A 36-year-old man with classic angina pectoris had marked ST-segment elevation (STE) in the inferior leads on stress-testing in the absence of chest pain. There was no evidence of previous myocardial infarction (MI). Selective coronary arteriography delineated severe obstructions in the right coronary artery (RCA) with additional left circumflex coronary artery (LCx) obstruction. Left ventricul...

The unique characteristics of patients with acute coronary syndrome in the Asia-Pacific region mean that international guidelines on use dual antiplatelet therapy (DAPT) cannot be routinely applied to these populations. Newer generation P2Y12 inhibitors (i.e. ticagrelor and prasugrel) have demonstrated improved clinical outcomes compared clopidogrel. However, low numbers Asian participated pivo...

ECG diagnosis of a posterior wall myocardial infarction is difficult to diagnose through the standard 12 lead ECG, especially in the acute stage. The posterior wall MI may occur as an isolated event or often associated with an inferior wall myocardial infarction Posterior leads V7, V8 and V9 are usually ignored but it is suggested that these leads can provide ECG information that is useful for ...

PURPOSE Patients with unstable angina or non-ST-segment elevation myocardial infarction (MI) may be managed with either an "invasive" or "conservative" strategy. It is unclear which of these strategies is superior. METHODS We identified studies with MEDLINE and EMBASE searches (1966-September 2003) and by reviewing reference lists. Studies were included if they were randomized controlled tria...

Acute myocardial infarction (MI) is a common entity in patients due to the atherosclerotic plaque rupture. But there are other susp10cious etiologic reasons that lead to coronary embolism such as intra-cardiac prosthesis, infective endocarditis, mural thrombus or a cardiac tumor [1-7]. Even if the patient did not use warfarin, the real reason for acute myocardial infarction whether embolism or ...

The American Heart Association and the American College of Cardiology,1,2 the European Society of Cardiology3,4 and others5 have developed comprehensive guidelines for the in-hospital management of patients with ST-elevation myocardial infarction (STEMI)2 and for unstable angina (UA) and non–ST-elevation MI (NSTEMI).1 The International Liaison Committee on Resuscitation (ILCOR) Acute Coronary S...

The American Heart Association and the American College of Cardiology,1,2 the European Society of Cardiology3,4 and others5 have developed comprehensive guidelines for the in-hospital management of patients with ST-elevation myocardial infarction (STEMI)2 and for unstable angina (UA) and non–ST-elevation MI (NSTEMI).1 The International Liaison Committee on Resuscitation (ILCOR) Acute Coronary S...

The American Heart Association and the American College of Cardiology,1,2 the European Society of Cardiology3,4 and others5 have developed comprehensive guidelines for the in-hospital management of patients with ST-elevation myocardial infarction (STEMI)2 and for unstable angina (UA) and non–ST-elevation MI (NSTEMI).1 The International Liaison Committee on Resuscitation (ILCOR) Acute Coronary S...

It is unquestionable that early invasive reperfusion therapy in the setting of ST-segment elevation myocardial infarction (STEMI) has significantly reduced infarct-related mortality and morbidity [1]. Scientific and social dissemination campaigns have created a certain awareness both in the public domain and among physicians with slogans such as ‘the sooner the better’ and ‘time is muscle’, whe...

Myocardial infarction (MI) is divided into either ST elevation MI (STEMI) or non-ST elevation MI (NSTEMI), differing in a number of clinical characteristics. We sought to identify genetic variants conferring risk to NSTEMI or STEMI by conducting a genome-wide association study (GWAS) of MI stratified into NSTEMI and STEMI in a consecutive sample of 1,579 acute MI cases with 1,576 controls. Subs...