title: Atypical Presentation of Acute Coronary Syndrome-Not ST Elevation: A Case Report.
abstract: We describe the unexpected case of a 70-year-old man, with medical history of ischemic heart disease and surgery for aneurysm of abdominal aorta, who comes to the emergency department complaining of low-back pain without other symptoms or signs of organic failure. After a few hours we see a deterioration of physical conditions with pulmonary oedema, increase of blood pressure, changing in the ECG pattern, and worsening of left ventricular function with progressive increase of biomarkers for myocardial necrosis. So this pain has revealed the premature symptom of an acute coronary syndrome (ACS). After a short time a subsequent cardiac arrest complicates the clinical situation. After resuscitation, the patient undergoes successfully to coronary angiography and performed a percutaneous transluminal coronary angioplasty (PTCA).
authors.affiliation: Department of Cardiology, Catholic University of Rome, Via dei Gelsi 15, 71043 Manfredonia, Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Vitulano
authors.forename: Graziano
authors.initials: G
authors.lastname: Riccioni
authors.forename: Antonio
authors.initials: A
authors.lastname: Trivisano
authors.forename: Carlo
authors.initials: C
authors.lastname: Palumbo
authors.forename: Linda
authors.initials: L
authors.lastname: D'aloia
authors.forename: Elena
authors.initials: E
authors.lastname: Ricci Barbini
authors.forename: Nino
authors.initials: N
authors.lastname: Leone
authors.forename: Miriam
authors.initials: M
authors.lastname: Placentino
authors.forename: Silvia
authors.initials: S
authors.lastname: Cappetti
authors.forename: Pierluigi
authors.initials: P
authors.lastname: Pellegrino
authors.forename: Rocco
authors.initials: R
authors.lastname: Perrella
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Ferrara
authors.forename: Gaetano
authors.initials: G
authors.lastname: Prencipe
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Pellegrino
authors.forename: Matteo
authors.initials: M
authors.lastname: Melchionda
authors.forename: Matteo
authors.initials: M
authors.lastname: Vitulano