Posts Tagged ‘myocardial infarction’

Thrombus Aspiration during ST-Segment Elevation Myocardial Infarction

Posted by Joshua Allen-Dicker • October 23rd, 2013

If there was a broken-down car on your street blocking traffic, would you rather hire a tow truck to remove it, or hire a bulldozer to smash it into smaller pieces?  Most people might pick the first option, but recent results of the TASTE trial (Thrombus Aspiration in ST-Elevation Myocardial Infarction in Scandinavia) suggest that… Read More…

Preventive Angioplasty in STEMI

Posted by Sara Fazio • September 20th, 2013

Patients with acute STEMI were randomly assigned to undergo infarct-vessel-only PCI or preventive PCI (PCI to noninfarct arteries with stenoses). The rate of the primary outcome of cardiac death, myocardial infarction, or refractory angina was lower with preventive PCI. Patients with acute STEMI are effectively treated with emergency angioplasty, or PCI, to restore blood flow… Read More…

Cardiovascular Disease and a Mediterranean Diet

Posted by Sara Fazio • April 5th, 2013

In a randomized trial, participants assigned to a Mediterranean diet supplemented with either nuts or extra-virgin olive oil had a significantly lower rate of cardiovascular events at 4.8 years than participants assigned to a low-fat control diet. A systematic review ranked the Mediterranean diet as the most likely dietary model to provide protection against coronary… Read More…

Simple and Complex

Posted by Sara Fazio • January 4th, 2013

In the latest article in our Clinical Problem-Solving series, a 44-year-old man presented to the emergency department with chest pain that had started 1 hour earlier and had awakened him from sleep. The pain was severe, substernal, burning, radiating to the left arm, and accompanied by nausea and vomiting. When a myocardial infarction occurs in… Read More…

Shocking News: Intraaortic Balloon Pumps May Not Help in Myocardial Infarction with Cardiogenic Shock

Posted by Rena Xu • October 3rd, 2012

Your patient is in trouble.  He has just suffered a myocardial infarction; now his systolic blood pressure is below 90, his skin is clammy, his urine output is minimal, and he is in respiratory distress. What should you do? Recognizing that he is in cardiogenic shock, you consider using an intraaortic balloon pump (IABP). International… Read More…

Arterial Thrombosis and Hormonal Contraception

Posted by Sara Fazio • June 15th, 2012

In a study of Danish women, oral contraceptive pills containing estrogen and progestin were associated with increased risks of stroke and myocardial infarction (MI). Variations in risk according to estrogen dose and progestin type were modest. The risk of thromboembolic complications with the use of hormonal contraception is an important issue scientifically and is relevant… Read More…

Secondary Stroke Prevention

Posted by Sara Fazio • May 16th, 2012

Patients with stroke are at high risk for subsequent vascular events, including recurrent stroke (highest risk), myocardial infarction, and death from vascular causes. The latest article in our Clinical Practice series reviews recommended strategies to reduce the risk of a subsequent stroke in patients with a history of transient ischemic attack (TIA) or stroke. Worldwide,… Read More…

Read the Latest 200th Anniversary Articles

Posted by Karen Buckley • February 16th, 2012

During the 2012 anniversary year, we are publishing a series of engaging Review and Perspective articles from established authors who are preeminent in their fields. Each article explores a story of progress in medicine over the past 200 years. These articles will appear every other week. The relationship between patients and doctors is at the… Read More…

The Heart of the Matter

Posted by Dominique Bayard • January 25th, 2011

In January of 1812, the first ever published article in the New England Journal of Medicine (then known as New England Journal of Medicine and Surgery and the Collateral Branches of Science) was Dr. John Warren’s “Remarks on Angina Pectoris.”  In this essay, Dr. Warren carefully speculated on the possible correlation between chest pain, its… Read More…

MI Complications

Posted by Graham McMahon • December 31st, 2010

In this week’s Case Record of the Massachusetts General Hospital, A 68-Year-Old Woman with Chest Pain during an Airplane Flight Case, a woman with a history of hypertension and hyperlipidemia was admitted to the hospital because of substernal chest pain. Rupture of the free wall of the left ventricle occurs in 1 to 4% of… Read More…