Exercise stress testing is an important diagnostic tool for the evaluation of suspected or known cardiac disease. In 2002, the American College of Cardiology (ACC) and the American Heart Association (AHA) revised their guidelines for exercise testing. Ten categories from the ACC/ AHA 1997 guidelines were modified: ST heart rate adjustment, unstable angina, older patients, acute coronary syndrom...

thrombotic thrombocytopenic purpura (ttp) is a rare syndrome affecting multiple organs. there is no sufficient evidence regarding the clinical cardiac manifestations of ttp. nonetheless, pathologic cardiac involvement is quite frequent in acute ttp, which is predominantly manifested as myocardial necrosis due to coronary arteriolar microthrombosis. the present case report describes a 43-year-ol...

acute myocardial infarction (mi) during pregnancy is rare and mi due to prinzmetal's angina is much rarer. we present a 35-year-old, obese, multigravida, and pre-eclamptic woman, who developed acute anterior wall mi at the 30th week of gestation. on coronary angiography, the second obtuse marginal branch was totally occluded and the right coronary artery (rca) was normal. three days later, she ...

AFRICA 37 with medical therapy and referred for coronary artery bypass grafting. discussion KD is a febrile disorder of unknown cause with multiple systemic manifestations, affecting primarily infants and young children. 4 First described in Japan by Kawasaki in 1967 as acute mucocutaneous lymph node syndrome, it has been reported with increasing frequency around the world. Involvement of the h...

the coronary slow flow phenomenon (csfp) is characterized by a delayed coronary blood flow in the absence of an obstructive coronary artery disease. although the relation between the csfp and myocardial ischemia has been reported previously, there is no knowledge about the relationship between the csfp and the conduction system disorder. in this case report, we describe a patient with the csfp ...

conclusions no significant variance was observed among patients underwent for cardiac catheterization, stemi, nstemi, unstable angina, and atrial fibrillation with respect to ft4, ft3, and tsh levels during coronary care unit hospitalization based on their profile data. results excluding those taking thyroid hormone preparations, 76.7% of patients admitted with acute coronary heart disease (st-...

background : despite many progresses in the improvement of care status and the management of acute coronary syndrome, cares quality is far from the desirable conditions. today, due to the great emphasis on resources management, costs control, the effectiveness of patient care, improving quality and responsibility, the good patient care is necessary. two dimensions are referred for improving the...

The panic attack is able to mimic the clinical presentation of an acute coronary syndrome (ACS), to the point of being clinically indistinguishable without appropriate investigations. However, the literature actually demonstrates that the 2 conditions are more related than just being differential diagnoses. Through a review of the literature involving epidemiological studies, randomised control...