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Myocardial Infarction (Heart Attack)

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Heart Attack

"A heart attack occurs when the supply of blood and oxygen to an area of heart muscle is blocked, usually by a clot in a coronary artery. ...Prompt treatment of a heart attack can help prevent or limit lasting damage to the heart and can prevent sudden death. ...The sooner treatment begins, the better your chances of recovering."

Highlighted Article

"Around one-third of patients who have a myocardial infarction do not have chest pain but experience shortness of breath, autonomic nervous symptoms (sweating, nausea, vomiting), extreme and inexplicable tiredness and fainting. These atypical symptoms should suggest myocardial infarction. In order to avoid high morbidity and death from complications such as arrhythmias, heart failure, rupture and aneurysm formation it is important that a patient who has had a myocardial infarction should be treated as soon as possible ..."

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Myocardial Infarction (Heart Attack)

General Information

NEWS:

Rapid return to work after heart attack OK for some

Sudden Death Risk May Be Highest Within 30 Days of MI in Certain Patients

ARTICLES:

Heart Attack

Heart Attack, Bypass Patient Less Fit Than Previously Thought

JOURNAL ARTICLES:

Age-Related Macular Degeneration Is Associated with Incident Myocardial Infarction among Elderly Americans. (Ophthalmology. 2006) " CONCLUSIONS: AMD is associated with older age, female gender, being white, and having a history of MI, hypertension, and diabetes. Furthermore, presence of AMD, especially neovascular AMD, is prospectively associated with a higher risk of incident MI. These findings, if confirmed by other studies that control for smoking and other lifestyle covariables, suggest the possibility of shared common antecedents between MI and AMD."

Cardiac Tamponade in the Fibrinolytic Era: Analysis of >100000 Patients With ST-Segment Elevation Myocardial Infarction (American Heart Journal 2006)

Changing trends in the long-term prognosis of patients with acute myocardial infarction: a population-based perspective. (Am Heart J. 2006)

Circadian analysis of myocardial infarction incidence in an Argentine and Uruguayan population (BMC Cardiovascular Disorders 2006)

Deceleration capacity of heart rate as a predictor of mortality after myocardial infarction: cohort study. (Lancet. 2006) "BACKGROUND: Decreased vagal activity after myocardial infarction results in reduced heart-rate variability and increased risk of death. . INTERPRETATION: Impaired heart rate deceleration capacity is a powerful predictor of mortality after myocardial infarction and is more accurate than LVEF and the conventional measures of heart-rate variability."

Depression After an MI Worsens Patient Outcomes "Depression in the first month after a myocardial infarction (MI) has an adverse effect on 6-month outcomes, regardless of whether depression is new in onset, transiently present, or of a persistent nature, according to an article published in the October 9 issue of the Archives of Internal Medicine. Furthermore, depressive symptoms were more consistently associated with poor outcomes than traditional measures of disease severity, such as prior MI, ST-segment elevation MI (STEMI), and left ventricular ejection fraction (LVEF) …"

Impact of body mass index on short-term outcome after acute myocardial infarction: Does excess body weight have a paradoxical protective role? (International Journal of Cardiology 2006)

Influence of anxiety on the course of heart disease after acute myocardial infarction - risk factor or protective function? (Psychother Psychosom. 2006)

Is early- and late-onset depression after acute myocardial infarction associated with long-term survival in older adults? A population-based study. (Can J Cardiol. 2006) "CONCLUSIONS: Both early- and late-onset depression post-AMI were significantly associated with mortality up to eight years post-AMI. Depression is a strong independent predictor of post-AMI mortality in older adults."

Mitral regurgitation after myocardial infarction: a review. (Am J Med. 2006)

Only Incident Depressive Episodes After Myocardial Infarction Are Associated With New Cardiovascular Events (Journal of the American College of Cardiology 2006) "Only patients with incident post-MI depression have an impaired cardiovascular prognosis. A more detailed subtyping of post-MI depression is needed, based on an integration of recent findings on the differential impact of depression symptom profiles and personality on cardiac outcomes."

The Incidence of Stroke after Myocardial Infarction: A Meta-Analysis (The American Journal of Medicine 2006)

The risk of missed diagnosis of acute myocardial infarction associated with emergency department volume. (Ann Emerg Med. 2006)

Usefulness of combined white blood cell count and plasma glucose for predicting in-hospital outcomes after acute myocardial infarction. (Am J Cardiol. 2006) "These findings suggested that a simple combination of WBC count and PG level might provide further information for predicting outcomes in patients with AMI."

 

 

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