Anaphylaxis rarely manifests as a vasospastic acute coronary syndrome (ACS). Kounis Syndrome (KS) is described the coincidental occurrence of chest pain and clinical laboratory findings ACS. The prognosis depends on magnitude initial allergic response, patient’s sensitivity, comorbidities, site antibody antigen reaction, allergen concentration, route entrance. We report rare case KS secondary t...

acute myocardial infarction is the most important reason of mortality in iran. more than half of these deaths occur without the patient even reaching to a hospital. there is the evidence that patients with better knowledge of the symptoms of mi will seek help earlier. the purpose of this study is to determine how well a predictive model will perform based solely upon patient-reportable clinical...

Approximately 1 percent of primary care office visits are for chest pain, and 1.5 percent of these patients will have unstable angina or acute myocardial infarction. The initial goal in patients presenting with chest pain is to determine if the patient needs to be referred for further testing to rule in or out acute coronary syndrome and myocardial infarction. The physician should consider pati...

background: this study sought to access differences in long-term (9 months) outcomes between acute coronary syndrome (acs) patients who undergo early intervention compared to percutaneous coronary intervention (pci) in stable and refractory conditions. methods: data originated from tehran heart center registry- interventional cardiology (thcr-ic) and consisted of 1267 patients divided into two ...

Lofgren's syndrome is an acute form of sarcoidosis characterized by erythema nodosum, bilateral hilar lymphadenopathy (BHL), and polyarthralgia or polyarthritis. This syndrome is common among Caucasians but rare in the Korean population. A 44-year-old woman was admitted to our hospital complaining of polyarthralgia. A chest radiograph revealed BHL and nodular shadows. Angiotensin-converting enz...

BACKGROUND Managing chest pain in the emergency department remains a challenge with current diagnostic strategies. We hypothesized that cardiac MRI could accurately identify patients with possible or probable acute coronary syndrome. METHODS AND RESULTS The diagnostic performance of MRI was evaluated in a prospective study of 161 consecutive patients. Enrollment required 30 minutes of chest p...

This article describes a 28-yr-old black man with sickle cell anemia who presented with severe chest pain secondary to acute infarction of the body of the sternum, hypoventilation, and hypoxemia with no evidence of acute chest syndrome. A bone scan performed 5 days after admission revealed increased uptake in the sternum, suggesting sternal infarction. Repeat bone scan performed 2 mo later demo...

STUDY OBJECTIVE Current risk stratification tools do not identify very-low-risk patients who can be safely discharged without prolonged emergency department (ED) observation, expensive rule-out protocols, or provocative testing. We seek to develop a clinical prediction rule applicable within 2 hours of ED arrival that would miss fewer than 2% of acute coronary syndrome patients and allow discha...