abstract background: acute coronary syndrome is the most common disease in the world. several studies suggest that hyperglycemia is associated with poor clinical outcomes in patients with coronary artery disease. the aim of this study was to investigate the impact of insulin infusion protocol and conventional therapy on the blood glucose level and outcomes in acute coronary syndrome patients wi...

background: the purpose of this research was to determine the relation between negative or positive qualitative troponin i test and the short term prognosis of patients presenting to emergency department with chest pain or angina equivalent symptoms. methods: we assessed the qualitative rapid troponin i in patients with chest pain or angina equivalent symptoms after at least 4 hours and then we...

conclusions a significant proportion of coronary atherosclerotic plaques in cadavers with confirmed acute myocardial infarction were detected to be infected with cytomegaloviruses while no infections of c. pneumoniae and h. pylori were detected. patients and methods sixty cadavers in two equal groups were analyzed. acute myocardial infarction group included cadavers with acute myocardial infarc...

congenital absence of left circumflex artery is a rare congenital anomaly of the coronary arteries. the prevalence of the anomaly in different studies ranges from 0.6% to 1.3%. of these, 80% are benign and asymptomatic and 20% are clinically important. we report a 56-year-old man presented with acute resting chest pain who was diagnosed as having acute anterolateral infarction accompanied by el...

BACKGROUND Hyperkalemia is a common electrolyte abnormality and has well-recognized early electrocardiographic manifestations including PR prolongation and symmetric T wave peaking. With severe increase in serum potassium, dysrhythmias and atrioventricular and bundle branch blocks can be seen on electrocardiogram. Although cardiac arrest is a worrisome consequence of untreated hyperkalemia, rar...

echocardiography is a non-invasive diagnostic technique which provides information regarding cardiac function and hemodynamics. it is the most frequently used cardiovascular diagnostic test after electrocardiography and chest x-ray. however, in a patient with acute chest pain, transthoracic echocardiography is essential both for diagnosing acute coronary syndrome, zeroing on the evaluation of v...

Apical hypertrophic cardiomyopathy (HCM) or Yamaguchi syndrome is a relatively rare subtype of HCM characterized by left ventricular apex localization the hypertrophy. In this case, chest pain can be erroneously interpreted as manifestation coronary artery disease. This article presents two cases apical in patients admitted with diagnosis acute syndrome. Electrocardiogram revealed repolarizatio...

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 ...