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Impact of the COVID-19 pandemic on acute coronary syndrome hospital admission and management in Slovenia

Open Heart

Aims We evaluated the effects of the COVID-19 pandemic on hospital admission and quality of care for acute coronary syndrome. Data on 21 001 patients were included (7057 ST-elevation myocardial infarction (STEMI), 7649 non-ST elevation myocardial infarction (NSTEMI) and 6295 unstable angina).

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Sense of coherence and quality of life in the recovery of women and men with myocardial infarction: A 10-year follow-up study

European Journal of Cardiovascular Nursing

Abstract Aim Sense of coherence (SOC) allows individuals to be more resilient to adverse life events and it is associated with quality of life (QoL), but its long-term effects are unknown in patients with myocardial infarction. Data were analysed with repeated measure ANOVA and linear regression.

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Why the sudden shock after a few days of malaise?

Dr. Smith's ECG Blog

She presented to an outside hospital after several days of malaise and feeling unwell. This is a value typical for a large subacute MI, n ormal value 48 hours after myocardial infarction is associated with Post-Infarction Regional Pericarditis ( PIRP ). At the time of admission, her vital signs were normal. Hammill SC.

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Chest pain, resolved. Does it need emergent cath lab activation (some controversy here)? And much much more.

Dr. Smith's ECG Blog

Patient is pain free and clearly has Wellens' syndrome: 1) pain free episode following an episode of angina, typical Pattern A (biphasic, terminal T-wave inversion with an initial upsloping ST Segment) findings, preserved R-waves. Electrocardiographic diagnosis of reperfusion during thrombolytic therapy in acute myocardial infarction.

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H/o MI and stents with brief angina has this ED ECG. And what is Fractional Flow Reserve?

Dr. Smith's ECG Blog

A middle-aged man complained of 15 minutes of classic angina that resolved upon arrival to the ED. So this is indeed diagnostic of myocardial infarction. Not immediately, at least, because this is NOT diagnostic of ACUTE (occlusion) myocardial infarction (Acute OMI). Here is his initial ECG: What do you think?

Angina 52
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Why is the angiogram normal?

Dr. Smith's ECG Blog

Answer: This is MINOCA -- Myocardial Infarction with Non-Obstructive Coronary Arteries. Comprehensive coronary evaluation (with testing for vasospasm and microvascular dysfunction) was shown in the randomized trial CorMicA to significantly improve angina, quality of life, and diagnostic accuracy. The name is self-explanatory.

Angina 70
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Comparison of transcatheter and surgical aortic valve replacement long-term outcomes: a retrospective cohort study with overlap propensity score weighting

Open Heart

Primary outcomes were all-cause, cardiovascular and non-cardiovascular mortality either in-hospital or at 1, 3 and 5 years postdischarge. Hazards of myocardial infarction and readmission for angina at 1, 3 and 5 years were significantly greater for TAVR. Secondary outcomes included adverse outcomes and readmission.