Background: Acute aortic dissection is a common life-threatening disorder affecting the aorta. The immediate mortality rate in aortic dissection is as high as 1% per hour over the first several hours, making early diagnosis and treatment critical for survival. Case presentation: We are presenting a case of Stanford Type A aortic dissection in a 58-year-old male patient with a history of hyperte...

Spontaneous coronary artery dissection remains a rare but important cause of acute coronary syndromes. Presentation depends on the extent of the dissection, the vessels involved and the rate of its development, and can encompass the entire spectrum of coronary syndromes, with some patients being asymptomatic and others presenting with angina, non-ST segment elevation myocardial infarction, ST-e...

a double left anterior descending (lad) coronary artery emerging from the left and right coronary arteries is classified among rare coronary anomalies. we herein report a 73-year-old man presenting with acute coronary syndrome (posterolateral myocardial infarction). he was admitted with typical chest pain, and due to his progressive ischemic changes on electrocardiography (ecg) and elevated car...

heparin has an unpredictable pharmacokinetics and the responses of individuals may vary distinctly. therefore, different dosing nomograms have been proposed. the aim of this study was to compare two prevalent nomograms to adjust heparin doses in hospitalized patients with acute coronary syndrome.  one hundred and forty patients received heparin infusions based on one of two nomograms. group 1 r...

conclusions the authors describe the second reported case of eptifibatide-induced severe thrombocytopenia associated with cardiac surgery. in this case, discontinuation of eptifibatide and transfusion of apheresis platelets increased the platelet count (137 k/ul) the following day, and the patient subsequently underwent successful coronary artery surgery using cardiopulmonary bypass. introducti...

Spontaneous coronary artery dissection (SCAD) is an uncommon cause of acute coronary syndrome and has been found in 0.2% to 4% of patients with acute coronary syndrome undergoing invasive angiography. In contrast to the general population, including young women in whom atherosclerotic disease is the main cause of myocardial infarction (MI), SCAD is the most common mechanism of pregnancy-associa...

In late years spontaneous coronary artery dissection (SCAD) had emerging as a non-atherosclerotic cause of acute syndrome (ACS).We report an interesting case young male patient presenting to emergency with substernal chest discomfort positive troponin and electrocardiogram changes consistent NSTEMI.Percutaneous Coronary Intervention (PCI) was initiated following ACS PROTOCOL, which found critic...

conclusions no significant variance was observed among patients underwent for cardiac catheterization, stemi, nstemi, unstable angina, and atrial fibrillation with respect to ft4, ft3, and tsh levels during coronary care unit hospitalization based on their profile data. results excluding those taking thyroid hormone preparations, 76.7% of patients admitted with acute coronary heart disease (st-...

Acute aortic dissection is an uncommon disorder which can have fatal results in the event of treatment delay or misdiagnosis. This case examines a 77-year-old woman presenting with chest pain relieved by nitroglycerin. She was referred to the emergency room with clinical suspicion of acute coronary syndrome (ACS). However, she was later diagnosed with acute aortic dissection and an emergency op...

Spontaneous coronary artery dissection is a rare condition, usually presenting as an acute coronary syndrome, and is often seen in states associated with high systemic estrogen levels such as pregnancy or oral contraceptive use. While topical hormonal replacement therapy may result in increased estrogen levels similar to those documented with oral contraceptive use, there are no reported cases ...