ABSTRACT
No disponible
Subject(s)
Middle Aged , Male , Humans , Echocardiography, Transesophageal , Atrial Fibrillation , Anticoagulants , Coronary Thrombosis , Diagnosis, DifferentialSubject(s)
Coronary Thrombosis/diagnostic imaging , Anticoagulants/therapeutic use , Atrial Fibrillation/diagnosis , Atrial Fibrillation/etiology , Coronary Thrombosis/complications , Coronary Thrombosis/drug therapy , Diagnosis, Differential , Echocardiography, Transesophageal/methods , Humans , Male , Middle AgedABSTRACT
OBJECTIVE: To determine the relationship between lipoprotein (a) seric levels with the age of coronary artery disease debut and the severity of coronary lesions in a group of male patients less than 50 years old. PATIENTS AND METHODS: We studied a group of 230 male patients, younger than 50 who were consecutively admitted to the hospital because of an ischemic coronary event. During hospitalization, the lipoprotein (a) in plasma was measured in all patients. They were distributed in two groups according to age at time of coronary disease clinical presentation with a cut off age of 40. A group of 142 patients underwent a cardiac catheterism and coronariography due to clinical or electrical unstability. RESULTS: The lipoprotein (a) levels were related with the number of diseased vessels. In this way lipoprotein (a) levels were 12 mg/dl (1.5-75) in those patients showing a normal coronariography; 27 mg/dl (2. 5-96) in those with one vessel disease; 34 mg/dl (7-90) in those with two vessels affected and 63 mg/dl (2-116) in the case of three-vessel disease, with statistical significance of p = 0.003. No significant differences in lipoprotein (a) levels were found when the age of coronary artery disease presentation was taken into account. In this way lipoprotein (a) levels were 31 mg/dl (2-97) in patients younger than 40 years of age, in comparison to 33 mg/dl (2-94) in those older than 40. CONCLUSIONS: In our community male patients with a diagnosis of coronary artery disease and less than 50 years old showed a relationship between lipoprotein (a) levels and the severity and number of coronary vessel diseases. However, an association between lipoprotein (a) levels with the age of coronary disease presentation was not evident.
Subject(s)
Coronary Disease/diagnosis , Lipoprotein(a)/blood , Adult , Coronary Angiography , Coronary Disease/blood , Coronary Disease/diagnostic imaging , Humans , Male , Middle Aged , Predictive Value of TestsSubject(s)
Heart Block/microbiology , Lyme Disease/complications , Lyme Disease/diagnosis , Female , Humans , Middle Aged , Time FactorsABSTRACT
No disponible
Subject(s)
Middle Aged , Adult , Male , Female , Humans , Cryptogenic Organizing Pneumonia , Necrosis , Anti-Arrhythmia Agents , Amiodarone , MediastinitisABSTRACT
Cardiac manifestations in Lyme disease are uncommon and could generate myocarditis and/or pericarditis, but the most frequent and typical cardiac manifestation is in the form of conduction system disorders, causing blocks, which, according to their location and degree, could be intraventricular, intraatrial or atrioventricular of first, second or third degree. We report a case of transient atrioventricular block in a patient with frequent tick bites and with a positive serologic test for Borrelia burgdorferi.
Subject(s)
Heart Block/etiology , Lyme Disease/complications , Adult , Electrocardiography , Enzyme-Linked Immunosorbent Assay , Humans , Lyme Disease/diagnosis , MaleABSTRACT
Cocaine is a drug capable of potentiating the response to catecholamines. Acute myocardial infarction is the most frequently reported cardiac consequence of cocaine abuse, usually in those patients who had used cocaine in a habitual basis. We report a 30-year-old man, first-time cocaine user, that suffered an acute myocardial infarction.
Subject(s)
Cocaine-Related Disorders/complications , Myocardial Infarction/chemically induced , Adult , Electrocardiography , Follow-Up Studies , Humans , Male , Myocardial Infarction/diagnosis , Time FactorsABSTRACT
La cocaína es una droga capaz de potenciar la respuesta de las catecolaminas. El infarto agudo de miocardio es la patología cardíaca más frecuentemente asociada al uso de cocaína, normalmente en aquellos pacientes con hábito cocainómano. Presentamos un varón de 30 años, consumidor por primera vez de cocaína, que sufrió un infarto agudo de miocardio (AU)
Subject(s)
Adult , Male , Humans , Cocaine-Related Disorders , Electrocardiography , Follow-Up Studies , Myocardial Infarction , Time Factors , Cocaine-Related Disorders/complications , Myocardial Infarction/chemically induced , Myocardial Infarction/diagnosisABSTRACT
We report a case of a 63 year old woman diagnosed with dyserythropoietic anemia who was admitted to our hospital with congestive heart failure. Iron's metabolism disturbance, CT-Scan and magnetic resonance imaging allowed us to make the diagnosis of acquired hemochromatosis due to multiple transfusions. The echocardiographic study was compatible with a myocardial restrictive pattern caused by iron deposits.
Subject(s)
Anemia, Dyserythropoietic, Congenital/complications , Cardiomyopathy, Restrictive/etiology , Hemochromatosis/complications , Anemia, Dyserythropoietic, Congenital/therapy , Female , Hemochromatosis/etiology , Humans , Middle Aged , Transfusion ReactionSubject(s)
Heart Neoplasms/diagnosis , Intracranial Embolism and Thrombosis/diagnosis , Myxoma/diagnosis , Diagnosis, Differential , Echocardiography, Transesophageal , Follow-Up Studies , Heart Atria , Heart Neoplasms/complications , Heart Neoplasms/surgery , Hemiplegia/etiology , Humans , Intracranial Embolism and Thrombosis/etiology , Myxoma/complications , Myxoma/surgery , Time FactorsABSTRACT
We report a 45 year-old patient with angina and positive exercise test. In the coronary arteriography that left coronary artery rose from a vascular structure that connected the aorta to the middle of the left anterior descending coronary artery. In the right coronary artery there was a 90% stenosis. An ACTP was made in this stenosis. The patient displayed no symptoms eight months after the procedure. We have not found in the literature and anomaly of the left coronary artery similar to what was found in this patient.
Subject(s)
Coronary Vessel Anomalies , Angina, Unstable/diagnosis , Angina, Unstable/therapy , Angioplasty, Balloon, Coronary , Coronary Angiography , Coronary Vessel Anomalies/diagnostic imaging , Humans , Male , Middle AgedABSTRACT
We report a case of a 17-years-old patient with an accidental ingestion of high doses of phenylpropanolamine. Nine hours after the ingestion she presented ventricular bigeminy and an episode of non sustained ventricular tachycardia. No cardiovascular disease was demonstrated.
Subject(s)
Chlorpheniramine/poisoning , Nasal Decongestants/poisoning , Phenylpropanolamine/poisoning , Quaternary Ammonium Compounds/poisoning , Tachycardia, Ventricular/chemically induced , Adolescent , Delayed-Action Preparations , Drug Combinations , Drug Overdose/diagnosis , Electrocardiography/drug effects , Emergencies , Female , Humans , Poisoning/diagnosis , Tachycardia, Ventricular/diagnosisABSTRACT
We report a 67-years-old patient with angina pectoris and positive treadmill test. In the coronary arteriography the left coronary artery arose from the right coronary sinus of Valsalva through an independent ostium and followed a retroaortic course. Coronary artery disease was no demonstrated, so we thought that the myocardial ischaemia shown in the treadmill test, was due to the anomalous origin of the left coronary artery. Surgical treatment was recommended.
Subject(s)
Coronary Vessel Anomalies/diagnosis , Aged , Angina Pectoris/diagnosis , Angina Pectoris/etiology , Aorta , Coronary Vessel Anomalies/complications , Female , Humans , Myocardial Ischemia/diagnosis , Myocardial Ischemia/etiology , Physical Exertion , Sinus of Valsalva/abnormalitiesABSTRACT
We studied the frequency of heart disease and association with other coronary risk factors in 243 consecutive patients (124 male and 119 female) suffering from arterial hypertension (Group HT). The mean age was 67.5 +/- 9.6 years. This group was compared to a group of 357 subjects (217 male and 140 female) without arterial hypertension (Group noHT) and mean age of 63.5 +/- 13 years. In our group the patients with arterial hypertension presented smoking habits in 35%, hypercholesterolemia in 22%, left ventricular hypertrophy (LVH) in 18%, alcoholic habits in 15%, hypertriglyceridemia in 12%, diabetes in 9% and hyperuricemia in 7%. 15% of the patients suffering from arterial hypertension turned out with coronary heart disease (62% angina and 38% myocardial infarction), 19% with atrial fibrillation and 13% with heart failure. Compared to the patients without hypertension we found significant statistical correlation with the age (67.5 +/- 9.6 HT and 63.5 +/- 13 no HT, p < 0.001), the LVH (18% HT and 4% no HT, p < 0.001) and number of coronary risk factors (2 +/- 1 HT and 1.1 +/- 0.9, p < 0.001). The percentage of people without cardiac disease is lower among the group with arterial hypertension (53% HT and 71% noHT, p < 0.001), showing as well a higher incidence of atrial fibrillation (19% HT and 11% noHT, p < 0.05) and heart failure (13% HT and 7% noHT, p < 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)