Navigation Links
Jefferson Physicians Report on Potentially Fatal Complication of Heart Attack

In a case study to be published in the January issue of the international journal Clinical Cardiology, physicians at Thomas Jefferson University Hospital in Philadelphia// report on a seemingly healthy 55-year-old man who had a silent heart attack and subsequent unexplained chest pain. Unexplained chest pain after a heart attack might be more dangerous than many physicians originally think.

Once he was admitted to the hospital, it was discovered that the man actually had a rarely diagnosed complication called subepicardial aneurysm, which, if not quickly treated, could be fatal.

"The chest pain was a rupture of the heart wall about to happen--the most feared complication of a heart attack," explains Michael Savage, M.D., director, Cardiac Catheterization Laboratory at Thomas Jefferson University Hospital. "The rupture occurs from a tear in the muscle that has already been damaged by a heart attack. The heart muscle breaks and the wall bursts usually causing cataclysmic death soon after."

The Jefferson researchers recommend that when a patient experience unexplained pain after a heart attack, physicians should consider the possibility of a subepicardial aneurysm.

Diagnosis of a subepicardial aneurysm is extremely rare, says Dr. Savage, who is also associate professor of Medicine, Jefferson Medical College of Thomas Jefferson University. Only 20 cases have ever been reported in the medical literature and many patients were diagnosed after death. It is highly likely that many more patients have died from this complication but the cause of death was unrecognized.

According to lead researcher, Aaron Giltner, M.D., a cardiology fellow at Thomas Jefferson University Hospital, the man, who worked in construction, came to the Thomas Jefferson University Hospital emergency room with chest pain. A heart attack was initially considered and the emergency physicians called in the interventional cardiologists for a cons ult.

The cardiologists also initially suspected a heart attack. The patient was admitted to the hospital and was readied for a cardiac catheterization to check for blocked arteries.

The cardiac catheterization suggested a subepicardial aneurysm--an impending cardiac rupture--and the researchers arranged for a CT scan. This confirmed that the patient had a subepicardial aneurysm, a rarely diagnosed complication of a heart attack. Once the problem was identified, surgeons promptly repaired the heart, saving his life.

"As our study shows," Dr. Savage says, "CT imaging can be invaluable in establishing the diagnosis of a subepicardial aneurysm. Clinical recognition of this entity and the use of appropriate imaging modalities are imperative to facilitate life-saving surgical intervention."

Source-Eurekalert
SRI
'"/>




Related medicine news :

1. Jefferson Researchers Want to Learn If Heart Defect at Heart of Some Migraines
2. Startling Expose – Physicians Often Have No Regular Source Of Health Car
3. "Make AIDS Therapy affordable" - Physicians demand
4. Physicians Consider Self-Prescribing Ethical
5. Physicians Lack Clinical Guidelines For Treating Elderly With Multiple Illnesses
6. Physicians Need To Treat Patients With Respect For Treatment To Be Effective
7. Resident Physicians Need More Preparations To Treat Patients From Different Cultures
8. Physicians To Discuss Ways To Save Premature Babies From RSV
9. Physicians should encourage US women to breastfeed
10. Yale University guidelines for Physicians and Pharmaceutical industry
11. Physicians Get To Choose Their Patients
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:2/10/2016)... ... February 10, 2016 , ... The ... 26th: Amateur & Professional Divisions - Time: 7:00pm – 10:00pm | Ticket ... Ticket Prices $30, Social Media: http://www.USPoleSportsFed.org , Facebook: http://www.facebook.com/uspolesportsfederation , ...
(Date:2/10/2016)... DC (PRWEB) , ... February 10, 2016 , ... Anxiety ... level since the start of Medicare Part D a decade ago, according to ... comments from older adults on how they are coping with rapidly rising costs. ...
(Date:2/10/2016)... ... February 09, 2016 , ... According to a recent article ... the number of patients under the age of 30. According to Southern California based ... offices, and may indicate an overall shift in the rapidly growing social acceptance of ...
(Date:2/9/2016)... ... February 09, 2016 , ... ... Medicaid beneficiaries who are diagnosed with autism spectrum disorder (ASD). Beginning Jan. 1, ... treatment using applied behavior analysis (ABA) is key to providing effective treatment for ...
(Date:2/9/2016)... MA (PRWEB) , ... February 09, 2016 , ... ... (WCRI) compares the workers’ compensation fee schedule rates and Medicare rates for a ... services covered in the report, Evaluation of the 2015 Fee Schedule Rates ...
Breaking Medicine News(10 mins):
(Date:2/9/2016)... "Company") (NASDAQ: UNIS ; ASX: UNS), a developer and ... for the second quarter of fiscal 2016 (three months ended December ... Financial Results for the Second Quarter of Fiscal 2016 ... the second quarter of fiscal 2016 was $4.5 million, compared to ... customers for the second quarter of fiscal 2016 were $17.8 million, ...
(Date:2/9/2016)... QGEN ; Frankfurt Prime ... Genomics to develop and promote comprehensive solutions for ... --> QGEN ; Frankfurt Prime Standard: QIA) ... develop and promote comprehensive solutions for next-generation sequencing ... QIAGEN N.V. (NASDAQ: QGEN ; Frankfurt Prime ...
(Date:2/9/2016)... , February 9, 2016 Amarantus ... focused on developing products for Regenerative Medicine, Neurology and ... featured presenting company at Source Capital Group,s 2016 Disruptive ... 10-11, 2016 in New York City ... February 10, 2016 at 12:30 pm by Gerald ...
Breaking Medicine Technology: