Associazione Nazionale Medici Cardiologi Ospedalieri

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CONGRESS ABSTRACT

CONGRESS ABSTRACT

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AN OUT OF HOSPITAL CARDIAC ARREST SURVIVOR WITH PRESUMED EMBOLIC MYOCARDIAL INFARCTION: ROLE OF MULTI-MODALITY IMAGING.
Anno:
2024
Background: Myocardial infarction with non-obstructive coronary arteries (MINOCA) refers to a puzzling clinical entity that is characterized by symptoms suggestive of acute coronary syndrome, demonstrates troponin elevation with inconclusive coronary angiogram. The underlying pathophysiologic mechanisms include atherosclerotic cause or non-atherosclerotic causes, such as coronary dissection or coronary embolus. A…
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A CURIOUS CASE OF CRYPTOGENIC MYOCARDIAL INFARCTION
Anno:
2024
INTRODUCTION: Myocardial Infarction with Non-Obstructive Coronary Artery disease (MINOCA) is an increasingly recognized clinical entity requiring a comprehensive and precise work-up to detect the correct diagnosis and to appropriately institute treatment strategies. We report a case explanatory of a rare cause of MINOCA, highlighting the importance of a comprehensive…
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AN UNCOMMON CASE OF MINOCA
Anno:
2024
We report the case of a 51 year old male, smoker of about 20 cigarettes/day and with history of uninvestigated headache. In March 2023 he arrived in the Emergency Department for oppressive retrosternal chest pain radiating to the left arm; the electrocardiogram (ECG) showed sinus rhythm, no acute ST…
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Naphazoline abuse: a rare case of MINOCA
Anno:
2024
Nasal vasoconstrictors are some of the most widely used over-the-counter drugs, considered by many consumers as relatively safe with few significant side effects. At recommended dosage, the drug produces local vasoconstriction in nasal mucous membranes. However, the use of such drugs has been linked to cardiovascular adverse effects, including…
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A “paradoxical” MINOCA
Anno:
2024
Background: The acronym MINOCA refers to myocardial infarction with normal or near-normal coronary arteries on invasive angiography. We report a case of MINOCA caused by paradoxical coronary embolism due to a right-to-left shunting through a patent fossa ovalis. Integrated multimodality imaging diagnostic work-up has been crucial for identifying the…
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AORTIC VALVE FIBROELASTOMA PRESENTING WITH MYOCARDIAL INFARCTION WITH NON-OBSTRUCTIVE CORONARY ARTERIES (MINOCA)
Anno:
2024
A 35-year-old woman with known mitral valve prolapse and history of migraine presented to the Emergency Department because of several episodes of chest pain in the previous three days arising at rest and followed by spontaneous relief within few minutes. No electrocardiographic abnormalities were found but an oscillating trend…
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“A BROKEN TRANSPLANTED HEART”: A CASE OF TAKOTSUBO SYNDROME IN A HEART TRANSPLANT RECIPIENT
Anno:
2024
75-year-old female patient went to the emergency department for oppressive chest pain radiating to the left arm and dyspnea, developed after an argument with family members. The patient underwent heart transplant in 2010 because of chronic ischemic heart disease. In history: systemic arterial hypertension, former smoking, dyslipidemia, and chronic…
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THE COMPLEX WORLD OF NON CRITICAL CORONARY ARTERIES DISEASE
Anno:
2024
BACKGROUND AND AIM Acute coronary syndrome (ACS) with non-critical coronary arteries represents a major diagnostic, therapeutic and prognostic challenge for clinicians. The aim was to compare clinical-anamnestic characteristics and assess the prognosis of three cohorts with ACS with non-critical coronary arteries i.e. Myocardial Infarction with Nonobstructive Coronary Arteries (MINOCA),…
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CHARACTERISTICS AND OUTCOME OF PATIENTS WITH VARIOUS TYPE OF ACUTE CORONARY SYNDROME
Anno:
2024
Background and aim: Acute coronary syndrome with non-critical coronary arteries comprises distinct entities with unique pathophysiological, diagnostic, therapeutic and prognostic characteristics. The aim was to compare the clinical and prognostic features of cohorts presenting NSTEMI and non-critical coronary arteries disease, i.e. MINOCA, type 2 myocardial infarction (MI), Takotsubo syndrome…
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