scholarly journals Surgical treatment of a giant aneurysm of the left anterior descending artery presenting with ischemia

2021 ◽  
Author(s):  
Nikolaos Kosmas ◽  
Ioannis Andreou ◽  
Vasilios Kollias ◽  
Konstantinos Stamoulis ◽  
Dimitrios Vrachatis A ◽  
...  
Keyword(s):  
Systolic Function ◽  
Giant Aneurysm ◽  
Left Ventricular Systolic Function ◽  
Left Ventricular ◽  
Total Occlusion ◽  
Left Anterior Descending Artery ◽  
Artery Graft ◽  
Obtuse Marginal Branch ◽  
St Elevation ◽  
Obtuse Marginal

A 70-year-old man presented to our hospital with non-ST elevation myocardial infarction and severely depressed left ventricular systolic function. Coronary angiogram revealed a giant fusiform aneurysm of the proximal left anterior descending artery with significant stenoses immediately proximal and distal to it and a left circumflex chronic total occlusion. The patient was treated surgically, with ligation and bypass of the aneurysm using a radial artery graft and a vein graft to the first obtuse marginal branch.

scholarly journals Re: Relationship between mean platelet volume and left ventricular systolic function in patients with metabolic syndrome and ST-elevation myocardial infarction

2012 ◽  
Vol 35 (2) ◽  
pp. 46
Author(s):  
Savaş Acikgoz ◽  
Meltem R Ege ◽  
Yesim Guray
Keyword(s):  
Myocardial Infarction ◽  
Metabolic Syndrome ◽  
Mean Platelet Volume ◽  
Systolic Function ◽  
Left Ventricular Systolic Function ◽  
Left Ventricular ◽  
St Elevation Myocardial Infarction ◽  
Platelet Volume ◽  
Ventricular Systolic Function ◽  
St Elevation

We have read with great interest the recently published report of Yazici et al. [1], which investigates the relationship between mean platelet volume (MPV) and left ventricular systolic function in patients with metabolic syndrome and ST-elevation myocardial infarction. The authors demonstrated that increased MPV on admission can be associated with the degree of left ventricle systolic depression in these patients. It has been reported that MPV, a measure of platelet size, reflects platelet function and activity...

scholarly journals Comparative Characteristics of The Effects of Drug and Mechanical Reperfusion in The Treatment of Acute Coronary Syndrome with ST Elevation in Patients Working in Environmentally Challenging Conditions

2020 ◽  
Vol 8 (6) ◽  
pp. 479-486
Author(s):  
Javadova Tarana Mamedgasanovna ◽  
Mammadgasan Mammadguseynovich Agayev
Keyword(s):  
Systolic Function ◽  
Left Ventricular Systolic Function ◽  
Left Ventricular ◽  
Coronary Syndrome ◽  
Combined Application ◽  
St Elevation ◽  
Group 2 ◽  
Comparison Of The Results ◽  
Group 1

Studied clinical and hemodynamic efficacy of complex use  heparin,Сyто-Mас,  propranolol (obzidan), fosinopril (monopril)  with and PCI; PCI conducted separately on hemodynamics on cardiohemodynamics on ekoendotoksikoz (AMP) and the clinical course of patients working in environmentally stressful conditions in the acute phase and follow-up of MI. Comparison of the results of complex mediakamentoz and mechanical revascularization with PCI conducted separately. Investigated  50 patients with   STMI in the age of 30 to 70 years (56,7 ± 1,20 years). Of the  50 patients 25 were treated Cyto-Mac, foznopril, propranolol with heparin and PCI (group 1); 25  patients were treated with PCI alone (group 2). In both groups, blood was determined by the degree ekoendotoksikoza (AMP) by EchoCG and Doppler EchoCG  studied  ESV, EDV,  EF, SI, CI , an  local contractility violation index of left ventricle (LCVI) , with the aid of restenosis koronorografii. A well established dynamics of systolic and diastolic blood pressure, clinical features of MI during follow-up. Patients treatedheparin,Cуто-мас, propranolol, foznopril  and PCIindicators of central hemodynamics stabilizis. The reduced  ЕSV,EDV, LCVI and decreased degree ofekoendotoksikoza (АMP), improves left ventricular systolic function of demand , increases PV. However, in this group, one patient on the third day was recorded AHF and one recurrent MI. İn The group spent only 2 PCI in relapse developed MI, 1 - restenosis,  2 -AHF and 1 patients died. The results show that the combined application of drug therapy with PCI provides a positive result in  comparsionwiththan separately conducted  PCI in ACS  with elevation ST.

scholarly journals Relationship between mean platelet volume and left ventricular systolic function in patients with metabolic syndrome and ST-elevation myocardial infarction

2011 ◽  
Vol 34 (6) ◽  
pp. 330 ◽  
Author(s):  
Huseyin U Yazici ◽  
Fatih Poyraz ◽  
Nihat Sen ◽  
Yusuf Tavil ◽  
Murat Turfan ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Metabolic Syndrome ◽  
Left Ventricle ◽  
Systolic Function ◽  
Left Ventricular Systolic Function ◽  
Left Ventricular ◽  
St Elevation Myocardial Infarction ◽  
Ventricular Systolic Function ◽  
St Elevation ◽  
Left Ventricle Systolic Function

Purpose: Mean platelet volume (MPV) is an indicator of platelet activation, which is a central process in the pathophysiology of coronary heart disease. Metabolic syndrome (MS) may lead to worsened left ventricular systolic function by causing recurrent thrombotic events and by aggravating systemic inflammation in the course of acute myocardial infarction. The present study was designed to investigate the relationship between MPV and left ventricular systolic function in patients with metabolic syndrome who had first ST-elevation myocardial infarction. Methods: MPV was measured on admission in 33 patients who had preserved left ventricle systolic function (mean age, 56.9±10.2 years) and in 48 patients who had depressed left ventricle systolic function (mean age, 57.9±10.5 years) with metabolic syndrome and first ST elevation myocardial infarction. Depressed left ventricle systolic function was defined as ≤50% ejection fraction value. MPV levels were compared in the two groups. Results: MPV was significantly higher in patients with depressed left ventricle systolic function in comparison with patients showing preserved left ventricle systolic function (p=0.02). Logistic regression analysis showed an independent relationship between MPV and deteriorated left ventricular systolic function, even after adjustment for potential confounders (1.08 (1.04-1.20), CI: 95%, p=0.02). Conclusions: Increased MPV on admission can be associated with degree of left ventricle systolic depression in patients with metabolic syndrome with first ST-elevation myocardial infarction. MPV may prove to be useful as a prognostic marker in patients with metabolic syndrome and ST elevation MI.

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