a 48-year-old woman was admitted to the emergency department with complaints of typical chest pain, cold sweat, and dyspnea of 24 hours’ duration. she had a history of hypertension, hyperlipidemia, and diabetes mellitus for many years. on admission, her electrocardiogram (ecg) revealed normal sinus rhythm and dynamic t inversion in the precordial leads. her enzyme levels were normal. transthora...

Objective: To analyze comparatively the clinical results of on-pump and off-pump coronary bypass surgery in patients with triple vessel coronary artery disease. Material and Methods: Consecutive 300 isolated multiple coronary artery bypass patients entered into off-pump coronary artery bypass (group OPCAB, n=150) or coronary artery bypass with cardiopulmonary bypass (CPB) (group CCABG, n=150). ...

background and purpose: ischemic heart diseases (ihd) is getting as the most common and the main causes of heart diseases and mortalities worldwide affecting the quality of life (qol) of the patients. this study was conducted to determine the qol for the patients with ihd referring to medical centers of kashan in 2007. methods: this cross-sectional study was performed on all patients (n =500) r...

Spontaneous dissection of the coronary arteries is a rare disease with a wide range of clinical presentations ranging from angina to myocardial infarction (MI); its pathophysiology has not yet been fully established. In this paper, we present the case of a 31-year-old male with an acute coronary syndrome. The initial results of the electrocardiogram and cardiac enzymes were consistent with MI. ...

Spontaneous coronary artery dissection is an uncommon cause of acute myocardial infarction in the general population but is relatively more common in the peripartum period. Regardless of clinical setting, the management strategy is individualised, ranging from conservative to invasive. We report a case of peripartum myocardial infarction due to spontaneous coronary dissection that propagated du...

A patient who presented with severe angina was found to have an ectopic origin of the entire left coronary system, the left main coronary artery arising from the proximal third of the right coronary artery. Atherosclerotic obstructive lesions were present in the right coronary artery, the left anterior descending artery, and the obtuse marginal branch of the left circumflex coronary artery. The...

Despite the remarkable advances in revascularization strategies made during the last decade, a significant proportion of patients are excluded from either percutaneous coronary intervention or coronary artery bypass grafting because of unsuitable coronary anatomy. Diffuse severe coronary artery disease, small vessel caliber, chronic total occlusions, or extremely calcified vessels are frequent ...