Systemic Atherosclerotic Inflammation Following Acute Myocardial Infarction: Myocardial Infarction Begets Myocardial Infarction.

Background: Preclinical data suggest that an acute inflammatory response following myocardial infarction (MI) accelerates systemic atherosclerosis. Using combined positron emission and computed tomography, we investigated whether this phenomenon occurs in humans.

Methods And Results: Overall, 40 patients with MI and 40 with stable angina underwent thoracic 18F-fluorodeoxyglucose combined positron emission and computed tomography scan.

Removing PEG tubes with 'buried bumpers': Lessons learnt from four patients.

We noted an increase in the number of presentations with dysfunctional PEG tubes due to the 'buried bumper syndrome' (BBS). There is no standard approach to this problem, although case reports exist of endoscopic needle knife excision and forceful pulling. We present a description of our experience in the management of this problem and the lessons learnt by complications or adverse outcomes.