Publications by authors named "Ian Ternouth"

Article Synopsis
  • The article discusses the common conditions of pericarditis and pericardial effusion, noting that they typically do not lead to cardiac tamponade.
  • It presents a case of a 59-year-old woman whose symptoms and medical history suggested a VZV infection leading to cardiac complications.
  • The findings indicate that varicella zoster virus should be considered in similar cases, especially when patients show signs of a dermatomal rash along with hemodynamic instability.
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Background: Marantic endocarditis (non-bacterial thrombotic endocarditis) is a rare condition that involves non-infectious thrombotic lesions typically of the aortic and mitral valves. It is predominantly associated with malignancy and less commonly systemic lupus erythematosus. In this case, we report a patient with marantic endocarditis secondary to a renal cell carcinoma that was successfully treated with nephrectomy and anticoagulation.

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Aims: The New Zealand non-ST elevation acute coronary syndrome (NSTEACS) guideline recommends that clinically appropriate patients with combined high risk features (positive troponin and ischaemic ECG and a GRACE score >140) have coronary angiography within the first hospital day. All other ACS patients referred for angiography should be studied within 72 hours. We evaluated the relationship between risk criteria, and both the incidence and timing of angiography in our practice.

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