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Middle-Aged Male with NSTEMI Triggered by SCAD Following Prolonged Khat Chewing

Alaaden Labban*; Abdalrhim Adel Shikh Najeeb; Waddah Osama Abdullatif

    Spontaneous Coronary Artery Dissection (SCAD) is a rare, yet potentially life-threatening, condition involving the spontaneous tearing or separation of the coronary artery wall. This occurs in the absence of atherosclerosis, trauma, or iatrogenic causes. SCAD can lead to myocardial injury through coronary artery obstruction, often caused by intramural hematoma formation or intimal disruption.


Persistent Left Superior Vena Cava, a Challenge for Pacemaker Implantation: One Case Report

A Maliki Alaoui*; F El Hassan; O Sidati; F Chikhi; I Fellat; M Cherti

    Persistent left superior vena cava is a rare congenital malformation, usually without clinical impact, due to the persistence of the anterior cardinal vein. It is detected in approximately 3% of autopsies and in 2% to 4% of patients with congenital heart disease.


Sudden Cardiac Arrest Following Sexual Activity in an Asymptomatic Patient with Undiagnosed Hypertrophic Cardiomyopathy: A Case Report

Annie Berg*; Jigish Khamar; Nathan How; Bennett Haynen

    Background: The American Heart Association (AHA) guidelines suggest that sexual activity is reasonable for most patients with Hypertrophic Cardiomyopathy (HCM) however, it should be deferred for patients with severe symptoms until clinically stabilized. Furthermore, the AHA scientific committee noted that no Sudden Cardiac Arrest (SCA) cases linked to sexual activity in HCM have been documented. Therefore, this case report describes


Sinus Node Dysfunction in People Who Have Down Syndrome with Structurally Normal Hearts: A Case Series

Verity Chadwick; Caroline Medi; Mark McGuire; Ali Sepahpour; Paolo D'Ambrosio; David S Celermajer; Rachael Cordina*

    Down Syndrome (DS) is the most common chromosomal abnormality in live born infants. Although limited research suggests that autonomic dysfunction may be more common in the setting of DS, a predisposition to cardiac conduction abnormalities is not well recognised. We performed a retrospective review of records at our tertiary referral centre from Jan 2018 to Jan 2021 to identify people who had Down's syndrome and required permanent pacemaker implantation for cardiac conduction disease.


A 42-Year-Old Man with a Solitary Kidney

Fredrick Kalokola*; Deodatus Mabula; Benard Gombanila; Ladius Rudovick; Said Kanenda

    It is estimated that 1/2000 people have a solitary kidney and they are at risk for developing arterial hypertension and impaired renal function. Hypertension is an independent risk factor for progression of renal disease in people born with a solitary kidney. Early detection, regular follow up and prompt management of blood pressure may help slow the progression of renal function impairment.


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