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Acute coronary syndromes

"A 43-year-old man, previously fit and well, was admitted with an anterior myocardial infarct treated with recombinant tissue plasminogen activator."

"60-year-old man was admitted because of unstable angina."

"This picture was obtained in a 61-year-old female patient referred for myocardial infarction of the left anterior ventricular wall."

"A60-year-old man was referred for coronary angiography because of exertional angina."

"A 41-year-old woman with a history of hypertension and cigarette smoking was admitted to the emergency department with chest pain."

"A 74-year-old man presented with a one-week history of exertional angina and dizziness."

"A 26-year-old man, previously in good health, was transferred to the emergency unit of our hospital on July 19, 1995; however, he was dead on arrival."

"55-year-old man suspected of having angina pectoris."

"A proximal stenosis of the left anterior descending coronary artery (arrow in Panel A) was found in a 41-year-old man during coronary arteriography for unstable angina."

71-year-old woman experiences shortness of breath after recovery from a myocardial infarction.

"A33-year-old HIV-positive intravenous drug addict required urgent mitral valve replacement..."

"A 60-year-old man with no prior cardiac history presented to the emergency room with 1.5 hours of substernal chest pain."

46-year-old develops a heart murmur following myocardial infarction.

"72-year-old woman who presented with progressive cardiac failure after myocardial infarction."

"A38-year-old black man with a history of hypertension was admitted with a sudden onset of severe retrosternal chest pain radiating to his back."

"A 70-year-old woman with no past cardiac history was admitted for near collapse and chest discomfort..."

"Serial lead V5 tracings were obtained from a 38-year-old woman with long-standing systemic lupus erythematosis, hypertension, and renal failure."

An 85 year-old male presents to ER from nursing home with syncope and palpitations.

"63-year-old man suspected of having angina pectoris."

"A 57-year-old postmenopausal woman was admitted to the hospital because of worsening angina pectoris."

A 78 year-old female admitted to CCU with acute MI needs a decision about management of a ventricular arrhythmia.

"A 75-year-old woman presented with new onset of angina at rest associated with shortness of breath..."

"85-year-old woman was hospitalized after 3 hours of chest pain and dyspnea."

"An 83-year-old woman was transferred to Brigham and Women's Hospital with postinfarction angina and cardiogenic shock 24 hours after thrombolytic therapy for an inferior myocardial infarction."

"A 62-year-old woman presented with unstable angina. "

"An 11-year-old boy with a past history of asthma was admitted to the pediatric intensive care unit (ICU) for a non-Q-wave myocardial infarction..."

"A 68-year-old man was admitted to the hospital because of chest oppression."

"A 74-year-old woman was admitted for evaluation of chest pain."

"A 17-year-old boy was sent to the emergency service for an accidental nail-gun shot injury of the chest."

"A previously healthy 6-month-old boy suddenly collapsed at home, requiring cardiopulmonary resuscitation."

"A 68-year-old man presented with epigastric burning associated with exercise."

"A 36-year-old, previously healthy male who was a heavy smoker was admitted with intermittent chest pain of 4 hours' duration and ECG findings compatible with an acute anterior wall myocardial infarction."

"...3 patients with acute myocardial infarction..."

Case report: "A4 1-year-old man was admitted to the hospital because of severe lower sternal pain with diaphoresis for 1 hour."

"A67-year-old woman with a history of arterial hypertension, peripheral vascular disease, and chronic atrial fibrillation presented with atypical chest pain..."

"A 62-year-old man was admitted to the hospital because of myocardial infarction..."

"A 61-year-old woman presented with a one-hour history of chest pain suggestive of myocardial infarction."

"68-year-old man with known single-vessel coronary artery disease presented with 6 hours of moderate chest pain typical of unstable angina..."

"60-year-old man with crescendo angina."

"A 51-year-old man presented to the emergency room with a 30-minute history of sudden, severe, crushing retrosternal chest discomfort..."

"A 65-year-old man with a five-year history of uncontrolled hypertension was admitted to the emergency department with pulmonary edema."

"64-year-old woman, a dressmaker, was admitted to the University Hospital because of intense dyspnea."

"48-year-old man with a two-hour history of chest pain and dyspnea."

"A 69 -year-old man with severe angina had severe 3-vessel disease by coronary angiography."

"A 60-year-old man, 4 years after an anterior myocardial infarction at the middle segment of the left anterior descending coronary artery (LAD), underwent coronary angiography (CAG) because of severe continuous chest pain for >3 hours 3 weeks earlier."

"A 32-year-old 15-day-postpartum G3P2 woman presented with sudden cardiac arrest due to an acute anterolateral wall myocardial infarction. "

"A 37-year-old man with progressive heart failure after myocardial infarction...."

"A 62-year-old woman with a history of vasospastic angina presented to the emergency room with chest pain."

ST Depression V1 V2: Anterior Ischemia or Posterior Infarction?

"A 69-year-old patient with unstable angina presented to cardiac catheterization with a tight lesion in the mid right coronary artery... and moderate lesions in the left main and left anterior descending coronary arteries."

36-year-old woman is admitted with chest pain.

41-year-old woman with angina has ventricular arrhythmias that require attention.

"On admission, the patient complained of chest discomfort."

A 29-year-old male experienced an acute anterior myocardial infarction one hour after playing football. How might this have happened.

"A 73-year-old woman was admitted to hospital because of acute myocardial infarction."

Distal coronary embolization during angioplasty.

"56-year-old man presented with unstable angina and acute pulmonary edema. "

Edited by Donald L Vine MD

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