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Shock Complicating Acute Myocardial Infarction during Hot Weather

Published online by Cambridge University Press:  28 June 2012

Jiri Kolar
Affiliation:
From the Coronary Care Unit, Al-Sabah Hospital, Kuwait.
Sudhir K. Bhatnagar
Affiliation:
From the Coronary Care Unit, Al-Sabah Hospital, Kuwait.
Abdul Razak Al-Yusuf
Affiliation:
From the Coronary Care Unit, Al-Sabah Hospital, Kuwait.

Extract

Shock appears to complicate acute myocardial infarction (AMI) more often during the hot summer in Kuwait, than it does in winter. The aim of this study was to define the forms of shock, investigate its frequency, and evaluate the effects of fluid therapy.

Material and Methods

In a 3 month period during the hot summer of 1980, 21 shock patients (pts.) (18 male, 3 female) with AMI were studied. Their average age was 55 years (yrs.) (range 30–82), all had definite AMI (18 anterior, 3 inferior) and at least 3 known criteria of shock. Observations were made for 24 hours (hrs.) in the CCU, within one hour of admission. Initial hemodynamic pressures were obtained and hemoglobin (Hb), hematocrit (Hct) and serum glutamic oxaloacetic transaminase (SGOT) on blood samples were estimated.

Type
Part II: Clinical Care Topics
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1985

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