Expert Pearls
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Myocardial Infarction - Allergy Allergy, including from food, may trigger a myocardial infarction. Elimination diets may be beneficial. [Circulation, October 1, 1996;94(7):1789. 25923 (1996)] Summary Interview |
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Myocardial Infarction - Antioxidant rich diet Antioxidant rich diet containing more fruits, vegetable soup, pulses, and crushed almonds and walnuts mixed with skim milk reduced plasma lipid peroxides and lactate dehydrogenase cardiac enzyme levels and increase in plasma ascorbic acid levels. [J Am Diet Assoc, July 1995;95(7):775-780. 22791 (1995)] Summary |
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Myocardial Infarction - Antioxidants Antioxidants - vitamin A 50,000 mg/d and vitamin C 1000 mg/d intravenously with glucose for three days followed by oral therapy with vitamins A 50,000 IU/d, vitamin C 1,000 mg/d, vitamin E 400 mg/d and beta-carotene 25 mg/d for a total period of 28 days resulted in a reduction of serum lipid peroxides, angina pectoris, total arrhythmias and poor left ventricular function occurred less often in the antioxidant group. Cardiac end points were significantly less in the antioxidant group. [Am J Cardiol, September 15, 1996;80(6):823-824. 28303 (1998)] Summary |
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Myocardial Infarction - arginine - 48300 Arginine 3 grams per day with breakfast. [Oxid Med Cell Lonvev, 2009 Sept-Oct;2(4):231-7. 48300 (1/2011)] Summary Interview PubMed |
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Myocardial Infarction - Carnitine Carnitine (-L) 2gm/d x 28 days post acute myocardial infarction (AMI) mean infarct size, lipid peroxides, angina pectoris, heart failure, arrhythmias and cardiac events were reduced. [Postgraduate Med J, 1995;71. 23771 (1995)] Summary |
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Myocardial Infarction - Carnitine - 2 Carnitine (-L) 5 gms I.V. bolus followed by 10 g/d I.V. [Cardiovasc Drugs Ther, 2007 Dec;21(6):445-8. 46245 (4/2008)] Summary Interview |
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Myocardial Infarction - Cod liver oil Cod liver oil 10 ml/d (i.e. approximately 0.95 g EPA and 0.80 g DHA) at least 4 weeks prior to admission reduced infarct size. [Cardiology, 1998;89:94-102. 29488 (1998)] Summary Interview |
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Myocardial Infarction - Fish oil Fish oil 5.2 gm/d increased heart rate variability in post-MI patients. [BMJ, 1996; 312:677-678. 24470 (1996)] Summary Interview |
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Myocardial Infarction - Fish oil capsules Fish oil capsules 2-3/d (i.e. approximately 0.70 to 1.10 g EPA and 0.50 to 0.75 g DHA) at least 4 weeks prior to admission reduced infarct size. [Cardiology, 1998;89:94-102. 29488 (1998)] Summary Interview |
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Myocardial Infarction - Fish oil capsules - 2 Fish oil capsules (1.08 g/day of EPA) and mustard oil (2.9 g/day of ALA) significantly reduced total cardiac events, nonfatal infarctions, total cardiac arrhythmias, angina pectoris and left ventricular enlargement. [Cardiovascular Drugs and Therapy, 1997;11:485-491. 28928 (1998)] Summary |
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Myocardial Infarction - Flavonoid Flavonoid (kaempferol and luteolin) intake lowered risk. [Nutr Metab Cardiovasc Dis. 2005 Jun;15(3):188-97. 43761 (10/2005)] Summary Interview |
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Myocardial Infarction - Homocysteine Homocysteine elevated; lower serum vitamin B12, folic acid and pyridoxal phosphate. [Nutr Metab Cardiovasc Dis. 2005 Apr;15(2):100-8. Epub 2005 Apr 14. 43604/43580 (10/2005)] Summary Interview |
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Myocardial Infarction - Homocysteinemia/homocystinuria Homocysteinemia/homocystinuria is a risk factor. [NEJM, February 2, 1995;332(5):328-329. 21740 (1996)] Summary Interview |
| Iron low in serum is predictive. [Nutr Metab Cardiovasc Dis. 2005 Jun;15(3): 188-97. 43761 (10/2005)] Summary Interview |
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Myocardial Infarction - Magnesium Magnesium content of water was inversely related to risk of myocardial infarction. [Am J Epidemiol, 1996;143(5):456-462. 24427 (1997)] Summary Interview |
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Myocardial Infarction - Magnesium retention Magnesium retention (magnesium load test) was considerably greater in both acute and subacute phases post MI. [Jpn Circ J, 2001;65:643-648. 38179 (2001)] Summary Interview |
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Myocardial Infarction - mediterranean diet - 48965 Diet - Mediterranean-style diet, defined as a diet with a high intake of fruits, vegetables, monounsaturated fat, fish, whole grains, legumes, and nuts, moderate alcohol consumption, and a low intake of red meat, saturated fat, and refined grains, was associated with a decreased risk of having a vascular event. [Am J Clin Nutr, 2011 Dec;94(6):1458-64 48965 (01/2012)] Summary Interview PubMed |
| MgSO4 32 mmols (16g) prior to percutaneous coronary intervention (PCI) - a bolus injection of 8 mmol followed by a continuous infusion of 24 mmol over 24h. [Circ J, January 2004;68:23-28. 41452 (2004)] Summary Interview |
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Myocardial Infarction - MgSO4 - 2 MgSO4 intravenously injected at a dose of 0.27 mmol/kg within 1 hour before the start of interventional treatment (0.27 mmol/kg of MgSO4 = 0.066 g/kg). [Angiology, July, 1999;50(7):573-582. 33171 (2000)] Summary Interview |
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Myocardial Infarction - MgSO4 - 3 MgSO4 2-4 gms intravenously over 20 to 60 minutes. [Internat J Cardiol, 1999; 68:133-135. 32189 (1999)] Summary Interview |
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Myocardial Infarction - MgSO4 - 4 MgSO4 22 gms (92 mmol/L) dissolved in a half liter of isotonic glucose during the first 48 hours, adjusted to 6 gms (25 mmol) of MgSO4 during the first 3 hours; thereafter 10 gms (42 mmol) during the next 21 hours; and 6 gms (25 mmol) during the last 24 hours reduced arrhythmias, conduction disturbances, congestive heart failure, in-hospital mortality, cardiogenic shock and improved left ventricular ejection fraction. [Coronary Artery Disease, 1996;7:352-358 / Magnesium Bulletin, 1995;17(3):104;75-78. 26230 (1997)] Summary Interview |
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Myocardial Infarction - MgSO4 - 5 MgSO4 50 to 60 mM during the first 24 hours followed by 10 to 20 mM of magnesium per day for the next 4 to 5 days. [Am J Cardiol, July 15, 1995;76:172-174. 22865 (1995)] Summary Interview |
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Myocardial Infarction - MgSO4 - 6 MgSO4 benefit is questionable. If given the earlier the better. [Cardiovascular Research, 1995;29:439. 22164 (1995)] Summary Interview |
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Myocardial Infarction - omega-3 fatty acids, ala, dha, epa - 49048 Omega 3 Fatty Acids - 400 mg/d of eicosapentaenoic acid (EPA) plus docosahexaenoic acid (DHA) and 2 g of alpha-linolenic acid (ALA) in margarine spread on bread showed in non-statin users a reduction in major cardiovascular events by 54%. [Eur Heart J, 2012 Feb 1; [Epub ahead of print]. 49048 (3/2012)] Summary Interview PubMed |
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Myocardial Infarction - Pet ownership Pet ownership, dogs in particular, were associated with an increased likelihood of 1 year survival of an individual who had ventricular arrhythmias after a myocardial infarction. [Am J Cardiol, 1995;76:1213-1217. 23986 (1997)] Summary Interview |
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