The gold standard in diagnosing myocardial
infarction should be echocardiography.
The records in our database and data in the hospital automation system of patients diagnosed as having MCA
infarction were evaluated retrospectively.
A total of sixty patients of acute myocardial
infarction were enrolled for study, out of which 30 patients presented as acute myocardial
infarction with bundle branch block and 30 patients presented as acute myocardial
infarction without bundle branch block.
In the first group of patients with acute myocardial
infarction, there were 158 men older than 60 and 200 women older than 55.
The investigated sample included 225 patients with myocardial
infarction and 239 control persons with no health complaints.
At a median follow-up of three years, the first co-primary outcome of cardiovascular death or myocardial
infarction occurred in 158 patients (7.8%) in the complete revascularisation group compared to 213 (10.5%) in the culprit-lesion only group (hazard ratio HR 0.74; 95% confidence interval CI 0.600.91; p=0.004).
Inclusive and exclusive criteria: Inclusive criteria included conforming to diagnostic criteria of acute cerebral
infarction described in the Guidelines for the Diagnosis and Treatment of Acute Ischemic Stroke in China (2014) formulated by the Neurological Society of Chinese Medical Association,12 being found having new acute cerebral
infarction by brain Magnetic Resonance Imaging (MRI) and diffusion weighted imaging (DWI), and duration of the first onset shorter than 4.5 hours.
Such small damage can also be undetectable on cardiac magnetic resonance, although the radiation-free technique is reported to be useful in the diagnosis of isolated septal myocardial
infarction. (3,4) Nevertheless, we observed mildly reduced tracer uptake on the delayed images of thallium-201 in our case.
Invasive versus conservative strategies in unstable angina and non-Q-wave myocardial
infarction following treatment with tirofiban: rationale and study design of the international TACTICS-TIMI 18 Trial.
The outcomes of interest were the risk of major adverse cardiovascular events (MACE), including ischemic stroke (ICD-9-CM code 433.x, 434.x, or 436), myocardial
infarction ( ICD-9-CM code 410.x), and major bleeding.
Twelve (4.48%) of 268 patients developed a cerebral vascular event (ICH in 10 [3.73%] and venous
infarction in 2 [0.75%]).
Another large retrospective study monitored ECG changes and coronary angiography findings in patients with NSTEMI
infarction. ST segment depression [greater than or equal to] 0.05 mV in more than two contiguous leads was recorded and classified as upsloping or non-upsloping.
