Technetium-99m-pyrophosphate (99mTc-PYP) has been used, in combination with thallium-201, to estimate the site and extent of myocardial infarcts. We report a case of acute myocardial infarction with severe coronary disease in which the distribution of 99mTc-PYP was extensive. A 78-year-old man presented with dyspnea, and a diagnosis of non-ST-segment elevation acute myocar...

Abstract 86 years-old man was admitted to our ICCU for chest pain with an ECG diagnosis of atrial fibrillation and inferior STEMI. He had a history hypertension ascending aorta aneurysm (48 mm) no other known cardiovascular risk factor. reported few episodes short-duration in the last days. A fast echocardiogram excluded dissection pericardial effusion but showed hypokinesia inferolateral left ...

BACKGROUND Takostsubo (stress) cardiomyopathy (TC) is a clinical syndrome featuring transient left ventricular dysfunction and wall-motion abnormalities, usually following emotional or physical stress. The diagnosis of TC depends on fulfillment of multiple clinical criteria. Although the pathogenesis has not been firmly established, myocardial cathecholamine toxicity is thought to represent a p...

The progressive nature of coronary atherosclerotic disease is often neglected in patients submitted to percutaneous coronary intervention. Very late (> 1 year) myocardial infarctions affecting the treated myocardial territory are usually attributed to device related complications. We report the case of a patient with acute inferior wall ST-elevation myocardial infarction, who had a thrombotic o...

A 50-year-old woman presented to the operating room for repair of a left ventricular pseudoaneurysm. She had a history of cardiac sarcoidosis which had manifested as dilated cardiomyopathy and recurrent ventricular tachycardia, which was treated with an endocardial/epicardial ablation six months ago. Transesophageal echocardiography at the transgastric basal short axis view demonstrated a 4 cm ...

according to the iranian code of practice for seismic resistant design of buildings, soft storey phenomenon happens in a storey when the lateral stiffness of the storey is lower than 70% of the stiffness of the upper storey, or if it is lower than 80% of the average stiffness of the three upper stories. in the combined structural systems containing moment frames and shear walls, it is possible ...