ABSTRACT
A case of a 27-year-old female, who developed acute myocardial infarction is presented. The first ECG revealed T-waves changes. Coronary angiography revealed a critical stenosis of the left descending coronary artery and a successful angioplasty was performed. A five-year follow-up was uneventful.
Subject(s)
Coronary Stenosis/diagnostic imaging , Coronary Stenosis/therapy , Myocardial Infarction/diagnostic imaging , Myocardial Infarction/therapy , Adult , Angioplasty, Balloon, Coronary , Coronary Angiography , Coronary Stenosis/complications , Electrocardiography , Female , Follow-Up Studies , Humans , Myocardial Infarction/etiology , Treatment OutcomeABSTRACT
The paper presents a case of a 77-year-old man, who was admitted to hospital suffering from chest pain. The ECG showed horizontal ST segment depression in the V4-V6 leads. Non-ST segment elevation acute coronary syndrome was diagnosed. However, transthoracic echocardiography revealed signs of pulmonary embolism. The present case indicates the need to consider pulmonary embolism in the differential diagnosis of acute coronary syndromes and underlines the role of echocardiography, which should be performed at the earliest possible stage. (Cardiol J 2007; 14: 402-406).
ABSTRACT
Brugada syndrome is electrocardiographically characterised by ST segment elevation in right precordial leads and the occurrence of episodes of polymorphic ventricular tachycardia. It is also associated with a high risk of sudden death, which may be the first manifestation of the disease. Various mutations of SCN5A gene encoding for the cardiac sodium channel are among the proven causes of BS. ICD remains the only treatment for BS of proven efficacy. However, many questions about etiology, underlying mechanisms, safety of asymptomatic patients and treatment options for BS remain unanswered. (Cardiol J 2007; 14: 429-435).
