Effect of a combination of antiplatelet and antithrombotic pretreatment on myocardial perfusion in patients with an acute ST-segment elevation myocardial infarction undergoing a primary percutaneous coronary intervention.

Introduction: Primary percutaneous coronary intervention (PCI) is the preferred method of reperfusion in ST-segment elevation myocardial infarction patients. Adjunctive pharmacotherapy is, however, still under investigation.

Objective: To assess the effect of combined pharmacologic therapy on myocardial perfusion and infarct size in relation to time delays.

Initial TIMI flow ≥ 2 and pre-angiography total ST-segment resolution predict an aborted myocardial infarction in patients undergoing primary percutaneous coronary intervention.

Background: Studies on the treatment of patients with an acute ST-segment elevation myocardial infarction (STEMI) with primary percutaneous coronary intervention (PCI) have shown a high rate of aborted MI despite a relatively long delay from the onset of symptoms to reperfusion.

Aim: To assess predictors of aborted MI in patients undergoing primary PCI.

Methods: 310 STEMI patients referred for primary PCI within 12 h of symptom onset were included into a prospective study.

[Transient left ventricular dysfunction syndrome or an aborted myocardial infarction? Analysis of six cases].

Unlabelled: Transient left ventricular dysfunction (LVDS) is a syndrome of unknown etiology resembling acute coronary syndrome (ACS). The aim of this study was to prospectively assess the course of the acute phase of illness, recovery and prognosis after LVDS.

Material And Methods: We prospectively evaluated six women hospitalized due to suspected ACS who have had: elevated levels of troponin T the absence of critical stenoses of coronary arteries in coronary angiography, and akinesis of apical and adjacent segments in ventriculography and/or echocardiography.

[Acute inferior myocardial infarction with right ventricular involvement complicated by interventricular septum rupture - a case report].

A case of a 62-year-old female with acute inferior myocardial infarction with right ventricular involvement is presented. The patient developed cardiogenic shock due to interventricular septum rupture. Pharmacological agents and intraaortic balloon counterpulsation restored normal circulation which enabled elective surgical treatment 14 days after the onset of symptoms.