the coronary slow flow phenomenon (csfp) is characterized by a delayed coronary blood flow in the absence of an obstructive coronary artery disease. although the relation between the csfp and myocardial ischemia has been reported previously, there is no knowledge about the relationship between the csfp and the conduction system disorder. in this case report, we describe a patient with the csfp ...

objectives to evaluate predictive value of vessel specific coronary artery calcium (cac) score in predicting obstructive coronary artery disease. patients and methods in this diagnostic test study we evaluated patients with coronary computed tomography angiography (ccta) and cac score which had been referred to two referral radiology center in tehran, iran and finally we selected 2525 patients ...

introduction: coronary endarterectomy is not a perfect procedure. however, it is sometimes the only available alternative for cardiac surgeons in patients suffering from diffuse coronary artery disease. according to a large volume of studies, coronary endarterectomy results (such as survival, recurrence of the symptoms of myocardial ischemia, and graft patency) are not as satisfactory as standa...

a 55-year-old man referred for cardiac resynchronization therapy (crt) due to severe heart failure. a severe stenosis in the coronary sinus vein after the posterior branch disallowed the insertion of the lead. nevertheless, the stenosis was dilated and the left ventricle (lv) lead was implanted in the lateral marginal branch.

conclusions in total, application of therapeutic approaches in patients with cad depends on many factors. in our study not only risk factors such as gender, lifestyle, smoking, alcohol abuse, diabetes and hypertension were associated with the incidence of cad, but also they were highly correlated with the severity of the disease. results the mean age of total patients was 58.3 ± 11.5 years (p =...

coronary artery anomalies are rare, with their incidence varying from 1 to 5%. angiography is a commonly used modality for the assessment of coronary artery anomalies. based on previous reports, a majority of coronary artery anomalies are of origin or distribution, with separate ostia of the left anterior descending artery and left circumflex artery. coronary artery anomalies may cause myocardi...

conclusions the eft, as measured by echocardiography, with a cut off value 2.95 mm has a strong association with premature cad. results among baseline characteristics, waist circumference, triglyceride levels, cigarette smoking and history of statin use were significantly higher in the cad group. the body mass index (bmi) was significantly higher in the non-cad group. according to echocardiogra...

in this paper, we describe a case of an aneurysmal circumflex artery connected to the coronary sinus through a fistula in a 40-year-old man with a two-year history of palpitation and chest pain. we discussed surgical management for patients with coronary artery fistula (caf), particularly for asymptomatic patients with a small left-to-right shunt .

iatrogenic coronary artery dissection during coronary angiography with or without rupture is a rare but feared complication . we herein report a case of iatrogenic left main coronary artery dissection in a 49-year-old female. admitted to our hospital with a recent history of severe hypotension, she develpled apnea during angiography. she was intubated  and resuscitated with an epinephrine infus...

congenital anomalies of coronary arteries, albeit rare, may be significant contributors to angina pectoris, hemodynamic abnormalities, and sudden cardiac death. a 47-year-old man referred to us with atypical chest pain. electrocardiography demonstrated no significant ischemic changes, but cardiac troponin i test was positive. the patient underwent coronary angiography, which revealed a single c...