CONGRESS ABSTRACT

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…

Summary A 69-year-old woman with chronic obstructive pulmonary disease (COPD) and a significant smoking history presented with severe dyspnea and chest pain, leading to urgent heart transplantation due to late complications of ST-elevation myocardial infarction (STEMI). Chronology Two weeks before hospitalization, she experienced dyspnea and chest pain, but an…

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…

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…

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…