Giornale italiano di cardiologia : organo ufficiale della Federazione italiana di cardiologia : organo ufficiale della Società italiana di chirurgia cardiaca
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G Ital Cardiol (Rome) · May 2010
Multicenter Study[Management of ST-elevation myocardial infarction in the Umbria region: results from the observational prospective Umbria-STEMI registry].
In the last few years, advances have been made in the diagnosis and management of ST-segment elevation myocardial infarction (STEMI). Recent guidelines have been developed to improve outcome of STEMI patients by implementation of the recommendations into clinical practice. In order to assess the disease burden, the treatment modalities and the mid-term outcome of STEMI in the Umbria region, Italy, we performed a prospective observational study of all patients hospitalized with a diagnosis of STEMI from October 14, 2006 to April 14, 2008 (Umbria-STEMI registry). ⋯ The Umbria-STEMI registry disclosed several discrepancies between guidelines-recommended treatments and their utilization in daily practice. Efforts should be made to reduce the delay from symptom onset to intervention.
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G Ital Cardiol (Rome) · May 2010
Case Reports[New-onset left bundle branch block as an early electrocardiographic feature of takotsubo cardiomyopathy].
Takotsubo cardiomyopathy is a recently described syndrome characterized by reversible left ventricular dysfunction, chest pain, ST-segment elevation, and minor elevation in serum levels of cardiac enzymes, in the absence of significant coronary artery disease. ST-segment elevation is the most common electrocardiographic finding on the admission ECG of patients, followed by evolutionary T-wave inversions. We report a case of takotsubo cardiomyopathy characterized by the unusual feature of a new onset transient left bundle branch block as first electrocardiographic manifestation. New left bundle branch block increases heterogeneity in the broad spectrum of electrocardiographic findings of takotsubo syndrome, contributing to ambiguity in the early recognition and affecting potential management strategies.