RSS | Dolore toracico / infarto / STEMI

Una selezione automatica degli ultimi articoli scientifici pubblicati su PubMed riguardanti dolore toracico, infarto miocardico acuto e STEMI. La lista si aggiorna giorno per giorno per offrire ai professionisti della medicina d’emergenza-urgenza un accesso diretto alle evidenze più recenti, ai nuovi protocolli e agli aggiornamenti diagnostici e terapeutici in ambito cardiologico acuto.

Dolore toracico / infarto / STEMI

Delayed Hemopneumothorax and Multiple Rib Fractures Following Blunt Chest Trauma 3 Settembre 2026
Delayed hemopneumothorax is a surgical emergency, particularly following multiple rib fractures. We report the case of a middle-aged male presenting with chest pain due to a rare, late-onset development of traumatic hemopneumothorax. The patient initially presented following a motor vehicle collision (MVC) and was discharged from the emergency department (ED) with analgesics against medical advice. […]
Moawiah M Abdalrahman
Young Patients Presenting With Suspected ST-Elevation Myocardial Infarction Undergoing Emergency Coronary Angiography: Clinical Characteristics and 1-Year Outcomes 3 Settembre 2026
CONCLUSION: Young patients presenting with suspected STEMI who undergo emergency coronary angiography may have a notable risk of MACE during the first year of follow-up. A history of CAD, lower LVEF, and elevated HbA1c levels appear to be associated with adverse clinical outcomes.
Mehmet Kış
Clinical characteristics and prognostic differences among acute heart failure phenotypes in the emergency department: a real-world study 2 Settembre 2026
CONCLUSIONS: In this ED-based AHF cohort, IRVF and CS were independently associated with worse 1-year outcomes, supporting phenotype-based risk stratification in the ED.
Hanyang Liang
Case Report: De Winter electrocardiographic pattern associated with acute total left main coronary artery occlusion 2 Settembre 2026
CONCLUSION: This case demonstrates that the de Winter ECG pattern may occasionally indicate LMCA occlusion rather than isolated LAD occlusion. In the setting of a de Winter ECG pattern accompanied by inferior lead ST-segment depression and ST-segment elevation in lead aVR, clinicians should raise clinical suspicion for LMCA occlusion-particularly in hemodynamically unstable patients-to facilitate timely […]
Jian Wang
Right atrial thrombus-in-transit initially suspected as myxoma in a patient with acute pulmonary embolism: A case report 2 Settembre 2026
A 60-year-old man presented with sudden syncope, chest pain, and dyspnea. Transthoracic echocardiography at a local hospital suggested a right atrial myxoma, and he was referred for emergency treatment. On admission, markedly elevated D-dimer and cardiac troponin I levels were accompanied by severe hypoxemia. Intraoperative transesophageal echocardiography showed a large, highly mobile, cord-like right atrial […]
Hanjun Zhang
Predictive value of stress hyperglycemia ratio for the risk of heart failure during hospitalization in STEMI patients undergoing emergency percutaneous coronary intervention: a single-center retrospective cohort study 2 Settembre 2026
CONCLUSIONS: SHR independently predicts hospitalization HF in STEMI patients post-emergency PCI, demonstrating superior discriminative performance to admission glucose with significant incremental predictive value. SHR may facilitate early risk stratification and management.
Fachao Shi
Thromboelastography-Based assessment of Thrombus Burden in ST-Elevation Myocardial Infarction 2 Settembre 2026
CONCLUSION: Kaolin-activated TEG, particularly R-time and K-time, demonstrates high specificity but limited sensitivity for identifying high thrombus burden during STEMI. The α-angle remains clinically informative for clot kinetics. While TEG may complement existing assessments for targeted antithrombotic therapy, its greatest utility lies in confirming, rather than screening for, severe thrombus burden. Further prospective studies are […]
Satyavir Yadav
Suspected Acute Stanford Type A Aortic Dissection: A Case Report 31 Agosto 2026
CONCLUSION: Blood pressure asymmetry, aortic regurgitation murmur, chest radiographic widening, and echocardiographic intimal flap enable recognition of suspected type A aortic dissection without CTA, preventing misclassification as hypertensive emergency.
Chigozie Ukachukwu Chukwuocha
Targeted Use of Computed Tomographic Coronary Angiography in Acute Chest Pain 31 Agosto 2026
CONCLUSIONS: In patients with suspected acute coronary syndrome in whom myocardial infarction had been ruled out, routine CT coronary angiography-guided management did not result in a lower incidence of subsequent myocardial infarction or death from a cardiac cause than standard care. (Funded by the British Heart Foundation; TARGET-CTCA ClinicalTrials.gov number, NCT03952351.).
Kuan Ken Lee
Case report: primary cardiac lymphoma presenting as acute coronary syndrome and atrioventricular block due to right coronary artery compression 29 Agosto 2026
BACKGROUND: Cardiac tumours are exceedingly rare and often present with non-specific clinical manifestations, making diagnosis challenging. Primary cardiac lymphoma represents a small proportion of primary cardiac tumours and may occasionally mimic acute coronary syndromes due to mass effect on coronary arteries or the conduction system.
Clara Belmonte Herrera
Incarcerated Patients Presenting to an Academic Emergency Department: A Retrospective Review Using Payor Source for Identification 29 Agosto 2026
CONCLUSION: Challenges exist in retrospectively identifying incarcerated patients in the ED for research. Using a distinct payer source, we identified and characterized a cohort of incarcerated patients and compared them with other ED patients. Future work will investigate how to improve ED and follow-up care for this unique patient population.
Alexander Fenn
Too Young, Too Silent: Painless Stanford Type A Aortic Dissection in a Young Adult 28 Agosto 2026
Acute aortic dissection is a life-threatening vascular emergency that classically presents with severe tearing chest pain. However, painless presentations may occur, resulting in delayed diagnosis and potentially catastrophic outcomes. We report a case of a 34-year-old male who presented with sudden-onset left-sided hemiplegia, slurring of speech, facial deviation, and rapidly worsening sensorium, without any chest […]
Pavithra R
Spontaneous Pneumomediastinum in a Patient With Asthma: A Case Report 28 Agosto 2026
Pneumomediastinum is described as free air located within the mediastinum. In the absence of traumatic injury, iatrogenic injury, or a clear etiology, it is called spontaneous pneumomediastinum (SPM). SPM has been associated with many conditions and triggers, including bronchial asthma, forceful straining during exercise, inhalation of drugs, and activities associated with the Valsalva maneuver. This […]
Diptee Poudel
Aortic Pseudoaneurysm Mimicking a Pulmonary Neoplasm in an 87-Year-Old Patient: The Challenge of the "Great Mimicker" in Emergency Medicine 28 Agosto 2026
Acute aortic syndrome (AAS) is a cardiovascular emergency associated with high mortality and often presents a diagnostic challenge, particularly in geriatric patients. We report the case of an 87-year-old woman who presented with acute chest pain, elevated biomarkers (troponin T and D-dimer), and an incidental finding on computed tomography (CT) of a mass in the […]
Johana A Sisa Rodríguez
Bivalirudin Versus Heparin in Low and Non-Low Bleeding Risk Patients Undergoing Primary PCI for STEMI: The BRIGHT-4 Trial 28 Agosto 2026
CONCLUSIONS: Among patients with STEMI undergoing primary PCI with radial artery access, procedural anticoagulation with bivalirudin plus a high-dose post-PCI infusion for 2 to 4 hours reduced the 30-day risk of all-cause death and major bleeding in patients at low bleeding risk as well as in patients at higher-risk of bleeding. (Bivalirudin With Prolonged Full […]
Miaohan Qiu
After-Hours Versus In-Hours Percutaneous Coronary Intervention in Patients With Acute Myocardial Infarction Complicated by Cardiogenic Shock 28 Agosto 2026
CONCLUSIONS: hours, with in-hospital mortality remaining high over the past decade irrespective of procedure timing. These findings underscore the need for the continued development of shock management paradigms and strategic deployment of emerging treatments in AMI-CS.
Riley J Batchelor
Clinical profile and short-term outcomes of acute myocardial infarction patients 28 Agosto 2026
Delayed recognition and poor early risk stratification of acute myocardial infarction remain major contributors to in-hospital complications and mortality. Therefore, it is of interest to evaluate clinical characteristics, risk factors and short-term outcomes in 200 patients presenting with acute myocardial infarction. The mean age was 56.8 ± 11.9 years, with STEMI accounting for 61% and […]
Reazun Nahar
Growth Differentiation Factor-15 in Acute Coronary Syndromes: Prognostic Value and Barriers to Clinical Implementation 27 Agosto 2026
High-sensitivity cardiac troponin has made the diagnosis of myocardial infarction (MI) faster and more precise, but it does not measure the broader biological vulnerability that often determines the outcome after an acute coronary syndrome (ACS). Growth differentiation factor-15 (GDF-15) is induced by ischemic stress, inflammation, oxidative injury, renal dysfunction, metabolic disease, and ageing. This biology […]
Michal Pruc
Management Challenges of Interfering Cardiopulmonary Resuscitation-Induced Consciousness in the Prehospital Setting: A Case Report 27 Agosto 2026
BACKGROUND Cardiopulmonary resuscitation-induced consciousness (CPRIC) is a rare phenomenon in which patients in cardiac arrest demonstrate signs of consciousness while undergoing cardiopulmonary resuscitation (CPR). Only a few cases of this phenomenon are reported in the literature. Previous studies estimate that CPRIC occurs in 0.23-0.9% of all cardiac arrests, with prevalence increasing over recent years. It […]
Nicholas A Wright
Serum YKL-40 in Non-ST-Segment Elevation Acute Coronary Syndrome: A Prospective Exploratory Emergency Department Study 27 Agosto 2026
Background and Objectives: Non-ST-segment elevation acute coronary syndrome (NSTE-ACS) is a heterogeneous emergency condition in which early diagnostic assessment may be challenging. YKL-40 is associated with vascular inflammation and extracellular matrix remodeling, but its age-independent diagnostic relevance in NSTE-ACS remains uncertain. We evaluated the association and discriminatory performance of serum YKL-40 in patients with adjudicated […]
Ece Zabun