CONGRESS ABSTRACT

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…

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…

  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…

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…

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…

A 42-year-old female arrived to our hospital for epigastric pain: electrocardiogram (EKG) was negative and echocardiography normal but troponin levels were elevated. Coronary angiography revealed a spontaneous dissection of distal left anterior descending artery (LAD) – Type 2b according to Yip-Saw Classification1,2. No angioplasty was performed and she was…

Type A aortic dissection is a devastating disease that requires a multidisciplinary approach and it is associated with high mortality if surgical repair is not immediately performed. The etiology of aortic dissection is often spontaneous but it may develop as an intimal injury during invasive procedures such as cardiac…

INTRODUCTION: Coronary dissection (CD) secondary to cardiac contusion in a polytrauma patient is a rare but potentially devasting event. If diagnosed and treated late, it can lead to irreversible outcomes or, in the worst cases, to patient's death. CLINICAL CASE: A 51-year-old male was urgently transported to the emergency department following polytrauma…

Inflammatory bowel disease (IBD) is a risk factor of thrombotic accidents. This risk is high in the flare and chronic activity phase but low in the remission period. Infliximab is a potent anti-tumor necrosis factor (TNF) antibody, highly effective in inflammatory bowel disease (IBD). Infection and development of malignancy,…

Introduction Myocarditis is an inflammatory process of the myocardium that can present with highly variable clinical manifestations; often myocarditis presents with the typical signs of acute myocardial infarction with no coronary arteries lesions on angiographic examination. The initial differential diagnosis is sometimes difficult, so it is always necessary to…