Remove Atherosclerosis Remove Stenosis Remove Thrombosis
article thumbnail

Case Report: Kounis syndrome due to cryptopteran bite

Frontiers in Cardiovascular Medicine

Background Kounis syndrome is an acute coronary syndrome (ACS) caused by allergic reactions, including coronary artery spasm (type I) caused by allergies without coronary predisposing factors, pre-existing coronary atherosclerosis, and coronary artery disease.

article thumbnail

What does the angiogram show? The Echo? The CT coronary angiogram? How do you explain this?

Dr. Smith's ECG Blog

MINOCA may be due to: coronary spasm, coronary microvascular dysfunction, plaque disruption, spontaneous coronary thrombosis/emboli , and coronary dissection; myocardial disorders, including myocarditis, takotsubo cardiomyopathy, and other cardiomyopathies. There may be a chronic tight stenosis and a non-obstructed lesion that thrombosed.

article thumbnail

Abstract 115: Carotid Intraluminal Thrombus Obscuring Underlying Carotid Web: Case Report

Stroke: Vascular and Interventional Neurology

CT angiography (CTA) of the head and neck demonstrated a nearly occlusive thrombus of the distal right M2 segment MCA as well as non‐hemodynamic stenosis of the proximal right ICA with possible underlying sidewall filling defect‐appearing lesion concerning for a posterior wall thrombus without underlying atherosclerosis at the bulb or otherwise.

article thumbnail

1 hour of CPR, then ECMO circulation, then successful defibrillation.

Dr. Smith's ECG Blog

distal stenosis or occluded small branches), and 3) nonischemic causes for myocyte injury (e.g., Coronary thrombosis or embolism can result in MINOCA, either with or without a hypercoagulable state. If there is any evidence of atherosclerosis, modifiable CAD risk factors should be treated aggressively. myocarditis).

article thumbnail

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting."

Dr. Smith's ECG Blog

1-4 Surprisingly, serial angiographic studies have revealed that the plaque at the site of the culprit lesion of a future acute myocardial infarction often does not cause stenosis that, as seen on the antecedent angiogram, is sufficiently severe to limit flow. Learning Points: 1.

Plaque 52
article thumbnail

Circulating Sex-Specific Markers of Plaque Instability in Women and Men With Severe Carotid Atherosclerosis

Stroke Journal

Adipokine, lipid, and immune profiling was conducted. Plaque stability was determined by gold-standard histological classifications.

Plaque 40