This website is intended for UK healthcare professionals only Log in | Register

Tag Archives: ST-elevation myocardial infarction (STEMI)

October 2019 Br J Cardiol 2019;26(4) doi:10.5837/bjc.2019.037 Online First

Atypical presentation of STEMI with pericardial effusion causing cardiac tamponade related to malignancy

Matthew J Johnson, Rohan Penmetcha

Abstract

Introduction Cardiac tamponade and myocardial infarction (MI) are rare as the initial presentation of a malignancy. Lung cancer is among the most common sites from which cardiac metastases arise.1,2 The majority of cases of neoplastic pericardial disease are not detected or diagnosed antemortem due to the usual lack of clinical symptoms.3 Cardiac metastases most commonly occur between ages 50 and 70 years, notably via lymphatic and haematogenous dissemination.4,5 Tumour cells also have the ability to activate the coagulation system causing a prothrombic or hypercoagulable state to develop throughout the course of malignancy.6 Case A 57-year-o

| Full text
Thrombus aspiration in primary percutaneous coronary intervention: to use or not to use?

December 2018 Br J Cardiol 2018;25:152–6 doi:10.5837/bjc.2018.032

Thrombus aspiration in primary percutaneous coronary intervention: to use or not to use?

Telal Mudawi, Mohamed Wasfi, Darar Al-Khdair, Muath Al-Anbaei, Assem Fathi, Nikolay Lilyanov, Mohammed Elsayed, Ahmed Amin, Dalia Besada, Waleed Alenezi, Waleed Shabanh

Abstract

Figure 1. A thrombus aspiration catheter Introduction The use of thrombus aspiration in primary percutaneous coronary intervention (PPCI) for ST-elevation myocardial infarction (STEMI) has been subject to intense scrutiny and debate over the last decade. Clinical trials have been undertaken, using varying randomisation methodologies, aiming to objectively quantify the impact of the practice, while several subsequent meta-analyses have been conducted with conflicting results. Uncertainty remains and no exclusive guidance has been internationally agreed regarding the definitive usefulness, or otherwise, of the practice. The use of thrombectomy

| Full text
Close

You are not logged in

You need to be a member to print this page.
Find out more about our membership benefits

Register Now Already a member? Login now
Close

You are not logged in

You need to be a member to download PDF's.
Find out more about our membership benefits

Register Now Already a member? Login now