Associazione Nazionale Medici Cardiologi Ospedalieri

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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…
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Simultaneous Acute Thrombosis of Two Coronary Arteries Leading to STEMI and Cardiogenic Shock: A Case Report and Review of Literature
Anno:
2025
Background: Acute ST-segment elevation myocardial infarction (STEMI) is a leading cause of mortality, frequently caused by a single coronary thrombosis. Simultaneous acute thrombosis in two coronary arteries is exceedingly rare and poses significant diagnostic and therapeutic challenges. This case highlights the clinical management of dual coronary thrombosis in the…
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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…
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An underestimated stenosis
Anno:
2025
Introduction. It has been known for some time that the angiographic evaluation of coronary stenosis presents several qualitative and quantitative limitations. The clinic is usually a good guide when talking about typical exertional angina or in the context of acute coronary syndromes but in the case of some hypokinetic…
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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…
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WORKING GROUP FOR THE MANAGEMENT OF DYSLIPIDEMIA IN PATIENTS WITH ACUTE CORONARY SINDROMES: A TAILORED APPROACH.
Anno:
2025
Background – The management of dyslipidemia is a cornerstone of secondary prevention in acute coronary syndrome (ACS). Current ESC Guidelines recommend a stepwise approach, progressively adding therapies based on prior treatments and baseline LDL-C levels. However, recent evidence highlights the benefits of systematic, early combination therapy in achieving faster and…
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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…
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QUALITY OF CARE IN PATIENTS HOSPITALIZED FOR ACUTE MYOCARDIAL INFARCTION: RESULTS OF THE FIRST YEAR OF THE ‘QUALITY IN CARDIOLOGY (QiC) PROJECT’
Anno:
2025
Background: Assessing the quality of care is the first step for improving the management of patients with acute myocardial infarction (AMI). The European Society of Cardiology (ESC) and the Acute Cardiovascular Care Association (ACCA) recently defined a set of quality indicators (QIs) of care for AMI patients. Aim: To…
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MEDICAL AND NURSING CLINICS FOR THE FOLLOW-UP OF PATIENTS AFTER HOSPITALIZATION FOR ACUTE CORONARY SYNDROME: RESULTS OF THE PILOT PHASE OF THE ‘DIMISSIONI ACCOMPAGNATE (DIMACC)’ PROJECT
Anno:
2025
Background: The first year after an admission for an Acute Coronary Syndrome (ACS) is the most critical time with the highest incidence of deaths and hospital readmissions. To improve the first-year follow-up after discharge of patients admitted to our ICCU (Intensive Cardiac Care Unit) and Cardiology ward for ACS…
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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…
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A.N.M.C.O. – Via La Marmora 36, 50121 Firenze (Italy) – Partita I.V.A. 05469530488 – Codice Fiscale 01301130488 – Privacy
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