A 59-year-old man with a history of extensive anterior myocardial infarction was admitted for progressive shortness of breath attributed to acute decompensation of heart failure. On transthoracic echocardiography there was…
Summary Heart involvement, including primary myocardial involvement, is very common in systemic sclerosis. There is strong evidence that primary myocardial involvement is related to repeat focal ischaemic injury causing subsequent…
A 76-year-old diabetic woman with a history of surgical revascularization in 1997 (left internal mammary artery [LIMA] on left anterior descending) was referred twice afterwards (June 2001 and February 2008)…
Cardiac amyloidosis is rare, but when diagnosed it has an urgent and specific treatment. Two patients with similar concentric left ventricular hypertrophy on echocardiography were investigated with cardiac magnetic resonance…
An 82-year-old woman underwent routine pacemaker implantation for paroxysmal atrioventricular block. The operator did not encounter any difficulties at the time of lead placement. At a predischarge check three days…
Summary Objectives We investigated the agreement between different platelet tests to identify clopidogrel non response. Background Biological definition of clopidogrel non response remains controversial. Different platelet tests have been linked…
Summary Background Thrombus aspiration (TA) has been associated with high rates of thrombotic material retrieval, which results in improved myocardial reperfusion. In addition, a recent study has shown that systematic…
Summary Background Statins have favourable effects on lipid profiles, decrease total mortality and have many pleiotropic effects. Aims To determine and compare the pleiotropic effects of simvastatin and ezetimibe in…
Summary Background Elderly patients with an acute coronary syndrome (ACS) are less likely to be enrolled into randomized, controlled trials or receive guideline-recommended therapies, because of a higher burden of…
Summary Background Many studies performed in adults have reported the involvement of genetic determinants in vascular alterations that predispose to cardiovascular diseases later in life. To date, no study has…
