Infarction aborted

O Primary peritonitis develops in up to 25% of patients with alcoholic cirrhosis.3 Patients undergoing continuous ambulatory peritoneal dialysis (CAPD) average one episode of peritonitis every 2 years.4 Secondary peritonitis may be caused by perforation of a peptic ulcer traumatic perforation of the stomach, small or large bowel, uterus, or urinary bladder appendicitis pancreatitis diverticulitis bowel infarction inflammatory bowel disease cholecystitis operative contamination of the peritoneum or diseases of the female genital tract such as septic abortion, postoperative uterine infection, endometritis, or salpingitis. Appendicitis is one of the most common causes of intraabdominal infection. In 1998, 278,000 appendectomies were performed in the United States for suspected appendicitis.5... 

Adverse reactions associated with their administration include hypertension, headache, and possible seizures. Nausea, vomiting, chest pains, difficulties in breathing, and leg cramps also have been reported. These alkaloids should not be used in cases of threatened spontaneous abortion or in patients with known allergies to the drugs. Contraindications generally include angina pectoris, myocardial infarction, pregnancy, and a history of a cerebrovascular accident, transient ischemic attack, or hypertension. 

Cocaine All Increased risk of spontaneous abortion, abruptio placentae, and premature labor neonatal cerebral infarction, abnormal development, and decreased school performance... 

A 30-year-old woman developed uterine atony and bleeding after induced abortion because of fetal death at 17 weeks of gestation (4). Sulprostone was given intravenously at a rate of 500 micrograms/hour. When additional sulprostone was injected into the uterine cervix, the patient sustained a myocardial infarction, with ventricular fibrillation and cardiocirculatory arrest, most probably due to coronary artery spasm. She was resuscitated and recovered completely. 

Acute coronary syndrome with an aborted infarction... 

Transient apical ballooning Recently has been suggested that it is the expression of spontaneous aborted infarction... 

In English literature, it is usually named STEMI (ST elevation myocardial infarction), but we consider the name STE-ACS better because currently with quick reperfusion treatment some of these cases present aborted MI. 

Patients with ACS and ST-segment elevation (STE-ACS) from the aborted infarction to the Q-wave infarction... 

Type of ECG evolution Usually Q-wave infarction. Sometimes limited infarction or even aborted by the treatment (see fig 8.2) Non Q-wave infarction or unstable angina... 

The term aborted infarction (Dowdy et al, 2004 Lamfers et al, 2003) refers to clinical situation that presents the following features ... 

Before the era of reperfusion with fibrinolytics or PCI it was relatively easy to predict the final Q-wave infarction pattern according to the acute phase STE-ACS. Aldrich et al. (1988) described a score (see p. 224) for estimation of the extent of myocardium at risk of infarction in the absence of reperfusion therapy. However, currently with the new strategies of treatment, this is impossible because if the treatment is started on time, the infarction may be aborted (Figure 8.2) or at least decreased. 

Aborted Ml with Q wave Acute coronary syndrome (ACS) with ST elevation (infarction in evolution) with early and efficient reperfusion. Rarely spontaneous thrombus resolution. Troponine level is decisive to separate unstable angina from Ml without Q wave. 

Dowdy L, Wagner GS, Birnbaum Y et al. Aborted infarction the ultimate myocardial salvage. Am Heart J 2004 147 390. 

Ibanez B, Choi BG, Navarro F, Farre J. Tako-tsubo syndrome a form of spontaneous aborted myocardial infarction Eur Heart J 2006 27 1509. 

Lamfers EJ, Hooghoudt TE, Herzberger DP, Schut A, Stol-wijk PW, Verheugt FW. Abortion of acute ST segment elevation myocardial infarction after reperfusion incidence, 6 kifeiie characteristics and prognosis. Heart 2003 89 496. 

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