A 40-year-old man was admitted to our hospital for chest pain after smoking. Coronary computed tomography angiography showed severe stenosis in the left anterior descending artery. The stenosis site had no plaque on stretched curved multiplanar reconstruction and short-axis images. Coronary angiography revealed improvement of the severe stenosis after the intracoronary administration of isosorb...

background abnormalities in the velocity and pattern of myocardial shortening on tissue doppler imaging (tdi) have been proposed to aid in the noninvasive diagnosis of coronary artery disease (cad). objectives we investigated the diagnostic value of post-systolic shortening (pss), a delayed ejection velocity of the myocardium after the closure of the aortic valve, on tdi in the diagnosis of cad...

The patient was a 62-years-old man that known case of hypertension for 15 years and had history cerebrovascular accident 10 days ago admitted to our hospital due chest pain dyspnea, after evaluation workups, coronary angiography revealed an absence left circumflex artery with right dominancy.

INTRODUCTION Takotsubo cardiomyopathy also known as transient left ventricular apical ballooning, stress-induced cardiomyopathy can present with retrosternal chest pain with EKG changes that can mimic a myocardial infraction. CASE PRESENTATION We present a 68 female with sudden onset retrosternal squeezing chest pain with positive cardiac enzymes and EKG changes suggestive of acute ST-elevati...

A 54-YEAR-OLD restrained driver was involved in a rollover motor vehicle crash and came to the emergency department complaining of shortness of breath, left pleuritic chest pain, and back pain. Her vital signs included the following: heart rate, 73 beats/ min; blood pressure, 172/102 mm Hg; and respirations, 18/min. Although the patient’s breath sounds were decreased on the left side, her oxyge...

A 36-year-old man presented to our emergency department complaining of right-sided chest pain after a motor vehicle collision. Physical examination revealed bilateral breath sounds and a supine chest radiograph was unremarkable. A 10-5 MHz linear transducer (SonoSite MicroMaxx, Bothell, WA, USA) was used to obtain ultrasound images at the patient’s left anterior chest wall [Figure 1], right ant...

The prevalence of coronary artery stenoses 2 70% or left main stenosis > 50% was evaluated in 20,391 patients who underwent angiography in the Coronary Artery Surgery Study from 1975-1979. After the patients with unstable angina or myocardial infarction were excluded, the disease prevalence in the 8157 patients with definite angina, probable angina, and nonspecific chest pain was 93%, 66% and 1...