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Related Concept Videos

Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
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Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
Myocarditis I: Introduction01:21

Myocarditis I: Introduction

Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
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Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Myocarditis III: Medical Management01:14

Myocarditis III: Medical Management

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Acute Coronary Syndrome IV: Interprofessional Care

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Confirmation of Myocardial Ischemia and Reperfusion Injury in Mice Using Surface Pad Electrocardiography
09:23

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Published on: November 24, 2016

Severe stunned myocardium after lightning strike.

Jaime Rivera1, Karla Alejandra Romero, Octavio González-Chon

  • 1Department of Cardiology, Medica Sur Clinic, Mexico City, Mexico.

Critical Care Medicine
|November 30, 2006
PubMed
Summary

Lightning strikes can cause severe, reversible heart muscle dysfunction (myocardial stunning) without permanent damage. Prompt treatment, including levosimendan, aided full recovery in a case report.

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Published on: August 6, 2015

Area of Science:

  • Cardiology
  • Electrophysiology
  • Toxicology

Background:

  • Lightning strikes are rare causes of cardiac injury.
  • Myocardial stunning is a temporary impairment of heart muscle function.

Observation:

  • A 42-year-old woman experienced cardiogenic shock after a lightning strike.
  • Initial treatment with conventional agents failed, necessitating levosimendan and an intra-aortic balloon pump.
  • Echocardiography showed marked improvement in systolic and diastolic dysfunction within 48 hours.

Findings:

  • Lightning strike induced myocardial stunning, leading to severe left ventricular dysfunction.
  • Myocardial perfusion imaging revealed normal cardiac function 9 days post-admission.
  • The patient achieved complete functional recovery.

Implications:

  • Lightning-induced myocardial stunning is a potentially reversible condition.
  • Levosimendan may be beneficial in treating lightning-induced cardiac dysfunction.
  • Further research is needed to elucidate the exact mechanisms of lightning-induced myocardial stunning.