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Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Bradycardia is a medical condition in which the heart rate is slower than normal. It occurs when the heart's natural pacemaker, the sinus node, generates slower electrical impulses than the standard rhythm. In adults, bradycardia is diagnosed when the pulse rate falls below 60 beats per minute, indicating a deviation from the normal heart rate range.
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A 72-year-old male with recurrent syncope.

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Summary

A 72-year-old patient experienced recurrent syncope and falls after myocardial infarction. Advanced imaging revealed a ventricular aneurysm, a rare complication following heart attack.

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Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • A 72-year-old male presented with recurrent syncope and falls one year post-myocardial infarction.
  • Patient sustained femur fractures due to recent falls.

Observation:

  • Electrocardiogram (ECG) showed fixed inferior ST-segment elevation and pathological Q waves.
  • Holter monitoring detected non-sustained ventricular tachycardia.
  • Echocardiogram revealed abnormalities.

Findings:

  • Three-dimensional (3D) cardiac CT coronary angiogram was performed for further investigation.
  • The imaging findings are consistent with a ventricular aneurysm.

Implications:

  • Ventricular aneurysms are a potential complication after myocardial infarction.
  • This case highlights the importance of advanced imaging in diagnosing cardiac abnormalities causing syncope.