conclusions mortality from papillary muscle rupture remains elevated. survival largely depends on the early surgical repair or the replacement of the mitral valve. case presentation a 71-year-old woman presented to an outside hospital complaining of chest pain and shortness of breath. an electrocardiogram was obtained and revealed depression of the st segments from leads v1 to v4. troponin i wa...

The hypothesis that anterior ST segment depression represents concomitant posterior infarction was tested in 49 patients admitted with a first transmural inferior myocardial infarction. Anterior ST depression was defined as 0.1 mV or more ST depression in leads V1, V2 or V3 on an electrocardiogram recorded within 18 hours of infarction. Serial vectorcardiograms and technetium pyrophosphate scan...

We report the case of a man who presented with acute anterior myocardial infarction and in whom the coronary angiogram showed tight stenosis of the left anterior descending coronary artery and the right coronary artery associated with substantial coronary-pulmonary fistulas involving all three major coronary arteries. We discuss the possible links between coronary artery fistulas and myocardial...

A 23-year-old female with the diagnosis of idiopathic thrombocytopenic purpura (ITP) was admitted to our hospital with severe chest pain. The electrocardiogram (ECG) revealed acute anterior myocardial infarction. She underwent an immediate cardiac catheterization. An occluded left anterior descending (LAD) was detected by coronary angiography. Reperfusion was performed successfully by angioplas...

A patient with acute anterior myocardial infarction was treated with intracoronary thrombolysis. At cardiac catheterisation the first contrast injection into the left coronary artery dislodged some of the thrombus occluding the left anterior descending coronary artery. The thrombus embolised into the circumflex artery where fortunately it fragmented without causing occlusion. The risk of detach...

This experimental study was performed to evaluate the possibility that the site per se of infarction or ventricular aneurysm after acute myocardial infarction had a unique important role in left ventricular function. Acute myocardial infarction and ventricular aneurysm were made in either the anterior or the inferior wall of the left ventricle using 24 dogs. Infarction was made by the multiple ...

Pericarditis with pericardial effusion in acute coronary syndrome is seen in patients with ST-elevation myocardial infarction specifically when infarction is anterior, extensive, and Q wave. It is very uncommon to have pericardial effusion in a patient with non-ST-elevation myocardial infarction. We present an elderly hypertensive patient who was diagnosed as non-ST-elevation myocardial infarct...