Associazione Nazionale Medici Cardiologi Ospedalieri

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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…
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…
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…
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…
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…
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…
Using the Advanced Lung Cancer Inflammation Index to Predict Mortality in ST-Elevation Myocardial Infarction Patients Undergoing Primary Coronary Intervention
Anno:
2025
Background: The Advanced Lung Cancer Inflammation Index (ALI) serves as an independent prognostic biomarker, effectively assessing inflammatory and nutritional status across various medical conditions, including cancers, heart failure, and acute coronary syndromes. This study aims to evaluate the prognostic value of ALI in patients suffering from ST-elevation myocardial infarction…
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…
CONSERVATIVE MANAGEMENT OF GRADE 3 DUNNING IATROGENIC AORTIC DISSECTION: A CASE REPORT
Anno:
2025
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…
Recurrent Dissection of Left Coronary Artery with Extension to the Left Main and Cardiogenic Shock
Anno:
2025
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…