An estimated 6 to 10% of myocardial infarctions occur in patients under the age of 45. Usually this applies to men, but an increasing prevalence is being observed among women. Atherosclerosis, often one vessel disease, is the main cause. The presence of classic risk factors affects the dynamics of coronary artery disease: the strongest risk factor is smoking, regardless of gender. Environmental...

background : st-elevation myocardial infarction (stemi) is a major cause of cardiovascular mortality worldwide. there are differences between very young patients with stemi and their older counterparts.   this study investigates the demographics and clinical findings in very young patients with stemi. methods: through a review of the angiography registry, 108 patients aged ≤ 35 years (group i) ...

BACKGROUND Coronary artery anomalies (CAAs) are currently undergoing profound changes in understanding potentially pathophysiological mechanisms of disease. Aim of this study was to investigate the prevalence of anomalous origin and course of coronary arteries in consecutive symptomatic patients, who underwent cardiac 64-slice multidetector-row computed tomography angiography (MDCTA). METHODS...

background: the optimal strategy in percutaneous coronary intervention (pci) for coronary artery bifurcation lesions has yet to be agreed upon. we compared a strategy for stenting the main vessel to provide a complete perfusion flow in the side branch, namely thrombolysis in myocardial infarction (timi) - iii, with a strategy for intervention in both the main vessel and the side branch (mv + sb...

Introduction: Heart failure is a major hazard for public health. Despite recent advance in medical therapy, there is not enough information on the outcome of off-pump coronary artery bypass (OPCAB) and medical therapy on the patients with severe ventricular dysfunction and triple-vessel (CAD). This study aimed to compare treatment outcomes and mortality rate in patients undergoing off-pump coro...

BACKGROUND A proven advantage of radial over femoral arterial access has led to an increase in the number of interventions performed via radial artery access in patients with acute coronary syndromes. Both assessment of the pulse volume and the Allen's test are subjective and subject to investigator bias. An ultrasound examination of the forearm arteries provides important information about the...

BACKGROUND CHARGE syndrome is a complex multiple congenital malformation disorder with variable expression that is caused by mutations in the CHD7 gene. Variable heart defects occur in 74% of patients with a CHD7 mutation, with an overrepresentation of atrioventricular septal defects and conotruncal defects - including arch vessel anomalies. METHODS AND RESULTS We report an index patient with...

A coronary artery fistula (CAF) is an aberrant connection between a coronary artery and heart chamber or major thoracic vessel that bypasses capillary beds and results in a left-to-right shunt. CAFs commonly result from congenital abnormalities but may be acquired via iatrogenic mechanisms, affecting approximately 0.002% of the general population and accounting for only 0.1% of coronary anomali...