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A critical review of the most up-to-date research on purinesand myocardial protection. The role of purines in reversible`myocardial stunning' and irreversible (myocardial infarction)ischemic injury, ventricular arrhythmias, and ischemic preconditioningis discussed in detail, by experts. All reviews address recent andrather controversial issues on purines and myocardial protection.Mechanisms of cardioprotection of exogenous versus endogenous purinesare discussed in detail. The contribution of internationallyrecognized experts in the field of purines and cardiovascularphysiology and in myocardial protection makes this a unique andinteresting book for clinicians, basic scientists and students. ... Read more

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A comprehensive and detailed description of the epidemiology, pathology, physiopathology, clinical presentation, echocardiography, and heart catheterization, of coronary care management, operative techniques and outcomes. ... Read more

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This book is about new biochemical markers for the laboratory diagnosis of acute myocardial injury. A number of new markers, such as cardiac troponin I, cardiac troponin T, cardiac myosin light chains, cardiac myosin heavy chains, myoglobin, heart fatty acid binding protein, and glycogen phosphorylase isoenzyme BB, have been extensively investigated during recent years, and assays for most of them are already commercially available. This book satisfies the demand for a compilation of the current literature on new laboratory markers for myocardial injury and their application in clinical practice. It gives a critical overview of current knowledge and offers guidelines for their cost-effective use in the routine laboratory in daily clinical practice. ... Read more

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Co-authored by two leaders in the field, this book consolidates clinical arrhythmology and basic electrophysiology. Written by Dr Wit, who worked with Drs Hoffman and Cranefield on the electrophysiological mechanisms of arrhythmias, and Dr Janse, who was in Dr Durrer's laboratory working on arrhythmias caused by ischemia and infarction, this book gives in-depth information on mechanisms of ischemic arrhythmias, integrating clinical arrhythmology with basic electrophysiology. Much of this book is based on experimental studies performed in the authors' laboratories. An important addition to the literature in cardiovascular electrophysiology, this book will benefit both clinicians and researchers by correlating the experimental ... Read more

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This digital document is an article from Southern Medical Journal, published by Thomson Gale on January 1, 2006. The length of the article is 1400 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.

Citation Details
Title: The "tako-tsubo" phenomenon and myocardial infarction.(Editorial)
Author: Kim Connelly
Publication: Southern Medical Journal (Magazine/Journal)
Date: January 1, 2006
Publisher: Thomson Gale
Volume: 99Issue: 1Page: 2(2)

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The average time that elapses from a patient's first awareness of heart attack symptoms to start-up of specific reperfusion therapy is currently 4 hours. The National Heart Attack Alert Program wants to see this time reduced to 2 hours. Such dispatch would surely benefit patients, because when it comes to thrombolytic therapy, the sooner the better. Dr Ryan summarizes the new recommendations for handling patients with acute myocardial infarction rapidly and efficiently, from the 911 call and transport to the emergency department, through the important first 24 hours of hospitalization, to hospital discharge and long-term management. ... Read more

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In the workup of a patient with chest pain, knowing which cardiac marker or markers to measure is not always easy. Many factors affect the choice of the most clinically effective test: elapsed time after onset of pain, possible presence of skeletal muscle injury, potential delays in receiving test results, to name a few. In this review article, Dr Mercer compares the current cardiac markers, rates them according to the 10 characteristics of the ideal marker, and offers guidelines for selecting the appropriate marker in various clinical settings. ... Read more

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Abstract: One of the most dramatic interventions in modern medicine is the treatment of acute myocardial infarction. The sustained occlusion that occurs with Q wave infarction can result in extensive damage unless coronary flow is restored early. Dr Vacek discusses the rapid response to acute Q wave infarction, including diagnostic techniques, reperfusion, patient monitoring, and ongoing medical therapy. Vacek JL. Classic Q wave myocardial infarction: aggressive, early intervention has dramatic results. Postgrad Med 2002;112(1):71-7 ... Read more

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Is there any good reason to give intravenous nitroglycerin during evolving acute myocardial infarction? How about a beta blocker? Should an ACE inhibitor be started routinely within the first 24 hours of infarction? When is aspirin useful for suspected acute myocardial infarction? Is it safe in patients with contraindications to thrombolytic therapy? In this article, Dr Rapaport answers these and many more questions by summarizing findings of important studies and describing conclusions he has come to on the basis of his own clinical experience. ... Read more

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This digital document is an article from MedSurg Nursing, published by Jannetti Publications, Inc. on February 1, 2004. The length of the article is 6313 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.

From the author: The researchers interviewed 40 women 6 to 24 months after their first myocardial infarction to determine facilitators and barriers to making desired health behavioral changes. Nurses at the bedside are in a unique position to discuss the importance of attending cardiac rehabilitation with women after myocardial infarction, assist them to assess their individualized barriers and facilitators to attending, and help them develop strategies to overcome barriers to promote attendance.

Citation Details
Title: Women's inhibitors and facilitators associated with making behavioral changes after myocardial infarction.(Research for Practice)
Author: Jean C. McSweeney
Publication: MedSurg Nursing (Refereed)
Date: February 1, 2004
Publisher: Jannetti Publications, Inc.
Volume: 13Issue: 1Page: 49(7)

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This is a AIR FORCE INST OF TECH WRIGHT-PATTERSON AFB OH report procured by the Pentagon and made available for public release. It has been reproduced in the best form available to the Pentagon. It is not spiral-bound, but rather assembled with Velobinding in a soft, white linen cover. The Storming Media report number is A768623. The abstract provided by the Pentagon follows: Chest pain patients are traditionally treated in a conservative nature due to the severity of the complications which include death. The majority of the time, this means a coronary care unit admission for the chest pain patient to rule out myocardial infarction, even in patients considered at low risk for myocardial infarction. Over the past several years, hospitals have experienced overcrowding of the coronary care units, often times filled with these low risk chest pain patients. This places a financial burden on the insurers and frequently displaces patients in true need of a coronary care bed. In response to the crisis, hospitals across the country are opening chest pain centers in the emergency department to fast track these low risk patients. There are reports of success, many are a cost-effective alternative to an expensive coronary care admission while decreasing patients' length of stay in the hospital. The purpose of this study was to determine: (1) what would be the cost benefit of entering patients at low risk for acute myocardial infarction into a fast-track protocol and (2) what would be the benefit in length of stay for the patient entered into a fast-track protocol. ... Read more