CONGRESS ABSTRACT

An 84-year-old woman with arterial hypertension, dyslipidemia, carotid atherosclerosis, and multifactorial anemia with a positive fecal occult blood test presented with worsening dyspnea, chest pain, and acute hypertensive pulmonary edema (BP 150/100 mmHg). Her medical history included PCI with DES implantation in the mid LAD and TAVI for severe…

Introduction — Simultaneous ST-elevation myocardial infarction (STEMI) and acute ischemic stroke (simultaneous cardio-cerebral infarction) is rare and challenging. Both are time-dependent and require rapid reperfusion, yet STEMI antithrombotic therapy may increase intracranial bleeding risk. Treatment sequencing should be individualized according to hemodynamic status, neurological severity, and local logistics. Case…

Introduction Management of multivessel coronary artery disease (MVD) in patients with recurrent acute coronary syndromes (ACS) remains challenging, particularly in the presence of several cardiovascular (CV) risk factors and previous percutaneous coronary interventions (PCI). Coronary bifurcation lesions further increase procedural complexity and are associated with higher risk of adverse…

ST-elevation myocardial infarction (STEMI) in patients younger than 40 years represents a distinct clinical entity compared with ACS in older populations. In this age group, traditional atherosclerotic mechanisms driven by long-standing exposure to classical cardiovascular risk factors are less prevalent, while alternative or overlapping pathophysiological processes play a more…

CLINICAL CASE A 77-year-old man was admitted to the Emergency Department with a two-hour history of chest pain and recurrent angina over the previous month. Physical examination and vital signs were unremarkable. EKG showed diffuse ventricular repolarization abnormalities and TnT was 1,200ng/L. Transthoracic echocardiography revealed preserved biventricular systolic function….

Background Out-of-hospital cardiac arrest is a major cause of mortality, most commonly related to ischemic heart disease. Rare congenital coronary anomalies may represent an uncommon but potentially lethal substrate for malignant ventricular arrhythmias. Case Presentation A 42-year-old woman with no known cardiovascular history was found unconscious in an out-of-hospital…

A 39–year–old man was admitted to emergency room for chest pain that had been ongoing for ten days. Blood pressure was 125/70 mmHg. Physical examination showed no signs of congestion or peripheral hypoperfusion Blood lactates level was 6,1 mmol/l. Electrocardiogram (image 1) revealed an inferior STEMI, right bundle block…