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.