Kardiol Pol
-
Randomized Controlled Trial
Oral versus intravenous hydration and renal function in diabetic patients undergoing percutaneous coronary interventions.
Contrast-induced nephropathy (CIN) is a serious complication of percutenous coronary interventions (PCI). Proper hydration reduces the risk of PCI. Wheter oral hydration is as effective as intravenous one has not been well established. ⋯ Our study demonstrates that the oral hydration with mineral water and intravenous hydration with 0.9% NaCl have similar effects on renal function in diabetic patients undergoing coronary angiography and angioplasty.
-
Boerhaave's syndrome is a very rare disease characterised by a spontaneous rupture of the oesophagus. It is often misdiagnosed and there is no consensus as to the best treatment. ⋯ Despite objective and laboratory tests negative for chest pain screening, computed tomography showed the presence of mediastinal air and pneumothorax consistent with oesophagus rupture. Urgent surgical intervention saved the patient.
-
Case Reports
[ST-segment elevation myocardial infarction due to anaphylactic shock triggered by contrast medium].
We present a case of a 57 year-old patient who developed inferior wall myocardial infarction as a consequence of anaphylactic shock, which occurred as a reaction to contrast medium. The patient was discharged home fully recovered after 14 days with recommendation of further allergology diagnostics.