Kardiol Pol
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Comparative Study
Patients with non-ST-elevation myocardial infarction and without chest pain are treated less aggressively and experience higher in-hospital mortality.
Lack of chest pain or atypical pain does not exclude acute coronary syndrome (ACS). ⋯ There is a significant group of ACS patients without chest pain on admission who are usually women with less severe past medical history. This subset of patients is treated less aggressively in terms of antiplatelet therapy and invasive approach. It is patients with diagnosis of NSTEMI who due to being misdiagnosed due to their atypical chest pain have poorer outcome.
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A case of a 69-year-old woman with non-ST-segment elevation myocardial infarction (NSTEMI) complicated by cardiogenic shock and in-hospital cardiac arrest is presented. During prolonged (60 min) cardiopulmonary resuscitation successful complex coronary angioplasty with stenting of the left anterior descending coronary artery was performed, after which the patient recovered completely. ⋯ Post-resuscitation course was uneventful and neurological examination was normal. The patient, free of cardiovascular, respiratory and neurological symptoms, was discharged from hospital after 16 days.
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Case Reports
[Right atrial thrombus following surgical closure of atrial septal defect--a case report].
A case of an 11-year-old girl with atrial septal defect is described. The patient underwent surgical closure of the defect, which was complicated by asymptomatic thrombus formation in the right atrium. Anticoagulant therapy was initially successful, but thrombus recurred. Surgical thrombus removal was successful.