Publications by authors named "Joaquin Espinoza"
Background: Coronary artery pseudoaneurysm (PSA) is a rare occurrence linked to percutaneous coronary interventions (PCIs), infection, or chest trauma, lacking established management guidelines due to its low incidence.
Case Summary: A 78-year-old male with a medical history of triple vessel disease, post coronary artery bypass grafting, heart failure, and chronic obstructive pulmonary disease, presented with intractable left-sided chest pain following a mechanical fall. The initial workup was positive for mildly elevated high-sensitivity troponin and brain natriuretic peptide raising suspicion for a pulmonary embolism; but chest computed tomography angiography revealed an enlarging pericardial haematoma.
Article Synopsis
- During the early COVID-19 outbreak, hospital admissions for acute coronary syndrome (ACS) significantly decreased, likely due to patients' fear of contracting the virus while seeking care.
- In contrast, there was a notable increase in out-of-hospital cardiac arrest (OHCA) incidents and a surge in Google searches related to chest pain and hospital safety during the same period.
- The findings indicate that while fewer people sought treatment for ACS, their online concerns grew; thus, analyzing Google Trends could help predict patient behavior in future health crises, but further statistical methods are needed to confirm these associations.
Endoscopic mucosal ablation - an alternative treatment for colonic polyps: Three case reports.
World J Gastroenterol
December 2020
Background: Endoscopic resection of non-invasive lesions is now the standard of care for lesions in the GI tract. However, resection techniques require extensive training, are not available in all endoscopy centers and are prone to complications. Endoscopic mucosal ablation (EMA) is a combination of resection and ablation techniques and it may offer an alternative in the management of such lesions.
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