Acute Myocardial Infarction Acute Myocardial Infarction (AMI ...
Pericarditis after acute myocardial infarction
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International Notes International Abstracts The differentiation of naphthalene and paradichlorohen- zene mothballs based on their specific gravity. Fukuda T, Yamashita M, Koyama K, et al. Jpn J Acute Med 1988;12:727-731. The purpose of this study was to measure the spe- cific gravity of paradichlorobenzene and naphthalene mothballs and to compare the specific gravity of these mothballs with that of a saturated salt solution. The specific gravity of paradichlorobenzene and naphtha- lene mothballs were measured by a standard gravimet- tic method. The specific gravity of 540 paradichlo- robenzene samples from ten manufacturers was >1.380. On the other hand, the specific gravity of 90 naphthalene samples from three manufacturers was <I. 143. Based on the phenomenon in which para- dichlorobenzene sank in a saturated salt solution (spe- cific gravity = 1.20) and naphthalene floated on it, it was speculated that the two mothballs were distin- guishable . Effectiveness of continuous arteriovenous hemofiltration (CAVH) for the severe chronic hemodialysis patient. Takayama T, Yokoyama H, Torii Y, et al. Jpn J Acute Med 1988;12:721-726. The method and effect of continuous arteriovenous hemofiltration (CAVH) in treating acute renal failure, multiple organ failure, and chronic renal failure were studied. In seven of 13 cases, the patients survived, albeit temporarily. Clinical effectiveness of CAVH has been ascertained by the authors’ experience with pa- tients, especially in terms of safe and reliable fluid removal without marked influence on the cardiovas- cular system. CAVH is a new method for the treat- ment of chronic hemodialysis patients with severe complications. Changes in platelet count after splenic injury. Kawa- kami M, Okada Y, Mimura K. Jpn J Acute Med 1988;12:751-755. Changes in platelet count were studied retrospec- tively in 15 patients with splenic injury. In all of the patients, platelet counts were transiently increased in a period of 2 to 3 weeks after splenic trauma or sur- gery. In 12 of the patients, platelet counts exceeded 45 x 104/~L and thrombocytosis occurred. Thrombo- cytosis was found in all patients who had undergone partial resection of the spleen, splenectomy with trans- plantation, or splenectomy only. However, there were no remarkable differences in the mean maxima among the three groups. Even in groups without resection of the spleen who received conservative therapy or sple- norrhaphy, two patients had thrombocytosis. This study demonstrated that increases in platelet counts were not related to the removal of splenic platelet pools, it is strongly suggested that thrombocytosis is caused by a disorder of splenic regulation of the plate- let count. Pericarditis after acute myocardial infarction. Homma T, Mizoguchi K, Kaku N, et al. Jpn J Acute Med 1988;12:741-747. The current incidence of pericarditis (PD) accompa- nied by acute myocardial infarction (AMI) was exam- ined. PD occurred in 59 of 140 patients (42.1%, group I); in the remaining 81 patients (group II, 57.9%) PD was not recognized. PD frequently occurred in cases of extensive anterior infarction (97%) and left ventric- ular aneurysm (22 of 23 cases). Inflammatory signs such as fever, C-reactive protein, and ESR were ob- served distinctly in the cases of group I compared with group II. Follow-up studies of ECG in anterior AM1 showed a biphasic change in negative T, with a first peak at 48 hours and a second peak at 14 days after the onset of AMI; the first peak was shallower in group I than in group II. Seventeen (29%) of 59 cases with PD developed pleural effusion; two had episodes of post- myocardial infarction syndrome. It is concluded that PD within a few days after AM1 is frequently recog- nized in the cases of extensive anterior infarction or left ventricular aneurysm with distinct inflammatory signs. Therefore, in these cases, administration of an- tiinflammatory agents in the early phase of AM1 was desirable to avoid additional inflammatory effects of PD on AMI. A rapid screening method in acute drug poisoning (I). Hara A, Adachi S, Kondo Y, et al. Jpn J Acute Med 1988;12:733-739. In the critical care center of the Omori Hospital at Toho University School of Medicine, the TOXI-LAB 101
Transcript of Pericarditis after acute myocardial infarction
International Notes
International Abstracts
The differentiation of naphthalene and paradichlorohen- zene mothballs based on their specific gravity. Fukuda T, Yamashita M, Koyama K, et al. Jpn J Acute Med 1988;12:727-731.
The purpose of this study was to measure the spe- cific gravity of paradichlorobenzene and naphthalene mothballs and to compare the specific gravity of these mothballs with that of a saturated salt solution. The specific gravity of paradichlorobenzene and naphtha- lene mothballs were measured by a standard gravimet- tic method. The specific gravity of 540 paradichlo- robenzene samples from ten manufacturers was >1.380. On the other hand, the specific gravity of 90 naphthalene samples from three manufacturers was <I. 143. Based on the phenomenon in which para- dichlorobenzene sank in a saturated salt solution (spe- cific gravity = 1.20) and naphthalene floated on it, it was speculated that the two mothballs were distin- guishable .
Effectiveness of continuous arteriovenous hemofiltration (CAVH) for the severe chronic hemodialysis patient. Takayama T, Yokoyama H, Torii Y, et al. Jpn J Acute Med 1988;12:721-726.
The method and effect of continuous arteriovenous hemofiltration (CAVH) in treating acute renal failure, multiple organ failure, and chronic renal failure were studied. In seven of 13 cases, the patients survived, albeit temporarily. Clinical effectiveness of CAVH has been ascertained by the authors’ experience with pa- tients, especially in terms of safe and reliable fluid removal without marked influence on the cardiovas- cular system. CAVH is a new method for the treat- ment of chronic hemodialysis patients with severe complications.
Changes in platelet count after splenic injury. Kawa- kami M, Okada Y, Mimura K. Jpn J Acute Med 1988;12:751-755.
Changes in platelet count were studied retrospec- tively in 15 patients with splenic injury. In all of the patients, platelet counts were transiently increased in a period of 2 to 3 weeks after splenic trauma or sur- gery. In 12 of the patients, platelet counts exceeded 45 x 104/~L and thrombocytosis occurred. Thrombo-
cytosis was found in all patients who had undergone partial resection of the spleen, splenectomy with trans- plantation, or splenectomy only. However, there were no remarkable differences in the mean maxima among the three groups. Even in groups without resection of the spleen who received conservative therapy or sple- norrhaphy, two patients had thrombocytosis. This study demonstrated that increases in platelet counts were not related to the removal of splenic platelet pools, it is strongly suggested that thrombocytosis is caused by a disorder of splenic regulation of the plate- let count.
Pericarditis after acute myocardial infarction. Homma T, Mizoguchi K, Kaku N, et al. Jpn J Acute Med 1988;12:741-747.
The current incidence of pericarditis (PD) accompa- nied by acute myocardial infarction (AMI) was exam- ined. PD occurred in 59 of 140 patients (42.1%, group I); in the remaining 81 patients (group II, 57.9%) PD was not recognized. PD frequently occurred in cases of extensive anterior infarction (97%) and left ventric- ular aneurysm (22 of 23 cases). Inflammatory signs such as fever, C-reactive protein, and ESR were ob- served distinctly in the cases of group I compared with group II. Follow-up studies of ECG in anterior AM1 showed a biphasic change in negative T, with a first peak at 48 hours and a second peak at 14 days after the onset of AMI; the first peak was shallower in group I than in group II. Seventeen (29%) of 59 cases with PD developed pleural effusion; two had episodes of post- myocardial infarction syndrome. It is concluded that PD within a few days after AM1 is frequently recog- nized in the cases of extensive anterior infarction or left ventricular aneurysm with distinct inflammatory signs. Therefore, in these cases, administration of an- tiinflammatory agents in the early phase of AM1 was desirable to avoid additional inflammatory effects of PD on AMI.
A rapid screening method in acute drug poisoning (I). Hara A, Adachi S, Kondo Y, et al. Jpn J Acute Med 1988;12:733-739.
In the critical care center of the Omori Hospital at Toho University School of Medicine, the TOXI-LAB
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