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All Journal International Journal of Cardiovascular Practice
Isa Khaheshi
Cardiovascular Research Center, Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Medicine & Pharmacology

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Value of Admission HbA1c Level in Non-diabetic Patients With Unstable Angina Saeed Alipour Parsa; Isa Khaheshi; Mohammad Parsa Mahjoob; Mohammad Ali Akbarzadeh; Shooka Esmaeeli
International Journal of Cardiovascular Practice Vol. 1 No. 1 (2016)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20286/ijcp-010103

Abstract

Introduction: There have been incompatible evidences about the prognostic value of HbA1c on the adverse outcomes in acute coronary syndrome. Also, these data are so limited in nondiabetic patients with unstable angina.Methods: In this cross-sectional study, HbA1c level of 231 nondiabetic patients admitted with unstable angina, was measured using high performance liquid affinity chromatography (HPLC) at admission. Then transthoracic echocardiography (TTE) was performed for evaluation of ejection fraction (EF) using Simpson method.Results: Our data revealed that HbA1c was significantly higher in patients with EF≤ 50% in comparison with EF>50% group (P value=0.01).Conclusions: HbA1c may be a helpful prognostic marker in nondiabetic patients admitted in emergency department with diagnosis of unstable angina.
A Mysterious Case of ST-Elevation Myocardial Infarction; an Old Man with Weight Loss and Dyspepsia Morteza Safi; Isa Khaheshi; Mehdi Memaryan; Mohammadreza Naderian
International Journal of Cardiovascular Practice Vol. 2 No. 4 (2017)
Publisher : Publisher: Shahid Beheshti University of Medical Sciences

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Abstract

We present a 65-year-old man who developed retrosternal compressive chest pain. A 12-lead electrocardiography demonstrated ST-segment elevation in leads II, III and aVF. Emergent coronary angiography showed significant thrombus in the distal portion of the left main coronary artery. Abdomino-pelvic computed tomography scan, which was performed the next day, confirmed a pancreatic mass with peritoneal seedings, compatible with peritoneal carcinomatosis. This case underscores the importance of malignancies that may lead to a catastrophic ST-elevation myocardial infarction due to a hypercoagulable state and following thrombosis in the left main coronary artery.
Co-Authors Mehdi Memaryan Mohammad Ali Akbarzadeh Mohammad Parsa Mahjoob Mohammadreza Naderian Morteza Safi Saeed Alipour Parsa Shooka Esmaeeli