Wynik wyszukiwania w bazie Polska Bibliografia Lekarska GBL

Zapytanie: RUIZ-BAIL‚N
Liczba odnalezionych rekordów: 2



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Tytuł oryginału: Clinical implications of acute mycoardial infarction complicated by high grade atrioventricular block.
Autorzy: Ruiz-Bail‚n Manuel, Hoyos Eduardo Aguayo de, Issa-Khozouz Ziad, Diaz-Castellanos Miguel Angel, López-Martinez Asunción, Calatrava-López Jes—s, Barranco-Ruiz Mercedes, Ruiz-Ferrón Francisco, Muńoz-Beltran Humberto Jos‚
Źródło: Med. Sci. Monitor 2002: 8 (3) s.CR138-CR147, tab., bibliogr. 35 poz.
Sygnatura GBL: 313,278

Hasła klasyfikacyjne GBL:
  • kardiologia

    Typ dokumentu:
  • praca kliniczna
  • tytuł obcojęzyczny

    Wskaźnik treści:
  • ludzie
  • dorośli = 65 r.ż.
  • płeć męska
  • płeć żeńska

    Streszczenie angielskie: Background: The purpose of this study was to assess the incidence, clinical course, prognosis and mean length of stay in acute myocardial infarction (AMI) complicated by high-grade atrioventricular block (HAVB). Material/Methods: A retrospective cohort study including all AMI patietns listed from january 1995 to September 2000 in the ARIAM multi-center register. Univariate analysis was carried out to study the factors associated with the development of HAVB, the mortality ratek, and the mean length of stay, and multivariate logistic regression analysis to study whether HAVB is an independent predictive variable for mortality or prolongation of stay. Results: Of the 14.181 AMI patients included int he register, 837 (5.9 p.c.) presented with HAVB, which was associated with age, female sex, increased severity, diabetes, inferior and Q-wave AMIs, and a higher peak creatine phosphokinase (CPK) level. The HAVB patietns developed more complications, required more diagnostic-therapeutic resources, and showed significantly higher mortality (p 0.0001) and increased mean length of stay (p 0.0001). The independent risk factors for HAVB were age, maximum peak CPK, inferior or combined localization of the AMI, Q-wave AMI, diabetes, a Killip and Kimbal score 1, and thrombolysis. HAVB was found to be an independent predictive vairable for mortality and increased mean length of stay. Conclusions: AMI patients with HAVB, despite thrombolytic treatment, are at risk for complications, amortality and longer mean admissions. Further study is needed on the outcome of a more active reperfusion policy, such as direct, rescue angioplasty etc.

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    Tytuł oryginału: Atrioventricular block in pulmonary embolism.
    Autorzy: Ruiz-Bail‚n Manuel, Issa-Masad-Khozouz Ziad, Martinez-Diaz Juan Daniel
    Źródło: Case Rep. Clin. Pract. Rev. 2002: 3 (4) s.217-218, bibliogr. 6 poz.
    Sygnatura GBL: 313,612

    Hasła klasyfikacyjne GBL:
  • kardiologia
  • pulmonologia

    Typ dokumentu:
  • praca kazuistyczna
  • tytuł obcojęzyczny

    Wskaźnik treści:
  • ludzie
  • dorośli 19-44 r.ż.
  • płeć żeńska

    Streszczenie angielskie: Background: Massive pulmonary embolism (MPE) is a potentially fatal event that can occur at any age. A possible form of presentation is through a syncope, whereas the appearance of an atrioventricular (AV) block is exceptional. Although thrombolysis therapy is recognized to be efficacious in pulmonary embolism that courses with shock or cardiorespiratory instability, improving the situation, there has been no report to data of an AV block from an MPE that disappears after administration of thrombolysis. Case report: We describe a 35-year-old woman who developed a high-grade AV block from an MPE that progressed to shock. In the presented case, the AV block and shock symptoms disappeared after the administration of alteplase. Conclusions: Pulmonary embolism should be considered in the differential diagnosis of atrioventricular block. Evidently, the prognosis of the block will depend on the evolution of the MPE. Early thrombolytic therapy of the PE abates shock symptoms and may restore heart rhythm.

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