The absent or atypical clinical signs in elderly persons hinder the management of coronary atherosclerotic disease. The cases of myocardial ischemia without pain, the so-called asymptomatic or silent ischemia, it is more frequent in elderly patient2. Considering patients with acute coronary syndrome, as myocardial infarction with ST-segment elevation, among those under 65 years of age, only 11....

Hypoplastic coronary artery disease (HCAD) is a rare abnormality with a high rate of sudden death and poor outcome. HCAD was revealed by myocardial infarction in a teenager with objective evidence of silent ischaemia on myocardial scintigraphy. After four years of follow up, he suddenly collapsed during exercise and subsequently died. Although HCAD is very uncommon, it should be actively exclud...

acute myocardial infarction can culminate in sudden cardiac death due to cardiogenic shock and ventricular fibrillation, and also rarely due to cardiac rupture. we present a case of post-infarction myocardial rupture after thrombolytic therapy diagnosed with transthoracic echocardiography and treated with direct closure and coronary artery bypass grafting.

a survey was made to determine the knowledge of nurses working in coronary care units regarding assessing paint and rendering nursing care to clients with acute myocardial infarction in hospitals affiliated with the ministry of health services and medical education (tehran, 1995).   a total of 120 nurses working in coronary care units were selected randomly to participate in this study. the too...

background:oral cavity provides variety of surfaces for bacterial attachment and colonization. these bacteria can enter the circulatory system of the human body and become pathogenic. thus chronic oral inflammations are regarded as a potent risk factor for systemic pathologies. according to literature classic risk factors only can explain half to two thirds of cardiovascular diseases and is bel...

background: ischemic mitral regurgitation (imr) is a common complication after acute myocardial infarction (ami). we aimed to investigate the frequency of imr following first-time ami and its association with infarct location, in-hospital mortality, and complications. methods: from september 2011 to november 2012, all patients with a diagnosis of first-time acute st-elevation mi were enrolled i...

introduction: the precise time of using percutaneous coronary intervention (pci) after fibrinolytic therapy for maximum efficiency and minimum side effects is still undetermined. therefore, the present study was designed to compare the outcome of myocardial infarction (mi) patients who underwent surgical intervention (angiography and pci) within 48 hours of thrombolytic therapy or after that. m...

background and objective: obstructive sleep apnea (osa) is the most common respiratory disorder during sleep and a risk factor for myocardial ischemia. in this study, we evaluated the proportion of subjects at high risk for osa and prevalence of its predictors among patients admitted for acute myocardial infarction (mi). materials and methods : a total of 210 patients with mi admitted at the ca...