Von Willebrand disease (VWD), is the most common hereditary bleeding disorder (HBD) and affects approximately 1–2% of population. Type 1 accounts for 70–80% all cases involves partially reduced levels functional VWF. It usually manifested by mild to moderate mucocutaneous bleeding. A 63-yearold patient with multivessel coronary artery diagnosed Willebrand’s type after a previous NSTEMI infarcti...

the use of noninvasive assessment tools such as multi-slice ct coronary angiography (msct-ca-ca) is recently considered mainly because it offers safety, patient convenience, and faster performance. the aim of the present study was to determine the ability of msct-ca-ca for the detection of significant stenoses in the coronary arteries, in comparison to conventional invasive coronary angiography...

2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation

Anomalous coronary artery presenting with acute syndrome is relatively rare. Achilles heel of percutaneous intervention in a such patient difficult cannulation the culprit artery. Coronary CT angiography provides detailed information about origin and course anomalous A few additional like exit angle orifice configuration provided exclusively by helps appropriate hardware selection for angiograp...

INTRODUCTION AND OBJECTIVES Troponins are specific biomarkers of myocardial injury and are implicated in the diagnosis and prognosis of patients with acute coronary syndrome. Our purpose was to determine the clinical characteristics and prognosis of patients with troponin elevation who are not diagnosed with acute coronary syndrome. METHODS A total of 1032 patients with an emergency room trop...

coronary artery disease is one of the main causes of mortality in most developed countries. there is also an increasing rate of mortality in developing countries where in addition to coronary artery disease, infection diseases still not have been controlled. although, now a day coronary artery disease is responsible for half of deaths in developed countries, this regrettable event is increasing...

patients and methods we evaluated radiation exposure from initial and downstream testing in a prospectively collected, matched cohort evaluated for cp in the emergency department (ed) with either ccta compared with usual care over a median follow-up of 19.6 months. effective radiation dose was calculated using published conversion factors. results prospective, ecg-triggered acquisition using a ...

background and objectives:  the aim of this study was to survey the relationship between the level of  creatinine,cardiac troponins serum and the function of  the left ventricle in patients with  kidney insufficiency,without acute coronary syndrome.materialsand methods:the sample  was150 patients with nondialysis chronic kidney disease without  acute  coronary  syndrome,  hospitalized  at  imam...

spontaneous coronary artery dissection is a rare cause of acute coronary syndrome and sudden cardiac death. we report coronary artery dissection in a 36-year-old woman with retrosternal chest pain 2 weeks after abortion. electrocardiography showed st elevation in leads v2-v4 and st depression in the inferior leads. lab data were normal. cardiac catheterization showed a suspicious thrombotic les...