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September 5, 2018Journal of International Medical ResearchOpen Access

Exertional dyspnea after myocardial infarction: thinking beyond the diagnosis of heart failure

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Population

1 adult male with delayed presentation ST-elevation myocardial infarction, history of bipolar disorder and…

Design

Case_report

Follow-up

40 days

Authors

KKKonstantinos KoutsampasopoulosAristotle University of ThessalonikiSGSavvas GrigoriadisIVIoannis VogiatzisNorthumbria University

Discussion

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Implication

Alerts clinicians to LV pseudoaneurysm risk in worsening HF after delayed STEMI; leaves open optimal surveillance strategies.

Structured PICO

P
Population
1 adult male (64 years old) with delayed presentation ST-elevation myocardial infarction (24 hours after symptom onset), history of bipolar disorder and arterial hypertension.
I
Intervention
Primary percutaneous coronary intervention to the right coronary artery, plus diuretic and other pharmaceutical treatment.
O
Outcome
Development of left ventricular pseudoaneurysm and clinical outcome (death).

Highlights the importance of considering left ventricular pseudoaneurysm in patients with worsening heart failure after delayed presentation of myocardial infarction.

Cite This Study

Koutsampasopoulos et al. (2018) studied this question.

synapsesocial.com/papers/6a87992b0bb327885a2c21eahttps://doi.org/10.1177/0300060518785834

Topics

Heart failureHFrEF treatmentHeart failure hospitalization
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Also Consider

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  1. 1Diagnosing left ventricular aneurysm from pseudo-aneurysm: a case report and a review in literature2009 · 93 citations
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  4. 4Diagnosis and surgical treatment of post-infarction left ventricular pseudoaneurysm2009 · 11 citations
  5. 5ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation2012 · 6,855 citations