81. Treating High Cholesterol Levels In The Very Old? --- HealthandAge Its long been known that high cholesterol levels are linked to an increased riskof a heart attack (myocardial infarction, MI) or sudden death from cardiac http://healthandage.com/Home/gid2=803

English site German site March 31, 2003 Home Health Centers HealthandAge Network News ... Primer on Aging Choose Font Size Normal Large Extra Large Treating high cholesterol levels in the very old? Treating high cholesterol levels in the very old? Robert W. Griffith, MD July 12, 2000 (Reviewed: December 11, 2002) Its long been known that high cholesterol levels are linked to an increased risk of a heart attack (myocardial infarction, MI) or sudden death from cardiac causes. However, a report in 1994 encouraged the idea that there was no use in tackling cholesterol in persons over 70. It became almost exceptional to measure cholesterol levels in these "older-old" people. Now that the results of some large studies involving the use of cholesterol-lowering drugs called statins are available, it's necessary to revise this thinking. The statin drugs (which belong to the class of drugs called HMG-CoA reductase inhibitors) have become the most widely used medication for raised cholesterol levels in most people. The article summarized here reviews the 5 major statin studies reported over the last 6 years, proving the value of statins in aggressively treating raised cholesterol levels at any age. Two of these 5 studies concern the use of statins in persons who haven't had a serious cardiovascular incident (such as a heart attack). These are called primary prevention studies, as they measure the effect of a drug in preventing a first occurrence of an undesirable event.

82. Myocardial Infarction myocardial infarction 1999 Update ACC/AHA Guidelines for the Management of PatientsWith Acute myocardial infarction Executive Summary and Recommendations. http://www.americanheart.org/presenter.jhtml?identifier=3004562

83. Acute Myocardial Infarction, Heart Attack, Elderly, Angiography; Ischemic Heart outcomes and the use of angiography in elderly patients. Each year atleast 750,000 Americans have an acute myocardial infarction (AMI). http://www.ahcpr.gov/research/nov95/dept2.htm

Medical Effectiveness/Outcomes Research AMI PORT examines regional variations in heart attack treatments and outcomes and the use of angiography in elderly patients Each year at least 750,000 Americans have an acute myocardial infarction (AMI). Medicare patients, who account for nearly half of these cases, have a cumulative mortality of 40 percent. The Harvard-based AMI Patient Outcomes Research Team (PORT), led by Barbara J. McNeil, M.D., Ph.D., and supported by the Agency for Health Care Policy and Research (HS06341), recently published the following two studies, which examine regional variations in the use of invasive cardiac procedures and coronary angiography in elderly heart attack patients. Guadagnoli, E., Hauptman, P.J., and Ayanian, J.Z. (1995). "Variation in the use of cardiac procedures after acute myocardial infarction." The New England Journal of Medicine 333, pp. 573-578. Physicians in Texas are more likely to perform invasive cardiac procedures on heart attack patients than physicians in New York. However, Texas' high-technology approach does not improve patients' survival or quality of life compared with patients in New York, according to AMI PORT researchers. Gatsonis, G.A., Epstein, A.M., Newhouse, J.P., and others. (1995). "Variations in the utilization of coronary angiography for elderly patents with an acute myocardial infarction."

84. Myocardial Infarction Or Heart Attack myocardial infarction or heart attack. This can present in severalways The patient may have central chest pain going to the neck http://www.healthcarenet.co.uk/Myocardial Infarct2.htm

About us Medicine Management Search Myocardial infarction or heart attack. This can present in several ways: The patient may have central chest pain going to the neck and arms lasting for more than twenty minutes. They may feel generally ill with nausea and vomiting. They may also feel sweaty or cold. In the elderly, 'silent' infarcts may present with none of the above. Instead the patient may become suddenly confused or suffer a stroke Investigations The diagnosis is confirmed by an electrocardiograph (ECG ) and blood tests. These may show increased levels of cardiac enzymes; chemicals released into the blood stream by damaged heart muscle. A chest X ray may show fluid on lungs caused by heart failure. Myocardial infarction is associated with high fat levels in the blood, smoking, high blood pressure diabetes and stress It is commoner in areas of social deprivation Family history and being male are implicated although these factors cannot be changed.

85. Acute Inferior Myocardial Infarction A 55 year old man with 4 hours of crushing chest pain. Acute inferiormyocardial infarction. ST elevation in the inferior leads http://www.ecglibrary.com/infmi.html

A 55 year old man with 4 hours of "crushing" chest pain. Acute inferior myocardial infarction ST elevation in the inferior leads II, III and aVF reciprocal ST depression in the anterior leads See also acute anterior MI Right Bundle Branch Block and sinus bradycardia are also present.

86. Disease Category Listing (463): Heart Attack (Myocardial Infarction) CenterWatch Listing of Clinical Research Trials for Heart Attack (MyocardialInfarction). Clinical Trials Heart Attack (myocardial infarction). Alabama. http://www.centerwatch.com/patient/studies/cat463.html

Clinical Trials: Heart Attack (Myocardial Infarction) Alabama Huntsville; Medical Affiliated Research Center Have you had a heart attack greater than 6 weeks ago? Arkansas Fort Smith; Sparks Regional Medical Center Heart Failure Study California Moreno Valley; Cardiovascular Consultants of the Inland Valley Have you had a heart attack greater than 6 weeks ago? Riverside; Inland Clinical Research, Inc. Men and women who are at least 50 years of age, with either identifiable cardiovascular risk factors or a diagnosis of cardiovascular disease may be eligible for the Navigator study. Vista; North County Internal Medicine Have you had a heart attack greater than 6 weeks ago? Connecticut Stamford; Stamford Therapeutic Consortium Have you had a heart attack greater than 6 weeks ago? Florida Ft. Lauderdale; Holy Cross Hospital Acute Myocardial Infarction - Device Study Ft. Meyers; Southwest Florida Heart Group Have you had a heart attack greater than 6 weeks ago? Hollywood; South Broward Cardiology Consultants Comparison trial for the treatment of patients who have experienced Myocardial Infarction (heart attack) Georgia Have you had a heart attack greater than 6 weeks ago?

87. Myocardial Infarction -- ECureMe.com myocardial infarction, more about myocardial infarction, Atherothrombotic cardiovasculardisease the major cause of most myocardial infarctions; http://www.ecureme.com/emyhealth/data/Myocardial_Infarction.asp

March 30, 2003 Select a Health Topic ADD/ADHD Allergy Alternative Medicine Arthritis Asthma Beyond Dieting Body Aches and Pains Breast Cancer Cancer Awareness Cardio Health Children's Health Colon Cancer Contraception COPD/Emphysema Dental Health Diabetes Elder Care Emergency Room Epilepsy Erectile Dysfunction Eye Care Fertility Fitness Gastrointestinal Health Glands and Hormones Gynecologic Health Hair Loss Headache Healthcare Today Healthy Aging HIV and AIDS Infectious Diseases Kidney Health Leukemia Liver Health Lung Cancer Lymphoma Multiple Sclerosis Men's Health Mental Health Nutrition Osteoporosis Parkinson's Disease Sexual Health Skin Health Sleep Disorders Special Events Stroke Surgeries and Procedures Teen Health Thyroid Health Urologic Health Vascular Disease Women's Health Workplace Health Ask The Doctor Lifestyle Counseling Ask by mail My Health Chart ... Hospitals Myocardial Infarction more about Myocardial Infarction MI, heart attack, or coronary event Normal Abnormal The heart uses a series of pipe-like structures (arteries) to pump fresh oxygen-rich blood and nutrients (vitamins, minerals, Proteins , and fat) to the rest of the body. Oxygen is important for the survival of the body's living cells, because, without it, they will die. The heart is made up of myocardium (heart muscle). The arteries that supply blood to the heart itself are called the coronary arteries. When the coronary arteries are blocked or damaged, the flow of blood to the myocardial muscles is interrupted. They become hypoxic (without oxygen) and infraction (death) occurs. MI is the leading cause of death in America.

88. Detection Of Myocardial Necrosis/Acute Myocardial Infarction DETECTION of MYOCARDIAL NECROSIS / ACUTE myocardial infarction. Detectionof acute myocardial necrosis can be done with 99m Technetium http://webcampus.med.drexel.edu/cme/medicine/ncardiac/ami.htm

Monograph Home Historic Background Applications Assessment of Left Ventricular and Right Ventricular Function ... Evaluation DETECTION of MYOCARDIAL NECROSIS / ACUTE MYOCARDIAL INFARCTION Detection of acute myocardial necrosis can be done with Technetium-pyrophosphate or by In-antimyosin antibody imaging which has recently been approved by the Food and Drug Administration. With both these 2 tracers, positive results are obtained only 24-48 hours after acute infarction and therefore, the clinical utility of these techniques have been limited. The main indication being patients with equivocal diagnosis of acute infarction or those who arrive late to the hospital and in whom the enzymes changes may have been missed (Figure 9). On the horizon, however, there is a new agent called Tc-glucurate which produces positive results within an hour after acute myocardial infarction and this technique may prove to be useful in patients with chest pains but nondiagnostic ECG or enzyme changes. FIGURE 9: (Click image to enlarge.)

89. Heart Attack/Myocardial Infarction Heart Attack / myocardial infarction. The heart is a mechanical,contractile pump responsible for maintaining blood circulation. http://www.animatedmedical.com/mi.html

Home Educational Topics Heart Attack / Myocardial Infarction The heart is a mechanical, contractile pump responsible for maintaining blood circulation. It is made of specialized muscle called myocardium and weighs about 10 ounces in the average adult, although many factors affect its ultimate size. This muscle is activated by timed electrical impulses from a part of the heart called the sinoatrial node , the natural pacemaker of the heart. Since the heart is constantly active, it requires an uninterrupted supply of oxygen provided by blood passing through its very own blood vessels - the coronary arteries , represented in the beating heart at the top as irregular, branching lines. The graphic at the right shows the normal width of a coronary artery before it starts branching and forming smaller vessels. Myocardial infarction, commonly referred to as a heart attack, is death of an area of heart muscle due to a sudden reduction in blood flow relative to the amount of work the heart is doing at the time. Damage from reduced blood flow without any actual heart muscle death results in pain called angina The most common cause for reduced blood flow initially is coronary atherosclerosis - a gradual build-up over many years of cholesterol plaques, scar tissue, and calcium deposits inside the coronary arteries. Once the opening has been narrowed it is susceptible to sudden blockage by bleeding into and rupture of the cholesterol plaques. A blood clot may then form in the damaged arteries.

90. Acute Myocardial Infarction (AMI) Discussion Forum Acute myocardial infarction (AMI). Objective To reviewthe various techniques, advantages and limitations of treatment http://www.guidant.com/education/inthad/ami.shtml

Condition Compass Overview Abdominal Aortic Aneurysm Arrhythmias Coronary Artery Disease ... Complete Program Overview VASCULAR INTERVENTION Stenting Bifurcation Diabetics Forum Restenosis Forum Saphenous Vein ... Acute Myocardial Infarction (AMI) Forum CARDIAC RHYTHM MANAGEMENT Heart Failure Therapies Management of the ICD Patient (Tachy I) Advanced Management ICD Patient (Tachy II) Dual-Chamber Adaptive-Rate Pacing ... Troubleshooting Bradycardia ENDOVASCULAR AAA Carotid Stenting Renal Stenting CARDIAC SURGERY The Key to Advanced Beating-Heart Surgery leftNavMain = ['index','overview','stent','diabetics','restenosis','svg','smallvessel','ami','hf','followup','advanced','adaptiverate','ecg','aaa','carotid','renal','surgery'] Discussion Forum: Acute Myocardial Infarction (AMI) Objective: To review the various techniques, advantages and limitations of treatment of AMI; Update on the latest treatment options The training Center allows small groups of physicians from different countries to participate in interactive sessions. Audience: This discussion forum is designed for high-level cardiologists wishing to share their experiences and review the latest scientific findings. The AMI forum will be conducted by speakers from various European countries.

91. Clinics: Directorship - 131 CHAPTER 2 MEDICINE / GUIDELINE Thrombolytic Therapy For Acute myocardial infarction 311, 1999, 2004. previous myocardial infarction; see also Footnote. http://www.umanitoba.ca/colleges/cps/Guidelines_and_Statements/311.html

Guidelines and Statements CHAPTER 1 ETHICS/ADMINISTRATION / STATEMENT Clinics: Directorship - 131 Background: The College believes that it is important for every clinic to have a medical director. Scope: This Statement applies to all clinics, defined as any office facility where two or more physicians practice together, irrespective of the ownership of the facility. It does not apply to independent (solo) practices in the same premises. Requirements 1. Each clinic must have a duly qualified medical practitioner designated as "Medical Director". 2. The Medical Director must: (a) ensure that only qualified physicians provide medical care in the clinic. (b) ensure that, regardless of the name of the clinic, the name(s) of all the physician(s) are clearly posted, either on the exterior of the clinic or in the reception area. (c) ensure that the doctor/patient relationship is preserved at all times.

92. ECG Vectorial Theory Of Myocardial Infarction ECG Vectorial Theory of myocardial infarction. ECG of Right VentricularInfarction, Isolated. * Abstracts Published at Internet http://www.infarctcombat.org/VectorialTheory.html

ECG Vectorial Theory of Myocardial Infarction ECG of Right Ventricular Infarction, Isolated Abstracts Published at Internet: ECG Vectorial Theory Evidence: ECG Diagrams of Normal Heart and on Left and Right Myocardial Infarction in Intracavitary, Epicardial and Precordial Leads ECG in Right Ventricular Myocardial Infarction (Vectorial x Wilson's Cavity Potential Theory) ECG Diagnosis of Right Ventricular Infarction New and Simplified ECG Classification for Myocardial Infarction ... Myocardial Infarction: ECG - Types, Leads, Incidence and New x Old Classification (chart) Electrocardiographic Patterns Under the New Classification Eletrocardiographic Patterns of Isolated Right Ventricular Infarction (Type 2 from our Classification), in Disagreement with the Cavity Potential Theory in use but Compatible with the Vectorial Theory Electrocardiographic Patterns of Isolated Left Ventricular Infarction (Type 1 from our Classification), also compatible with the Vectorial Theory Electrocardiographic Patterns of Left and Right Ventricular Infarction, Associated (Type 3 from our Classification), based in the Vectorial Theory by Quintiliano H. de Mesquita, M.D. ... INDEX Last updated: April 30, 1999. We recommend this Book!

93. News On Myocardial Infarction Prevention, Therapeutics And Diagnosis: Heartnews08 Survival Advantages for myocardial infarction Hospitalsand Therapies. Heartnews-07 Absence of Coronary Thrombosis http://www.infarctcombat.org/heartnews.html

Infarct Combat Project Report Heartnews-15: The Eclectic Use of Hawthorn to Reverse Heart Disease: Opinion from Prominent Doctors Heartnews-14: Heart Disease: Beneficial Use of Cardiotonics Proved by Alternative Medicine Heartnews-13: Heart Disease: From the Chaos to the Cure or "The blackout by the medical orthodoxy and from the media about the cure for Heart Disease" Heartnews-12 Contribution of Medical and Surgical Treatments and Risk Factor Changes to Decline Coronary Heart Disease Mortality Heartnews-11 : Modern Medicine for Heart Disease: Scientifically and Evidence Based? Heartnews-10 Failure of Transmyocardial Laser Revascularization to Relieve Refractory Angina Heartnews-09: ECG Right Precordial Leads Value for Coronary Artery Disease Diagnosis During Exercise Heartnews-08 Survival Advantages for Myocardial Infarction: Hospitals and Therapies Heartnews-07 : Absence of Coronary Thrombosis During Acute Myocardial Infarction Heartnews-06 Failure About Cardiac Invasive Procedures to Reduce the Incidence of Death and to Avoid Myocardial Infarction Leaked Out Heartnews-05 Vectorial Theory Explains the Electrocardiographic Patterns of Right Ventricular Infarction - A Breakthrough in ECG Diagnosis of Myocardial Infarction Heartnews-04 The Necessary Inclusion of Cardiotonic Drugs in the Study of Coronary Revascularizations and Therapeutics Avaliations (SOCRATES) from the National Heart, Lung and Blood Institute

94. Myocardial Infarction Risk Assessment From Thrombocyte Activation Antigens Cell Biochemistry Martinsried. myocardial infarction RiskAssessment from Thrombocyte Activation Antigens http://www.biochem.mpg.de/valet/thrombo1.html

Cell Biochemistry Martinsried Risk Assessment for Myocardial Infarction from Thrombocyte Activation Antigens G.Valet < Predictive Medicine by Cytomics 1. Introduction: General risk indicators like overweight, smoking, high blood pressure, humoral indicators like altered lipid fractions in the peripheral blood, as well as cellular indicators like monocyte/makrophage lipid receptors indicate the risk for myocardial infarction on a statistical but not on an individual person level. - The appearence of thrombocyte activation antigens like or thrombospondin on the thrombocyte surface membrane is the consequence of accelerated blood flow through arteriosclerotically narrowed coronary arteries. Myocardial infarction is ultimately caused by thrombocyte aggregates obstructing such arteries. It seems of interest to determine thrombocyte activation antigen patterns for individual patient risk assessment of myocardial infarction. A blood test would be substantially easier , with lower risk and less costly than coronary angiography from a cathether.

95. MedWebPlus Subject Myocardial Infarction myocardial infarction Focussed Subsets A, , GO, adam.com Encyclopedia DiseaseReference Heart attack (myocardial infarction ; MI; Acute MI) (Iowa Clinic). http://www.medwebplus.com/subject/Myocardial_Infarction

Main About MWP Contribute to MWP Contact Us A service of Flexis, Inc. Welcome to MedWebPlus 2.3! A free service to help you find health sciences information quickly and easily. Myocardial Infarction Focussed Subsets: Cardiology Educational resources Heart Failure, Congestive Quality of Health Care ... therapy Web Sites: A GO A.B.C. de Supervivencia al Infarto de Miocardio maintained by Antonio Guijarro-Morales (Granada, Spain) A GO ACC/AHA Guidelines for the Management of Patients With Acute Myocardial Infarction : Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Acute Myocardial Infarction) A GO adam.com Encyclopedia Disease Reference Heart attack (Myocardial infarction ; MI; Acute MI) (Iowa Clinic) A GO After Your Heart Attack - What Now? maintained by Barbara Perra, a registered nurse who presently works as an Assistant Nurse Manager of the Special Procedure Unit at the University of Washington Medical Center. Last updated: November 17, 1997 A GO American Academy of Family Physicians Information from Your Family Doctor Heart Attack : getting back into your life after a heart attack A GO Cardiology and internal medicine : journal of the Georgian Interntional Society of Cardiomyopathy (2002- ) A GO Cooperative Cardiovascular Project (CCP): a national effort by the Health Care Financing Administration to improve care for Medicare beneficiaries with acute myocardial infarctions A GO EHAC Chest Pain E.D. Clinical Home Page

96. JAMA -- Page Not Found Early Statin Treatment Following Acute myocardial infarction and 1Year SurvivalAuthor Information Ulf Stenestrand, MD; Lars Wallentin, MD, PhD; for the http://jama.ama-assn.org/issues/v285n4/abs/joc01836.html

Select Journal or Resource JAMA Archives of Dermatology Facial Plastic Surgery Family Medicine (1992-2000) General Psychiatry Internal Medicine Neurology Ophthalmology Surgery MSJAMA Science News Updates Meetings Peer Review Congress The page you requested was not found. The JAMA Archives Journals Web site has been redesigned to provide you with improved layout, features, and functionality. The location of the page you requested may have changed. To find the page you requested, click here HOME CURRENT ISSUE PAST ISSUES ... HELP Error 404 - "Not Found"

97. Your Heart Center -- Myocardial Infarction This booklet discusses heart attack, acute myocardial infarction (AMI, MI)and coronary occlusion which all refer to damage of the heart muscle. http://www.agmc.org/hrtmy.asp

Myocardial Infarction The Heart Center AKRON GENERAL Your Heart and How it Works Words You Will Hear Post MI Care of Your Heart Procedures You May Have ... s? This booklet discusses heart attack, acute myocardial infarction (AMI, MI) and coronary occlusion which all refer to damage of the heart muscle. Most heart attacks are caused by a blood clot blocking an artery that has been severely narrowed by atherosclerosis. If medical attention is reached within the first few hours of an MI, clot-dissolving drugs (called thrombolytics) can be given or angio-plasty can be performed to restore blood flow to the heart and limit permanent heart damage. Drugs dissolve only the blood clot, not the deposits in the artery. Angioplasty pushes the deposits into the artery wall and sometimes a spring-like stent is used to hold them in place. Neither procedure actually removes the deposits. But, the sooner these treatments are given, the more heart muscle is saved from permanent damage. A heart attack may affect the entire thickness of heart muscle, or only the inner surface. The rest of the heart will go on working despite the injury, but will have to work harder. Soon after the injury to the muscle, healing begins. A scar is formed over the affected area during the next 6-8 weeks. This scar tissue can disrupt the electrical circuits of the heart and result in sudden heart attack from arrhythmia, or irregular heart beat. The first 6-8 weeks after your heart attack is a critical period in your follow-up care.

98. Angina - Myocardial Infarction: NY Emergency Room RN Online cardiac resources about angina, chest pain and myocardial infarction heart attacks. Angina - myocardial infarction (MI). http://www.nyerrn.com/h/mi.htm

CARDIOLOGY CATEGORIES Angina / Myocardial Infarction Arrhythmias / Dysrhythmias Cardiac Guidelines Cardiac Images ... Vascular Diseases Management of Chest Pain Online resources for medical professionals related to Angina and Myocardial Infarction. Angina - Myocardial Infarction (MI) Angina - Information on the condition, pathophysiology, prehospital care, emergency department care and consultations. Angina - Medical news, alerts, general information, discussion groups, newsgroups and other Internet resources relevant to angina. Angina - National Heart, Lung, and Blood Institute: Description of angina, its causes and its relationship to heart attacks and other chest pain. Sections on diagnosis, treatment, medications, exercise, stable versus unstable angina, and other types of the disorder. Angina - Patient education materials for healthcare professionals. A pamphlet about angina includes answers to commonly asked questions about the condition, including its duration, incidence and treatment. Explains the difference between an anginal attack and a heart attack. Angina Clinical Trials - Listing of Clinical Research Trials for Angina.

99. Coral-Calcium-Mstar.com - Myocardial Infarction Index - Coral Calcium Supplement Shock Vertigo. myocardial infarction Index. Contents Magnesium incardiology Magnesium The Key to a Healthier Heart. History of http://www.coral-calcium-mstar.com/myocardialindex.htm

Related Topics: Aggressive Behavior Ageing Alcoholism Alzheimer’s Disease ... Vertigo Myocardial Infarction Index Contents: Magnesium in cardiology Magnesium The Key to a Healthier Heart History of Coral Calcium Coral Calcium Benefits ... Home

100. NIH Guide: COMMUNITY INTERVENTION TO REDUCE MYOCARDIAL INFARCTION DELAY Full Text HL93-016 COMMUNITY INTERVENTION TO REDUCE myocardial infarction DELAYNIH GUIDE, Volume 22, Number 22, June 18, 1993 RFA HL-93-016-P PT 34 Keywords http://grants.nih.gov/grants/guide/rfa-files/RFA-HL-93-016.html

Return to RFAs Index Return to NIH Guide Main Index Department of Health and Human Services National Institutes of Health (NIH) 9000 Rockville Pike Bethesda, Maryland 20892

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