28 research outputs found
Αρρυθμιολογικό Quiz
No full text Α) Νευρομυικές διαταραχές 1) Υψηλό κύμα R στην V1 του ΗΚΓ επιφανείας 12 απαγωγών συνήθως δεν υπάρχει :Α) Σε οπίσθιο έμφραγμαΒ) Σε αποκλεισμό του δεξιού σκέλουςΓ) Στην υπερτροφία της δεξιάς κοιλίας.Δ) Στη μυική δυστροφία του DucheneΕ) Στην αταξία του Friedreich 2) Ποιες από τις ακόλουθες καταστάσεις είναι πιθανό να εμφανίσουν αμφίδρομη κοιλιακή ταχυκαρδία ;A) Τοξικός δακτυλιδισμόςΒ) Μυϊκή δυστροφία του Emegy – DreifusΓ) Υποκαλιαιμική περιοδική παράλυση.Δ) Σύνδρομο Κugelberg – Welander.E) Aταξία του Friedreich... (excerpt
Εκπαιδευτικά Quiz
No full textΚολπική μαρμαρυγή 1) Ποιο από τα κάτωθι δεδομένα είναι λάθος;H κολπική μαρμαρυγή είναι η συνηθέστερη χρόνια διαταραχή του ρυθμού.Η κολπική μαρμαρυγή συμβαίνει περίπου στο 5% των ασθενών άνω των 60 ετών.Η κολπική μαρμαρυγή συμβαίνει στο 40% των ασθενών που πάσχουν από καρδιακή ανεπάρκεια.Η θνητότητα των ασθενών με κολπική μαρμαρυγή δεν διαφέρει από αυτή των ατόμων με φλεβοκομβικό ρυθμό. 2) Τριαντάχρονος με μιτροειδική πάθηση παρουσιάζει από ένα χρόνο κρίσεις κολπικής μαρμαρυγής (κΜ) διάρκειας 3-6 ωρών, οι οποίες αυτοανατάσονται. Η ταξινόμηση της κΜ έχει ως ακολούθως: Εμμένουσα κΜΧρόνια κΜΠαροξυσμική κΜΙδιοπαθής κΜ... (excerpt
Acute myocardial infarction presumambly embolic, in a patient with a mechanical aortic valve: a rare cause of non atherosclerotic coronary arterial occlusion
No full textAbstractWe present a case of an acute myocardial infarction with ST segment elevation in a patient with a mechanical aortic valve prosthesis who had discontinued anticoagulant therapy. We performed a primary coronary intervention procedure, including thrombus aspiration as well as plain balloon angioplasty (low atmospheres), in order to restore coronary flow in left anterior descending artery as soon as possible. Review of the literature suggests that in such cases the diagnosis of the embolic origin of the acute coronary syndrome is assumed and can never been proved definitely. Thrombus aspiration must be included in the therapeutic strategy of these patients.  
Evaluation of left ventricular filling by echocardiographic atrioventricular plane displacement in patients with coronary artery disease
No full textElectrocardiographic Changes Associated With Right-sided Pneumothorax
No full textSeveral electrocardiographic (ECG) changes have been described with pneumothorax, most often left-sided. We present a case of spontaneous right-sided pneumothorax, presenting with an ECG suggesting an old myocardial infarction. A chest X-ray confirmed the diagnosis of pneumothorax, while an echocardiogram and serial cardiac enzyme testing excluded myocardial infarction. ECG changes returned to normal after chest tube insertion. Physicians should be familiar with the ECG changes that can be caused by pneumothorax in order to avoid diagnostic and therapeutic pitfalls
Thrombosis of Left Coronary Artery During Primary Percutaneous Coronary Intervention
No full textWe present a case of a 51-year-old male with acute anterior myocardial infarction, who was transferred to our hospital under mechanical ventilation, after resuscitation due to cardiopulmonary arrest. The patient underwent urgent coronary angiography, which showed total thrombotic occlusion of the proximal segment of the left anterior descending (LAD) coronary artery disease. During primary percutaneous coronary intervention (PPCI), thrombosis extended into the left main coronary artery (LMCA), the LAD and the left circumflex artery (LCx) coronary arteries, causing severe hemodynamic compromise. This devastating complication was successfully managed with intracoronary administration of antithrombotic and antiplatelet drugs, as well as thrombus aspiration. We herein discuss the possible mechanisms of this complication and highlight its prevention and treatment
Ranolazine: safe and effective in a patient with hypertensive cardiomyopathy and multiple episodes of electrical storm
No full textECG Changes Associated With Right-Sided Pneumothorax
No full textVarius ECG changes have been described with pneumothorax, most often left-sided.We present a case of spontaneous right-sided pneumothorax, presenting with an ECG suggestive of an old myocardial infarction. A chest X-ray confirmed the diagnosis of pneumothorax, while an echocardiogram and serial cardiac enzyme testing excluded myocardial infarction (old or recent). ECG changes returned to normal after chest tube insertion and airdrainage. Physicians must be familiar with the ECG changes that can be caused by pneumothorax in order to avoid diagnostic and therapeutic pitfalls
Study of Left Ventricular Long Axis Function in Patients with Hypertensive Response to Exercise
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