61. Magnesium For Myocardial Infarction MAGNESIUM FOR myocardial infarction by Alan R. Gaby, MD Medical Editor. Intravenousmagnesium in acute myocardial infarction. Lancet 1986;1234236. http://www.thorne.com/townsend/may/magnesiummay96.html

MAGNESIUM FOR MYOCARDIAL INFARCTION by Alan R. Gaby, M.D. Medical Editor In 1958, Malkiel-Shapiro reported that magnesium injections appeared to be lifesaving for patients suffering acute myocardial infarction (AMI). In that study, 64 patients with documented AMI or acute coronary insufficiency were treated with a series of intramuscular magnesium injections. Only one of the 64 patients died within 4-6 weeks of the attack (1.6% mortality), compared to an average mortality of 19-50% reported by others for similar patients receiving conventional therapy. Similar results were reported a year later by Parsons et al. In that study, 100 patients with acute coronary heart disease, of which at least one-third had suffered an AMI, received a series of intramuscular injections of magnesium sulfate. Only one death occurred (mortality rate of 1%). These results compared favorably to the previous year (before magnesium was used), in which the mortality rate for similar patients was about 30%. Although these landmark studies were ignored for more than two decades, interest in magnesium was revived by a double-blind study published in the Lancet in 1986. A total of 273 patients with suspected AMI were randomly assigned to receive an intravenous infusion of magnesium or a placebo, beginning immediately upon admission to the hospital. During the first four weeks after treatment, the mortality rate was about 70% lower in patients receiving magnesium than in those given the placebo. In a similar study performed in Israel, magnesium therapy reduced the death rate by 88%.

62. 2.10 Myocardial Infarction And Fibrinolysis - BNF 2.10 myocardial infarction and fibrinolysis. 2.10, myocardial infarction and fibrinolysis.2.10.1 Management of myocardial infarction 2.10.2 Fibrinolytic drugs. http://bnf.vhn.net/bnf/documents/bnf.539.html

BNF No. 44 (September 2002) General information and late changes Guidance on prescribing Emergency treatment of poisoning ... Nurse Prescribers' Formulary Myocardial infarction and fibrinolysis Management of myocardial infarction Fibrinolytic drugs http://bnf.vhn.net

63. Internet Medical Education, Inc.: Myocardial Infarction (Heart Attacks) Acute myocardial infarction what to look for, what to expect if you haveone, and the longterm picture. myocardial infarction (Heart Attacks). http://www.med-edu.com/patient/cad/infarct.html

Internet Medical Education acute myocardial infarction, myocardial infarction, prognosis, silent myocardial infarction, angina pectoris, complications, cardiac catheterization, cigarette smoking, beta blockers, beta blocking drugs, afterload-reducing drugs, ACE inhibitors, left ventricular thrombus, arrhythmias Internet Medical Education, Inc.: Myocardial Infarction (Heart Attacks) Our Privacy Pledge As a benefit, we have included access to an on-line medical bookstore and to various search engines. Buying books and searching here help support our site . Please let us know how you like these services. Find this: any language English Chinese Czech Danish Dutch Estonian Finnish French German Greek Hebrew Hungarian Icelandic Italian Japanese Korean Latvian Lithuanian Norwegian Polish Portuguese Romanian Russian Spanish Swedish Myocardial Infarction Section Contents The many types of symptoms that are associated with myocardial infarction What you should do if you think you are having a heart attack The kinds of problems that myocardial infarction can cause What kinds of tests are done to see whether a person has an acute myocardial infarction ... What the long-term picture looks like for a person who has had myocardial infarction Myocardial Infarction (Heart Attacks) Myocardial infarction ("heart attack") is the name given to any situation in which heart muscle dies. The heart muscle is what generates the power that pumps blood throughout the body. The good news is that most patients who have heart attacks survive, leave the hospital in good condition, and then go on to lead productive lives for many more years. In this brief article, we discuss the topics listed above.

64. Myocardial Infarction myocardial infarction. Cardiology Links. myocardial infarction tutorial and imagesof CAD and MI. myocardial infarction. PET scanning for myocardial viability. http://cardio-info.com/lnkmi.htm

Myocardial Infarction Cardiology Links Cardiology in General - general cardiology information links Cardiology-Related Books Cardiology Commercial Sites Cardiology Educational/Informational Cardiology Journals ... Pediatric and Congenital Heart Disease Cardiac Anatomy and Diseases General Information Valvular Disease Peripheral Vascular Disease Cardiomyopathies ... Heart Failure Cardiac Cath Links Cardiac Catheterization Procedures Cardiac Cath Images Cardiac Cath Resources Cardiac Cath-Related Books ... Cardiac Cath Organizations Noninvasive Cardiology Echocardiography and Sonography - echo, sono, and equipment manufacturers Vascular Links General Medical Links Anatomy Educational Medical Sites Hospitals/Health Care Centers Humanitarian Medical Sites ... Medical Links - Libraries, Databases, Searches, Pages with good links

65. ThirdAge - Adam - Heart Attack A heart attack (myocardial infarction) occurs when an area of heart muscle dies oris permanently damaged because of an inadequate supply of oxygen to that area http://www.thirdage.com/health/adam/ency/article/000195.htm

document.write(''); document.write(''); document.write('<'); document.write('/SCRIPT>'); document.write(''); document.write(''); document.write('<'); document.write('/A>'); document.write('<'); document.write('/NOSCRIPT>'); document.write('<'); document.write('/IFRAME>'); Activities Computers Family Tree Health ... Prevention Heart attack Definition: A heart attack (myocardial infarction) occurs when an area of heart muscle dies or is permanently damaged because of an inadequate supply of oxygen to that area. Alternative Names: Myocardial infarction; MI; Acute MI Causes, incidence, and risk factors: Most heart attacks are caused by a clot that blocks one of the coronary arteries (the blood vessels that bring blood and oxygen to the heart muscle). The clot usually forms in a coronary artery that has been previously narrowed from changes related to atherosclerosis . The clot in the coronary artery interrupts the flow of blood and oxygen to the heart muscle, leading to the death of heart cells in that area. The damaged heart muscle permanently loses its ability to contract, and the remaining heart muscle needs to compensate for it. Rarely, sudden overwhelming

66. Cardiotext.com | Subjects | Myocardial Infarction Books Browse by Subject myocardial infarction. myocardial infarction An IncrediblyEasy! Miniguide, myocardial infarction An Incredibly Easy! http://www.cardiotext.com/subjects/cat_id=22

Search Books: Vascular Diseases Aneurysms Aortic Valve - Diseases Arteries - Diseases ... Ischemia Myocardial Infarction Peripheral Vascular Diseases New Arrivals Cardiology EKG/ECG SALE! Echocardiography Electrophysiology Interventional Book of the Week ... What's this? Sign up for free e-mail news about new titles and sales. Browse by Subject: Myocardial Infarction All Subjects Cardiology Cardiovascular Diseases Vascular Diseases Myocardial Infarction Sort by: Featured Title [A-Z] Publication Date The ECG in Acute Myocardial Infarction and Unstable Angina: Diagnosis and Risk Stratification 1/ed. Hein J.J. Wellens KLUWER ACADEMIC PUBLISHERS,Hardcover, 11-2003, 132 pages Usually ships within 4-5 business days. Rush shipping available. Shipping Information Retail Price: Cardiotext Price: Efficacy of Myocardial Infarction Therapy 1/ed. Ira S. Nash MARCEL DEKKER INC,Hardcover, 02-1999, 493 pages Usually ships within 4-5 business days. Rush shipping available. Shipping Information Retail Price: Cardiotext Price: 12-Lead Ecg: in Acute Myocardial Infarction 1/ed. Tim Phalen Mosby-Year Book Inc,Paperback, 01-1996, 233 pages

67. InteliHealth: Heart Attack Reviewed by the Faculty of Harvard Medical SchoolHeart Attack (myocardial infarction) http://www.intelihealth.com/IH/ihtIH/WSIHW000/8059/8056/213077.html?d=dmtHealthA

68. Myocardial Infarction myocardial infarction (MI) is also called a heart attack. A heart attackoccurs when an artery leading to the heart becomes totally blocked. http://www.healthandage.com/html/res/com/ConsConditions/MyocardialInfarctioncc.h

Table of Contents Conditions Myocardial Infarction Also Listed As: Signs and Symptoms What Causes It? What to Expect at Your Provider's Office Treatment Options ... Supporting Research Myocardial infarction (MI) is also called a heart attack. A heart attack occurs when an artery leading to the heart becomes totally blocked. A heart attack is a medical emergency. Seek immediate medical attention if you or someone else is having the symptoms listed below. Signs and Symptoms Difficulty breathing Dizziness, weakness Nausea, vomiting Irregular heartbeat What Causes It? Atherosclerosis, the process of plaque buildup in an artery until it becomes closed, is the most frequent cause of heart attacks. Heart attacks can also result from heart-muscle spasms or hereditary heart problems. The following increase your risk of having a heart attack. Smoking High-fat diet, excess body weight Family history of early MI Diabetes Oral contraceptives Hypertension (high blood pressure) Being male, or a female who has gone through menopause Cocaine or amphetamine abuse What to Expect at Your Provider's Office If you think that you are having a heart attack, call for medical assistance immediately. Treating a heart attack within 90 minutes can save a person's life. In the emergency room, the following three things will happen very quickly to determine if you are having a heart attack.

69. IPRO - Acute Myocardial Infarction (AMI) Comprehensive Guide for the Development of Performance Improvement Strategiesfor Acute myocardial infarction. . Acute myocardial infarction (AMI). http://projects.ipro.org/index/qi_ami

Projects Home Page View Projects Acute Care Outpatient Services ... Special Studies Acute Myocardial Infarction (AMI) Home Projects Acute Care A Comprehensive Guide for the Development of Performance Improvement Strategies for Acute Myocardial Infarction IPRO has developed a resource guide to address the management of patients with acute myocardial infarction (AMI). The guide provides the components required for successful implementation of a quality improvement program for AMI patients in your institution. We encourage you to replicate and customize the materials on this site; we do require that the IPRO logo remain on all material or reprints. When designing your quality improvement plan, please keep in mind the importance of ensuring that the information related to the project's quality indicators must be documented within the medical record and accessible for data abstraction. All tools utilized for documentation of care management must be a permanent part of the medical record. We thank you for your interest and collaboration in the National Acute Myocardial Infarction project and hope that you find this information to be beneficial in designing your performance improvement initiatives. Overview and Objectives Contacts Quality Indicators Measurements and Rankings ... Additional Resources News and Articles view all news items Sertraline Treatment of Major Depression in Patients With Acute MI or Unstable Angina Treatment of Depression Following Acute Myocardial Infarction.

70. Evidence Matters: Myocardial Infarction [June 2002; 100-2] bandoman, Bandolier. Bandolier Library. search. Evidence matters myocardialinfarction. Study Results Comment Of course, evidence itself is without effect. http://www.jr2.ox.ac.uk/bandolier/band100/b100-2.html

Bandolier Bandolier Library search Evidence matters: myocardial infarction Study Results Comment Of course, evidence itself is without effect. Putting evidence into action is when we should get the benefits. But do we? Demonstration that use of evidence makes a difference is something that many of us want to see. A report from Derbyshire [1] indicates that for mortality after heart attack, we are beginning to get big gains. Study This took place in the health district of South Derbyshire, which has a population of 560,000 with common computerised patient administration and pathology systems. All patients admitted with a coding of acute myocardial infarction over the five years of 1995 to 1999 were obtained, with information from the pathology system about measurements for creatine kinase. Excluded were patients with a coding of myocardial infarction but who had no creatine kinase measured, about 4% of the total. The pathology database was also interrogated for blood lipids in the year after the date of admission. Results There were 5,166 admissions over the five years, two thirds men and two thirds under 75 years old. Creatine kinase tests were requested on 4,912 of them, and 3,382 survived at least one year.

71. Warfarin Or Aspirin Or Both After Myocardial Infarction search. Warfarin or aspirin or both after myocardial infarction. Clinical bottomline. M Hurlein et al. Warfarin, aspirin, or both after myocardial infarction. http://www.jr2.ox.ac.uk/bandolier/booth/aspirin/waraspmi.html

Bandolier Bandolier Library search Warfarin or aspirin or both after myocardial infarction Clinical bottom line Warfarin plus aspirin is better than aspirin alone after a heart attack. Over four years, treating 1,000 patients with warfarin plus aspirin would have prevented about 50 events, mainly reinfarctions, but would have caused about 20 major bleeds. The question is whether the benefits are worth the hassle. Reference M Hurlein et al. Warfarin, aspirin, or both after myocardial infarction. New England Journal of Medicine 2002 347: 969-974. Study This study was properly randomised with concealed allocation, but open. Men and women younger than 75 years (and without malignant disease, or contraindication to aspirin or warfarin) who had survived an acute myocardial infarction were randomly assigned to one of three treatments: warfarin (INR goal 2.8 to 4.2) aspirin 160 mg/day aspirin 75 mg/day combined with warfarin (INR goal 2.0 to 2.5). The main outcome was a composite of death, nonfatal myocardial infarction, or stroke. The size and duration was predicated on the number of events that occurred.

72. Health Ency.: Disease: Heart Attack Alternative names myocardial infarction; MI; Acute MI. DefinitionA heart attack is when an area of heart muscle dies or is damaged http://www.accessatlanta.com/shared/health/adam/ency/article/000195.html

SEARCH: The Web Yellow Pages HOME AJC.COM Illustrated Health Encyclopedia Important notice Ency. home Disease H Heart attack See images Overview Symptoms Treatment ... Prevention Alternative names: Myocardial infarction; MI; Acute MI Definition: A heart attack is when an area of heart muscle dies or is damaged because of an inadequate supply of oxygen to that area. Causes and Risks Heart attacks are often caused by a clot that blocks one of the coronary arteries (the blood vessels that bring blood and oxygen to heart muscle). The clot prevents blood and oxygen from reaching that area of the heart, leading to the death of heart cells in that area. Usually, this occurs in a coronary artery that has been narrowed from changes related to atherosclerosis . The damaged heart tissue permanently loses its ability to contract. The risk factors for heart attack include: Smoking Hypertension Diabetes High fat diet High blood cholesterol LDL ) levels Obesity Male gender Age over 65 Heredity A personal or family history of coronary artery disease cerebrovascular disease peripheral vascular disease angina (particularly unstable angina ), or

73. Heart Attack Heart attack. Alternative names myocardial infarction; MI; Acute MI.Definition A heart attack is when an area of heart muscle dies http://www.umm.edu/ency/article/000195.htm

Disease Nutrition Surgery Symptoms Injury ... Z Related Programs at UM Medical Center Maryland Heart Center Joslin Diabetes Center Department of Orthopaedics Home ... Encyclopedia (English) Toggle English Spanish Heart attack Overview Symptoms Treatment Prevention Definition: A heart attack (myocardial infarction) occurs when an area of heart muscle dies or is permanently damaged because of an inadequate supply of oxygen to that area. Alternative Names: Myocardial infarction; MI; Acute MI Causes, incidence, and risk factors: Most heart attacks are caused by a clot that blocks one of the coronary arteries (the blood vessels that bring blood and oxygen to the heart muscle). The clot usually forms in a coronary artery that has been previously narrowed from changes related to atherosclerosis . The atherosclerotic plaque (buildup) inside the arterial wall sometimes cracks, and this triggers the formation of a thrombus, or clot. A clot in the coronary artery interrupts the flow of blood and oxygen to the heart muscle, leading to the death of heart cells in that area. The damaged heart muscle permanently loses its ability to contract, and the remaining heart muscle needs to compensate for it. Rarely, sudden overwhelming

74. Advanced Search Assessment and Treatment of Depression Following myocardial infarction. 7. FrasureSmithN, Lesperance F, Talajic M. Depression following myocardial infarction. http://www.aafp.org/afp/20010815/641.html

Advanced Search Assessment and Treatment of Depression Following Myocardial Infarction THOMAS P. GUCK, PH.D., MICHAEL G. KAVAN, PH.D., GARY N. ELSASSER, PHARM.D., and EUGENE J. BARONE, M.D. Creighton University School of Medicine, Omaha, Nebraska A patient information handout on depression after heart attack, written by the authors of this article, is provided on page 651. A PDF version of this document is available. Download PDF now (8 page(s) / 52 KB). More information on using PDF files. See editorial on page 573. A s many as 65 percent of patients with acute myocardial infarction report experiencing symptoms of depression; major depression is present in 15 to 22 percent of these patients. During the past two decades, a substantial body of evidence has established a link between depression, cardiovascular disease and mortality. Two large, community epidemiologic studies demonstrated a significant relationship between depression and mortality in patients with myocardial infarction. Results from another study showed that depression contributes to a greater chance of developing or dying of heart disease in persons who are otherwise healthy, even after controlling for smoking status, gender, weight, activity, blood pressure and cholesterol levels. Results from additional studies

75. Advanced Search Optimizing BetaBlocker Use After myocardial infarction. TABLE 3 Dosages of BetaBlockers for Short-Term and Long-Term Treatment After myocardial infarction. http://www.aafp.org/afp/20001015/1853.html

Advanced Search Optimizing Beta-Blocker Use After Myocardial Infarction PATRICIA A. HOWARD, PHARM.D., and EDWARD F. ELLERBECK, M.D., M.P.H. University of Kansas Medical Center, Kansas City, Kansas A patient information handout on beta blockers, written by the authors of this article, is provided on page 1865. Although beta-adrenergic blockers can significantly reduce mortality after a myocardial infarction, these agents are prescribed to only a minority of patients. Underutilization of beta blockers may be attributed, in part, to fear of adverse effects, especially in the elderly and in patients with concomitant disorders such as diabetes or heart failure. However, studies have shown that such patients are precisely the ones who derive the greatest benefit from beta blockade. Advancing age or the presence of potentially complicating disease states is usually not a justification for withholding beta-blocker therapy. With use of cardioselective agents and through careful dosing and monitoring, the benefits of beta blockers after myocardial infarction far outweigh the potential risks in most patients. (Am Fam Physician 2000;62:1853-60, 1865-6.) See editorial on page 1771.

76. Cordarone arrhythmias. Includes information on myocardial infarction. myocardial infarction. arrhythmias.Includes information on myocardial infarction. http://www.cordaroneinfo.com/myocardial-infarction.htm

77. Cordarone Includes information on acute myocardial infarction. acute myocardialinfarction. Includes information on acute myocardial infarction. http://www.cordaroneinfo.com/acute-myocardial-infarction.htm

78. Heart Attack (Myocardial Infarction Or MI) It is also known as a myocardial infarction (MI), because part of thecardiac muscle (myocardium) may literally die (infarct). Myocardial http://www.heartcenteronline.com/Heart_Attack.html

Heart Attack (Myocardial Infarction) A heart attack is an event that results in permanent heart damage or death. It is also known as a myocardial infarction (MI), because part of the heart muscle (myocardium) may literally die (infarct). Myocardial infarctions occur when one of the coronary arteries becomes severely or totally blocked, usually by a blood clot. Symptoms of heart attack include chest pain (angina), palpitations, syncope (fainting) and shortness of breath. Women tend to have less typical heart attack symptoms. If MI is suspected, emergency medical help should be sought immediately. Physicians usually advise stricken individuals to first call 911, then to chew an aspirin and wash it down with a glass of water, while waiting for help to arrive. Although heart attacks are usually the result of a number of chronic heart conditions (e.g., coronary artery disease ), the trigger for MI is often a blood clot that has blocked the flow of blood through a coronary artery. If the artery has already been narrowed by cholesterol-rich fatty plaque ( atherosclerosis ), the blood clot may be large enough to block the blood flow severely or completely. The person will experience an episode of

79. Heart Attack (Myocardial Infarction Or MI) A heart attack (myocardial infarction) is an event that results inpermanent cardiac damage or death. Heart attacks are also known http://www.heartcenteronline.com/The_Heart_Attack_Center.html

The Heart Attack Center A heart attack is an event that results in permanent heart damage or death. Heart attacks are also known as myocardial infarction (MI), because part of the heart muscle (myocardium) may literally die (infarction). The main heart attack symptom is chest pain pressure or discomfort. Although myocardial infarctions are usually the result of chronic disease (e.g., coronary artery disease), the trigger for a MI is often a blood clot that has blocked the flow of blood through a coronary artery. If the artery has already been narrowed by fatty plaque (a disease called atherosclerosis), the blood clot may be large enough to block the blood flow severely or completely. The person will experience an episode of cardiac ischemia, which is a condition in which the cardiac muscle is not getting enough oxygen-rich blood. This is often accompanied by angina (a type of chest pain , pressure or discomfort), although silent ischemia shows no signs at all. Severe or lengthy episodes of cardiac ischemia can trigger an MI. Depending upon the severity of both the attack and of the subsequent scarring, MI can lead to the following:

80. Quality Insights Of Pennsylvania - Clinical Quality Improvement - Acute Myocardi Acute myocardial infarction. Overview. The topics. Acute MyocardialInfarction; Heart Failure; Pneumonia; Preventing Surgical Infections. http://www.qipa.org/MedProAMI.htm

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