Three-dimensional and two-dimensional echocardiography and biochemical analysis in patients with ST-segment elevation myocardial infarction percutaneously treated: relationship between LV function, remodeling and serum cardiac markers

Mlc Vieira,Ss Morhy,Af Cury,Act Rodrigues,Reu Azevedo,Lprv Costa,Eb Lira Filho,Ma Perin,Cg Mônaco,Ch Fischer,Gmp Tavares,Tr Afonso,Wa Oliveira,Jr Calatróia,Rb Romano,A Cordovil,L Guimarães,G Naccarato

doi:10.1186/cc10173

Abstract

The prognosis of patients with acute myocardial infarction (MI) concerns multiple aspects that demonstrate myocardial aggression (such as serum markers of cardiac damage), and also adaptative mechanisms relative to the acute event (ventricular remodeling).

Highlights

Noninvasive ventilation is a safe and effective method to treat acute respiratory failure, minimizing the respiratory workload and oxygenation
Many interventions are known to decrease the incidence of ventilator-associated pneumonia, which has great impact on mortality, length of stay and costs in intensive care units
One of them is the aspiration of the secretions that pool above the cuff of the endotracheal tube [1]

Summary

Introduction

Noninvasive ventilation is a safe and effective method to treat acute respiratory failure, minimizing the respiratory workload and oxygenation. Previous studies have indicated risk factors for ICU readmission; sepsis, respiratory insufficiency, medical admission, organ dysfunctions and age are associated with this outcome. Logistic regression analysis showed that need for mechanical ventilation (odds ratio = 7.76; 95% CI = 4.56 to 12.85), presence of metastasis (odds ratio = 2.87; 95% CI = 2.06 to 5.28), occurrence of acute renal failure (odds ratio = 2.92; 95% CI = 1.67 to 9.46) and higher SOFA scores 72 hours after admission (odds ratio = 6.76; 95% CI = 5.56 to 13.85) were independently associated with increased hospital mortality. Conclusion This prospective analysis of 3,400 patients with cancer needing intensive care shows high survival rates and good quality of life after ICU admission These data encourage intensive care treatment in oncologic patients to prevent, detect and cure organ dysfunction. Adult critically ill patients need invasive mechanical ventilation support due to distinct causes that vary from an elective highrisk surgery to post cardiorespiratory arrest

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Discussion

Conclusion