the anomalous origin of the right coronary artery (rca) as a branch from the left anterior descending artery (lad) is a very rare variation of the single coronary artery anomaly. the anomalous vessel arises from the proximal or midportion of the lad and courses anterior to the pulmonary artery trunk in most instances. in this case report, a 61-year-old woman is introduced who underwent coronary...

background abnormalities in the velocity and pattern of myocardial shortening on tissue doppler imaging (tdi) have been proposed to aid in the noninvasive diagnosis of coronary artery disease (cad). objectives we investigated the diagnostic value of post-systolic shortening (pss), a delayed ejection velocity of the myocardium after the closure of the aortic valve, on tdi in the diagnosis of cad...

spontaneous coronary artery dissection (scad) is a rare condition that can result in unstable angina, acute myocardial infarction, and sudden death. this condition may occur particularly in women during late pregnancy and in the postpartum period. we present the case of a 33-year-old african american woman, who had spontaneous left anterior descending coronary artery (lad) dissection two weeks ...

PURPOSE Inferior attenuation is a common problem in the interpretation of myocardial perfusion SPECT. We explored whether cardiovascular magnetic resonance (CMR) was a useful adjunct in differentiating between artifactual attenuation of the inferior wall and the presence of myocardial infarction and/or ischemia. METHODS We used CMR to assess resting wall motion, myocardial perfusion, and the ...

stress-induced cardiomyopathy or takotsubo cardiomyopathy is a recently increasing diagnosed disease manifested by transient apical or mid left ventricular dilation and dysfunction. this sign is similar to acute myocardial infarction but without significant coronary artery stenosis. there are important and essential differences between takotsubo cardiomyopathy and acute myocardial infarction in...

Technetium-99m-pyrophosphate (99mTc-PYP) has been used, in combination with thallium-201, to estimate the site and extent of myocardial infarcts. We report a case of acute myocardial infarction with severe coronary disease in which the distribution of 99mTc-PYP was extensive. A 78-year-old man presented with dyspnea, and a diagnosis of non-ST-segment elevation acute myocar...

acute myocardial infarction (mi) during pregnancy is rare and mi due to prinzmetal's angina is much rarer. we present a 35-year-old, obese, multigravida, and pre-eclamptic woman, who developed acute anterior wall mi at the 30th week of gestation. on coronary angiography, the second obtuse marginal branch was totally occluded and the right coronary artery (rca) was normal. three days later, she ...

BACKGROUND The location of acute myocardial infarction (MI) is an important prognostic factor for risk stratification of patients with first ST-segment elevation MI (STEMI). The main goal of this study was to compare the severity and extension of coronary involvement in inferior and anterior MI. METHODS This study reviewed angiographic reports of 579 patients with a first anterior wall STEMI ...

The presence of anomalous coronary arteries is observed in approximately 1% of patients undergoing coronary angiography (CAG). In these patients, identification of the stenotic ostium and revascularization is difficult, particularly in the emergency setting of primary percutaneous coronary intervention (PCI). Among the congenital coronary anomalies, separate anomalous origin of all the coronary...

large intercoronary communications in the absence of obstructive coronary artery disease constitute a very rare coronary artery anomaly in which there is a readily visible connection between the 2 coronary arteries with a unidirectional or bidirectional blood flow; consequently, this anomaly may be misinterpreted as a functioning collateral vessel, indicative of an unrecognized proximal coronar...