t one time, patients with acute myocardial infarction (AMI) would have has as poor a prognosis as fatal arrhythmia, cardiac rupture or left ventricular dysfunction. In modern countries, mortality after AMI has been greatly decreased by developments in coronary revascularization, antiarrhythmic agents and the treatment of hypertension and congestive heart failure using angiotensin-converting enz...

T he debate about the advantages of fibrinolytic therapy or primary percutaneous coronary angioplasty (PCI) as a superior reperfusion strategy for ST-elevation myocardial infarction (STEMI) has continued for 30 years. In the first decade, primary PCI was limited by first-generation equipment, inadequate radiographic imaging systems, suboptimal adjunctive antithrombotic therapy, and delays in ti...

Trauma to the chest may result in rupture of the interventricular septum (Cary, Hurst, and Arentzen, 1958). Disturbances of conduction, including complete heart block, may follow (Dolara, 1964), or they may arise in the presence of an intact septum (Levine, Roberts, and Morrow, 1962). In the case to be reported, non-penetrating trauma produced structural cardiac damage, associated with the deve...

Aneurysm of the sinus of Valsalva is a rare cardiac abnormality. Unruptured sinus of Valsalva aneurysm is usually asymptomatic, however, a ruptured aneurysm typically leads to an aortocardiac shunt and progressively worsening heart failure. We report a case of a 17-year-old male who suffered an aneurysm of the sinus of Valsalva rupture into the right atrium who manifested sudden dyspnea and acu...