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Intramyocardial dissecting hematoma is a rare clinical entity. We report a combat veteran who had served in Iraq and his vehicle had been blown up by an improvised explosive device 6 years prior to presentation. A 27 year-old man presented with atypical chest pain of several years’ duration

Penetrating bullet injuries into the myocardium often lead to a fatal prognosis. However, chronically retained bullets in the heart represent a rare sequala following gunshot wounds, thus presenting an interesting challenge to management. A 58 year old male with a mid-back gunshot wound in 1982

A Class 1 indication for patients with acute coronary syndrome (ACS) is dual antiplatelet inhibitors therapy (DAPT) including aspirin and a P2Y12 inhibitor. Randomized controlled trials (RCTs) have shown prasugrel and ticagrelor are superior to clopidogrel, but no RCT has directly compared these

Clinical trials and meta-analyses have shown that complete-revascularization (CR) during primary PCI decreases the risk of revascularization compared to infarct-related artery-only revascularization (IRA-OR). However, those studies were underpowered to test hard endpoints such as MI and mortality.

Epidemiologic studies suggest that patent foramen ovale (PFO) is associated with cryptogenic stroke, especially in younger patients. However, three early randomized controlled trials (RCTs) failed to prove the superiority of PFO closure compared to medical therapy alone. One of the main limitations

Early RCTs have shown that for primary PCI, bivalirudin is associated with an increased risk of stent thrombosis compared to heparin, thus attenuating its efficacy in terms of preventing net adverse clinical events (NACEs) and mortality. However, recent RCTs have suggested that pre-procedural