Despite being rare, traumatic coronary artery dissection after blunt chest trauma can lead to life-threatening consequences that be fatal. This case report focuses on a 51-year-old woman who suffered at home and was later found have right dissection. manuscript aims elucidate the risk factors, diagnostic challenges, management strategies associated with emphasizes evaluation of significance early detection appropriate imaging modalities while maintaining high clinical suspicion, critical...

We present a case of an 83-year-old female who presented to the emergency department because poor oral intake and dizziness. Initial assessment revealed diagnosis pulmonary embolism (PE). However, further investigation coexisting takotsubo cardiomyopathy (TCM), rare but critical finding. This highlights possible causative connection between clinically non-significant PE TCM. Additionally, it emphasizes diagnostic challenges posed by atypical symptoms unremarkable medical history, which can...

Coronary artery disease continues to remain the leading cause of mortality worldwide. blood supply is provided through right and left main coronary arteries. The (LMCA) in turn gives rise anterior descending (LAD) circumflex (LCX) In some cases, LMCA may trifurcate into ramus intermedius (RI) addition LAD LCX Atherosclerotic plaque formation rupture with subsequent clot occlusion arteries are underlying mechanisms myocardial infarction. Though clinical implications presence controversial...

Takotsubo cardiomyopathy (TTC) is characterized by transient left ventricular systolic dysfunction and can have various physical emotional triggers, including pheochromocytomas. Pheochromocytoma a rare neuroendocrine tumor associated with hypertension, orthostatic hypotension, tachyarrhythmias, myocardial infarction, cardiomyopathies. TTC recognized complication of pheochromocytoma be life-threatening in severe cases, sometimes requiring mechanical circulatory support. One the proposed...

Cardiomyopathy is defined as structural and functional myocardial abnormality not attributed to ischemic, valvular, hypertensive, or congenital cardiac causes. The main phenotypes of cardiomyopathy include hypertrophic, dilated, non-dilated left ventricular, restrictive, arrhythmogenic right Takotsubo, ventricular noncompaction cardiomyopathies. A significant proportion dilated (DCM) cases represents patients with genetic mutations, most commonly titin gene truncating variants (TTNtv). It...

Left ventricular thrombus (LVT) has historically been reported as a complication of acute left (LV) myocardial infarction. It is most commonly observed in cases LV systolic dysfunction attributed to ischemic or nonischemic etiologies. Conversely, the occurrence LVT normal function an exceptionally rare presentation and predominantly associated with conditions such hypereosinophilic syndrome (HES), cardiac amyloidosis, noncompaction, hypertrophic cardiomyopathy (HCM), hypercoagulability...

Takayasu arteritis (TA) is a rare form of large vessel that predominantly affects the aorta and its major branches. This inflammation leads to thickening, fibrosis, stenosis arterial walls, which may lead thrombus formation. The resulting symptoms are typically due ischemia end organs. Coronary artery involvement uncommon primarily ostia arteries. Ostial coronary arteries can have dramatic course, including fatal outcomes. We present case 16-year-old female with TA involving ostium left main...

Anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis is the most common form of autoimmune encephalitis, presenting with various psychiatric manifestations, including behavioral and cognitive impairments, movement disorders, decreased consciousness, dysphasia, seizures, autonomic dysfunction. Autonomic dysfunction may involve hyperthermia, apnea, hypotension, tachycardia, life-threatening manifestations sinus node (SND), such as bradycardia, pause or arrest, asystole. The severity...

The information from ‹‹Ancient Armenian Geography›› (Ashkharhatsuyts) about Germany is unique. Despite the fact that, for unknown reasons, source places Gaul in east of this country (instead western side), nevertheless, does not detract value ancient and early medieval Germany. Without hesitation, we can state importance orography hydrography country. presents a general picture country’s tribal world, on basis which German people were formed subsequent centuries. Particular attention given...

J waves, or Osborn are a notable EKG finding in hypothermia, often appearing as prominent deflections but sometimes manifesting subtly. We report 78-year-old female with moderate hypothermia (87.9°F) presenting sinus bradycardia and subtle waves on her EKG. After rewarming, these resolved. Hypothermia management should prioritize gentle handling to avoid arrhythmias ensure rapid rewarming during cardiopulmonary resuscitation. Continuous monitoring is crucial, can indicate higher risk of...

Case Presentation: A 76-year-old male, non-smoker, with history of HLD and NIDDM, presented several weeks dyspnea cough, unresponsive to outpatient treatments. He was normotensive found have new onset atrial fibrillation at a rate 110bpm pulsus paradoxus difference 15mmHg. CT chest showed 2.2cm thyroid nodule along pericardial effusion (PE), confirmed be tamponade on TTE (Fig.1). resolution after the window (Fig.2). Pericardial fluid cytology positive for malignant cells. Patient discharged,...

The safety of traditional Chinese medicine (TCM) herbal remedies, particularly when used with modern medications or in non-traditional dosages, requires careful consideration. We present a case 62-year-old male pre-existing cardiovascular risk factors who developed tachycardia-induced cardiomyopathy (TIC) potentially linked to prolonged use the TCM supplement "Tan Ke Jing." contains licorice root, caffeine, and apricot kernel, which have known effects. Discontinuation guideline-directed...

The reign of the kings Artashes dynasty in ancient Armenia from beginning II century B.C. E. was a turning point for country many spheres life, including religion. In Armenia, as all countries Near and Middle East, cults Greek gods were widespread. Armenian historian 5th Movses Khorenatsi singles out goddess Artemis (Artemis) among gods, who, demonstrated work, not only complemented functional characteristics but also successfully syncretized with pantheon.

Early repolarization (ER) changes, characterized by J point elevation with or without ST-segment elevation, are dynamic in their presentation and can be exacerbated factors such as hypothermia, hypercalcemia, vagotonia, certain medications. There is limited research regarding the mechanism of these changes ER secondary to diabetic ketoacidosis (DKA). This case report highlights augmentation early resembling myocardial infarction (STEMI) a patient DKA that resolved treatment acidosis. The...

Introduction. Until now, the issue of four Byzantine (Justinian) Armenias in historiography has been considered according to data historian 6th century Procopius Caesarea, which does not give grounds for a final answer questions posed. Analysis. When comparing with information “Ashkharatsuyts” (“Ancient Armenian Geography”), we find many discrepancies (especially when considering contour borders I, II and III Armenias). According “Ancient Geography”, territory I Armenia was expanded both at...

“Ancient Armenian Geography” (or “Ashkharatsuits”, literally — “World Map”) calls Phrygia the fifth among all countries of Universal Asia, which is located between Lycia and Paphlagonia. Partly based on “The by Ptolemy, complements Greek author with its information. Outlining borders Phrygia, “Ashkharatsuits” shows territorial limits that this state reached in first half I millennium BC (especially 8th–6th centuries). These centuries can be characterized as “golden era” since almost western...

Over the course of not only centuries, but millennia, there were multiple different states on territory modern Iranian highlands, first which Elam (at least fourth though millenia BC) and Midia (first half millenium BC), ruins Achaemenid state was founded (550-330 afterwards -the one Sassanids (224 / 226-651)."Ashkharatsuyts"`s information about Iran complements gaps that occur in Movses Khorenats's "History Armenia", also Herodot's "History" works by other subsequent historians.Despite fact...