specific etiology is apparent from the history, physical examination, and laboratory investigations. [journals.lww.com]
A comprehensive report was published by Lazar et al1, with an excellent review of the history, incidence, anatomy, pathology and etiological, clinical and diagnostic aspects of acute atrial infarction. [scielo.br]
Epidemiology
There are no reported data measuring epidemiological profi le of congenital heart disease (CHD) in this region. This study was aimed specifi cally to determine the most major lesion and type of CHD in one of an over-populated area in Indonesia. [garuda.ristekbrin.go.id]
Chronic atrial fibrillation–epidemiologic features and 14 year follow-up: a case control study. Eur Heart J 8, 521–527 (1987). 15. Luo, C. et al. [nature.com]
Introduction Atrial fibrillation (AF) is the most common arrhythmia in patients with and without structural heart disease with an increasing incidence mainly due to the aging population. 1–4 Data from large epidemiological studies have clearly demonstrated [academic.oup.com]
"Epidemiology of atrial fibrillation: European perspective". Clinical Epidemiology. 6 : 213–20. doi : 10.2147/CLEP.S47385. PMC 4064952. PMID 24966695. a b c d e f Anumonwo, JM; Kalifa, J (November 2014). [en.wikipedia.org]
Epidemiology of Pregnancy-induced Hypertension. epirev.oxfordjournals.org/content/19/2/218. [4]. Elosha E, Chike N, Marquetta F. Preeclampsia 2012. J Pregnancy. 2012; 2012: 586578. [5]. Kee-Hak L. Preeclampsia. .. [iosrjournals.org]
Pathophysiology
Elliot Rapaport Springer Science & Business Media, ٠٦/١٢/٢٠١٢ - 266 من الصفحات Our understanding of the pathophysiology of acute myocardial infarction has grown enormously in recent years. [books.google.com]
Pathophysiology The right atrium is involved five times as often as the left, with the auricle the predominant site in either atria. [wikidoc.org]
Similarly, even we did not observe the major criteria suggested by Liu et al. in any patient with ATMI. 4.3 Possible mechanisms of P‐wave indices in lead DII and PR‐segment deviation in ATMI As in the pathophysiology of ST‐segment deviation observed in [onlinelibrary.wiley.com]
[…] outcomes during hospitalization and after discharge. 1 2 3 4 5 6 7 8 9 18 Patients developing atrial fibrillation during hospitalization had worse in-hospital outcomes, suggesting that different times of atrial fibrillation onset may represent different pathophysiologies [circ.ahajournals.org]
Ischemic cardiomyopathy: pathophysiologic mechanisms. Prog Cardiovasc Dis. 1990;33:49-70. Anversa P, Kajstura J, Reiss K, et al. Ischmic cardiomyopathy: myocyte cell loss, myocyte hypertrophy, and myocyte cellular hyperplasia. [library.med.utah.edu]
Prevention
Borggrefe, et al. 2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: the Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac [medintensiva.org]
Amiodarone to prevent recurrence of atrial fibrillation. Canadian Trial of Atrial Fibrillation Investigators. N Engl J Med 2000 ; 342 : 913 –20. Echt DS, Liebson PR, Mitchell LB, et al for the CAST Investigators. [heart.bmj.com]
Future studies are warranted to clarify the interaction among confounding risk factors, and investigate effective preventive measures against adverse outcomes. [nature.com]
In the ENGAGE AF-TIMI 48 trial (n 21,105), edoxaban was noninferior to warfarin with respect to the prevention of stroke or systemic embolism. [emedicine.medscape.com]