To better understand the diagnostic and prognostic effects of the STEMI clinical pathway on the treatment of STEMI patients with emergency PCI. Dividing the 285 cases in our hospital diagnosed with acute myocardial infarction by emergency diagnosis and treated with emergency PCI into two groups:

ObjectiveTo explore the clinical characteristics, diagnosis, and pathogenesis of acute aortic dissection (AD) complicated with acute pancreatitis (AP) so as to improve the diagnosis process.MethodsA case of acute AD complicated with AP was analyzed. Nine cases with the same diagnosis, including this case, were collected from the recent literatures and analyzed together. ResultsThe first clinical manifestation of this case was severe epigastric pain and the diagnosis was based mainly on imaging and laboratory results. This patient discharged voluntarily and was lost to follow-up. Of the 9 cases, 6 cases were DebakeyⅢ acute AD, 2 were DeBakeyⅠ acute AD, and one case was unknown type. All the patients were diagnosed by imaging studies and serum analyses. ConclusionsAcute AD complicated with AP is uncommon and easy to be misdiagnosed. AP may cause AP via different pathogeneses.

To investigate the diagnostic approach of patients presenting with obstructing lung disease symptoms but are unresponsive to standard therapy. we describe a case of a 22 year old male who presented with symptoms of asthma which were unresolved by prescribed treatment, further investigations

Objectives To explore the prevalence, distribution and prognosis of Atrial fibrillation on systolic dysfunction of congestive heart failure (CHF) in hospitalised patients. Methods We reviewed the medical records of 462 unselected consecutive patients with heart failure who were admitted to our Hospital between 1, 2009 to 1, 2010, patients were categorised as having systolic dysfunction with LVEF < 50% based on the results of echocardiography. We compared the 1 years clinical outcomes (stroke, myocardial infarction, unstable angina and cardiovascular death). Results AF was documented in 166 patients (36%), including 87 patients (19%) at baseline and 79 patients (17%) during subsequent follow-up with systolic dysfunction of CHF. The occurrence of AF in patients of heart failure with LVEF < 50% was associated with an increase numbers of hospitalisation and shorter time interval for readmission for CHF(P < 0.05). Conclusions AF occurred in up to 1/3 patients with systolic dysfunction of CHF. The occurrence of AF did not affect the 1 year outcomes in these patients, but increased their numbers of hospitalisation for CHF. Therefore treatment and prevention of AF have important implication in the management of patients with systolic dysfunction of CHF.