Associazione Nazionale Medici Cardiologi Ospedalieri

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CONGRESS ABSTRACT

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SPONTANEOUS CORONARY ARTERY DISSECTION (SCAD) IN A YOUNG, HEALTHY MALE: A RARE CASE OF ACUTE MYOCARDIAL INFARCTION
Anno:
2026
SCAD is a rare but increasingly recognized cause of AMI. SCAD is characterized by the formation of an intramural hematoma within the arterial wall, which leads to compression of the coronary lumen, resulting in myocardial ischemia. We present case of young male patient was admitted in emergency room cause…
INFERO-LATERAL STEMI COMPLICATED BY DRESSLER’SSYNDROME WITH MASSIVE PERICARDIALEFFUSION: INTEGRATED MANAGEMENT AND VENTRICULAR RECOVERY
Anno:
2026
Background: Dressler’ssyndrome, a rare post-infarctioninflammatorycomplication in the era of earlymechanicalreperfusion, mayoccurseveral days after the acute ischemic event. We report a case of infero-lateral STEMI complicated by no-reflow and subsequentpleuro-pericardialeffusion, successfullymanagedthrough a multidisciplinaryapproach. Case Presentation: A 66-year-old obese, hypertensive man in good therapeutic control presented with chestpainduringexertion. ECG showed an…
COMPLEX PTCA AND ACUTE IN-STENT THROMBOSIS IN A SUSPECTED CLOPIDOGREL-RESISTANT PATIENT: PRASUGREL-BASED TRIPLE THERAPY AS A BAIL-OUT STRATEGY
Anno:
2026
Background In the concomitant management of coronary artery disease and atrial fibrillation, the choice of an antithrombotic strategy balancing ischemic and bleeding risks represents a therapeutic dilemma. Current guidelines recommend triple antithrombotic therapy followed by dual antithrombotic therapy, in which clopidogrel is the P2Y12 inhibitor of choice, discouraging the…
ST-SEGMENT ELEVATION MYOCARDIAL INFARCTION IN SEVERE HEMOPHILIA A: MULTIDISCIPLINARY MANAGEMENT OF A HIGH-RISK CASE
Anno:
2026
We report the case of a middle-aged man with severe hemophilia A poorly responsive to conventional treatment and multiple cardiovascular risk factors who presented with an infero-lateral ST-segment elevation myocardial infarction (STEMI). (Figure 1). Upon admission, echocardiography showed severely reduced left ventricular function, and an apical thrombus. (Figure 2)…
WHEN 4 MINUTES CAN CHANGE A LIFE FOREVER. A CASE OF VASOSPASTIC ANGINA WITH POLYMORPHIC VENTRICULAR ARRHYTHMIA.
Anno:
2026
Background Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) is a challenging clinical scenario because of its heterogeneous aetiologies. Among the clinical conditions considered causes of MINOCA, epicardial coronary artery spasm (variant angina, Prinzmetal angina) should be considered, especially when symptoms occur at rest. Abstract Herein, we describe a case…
ONE SHOT, TWO KILLS: AN APICAL THROMBUS CAUSING CONCOMITANT CEREBROVASCULAR STROKE AND MINOCA
Anno:
2026
A 41-year-old man with a history of prior anterior myocardial infarction (MI), previously treated with primary percutaneous coronary intervention (PCI) of the left anterior descending artery (LAD) and staged PCI of the left circumflex (LCx) and right coronary artery, was admitted for sudden left-sided paraesthesia. Blood tests revealed marked…
BEYOND THE USUAL ACS: AN ATYPICAL HEART UNDER STRESS
Anno:
2026
A 60-year-old woman, recently diagnosed with invasive lobular breast carcinoma, presented with oppressive chest pain radiating to the left shoulder, lasting 15–30 minutes and resolving spontaneously. The electrocardiogram demonstrated sinus tachycardia, ventricular ectopy, including couplets, and a known left bundle branch block, in the absence of ST-T segment abnormalities….
RECURRENT MYOCARDIAL INFARCTION IN A PATIENT WITH CORONARY ARTERY ECTASIA: WHEN SLOW FLOW BECOMES THE ENEMY
Anno:
2026
Background: Coronary artery ectasia (CAE) represents an uncommon angiographic finding, defined as a coronary dilatation exceeding 1.5 times the diameter of an adjacent normal segment. CAE may predispose to slow coronary flow, thrombosis, and recurrent ischemic events. Optimal management remains controversial due to the absence of randomized controlled trials…