INTRODUCTION AND AIMS We describe the clinical characteristics, management and outcomes of patients hospitalized with acute heart failure in a south-west European cardiology department. We sought to identify the determinants of length of stay and heart failure rehospitalization or death during a 12-month follow-up period. METHODS AND RESULTS This was a retrospective cohort study including all...

A 50-year-old man presented to his local emergency department with acute-onset retrosternal chest pain associated with nausea. Five years previously, he had undergone primary percutaneous coronary intervention for the management of ST-segment myocardial infarction and received a 3.0 18 MultiLink Vision bare metal stent to an occluded proximal circumflex. On arrival in the emergency department, ...

BACKGROUND Patients with non-ST-elevation acute coronary syndrome complicated by congestive heart failure (CHF) have a poor prognosis. The aims of this study were to describe the use of revascularization in non-ST-elevation acute coronary syndrome and CHF and to analyze its impact on survival. METHODS AND RESULTS In the Global Registry of Acute Coronary Events, 29 844 patients with non-ST-ele...

Coronary artery anomalies are rare and mostly silent in clinical practice. First manifestation of this congenital abnormality can be devastating as syncope, acute coronary syndrome, and sudden cardiac death. Herein we report a case with coronary artery anomaly complicated with ST segment myocardial infarction in both inferior and anterior walls simultaneously diagnosed during primary percutaneo...

A 31 year old man with a 17-year-history of drug abuse (heroine and cannabis) was admitted with recurrent chest pain over a period of about three weeks. Chest discomfort severely worsened during the 5 hours before hospital admission. Electrocardiography revealed poor R-wave progression and non specific repolarization abnormalities. Echocardiography showed extensive left ventricular anterior and...

Spontaneous coronary artery dissection not associated with underlying coronary artery disease is rare. When the dissection does occur, it most often is manifested as an acute ST-elevation myocardial infarction in young women. Although the condition can occur in men, most often it involves women who are in their third trimester of pregnancy or the early postpartum period or are engaging in vigor...

background : coronary artery diseases are one of the causes of early death all over the world. in developed countries, ischemic heart disease is responsible for the half of the entire mortalities; however in developing countries it is estimated from 9 million deaths per year annually 32 percent of all deaths due to coronary artery disease. acute coronary syndromes are responsible for over 250,0...

Spontaneous coronary artery dissection (SCAD) is an uncommon cause of acute coronary syndromes and still remains as a clinical dilemma for the cardiologists. There are almost 250 cases in the literature and most of them are about female patients. Etiology and optimal treatment have not yet been well defined. Although coronary artery disease, pregnancy induced hormonal changes, cystic medial deg...

Introduction In this study we aimed to investigate the relationship between thyroid hormone abnormalities and major cardiovascular events and sudden cardiac death at 3 and 6 months after discharge in patients who were admitted to the Emergency Department with acute coronary syndrome. Methods The study group included 110 patients without known thyroid dysfunction who were referred to the Emergen...

background: the smokers who use supportive programs have a greater chance to quit smoking. smoking cessation recommendation is one of the most important prevention and treatment methods mentioned in care guidelines provided for patients with acute coronary syndrome. aim: the main objective of this study is to determine the effects of training-counseling programs on smoking cessation in patients...