Kardiol Pol
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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.
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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.
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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.
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Tako-tsubo's syndrome is usually induced by sudden stress reaction, however symptoms may also occur without any cause. Most reported cases of this syndrome, more than 95%, affect women older than 60 years. We present a case of a 45 year-old man in good health with severe cardiovascular complication due to "simple" laryngological surgery using systemic anaesthesia. On the basis of clinical features and results of additional tests we recognize tako-tsubo syndrome.