thrombotic thrombocytopenic purpura (ttp) is a rare syndrome affecting multiple organs. there is no sufficient evidence regarding the clinical cardiac manifestations of ttp. nonetheless, pathologic cardiac involvement is quite frequent in acute ttp, which is predominantly manifested as myocardial necrosis due to coronary arteriolar microthrombosis. the present case report describes a 43-year-ol...

INTRODUCTION AND OBJECTIVES There is debate regarding the prognostic significance of the absence of significant coronary lesions in patients with non-ST-segment elevation acute myocardial infarction. We investigated long-term prognosis in a contemporary cohort of these patients. METHODS Retrospective observational study of 5203 patients with acute coronary syndrome. Propensity score matching ...

Cardiovascular diseases represent the leading cause of mortality in pregnancy. They are classified as direct (acute onset disease) or indirect (worsening of pre-existing cardiac disease). This overview is focused on acute coronary syndrome (ACS) in pregnancy and the post-partum period. ACS in this setting is a rare condition, but in the last two decades its incidence has grown. This phenomenon ...

INTRODUCTION AND OBJECTIVES The role of high-density lipoproteins in the context of acute chest pain has not been well characterized. The objective of this study was to determine the relative contribution of lipid profile to the risk of acute coronary syndrome in patients admitted to a cardiology ward for chest pain. METHODS We included all consecutive admissions in a single cardiology depart...

kawasaki disease (kd) is an acute vasculitis syndrome of unknown etiology. it occurs in infants and young children, affecting mainly small and medium-sized arteries, particularly the coronary arteries. generalized microvasculitis occurs in the first 10 days, and the inflammation persists in the walls of medium and small arteries, especially the coronary arteries, and changes to coronary artery ...

introduction takotsubo cardiomyopathy (tcmp) is a rare acute cardiomyopathy characterized by acute chest pain syndrome, similar to myocardial infarction, except that no significant stenosis is observed on coronary angiography in patients with this condition; these findings aid the diagnosis of tcmp. case presentation we discuss an unusual case of tcmp in a 45-year-old woman with complete heart ...

INTRODUCTION EKG remains a highly valuable tool for heart disease management. Corrected QT interval dispersion is a useful EKG parameter to assess prognosis in ischemic heart disease and specifically acute coronary syndrome. Understanding QT interval physiopathology helps assess importance of QT measurement in this context. Although increased QT dispersion is an ominous prognostic marker, its u...

AIM To assess the association between partners' smoking status and acute coronary syndrome in never smokers in Albania. METHODS This population-based case-control study was conducted in Tirana in the period 2003-2006. It involved 467 consecutive patients with non-fatal acute coronary syndrome and 737 controls. Only married never-smokers (169 patients with acute coronary syndrome and 323 contr...

We report the case of a 55-year-old man who presented with acute coronary syndrome due to coronary slow flow after spinal cord injury. Data regarding the causes and clinical manifestations of coronary slow flow are inconclusive, but the autonomic nervous system is believed to be at least a contributing factor. The predominant vagal activity causes vasodilation and hemostasis, which can lead to ...