Associazione Nazionale Medici Cardiologi Ospedalieri

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CONGRESS ABSTRACT

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A Christmas toast with Aslanger
Anno:
2025
A 66-year-old woman came to the emergency room suffering from chest pain. At the interview she reported brief episodes of retrosternal pain with radiation to the left shoulder for approximately 3 day. The blood chemistry tests revealed pathological troponin kinetics (first: usTnT 29 pg/ml, after 2 hours: 42 pg/ml). The…
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Favism and ACS : Navigating Antithrombotic Therapy in G6PD Deficiency
Anno:
2025
Introduction: Favism is an acute hemolytic anemia triggered by the ingestion of fava beans or exposure to specific oxidative stressors in individuals with glucose-6-phosphate dehydrogenase (G6PD) deficiency. Certain drugs can induce red blood cell destruction and should therefore be avoided. Case report: A 55-year-old man presented to the emergency…
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An unusual case of myocardial infarction presenting with myocarditis clinical signs. A very challenging diagnosis… important role of cardiac magnetic resonance.
Anno:
2025
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…
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A case for the OMI-NOMI Paradigm
Anno:
2025
A 71-year-old man presented to the emergency department with a sensation of retrosternal heaviness that had begun several hours earlier. His medical history included arterial hypertension and previous smoking, and he was on antihypertensive therapy at home. He also reported experiencing similar symptoms when climbing stairs, which spontaneously resolved…
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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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