Q-wave vs non-Q-wave myocardial infarction: an oversimplified dichotomy

Article Abstract:

Specifying a heart attack as Q-wave or non-q-wave may have little effect on a patient's prognosis. A Q-wave heart attack exhibits Q waves on an electrocardiogram, while a non-Q-wave heart attack does not. The absence of a Q-wave represents less damage to the tissues of the heart than the presence of a Q-wave. Non-Q wave heart attacks include a number of different types of heart attacks, and these can often be diagnosed using heart muscle enzyme analysis. The use of Q-waves to categorize patients who have suffered a heart attack is sometimes questioned. Some studies have shown that patients who have a non-Q-wave heart attack are more likely to have a second heart attack, but other studies have failed to confirm this. Both patients who have had a Q-wave heart attack and those who have had a non-Q-wave heart attack benefit from treatment with beta-blocker drugs and aspirin.

Editorial, Electrocardiogram, Electrocardiography, Terminology

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Living alone after myocardial infarction: impact on prognosis

Article Abstract:

A follow-up of 1,234 people who had suffered a heart attack found that those who lived alone were more likely to have a second heart attack or cardiac arrest than those who lived with others. The patients were enrolled in the placebo arm of a study of the effectiveness of diltiazem in patients who have had a heart attack. At six months, 15.8% of the patients living alone had a recurrent heart attack or cardiac arrest, compared to 8.8% of the patients living with others. This risk was not related to a disrupted marriage, since recurrent heart attack or cardiac arrest was much lower in separated or divorced people living with someone than in separated or divorced people living alone.

Health aspects, Living alone

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Overcoming the false dichotomy of curative vs palliative care for late-stage HIV/AIDS: "let me live the way I want to live, until I can't"

Article Abstract:

The challenges of treating patients with advanced HIV infection and AIDS are described, based on the case of a 33-year-old patient who was diagnosed in 1992. His doctors believe he may not have complied with his drug treatment because he has a low CD count and a high viral load and is very ill. Some of the drugs had such severe side effects he had to stop taking them.

Care and treatment, Case studies, AIDS patients

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