Associazione Nazionale Medici Cardiologi Ospedalieri

CONGRESS ABSTRACT

CONGRESS ABSTRACT

Categorie
PARADOXICAL CORONARY THROMBOEMBOLISM THROUGH A PATENT FORAMEN OVALE: NOT ALL ST-SEGMENT ELEVATION MYOCARDIAL INFARCTIONS ARE THE SAME!
Anno:
2025
Background: Patent foramen ovale (PFO) is a common congenital heart defect present in up to 34% of the population. While usually benign, it can facilitate right-to-left shunting, increasing the risk of paradoxical embolism in predisposed individuals. Although PFO is more commonly associated with cerebrovascular events, in rare instances, it…
OCCLUSIVE MYOCARDIAL INFARCTION (OMI) A CASE CHALLENGING THE STEMINSTEMI PARADIGM
Anno:
2025
53-year-old man with a history of arterial hypertension, active smoking, and a family history of myocardial infarction (father with MI at approximately 50 years of age). The patient presented to the emergency department with intense, persistent, oppressive chest pain. Similar episodes of pain had occurred over the past 4–5…
SCAD: ARE WE REALLY APPLYING THE OPTIMAL THERAPEUTIC STRATEGY?
Anno:
2025
A 41-year-old woman went to ED referring two episodes of oppressive chest pain radiating to the jaw and left arm occurring at rest in the past 24 hours, lasting 5-20 minutes. She was a smoker with no other cardiovascular risk factor. The ECG on admission showed no signs of acute…
Favism and ACS : Navigating Antithrombotic Therapy in G6PD Deficiency
Anno:
2025
Introduction: Favism is an acute hemolytic anemia triggered by the ingestion of fava beans or exposure to specific oxidative stressors in individuals with glucose-6-phosphate dehydrogenase (G6PD) deficiency. Certain drugs can induce red blood cell destruction and should therefore be avoided. Case report: A 55-year-old man presented to the emergency…
TAKOTSUBO SYNDROME IN A CASE OF DUAL CARDIOMYOPATHY DURING FLOOD IN ROMAGNA: A DIAGNOSTIC CHALLENGE
Anno:
2025
A 72-year-old patient with multiple cardiovascular risk factors reports progressively worsening dyspnea at rest, which began following a period of severe stress (flood damage to their home in Romagna). Due to the persistence of symptoms, the patient is brought to the emergency department, where vital signs reveal: BP 150/110…
Elevated levels of troponin I during paroxysmal supraventricular tachycardia are not predictive of coronary obstruction.
Anno:
2025
Introduction: Supraventricular tachycardia (SVT), perceived by the patient (pt) as a feeling of palpitations and chest pain, is often associated with repolarization alterations (ST segment depression) that may suggest, together with the symptom "chest pain", the co-presence of cardiac ischemia. However, the relationship between such alterations and the actual…
A curious case of Tako Tsubo syndrome after pacemaker implantation
Anno:
2025
68 years old female, smoker, with history of anxious depression in treatment with paroxetine. She presented to the emergency department with the complaint of fatigue and exertional dyspnea for the last week. Heart rate was 50 bpm, blood pressure 120/80 mmHg and oxygen saturation 99% on room air. ECG…
Prediction of major complications in patients with Tako-Tsubo syndrome
Anno:
2025
  BACKGROUND Tako-Tsubo syndrome (TTS) is characterized by reversible dysfunction of ventricular contractility and it’s associated with non-trivial rates of complications. Charlson Comorbidity Index (CCI) is a score to predict 10-year survival in patients with multiple comorbidities. We aimed to evaluate the usefulness of this score in predicting major…
DANGEROUS CLAM SPAGHETTI: A RARE CASE OF KOUNIS SYNDROME
Anno:
2025
Myocardial infarction without significant coronary artery stenosis (MINOCA) can be likened to a Pandora's box, revealing various underlying etiologies, including coronary spasm. The etiological diagnosis is not always straightforward. It is also known that 3-24% of MINOCA cases present with ST-segment elevation. We present the case of a 51-year-old…
STEMI Mimics: When the Treatment Is Not Revascularization
Anno:
2025
Background: The differential diagnosis between STEMI and STEMI mimics is crucial for an accurate diagnosis, enabling the definition of a therapeutic pathway with a significant impact on the patient's prognosis. We present a clinical case of ST-segment elevation during acute abdominal pathology that could have led to an incorrect…