CONGRESS ABSTRACT

A 67-year-old man presented to the ED with acute radiating chest pain. He was haemodynamically stable but unresponsive to intravenous nitrates. The ECG showed an ACS-like pattern with persistent T-wave inversion in the inferior and V3–V4 leads, biphasic T waves in the lateral leads, resembling a Wellens type A–like…

Introduction: The impact of baseline blood hemoglobin (Hb) levels, as a marker of anaemia, on long-term mortality after acute coronary syndrome (ACS) is not well established. Methods: To evaluate the association between low Hb levels during hospitalization for ACS and very long-term overall mortality, we enrolled 571 patients admitted…

A 44-year-old woman of sub-Saharan origin presented to the Emergency Department with intermittent, oppressive, radiating chest pain unresponsive to nitrates. She had no prior cardiovascular history; multiple spontaneous miscarriages. The 12-lead ECG showed sinus tachycardia with tall, symmetric hyperacute T waves in V2–V4 accompanied by upsloping ST-segment depression. Mild…

Wellens syndrome is an electrocardiographic pattern characterized by biphasic (type A) or deeply inverted (type B) T waves in leads V2-V3. It is typically caused by temporary obstruction of the left anterior descending (LAD) coronary artery due to rupture of an atherosclerotic plaque, leading to occlusion. We present a…

MINOCA is a heterogeneous syndrome encompassing various pathophysiological mechanisms, including vasospasm, microvascular dysfunction, spontaneous coronary artery dissection, and systemic conditions that result in a mismatch between oxygen supply and demand. Less common, but clinically relevant, causes include adrenergic crisis from pheochromocytoma, which can mimic acute myocardial infarction. We present…

Stent thrombosis (ST) remains one of the most feared complications of percutaneous coronary intervention (PCI). Although its incidence has markedly declined with new-generation drug-eluting stents (DES), ST still commonly presents as sudden cardiac death or ST-elevation myocardial infarction and is associated with high morbidity, mortality, and risk of recurrence….

Background: POEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, skin lesions) syndrome is a rare systemic hematological disorder with multi-organ involvement. Though pathophysiology is incompletely understood, cytokine dysregulation is thought to play a central role and VEGF levels are frequently high. Case summary: A 42-year-old woman with no previous cardiovascular history…