CONGRESS ABSTRACT

Background Despite major advances in reperfusion strategies, late presentation after symptom onset remains common in patients with ST-elevation myocardial infarction (STEMI). Beyond total ischemic time, identifying the clinical and system-related determinants of delayed presentation is crucial to improve patient management and healthcare organization. Methods A scoping review of the…

We report the case of a 65-year-old man presenting with chest pain occurring the night before. ECG showed negative T waves in the inferolateral leads. Laboratory revealed rising troponin (0.139 to 0.688 ng/mL). Transthoracic echocardiography demonstrated preserved systolic function without regional wall motion abnormalities (ejection fraction 55%). The day…

We report the case of a 61-year-old woman presenting with chest pain radiating to the left arm. EKG showed inferolateral repolarization abnormalities. Laboratory revealed mild elevation in troponin (0.76). Transthoracic echocardiography demonstrated mildly reduced systolic function with posterolateral wall akinesia (ejection fraction 48%). The patient was referred for coronary…

Background Congenital coronary artery anomalies have an estimated prevalence of approximately 1% in the general population. Some "malignant" variants, particularly the anomalous origin of the left coronary artery from the right sinus of Valsalva with an interarterial and/or intramural course, are associated with an increased risk of myocardial ischemia…

Background The South African flag sign (SAFS) is an electrocardiographic (ECG) pattern described by Littmann in 2015 for educational purposes. It is characterised by ST-segment elevation in leads I-aVL and the non-contiguous precordial lead V2, with reciprocal depression in lead III -avF, recreating the Y-shaped green element of the…

Background Assessing quality of care is the first step toward improving the management of patients with acute myocardial infarction (AMI). The European Society of Cardiology (ESC) has defined a set of quality indicators (QIs) for AMI care. Aim The “Quality in Cardiology” (QiC) Project aimed to evaluate whether systematic…

Background: Electrical storm (defined as ≥ 3episodes of sustained ventricular tachycardia or ventricular fibrillation within 24 h) is a life-threatening condition that may complicate the course of myocardial infarction, often refractory to conventional antiarrhythmic therapies. Overdrive pacing can occasionally provide effective arrhythmic suppression in selected cases, although its use…