'Rescue' after failed thrombolysis for acute myocardial infarction.

Abstract:

:Prompt restoration of coronary artery patency in acute myocardial infarction is associated with substantial improvements in morbidity and mortality. The pivotal role of thrombolysis and aspirin in achieving these goals is well established. However, despite the success of thrombolytic therapy in large trials, clinical assessment in individual patients often suggests that reperfusion has not occurred after initial therapy. This review considers the validity of such bedside predictions and discusses whether such patients should be managed differently.

journal_name

Postgrad Med J

authors

Mahy IR,Jennings KP

doi

10.1136/pgmj.74.872.355

subject

Has Abstract

pub_date

1998-06-01 00:00:00

pages

355-7

issue

872

eissn

0032-5473

issn

1469-0756

journal_volume

74

pub_type

杂志文章,评审
  • Amniotic fluid embolism and disseminated intravascular coagulation complicating hypertonic saline-induced abortion.

    abstract::Amniotic fluid embolism (AFE) associated with disseminated intravascular clotting (DIC) is usually fatal. Such a combination generally occurs at the term of pregnancy or in the immediate postpartum period. A case of AFE with DIC following a hypertonic-saline-induced abortion, is reported. The patient was in the midtri...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.59.688.127

    authors: Ballas S,Lessing JB,Michowitz M

    更新日期:1983-02-01 00:00:00

  • Alcoholic liver disease.

    abstract::Alcohol is a major cause of liver cirrhosis in the Western world and accounts for the majority of cases of liver cirrhosis seen in district general hospitals in the UK. The three most widely recognised forms of alcoholic liver disease are alcoholic fatty liver (steatosis), acute alcoholic hepatitis, and alcoholic cirr...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pmj.76.895.280

    authors: Walsh K,Alexander G

    更新日期:2000-05-01 00:00:00

  • What's in a smile? A review of the benefits of the clinician's smile.

    abstract::For millennia, the smile has been recognised as a powerful communication device, offering benefits to both giver and receiver with few drawbacks. A sign of compassion, empathy and friendliness, smiling can benefit healthcare professionals and their patients, helping to build a relationship of trust. But beware the fal...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/postgradmedj-2018-136286

    authors: Beamish AJ,Foster JJ,Edwards H,Olbers T

    更新日期:2019-02-01 00:00:00

  • Biliary peritonitis secondary to perforation of common bile duct: an unusual presentation of chronic calcific pancreatitis.

    abstract::Common bile duct perforation causing biliary peritonitis is an unusual entity and a pancreatic calculus causing this perforation is all the more rare, and to our knowledge has not been reported previously. Such an unusual presentation of chronic calcific pancreatitis is herein reported. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.68.804.837

    authors: Kumar A,Kataria R,Chattopadhyay TK,Karak PK,Tandon RK

    更新日期:1992-10-01 00:00:00

  • Caverno-saphenous shunt in the treatment of priapism.

    abstract::The painful pathological condition of the penis, priapism, is usually associated with serious destructive changes which lead to impotence if treatment is with-held or delayed. Conservative therapy is slow, uncertain and usually ineffective. Early surgical decompression of the corpora cavernosa, repeated if necessary, ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.57.664.132

    authors: Ihekwaba FN,Lawani J

    更新日期:1981-02-01 00:00:00

  • Surgical emphysema and pneumomediastinum in a child following minor blunt injury to the neck.

    abstract::Largyngotracheal and pharyngoesophageal tears following minor blunt trauma to the neck are uncommon. A child with such an injury is reported and the modes of diagnosis and management are discussed. Patients may initially present with minimal signs and symptoms, but their condition may deteriorate rapidly or insidiousl...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.75.887.548

    authors: Back GW,Banfield G

    更新日期:1999-09-01 00:00:00

  • Drug interaction with anti-mycobacterial treatment as a cause of clopidogrel resistance.

    abstract::The case is reported of a patient presenting with recurrent acute myocardial infarction due to stent thrombosis resulting from possible clopidogrel resistance caused by interaction between clopidogrel and anti-tuberculosis drugs. A brief overview of drug interaction as a risk factor for clopidogrel resistance is given...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.2007.065193

    authors: Srinivasan M,Smith D

    更新日期:2008-04-01 00:00:00

  • Immunogenicity of a recombinant DNA hepatitis B vaccine in neonates.

    abstract::Infants of HBsAg-positive mothers (Group I) as well as those born to women without HBV markers (Group II) were vaccinated with a 10 micrograms dose of a recombinant DNA hepatitis B vaccine within 24 hours after birth according to a 0, 1, and 2 month schedule, with a booster dose planned 12 months later. Vaccination re...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:

    authors: Meheus A,Alisjahbana A,Vranckx R,Sukadi A,Usman A,Ngantung W,Sugita E,Safary A,André F,Reniers J

    更新日期:1987-01-01 00:00:00

  • Why paleomedicine is useful for medical education.

    abstract::What is the place of medico-historical cases in the professional practice of the disciplinary field of medicine and biology? How can these patients from the past be used for teaching and continuing medical education? How to justify their place in biomedical publications? In this article, we explain all the legitimacy ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/postgradmedj-2020-137804

    authors: Charlier P,Donnell S,Lippi D,Nerlich A,Asensi V,Perciaccante A,Appenzeller O,Bianucci R

    更新日期:2021-02-01 00:00:00

  • Cardiac troponin: more than meets the eye.

    abstract::Exercise is known to have a vast array of health benefits. It may however confer delirious effects on most body systems, with the cardiovascular system taking particular prominence. Athletes in particular are known to be at a higher risk for sudden cardiac death as a result of several cardiac adaptations which take pl...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/postgradmedj-2017-134984

    authors: Abela M,Sammut L

    更新日期:2017-12-01 00:00:00

  • Hypogammaglobulinaemia associated with long term, low dose steroid therapy.

    abstract::Repeated pneumonia and hypogammaglobulinaemia was associated with long term low dose steroid therapy. Clinical improvement with restoration of antibody levels followed substitution of aerosol for oral therapy. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.61.716.523

    authors: Lee RJ,Fay AC

    更新日期:1985-06-01 00:00:00

  • Psychiatric morbidity in primary hyperparathyroidism.

    abstract::Psychiatric symptoms are well recognized as a feature of patients with primary hyperparathyroidism. We have applied a standardized psychiatric interview to 15 patients before and after surgery. Thirteen had a lower 'psychiatric score' (less psychiatric morbidity) after surgery and improvements were particularly seen i...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.65.767.628

    authors: McAllion SJ,Paterson CR

    更新日期:1989-09-01 00:00:00

  • Congestive cardiomyopathy and endobronchial granulomas as manifestations of Churg-Strauss syndrome.

    abstract::Churg-Strauss syndrome is a systemic vasculitis. Its most frequent complications are heart diseases and asthma. Usually, cardiological manifestations are pericarditis, cardiac failure and myocardial infarction. Endobronchial granulomas identified by bronchoscopy are unusual. We present the case of a man with congestiv...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.71.836.365

    authors: Alvarez-Sala R,Prados C,Armada E,Del Arco A,Villamor J

    更新日期:1995-06-01 00:00:00

  • Paradoxical embolism associated with oral contraceptives: an underdiagnosed lesion?

    abstract::A case of cerebral embolism is described in which paradoxical features have been proved clinically, and which may explain some hitherto unaccountable reported cases, and suggests the value of prospective studies. A successful outcome of such a proved case, associated with oral contraceptives, does not appear to have b...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.55.644.419

    authors: de Swiet J

    更新日期:1979-06-01 00:00:00

  • Interaction studies and other investigations of the pharmacology of propofol ('Diprivan').

    abstract::The anaesthetic properties of propofol ('Diprivan') have been described previously. This report summarizes additional studies designed to investigate some aspects of the general pharmacology of propofol. Following recovery from anaesthesia with propofol there was no evidence of any central anticholinergic or anticonvu...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: Glen JB,Hunter SC,Blackburn TP,Wood P

    更新日期:1985-01-01 00:00:00

  • An evaluation of combining thiopentone and etomidate for the induction of anaesthesia.

    abstract::The characteristics of three combinations of thiopentone and etomidate [in the ratios of thiopentone (mg):etomidate (mg) of 5:1, 13:1 and 25:1] have been compared with the individual agents alone for the induction of anaesthesia. The incidence of pain on injection and abnormal movements was less with the combination c...

    journal_title:Postgraduate medical journal

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/pgmj.66.777.539

    authors: Slater RM,Pollard BJ,Young TM,Hunt LP

    更新日期:1990-07-01 00:00:00

  • Spinal reconstruction for symptomatic thoracic haemangioma using a titanium cage.

    abstract::Most vertebral haemangiomas are asymptomatic. A case of spinal reconstruction for symptomatic extraosseous thoracic haemangioma using a titanium cage is reported. Radiographs of the T11 vertebra demonstrated characteristic vertical striations. Magnetic resonance imaging and computed tomography showed spinal cord compr...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pmj.78.923.559

    authors: Ogura T,Mori M,Hayashida T,Osawa T,Hase H

    更新日期:2002-09-01 00:00:00

  • Jaundice following warfarin therapy.

    abstract::A case of intrahepatic cholestatic jaundice following warfarin therapy is described. The patient made a complete recovery on withdrawal on the drug. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.56.659.671

    authors: Jones DB,Makepeace MC,Smith PM

    更新日期:1980-09-01 00:00:00

  • Economic evaluation of gastric ulcer prophylaxis in patients with arthritis receiving non-steroidal anti-inflammatory drugs.

    abstract::This study assesses the economic benefits of misoprostol in the prophylaxis of gastric ulcers larger than 0.3 cm in patients with osteoarthritis receiving non-steroidal anti-inflammatory drugs. Independent epidemiological data were obtained for patients in Scotland and the West Midlands. Co-diagnosis of arthritis with...

    journal_title:Postgraduate medical journal

    pub_type: 临床试验,杂志文章

    doi:10.1136/pgmj.66.778.639

    authors: Knill-Jones R,Drummond M,Kohli H,Davies L

    更新日期:1990-08-01 00:00:00

  • Fatal tension pneumoperitoneum due to aerophagy.

    abstract::A case of fetal tension pneumoperitoneum following gastric perforation due to aerophagy is described. Comment is made on the probably pathogenesis. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.56.657.516

    authors: Hutchinson GH,Alderson DM,Turnberg LA

    更新日期:1980-07-01 00:00:00

  • Health benefits from devolution in England: international lessons.

    abstract::The Chancellor of the Exchequer's recent announcements to devolve decision making power from Whitehall to 30 English regions provide a challenge to use devolution to deliver more favourable health outcomes. However evaluation of devolved health models internationally is scarce, because it is rarely considered. Evidenc...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/postgradmedj-2015-133894

    authors: Doyle Y,Johnstone P

    更新日期:2016-05-01 00:00:00

  • A clinical trial using co-trimoxazole in an attempt to reduce wound infection rates in dog bite wounds.

    abstract::One hundred and thirteen patients were entered into a randomized, prospective double-blind, placebo controlled trial to assess the use of co-trimoxazole in reducing wound infections after dog bites. Although there was a reduction in the wound infection rate from 13.8% in the placebo group to 5.5% in the treatment grou...

    journal_title:Postgraduate medical journal

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/pgmj.61.717.593

    authors: Jones DA,Stanbridge TN

    更新日期:1985-07-01 00:00:00

  • Analysis of 23 364 patient-generated, physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned from Sweden.

    abstract:CONTEXT:In Sweden, patient malpractice claims are handled administratively and compensated if an independent physician review confirms patient injury resulting from medical error. Full access to all malpractice claims and hospital discharge data for the country provided a unique opportunity to assess the validity of pa...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,多中心研究

    doi:10.1136/qshc.2007.022897

    authors: Pukk-Härenstam K,Ask J,Brommels M,Thor J,Penaloza RV,Gaffney FA

    更新日期:2009-02-01 00:00:00

  • Therapy of fungal infections of the central nervous system.

    abstract::Fungal infections of the central nervous system present a considerable challenge to available chemotherapy and other forms of treatment. The particular difficulties are discussed here, after an account of the fungi involved and their sensitivity to antifungal agents. Cryptococcal, coccidioidal and candidal infections ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.55.647.615

    authors: Speller DC

    更新日期:1979-09-01 00:00:00

  • Rectal bleeding in the first month of life.

    abstract::Sixty-nine infants were examined who presented with rectal bleeding in the first month of life. In 64% of these children no cause was found. Infantile diarrhoea, haemorrhagic disease of the newborn and anal fissure were the most common diagnoses made. The mortality in the entire group was less than 3%. It is concluded...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.55.639.22

    authors: Levene MI

    更新日期:1979-01-01 00:00:00

  • Is non-steroidal anti-inflammaory drug (NSAID) enteropathy clinically more important than NSAID gastropathy?

    abstract::The side effects of conventional non-steroidal anti-inflammatory drugs (NSAIDs) on the stomach is undoubtedly a serious public health problem contributing significantly to the morbidity and mortality of patients receiving these drugs. However, the damage of NSAIDs is not confined to the stomach. Indeed the short term ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pgmj.2005.039586

    authors: Adebayo D,Bjarnason I

    更新日期:2006-03-01 00:00:00

  • Persistent nephrogenic diabetes insipidus, tubular proteinuria, aminoaciduria, and parathyroid hormone resistance following longterm lithium administration.

    abstract::We report a patient who developed persistent nephrogenic diabetes insipidus associated with renal tubular acidosis, renal resistance to parathyroid hormone, aminoaciduria and proximal tubule pattern proteinuria in the presence of a reduced glomerular filtration rate (19-24 ml/min). A review of the previous reports of ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.66.776.479

    authors: Neithercut WD,Spooner RJ,Hendry A,Dagg JH

    更新日期:1990-06-01 00:00:00

  • Propranolol in patients with acute myocardial infarction at the Royal Melbourne Hospital from 1965: a review.

    abstract::This review presents our experience in the use of propranolol in the management of cardiac infarction. The drug has now been shown to have a definite place, not only in the prevention of cardiac infarction, but also in the treatment of some of the complications. The drug has also been advocated because it may minimiz...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:

    authors: Sloman G,Hunt D,Ross D

    更新日期:1976-01-01 00:00:00

  • Percutaneous endoscopic gastrostomy in elderly patients.

    abstract::Percutaneous endoscopic gastrostomy (PEG) was performed on 28 elderly patients (mean age 82 years) who were dysphagic and intolerant of naso-gastric feeding. Twenty-six patients were recovering from a stroke; the interval between the onset of stroke and PEG averaged 63 days. The procedure was successful and well toler...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.67.786.371

    authors: Finucane P,Aslan SM,Duncan D

    更新日期:1991-04-01 00:00:00

  • Recurrent sub-mucosal dissection of the oesophagus in association with achalasia.

    abstract::Submucosal dissection of the oesophagus is a rare oesophageal disorder. We report a patient who had recurrent episodes of dissection and achalasia. Both recurrence and the association with achalasia are to our knowledge unique. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.62.732.955

    authors: Hooper TL,Gholkar J,Smith SR,Manns JJ,Moussalli H

    更新日期:1986-10-01 00:00:00