Associazione Nazionale Medici Cardiologi Ospedalieri

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CONGRESS ABSTRACT

CONGRESS ABSTRACT

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A shocking debulking
Anno:
2025
An 80-year-old male patient was admitted for symptomatic congestive heart failure, presenting with progressive dyspnea (NYHA class III). He has type 2 diabetes and moderate chronic kidney disease, and his cardiological history includes post-infarction dilated cardiomyopathy, permanent atrial fibrillation, and a surgical aortic valve replacement with a bio-prosthesis. An…
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THE UNPREDICTABILITY OF UNSTABLE NON-STENOTIC PLAQUES: NOT EVERYTHING IS VISIBLE TO THE EYES
Anno:
2025
INTRODUCTION: Complications of non-stenotic unstable plaques, such as cracks, erosions, or ruptures, represent an insidious cause of ACS and are sometimes difficult to diagnose without the aid of intracoronary imaging. CLINICAL CASE: A 72-year-old male presented to the emergency department with persistent chest pain associated with cold sweating. His…
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Spontaneous coronary artery dissection during drug withdrawal crisis: a case report
Anno:
2025
Introduction: SCAD is an important cause of MI and accounts for up to 35% of ACS. While SCAD due to psychiatric disorders has been reported in the literature, SCAD during the management of drug withdrawal has not. Case report: A 47-year-old male was admitted to the ED of “San Giuseppe Moscati”…
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FROM PERICARDIECTOMY TO TRICUSPID VALVE INTERVENTION
Anno:
2025
A 74-year-old woman presented with worsening dyspnea and leg swelling (NYHA IV) for one week. The patient had known arterial hypertension, diabetes mellitus II, AFib, moderate tricuspid insufficiency (TI), right HF requiring many hospitalizations, newly discovered radiation-induced constrictive pericarditis. Comorbidities included breast cancer treated with quadrantectomy and radiotherapy, restrictive…
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Real World Features of patients affected by isolated tricuspid regurgitation under evaluation for transcatheter interventions
Anno:
2025
Background and Aim: Proper recognition of ideal candidates for transcatheter tricuspid interventions (TTVI) represents a challenge for general practitioner, cardiologist and cardiac surgeons. Herein we reviewed clinical features of patients underwent screening for TTVI in a dedicated outpatient clinic. Methods: Thirty-eight patients (2021-2024; median age 81 y.o, 65% female)…
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Spontaneous Internal Mammary Artery Graft Dissection causing anterior STEMI
Anno:
2025
A 71 years old patients with an history of CABG with LIMA (left internal mammary artery) to LAD (left anterior descending artery) 20 years ago and multiple PCI was admitted to our department for prolonged rest angina (more than one hour) and vomit. The previous week he suffered from…
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MANAGEMENT AND OUTCOME OF SPONTANEOUS CORONARY ARTERY DISSECTIONS: A SINGLE- CENTRE EXPERIENCE
Anno:
2025
Background. Spontaneous Coronary Artery Dissection (SCAD) is a cause of acute coronary syndrome (ACS), predominantly affecting young women. Optimal management of SCAD, particularly concerning revascularization versus conservative therapy, and the role of pharmacological treatments remains unclear.  Aims. To further investigate the diagnosis and management of this condition and to assess the…
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A mysterious chair–induced dyspnea
Anno:
2025
A 78 year old woman was admitted to emergency room for acute respiratory failure hypoxemic normocapnic.  In past medical history: ischemic stroke; in the last month 3 episodes of absence in sitting position.  In blood tests normal values ​​of d–dimer and NT–proBNP; no evidence of lung disease on chest…
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Management of CIED-Related Tricuspid Regurgitation: A Tailored Approach with Heterotopic Single-Valve Stent
Anno:
2025
A 72 year old male presented to the emergency department with a two-week dyspnea, asthenia, and fever. His medical history included non-ischemic dilated cardiomyopathy, chronic kidney disease, previous left jugular vein thrombosis, COPD, and CRT-D implantation for primary prevention with recent re-implantation due to device pocket erosion. On admission,…
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IVUS-Guided PCI for In-Stent Restenosis Using Cutting Balloon and Drug-Coated Balloon: A Case Report
Anno:
2025
Introduction In-stent restenosis (ISR) in calcified lesions poses a significant challenge in percutaneous coronary intervention (PCI). Adequate lesion preparation is crucial to optimize treatment efficacy, particularly when considering Drug-Coated Balloon (DCB) angioplasty. Here, we describe a case in which lesion preparation with Cutting Balloon (CB) facilitated calcium modification, enhancing…
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