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Proc (Bayl Univ Med Cent) 2019 Jan 7;32(1):85-87. Epub 2019 Jan 7.

Department of Radiology, Yale New Haven Health Bridgeport HospitalBridgeportConnecticut.

Echinococcosis (hydatid disease) is caused by the larval stage of . It most frequently involves the liver, followed by the lung. Pancreatic echinococcosis is very rare, even in endemic areas, with an incidence of 0. Read More

Proc (Bayl Univ Med Cent) 2018 Oct 9;31(4):572. Epub 2019 Mar 9.

[This retracts the article DOI: 10.1080/08998280.2018. Read More

Proc (Bayl Univ Med Cent) 2018 Oct 19;31(4):447-452. Epub 2018 Sep 19.

Division of Nephrology and Hypertension, Department of Medicine, Mayo ClinicRochesterMinnesota.

A literature search was performed through May 2017. Studies that compared the risk of developing infection (CDI) and/or the clinical outcomes of CDI in patients who received statin treatment versus those who did not receive statins were included. Ten observational studies with 37,109 patients were included. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 15;32(1):169-176. Epub 2019 Mar 15.

Proc (Bayl Univ Med Cent) 2019 Jan 11;32(1):167-168. Epub 2019 Jan 11.

Department of Internal Medicine, Texas Tech University Health Sciences CenterLubbockTexas.

Prader-Willi syndrome (PWS) is a rare neurodevelopmental disorder resulting from chromosomal duplications, deletions, or imprinting within the 15q11-q13 region. In most cases, patients with PWS inherit a de novo paternally inherited deletion, and the remaining result from maternal disomy 15 and imprinting. Currently, DNA methylation analysis remains the gold standard for diagnosing PWS. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 11;32(1):165-166. Epub 2019 Jan 11.

Department of Internal Medicine, Texas Tech University Health Sciences CenterLubbockTexas.

Although clinical geneticists have traditionally monopolized the administration of genetic tests, several genetic test companies have started producing affordable consumer tests for genetic screening and ancestry analysis. With genetic test kits readily available, patients are increasingly using personal genetic testing resources with the intention of sharing their results with their primary care physicians. Therefore, both medical professionals and patients need information and guidelines to interpret and act on personal genetic data. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 11;32(1):163-164. Epub 2019 Jan 11.

Department of Internal Medicine, Texas Tech University Health Sciences CenterLubbockTexas.

Near-death experiences (NDEs) have been a source of controversy within academia and the public. NDEs occur in 10% to 20% of patients who have come close to death and consist of vivid, subjective experiences that occur during life-threatening emergencies. Specifically, NDEs include out-of-body experiences, pleasant feelings, seeing deceased relatives, a life review, or a conscious return into the body. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 24;32(1):159-162. Epub 2019 Jan 24.

Department of Internal Medicine, Texas Tech University Health Sciences CenterLubbockTexas.

Since 2003, duty hour regulations (DHRs) imposed by the Accreditation Council on Graduate Medical Education (ACGME) have been a controversial issue in the medical community. The conflict touches upon the ethical principles of beneficence, nonmaleficence, justice, and the activities of every physician. However, the controversy concerning DHR presents opportunities for reevaluating a physician's roles, responsibilities, and work-life balance in the 21st century. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 20;32(1):156-158. Epub 2018 Dec 20.

Piedmont Heart InstituteAtlantaGeorgia.

Proc (Bayl Univ Med Cent) 2019 Jan 20;32(1):154-155. Epub 2018 Dec 20.

Division of Cardiology, Scott & White Medical CenterTempleTexas.

Proc (Bayl Univ Med Cent) 2019 Jan 15;32(1):152-153. Epub 2019 Mar 15.

Proc (Bayl Univ Med Cent) 2019 Jan 24;32(1):146-151. Epub 2019 Jan 24.

Baylor University Medical Center at DallasDallasTexas.

The second half of the 20th century witnessed the emergence and the triumph of cardiac surgery. One of the legends of the period is Sir Magdi H. Yacoub (1935-), pioneer surgeon, scientist, master craftsman, and philanthropist. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 15;32(1):143-145. Epub 2019 Jan 15.

Department of Orthopedic Surgery, Baylor Scott & White-TempleTempleTexas.

Acromioclavicular (AC) joint separations are common in both sports and trauma injuries. Many surgical options exist for fixation of these injuries. Although the suture button has become popular, it has a moderately high complication rate. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 6;32(1):140-142. Epub 2019 Feb 6.

Department of Radiology, Baylor University Medical Center at DallasDallasTexas.

Radioactive iodine I-131 whole-body scintigraphy is used to monitor thyroid cancer metastases after total thyroidectomy. We present a case of a woman who was diagnosed with papillary thyroid cancer and underwent a total thyroidectomy. I-131 scintigraphy revealed abnormal accumulation of radioactive iodine in the right breast causing concern for thyroid cancer metastasis. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 16;32(1):138-139. Epub 2019 Jan 16.

Division of Pulmonary Medicine, Baylor Scott & White Medical CenterTempleTexas.

We report a rare anatomic abnormality, a true tracheal bronchus, where the right upper bronchus originates directly from the supracarinal trachea. This unusual anatomic variant can be problematic for the anesthesiologist if it is unrecognized. It can lead to hypoventilation of the right upper bronchus or cause confusion in placement of a double-lumen endotracheal tube if the carina is misidentified, as demonstrated in our case report. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 24;32(1):134-137. Epub 2019 Jan 24.

College of Medicine, Texas A&M University Health Science CenterBryanTexas.

Chronic neuropathic pain presents a significant burden to health care worldwide. Its complexity and variation in presentation make therapeutic targeting a challenge in clinical practice. We present a case of chronic idiopathic peripheral neuropathy localized to a specific region in the back to highlight current understandings and available treatment options for neuropathic pain. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 15;32(1):131-133. Epub 2019 Jan 15.

Department of Medicine, Harvard Medical SchoolBostonMassachusetts.

Creatinine-based equations are used as standard ways to estimate glomerular filtration rate and kidney function. Unfortunately, serum creatinine varies based on factors such as age, gender, and muscle mass. Overestimation of renal function by creatinine-based equations can be dangerous for renally dosed medications, such as enoxaparin. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 7;32(1):129-130. Epub 2019 Jan 7.

Department of Pathology, Baylor University Medical CenterDallasTexas.

Hepatosplenic T-cell lymphoma (HSTCL) is a rare T-cell lymphoma, primarily characterized by extranodal distribution of the malignant cells with intrasinusoidal infiltration of the liver, spleen, and bone marrow, which is associated with a poor outcome. We describe a unique case of a 47-year-old woman with a clinical presentation of headaches, fevers, elevated liver function tests, and hepatosplenomegaly. A liver biopsy revealed a striking hepatic intrasinusoidal infiltrate of lymphocytes. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 7;32(1):126-128. Epub 2019 Jan 7.

Division of Gynecologic Oncology, Department of Oncology, Baylor University Medical CenterDallasTexas.

Disseminated peritoneal leiomyomatosis (DPL), also known as leiomyomatosis peritonealis disseminata, is a rare condition characterized by multiple benign smooth muscle tumors proliferating along the peritoneal surfaces. In previous case reports, these tumors have been noted to involve the ovaries, round ligaments, bladder, bowel, peritoneum, and mesentery. To date, approximately 150 cases of DPL have been described in the literature. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 7;32(1):124-125. Epub 2019 Jan 7.

Department of Pathology, Baylor University Medical CenterDallasTexas.

Intraductal papillary neoplasm of the bile duct is characterized by intraductal papillary growth with fibrovascular cores that can grow anywhere along the biliary tree. Most cases have high-grade intraepithelial neoplasia or an associated invasive carcinoma. These tumors can spread superficially along the biliary tree and be multifocal, and preoperative biopsy cannot always reflect the maximum degree of atypia. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 16;32(1):121-123. Epub 2019 Jan 16.

Department of Otolaryngology, Baylor Scott & White-Temple/Texas A&M UniversityTempleTexas.

Sinonasal papillomas, also known as Schneiderian papillomas, are benign but infiltrative epithelial neoplasms that arise from ectodermally derived pseudostratified ciliated (or Schneiderian) epithelium that lines the sinonasal tract and nasal cavity. We describe a rare case of a sinonasal papilloma confined to the lacrimal duct and sac in a 45-year-old man who presented with 10 months of right-sided epiphora and swelling of his medial right lower eyelid. He was found to have a 10 × 10 mm area of distension near the right lacrimal sac and underwent an external dacryocystorhinostomy. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 15;32(1):119-120. Epub 2019 Mar 15.

Department of Cardiovascular Medicine, Baylor Scott & White Medical Center-TempleTempleTexas.

Pheochromocytomas are rare catecholamine-producing neuroendocrine tumors that can lead to detrimental outcomes; if identified and treated, they are associated with a good prognosis. The clinical presentation can vary greatly but is classically associated with tachycardia, headaches, and hypertension. Bradyarrhythmias and sinus node dysfunction are uncommon complications of this condition. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 15;32(1):116-118. Epub 2019 Jan 15.

Texas A&M Health Sciences CenterDallasTexas.

We present the case of a 32-year-old African American woman with a giant malignant phyllodes tumor that metastasized to the lungs and subsequently the brain. Her treatment included six cycles of adjuvant therapy with AIM (Adriamycin, ifosfamide, and mesna) followed by therapy with gemcitabine and docetaxel. A grand mal seizure led to discovery of a 6 × 5 × 5 cm brain mass which was resected. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 14;32(1):113-115. Epub 2019 Jan 14.

Baylor Heart and Vascular Institute, Baylor University Medical CenterDallasTexas.

A 53-year-old female athlete with spontaneous coronary artery dissection, acute myocardial infarction, and infrarenal abdominal aortic dissection enrolled in a 6-week cardiovascular rehabilitation (CR) program. During CR sessions, the patient performed a combination of aerobic, resistance training, and core activities. In the final CR session, the patient performed reflex activities and the forced Valsalva maneuver. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 13;32(1):110-112. Epub 2018 Nov 13.

Department of Cardiovascular Medicine, CHI Health, Creighton University School of MedicineOmahaNebraska.

Antiphospholipid syndrome is an autoimmune disorder that presents clinically with venous and/or arterial thrombosis and can affect any organ. Coronary artery involvement and left ventricular thrombus are rare presentations. We report the case of a 23-year-old male smoker with a strong family history of premature coronary artery disease who presented with acute anterolateral ST elevation myocardial infarction and large left ventricular thrombus. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 2;32(1):107-109. Epub 2018 Nov 2.

Department of Internal Medicine, Baylor University Medical CenterDallasTexas.

Brugada syndrome (BS) is a genetic cardiac syndrome first described in 1992 that is characterized by distinct abnormalities noted in leads V1 and V2 on electrocardiogram. It often leads to syncope or even sudden death in affected patients due to its propensity for ventricular tachycardia and fibrillation. The characteristic ST elevation seen in these patients can be confused with ischemic ST elevation. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 7;32(1):105-106. Epub 2019 Jan 7.

Section of Cardiovascular Medicine, Department of Internal Medicine, Medical College of WisconsinMilwaukeeWisconsin.

A 30-year-old man with Marfan syndrome, biventricular heart failure, and an earlier left ventricular assist device placement presented to the emergency department with chest discomfort. Computed tomography with contrast showed contrast extravasation from the anterior aspect of the ascending aorta. The patient was immediately taken to the operating room, where re-exploration of the mediastinum disclosed two needle holes from the distal anastomosis at the toe of the graft that were no longer hemostatic, and it appeared that the patient's heart had dilated in the interim to the point that the outflow graft was too snug. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 24;32(1):101-104. Epub 2019 Jan 24.

Department of Radiology, Columbia University Medical CenterNew YorkNew York.

We describe a 48-year-old man with type 2 persistent primitive proatlantal intersegmental artery found incidentally on imaging. It is one of the rare persistent carotid-vertebrobasilar anastomoses in which the anomalous vessel arises from the external carotid artery and enters the skull through the foramen magnum. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 20;32(1):99-100. Epub 2018 Dec 20.

Section of Cardiology, Baylor Scott & White Medical CenterRound RockTexas.

Spontaneous coronary artery dissection (SCAD) is a rare, nonatherosclerotic cause of acute coronary syndrome. The etiology is unclear, and optimal treatment for SCAD remains undefined. We describe a patient with significant cardiovascular risk factors who presented with SCAD resulting in anterior wall acute myocardial infarction with left ventricular thrombus. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 27;32(1):96-98. Epub 2018 Dec 27.

Department of Dermatology, Scott & White Medical Center and Texas A&M Health Science Center College of MedicineTempleTexas.

We present the case of a 44-year-old man with a complicated past medical history who presented with presumed sepsis secondary to pneumonia and severe joint pain secondary to gout. Despite an entirely negative infectious workup during his lengthy hospitalization, he developed ulcerated, draining wounds on his hands and feet that were also initially presumed to be infectious. The chalky substance draining from the wounds was eventually evaluated with potassium hydroxide under polarized microscopy and found to have the characteristic negative birefringence of sodium urate crystals. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 27;32(1):93-95. Epub 2018 Dec 27.

Division of Rheumatology, Department of Internal Medicine, Rush University Medical CenterChicagoIllinois.

Levamisole is an adulterant found in nearly 70% of cocaine in the United States. The concomitant use of levamisole and cocaine leads to a distinct clinical syndrome that typically manifests as agranulocytosis, leukocytoclastic vasculitis, and elevated antineutrophil cytoplasmic antibody (ANCA) levels. Systemic involvement has also been rarely reported with this syndrome. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 14;32(1):90-92. Epub 2019 Jan 14.

Texas A&M College of Medicine, College StationTexas.

Bullous pemphigoid (BP) is a blistering dermatosis characterized by an autoimmune response to two hemidesmosomal proteins, BP180 and BP230. We describe a case of an 80-year-old man diagnosed with BP by clinical features, histopathology, and immunosorbent assay who developed milia within resolving BP lesions. Milia formation during recovery is common in cases of mucous membrane pemphigoid and epidermolysis bullosa acquisita but has rarely been reported in cases of BP. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 15;32(1):88-89. Epub 2019 Jan 15.

Department of Dermatology, University of Texas Southwestern Medical CenterDallasTexas.

We present the case of a 55-year-old black man with coccidiomycosis presenting as a cutaneous plaque on the upper lip. Coccidiomycosis, or "valley fever," is caused by the virulent, dimorphic, soil-dwelling fungus . Seen in up to 50% of symptomatic patients, skin involvement by coccidiomycosis can present as papules, pustules, plaques, nodules, abscesses, or ulcerations. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 24;32(1):82-84. Epub 2019 Jan 24.

Department of Radiology, Yale New Haven Health Bridgeport HospitalBridgeportConnecticut.

Rhombencephalitis is a rare and potentially fatal condition involving the brainstem, with infectious, autoimmune, and paraneoplastic etiologies. We present a patient presenting with left-extremity weakness and dysphonia who had brainstem imaging findings suggestive of rhombencephalitis. We suspect that the case was due to inoculation of the brainstem from nasopharyngeal adenoviral infection. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 19;32(1):80-81. Epub 2018 Oct 19.

Texas Tech University Health Sciences Center, Clinical Research Institute and Department of Internal MedicineLubbockTexas.

In its early course, Hashimoto's disease may present as thyrotoxicosis (Hashitoxicosis). This usually manifests as elevated free T4 and suppressed thyroid-stimulating hormone (TSH). We report the unusual occurrence of an elevated T3 level in a patient with Hashimoto's disease. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 24;32(1):78-79. Epub 2019 Jan 24.

Division of Nephrology, University of Oklahoma-TulsaTulsaOklahoma.

Hydralazine-induced vasculitis is an established autoimmune entity but widely underdiagnosed despite its initial description in 1953. Hydralazine-induced lupus occurs in 5% to 10% of patients and is characterized by fever, arthralgias, rash, anemia, leukopenia, and positive antinuclear antibodies. Renal involvement is rare in drug-induced systemic lupus erythematosus but can occur. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 11;32(1):75-77. Epub 2019 Jan 11.

Texas Tech University Health Sciences Center School of MedicineLubbock Texas.

Male hypogonadism is associated with poor sexual function. Testosterone therapy via the intramuscular route is the preferred treatment but is associated with secondary polycythemia. We report a patient in whom clomiphene citrate improved hypogonadal symptoms and restored normal free testosterone levels. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 16;32(1):73-74. Epub 2019 Jan 16.

Division of Nephrology, Baylor University Medical CenterDallasTexas.

Ifosfamide-induced proximal tubular nephropathy can present as a spectrum of disease, from isolated hyperaminoaciduria to a partial or complete Fanconi syndrome. We report a case of ifosfamide-induced partial Fanconi syndrome in a man with metastatic progressive Ewing sarcoma and put forth a hypothesis on the mechanism. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 16;32(1):70-72. Epub 2019 Jan 16.

Department of Oral and Maxillofacial Surgery, Baylor University Medical Center at DallasDallasTexas.

Presented here are two cases of acute acquired macroglossia in adults caused by angioedema resulting from a reaction to angiotensin-converting enzyme inhibitors (ACEIs). Angioedema can be caused by a variety of factors, but ACEIs are the most common precipitating factor. Symptoms such as swelling of the lips, face, tongue, and throat can lead to life-threatening airway compromise. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 15;32(1):67-69. Epub 2019 Jan 15.

Department of Oral and Maxillofacial Surgery, Baylor University Medical Center and Texas A&M College of DentistryDallasTexas.

Despite the wide availability of antibiotics and medical care, deep neck infections requiring hospitalization are associated with significant morbidity and mortality. Thus, early recognition and aggressive treatment are key in preventing unfavorable outcomes. We present the case of a patient who rapidly progressed from nonspecific upper respiratory symptoms to obstructive airway loss and death due to a swiftly worsening deep neck infection. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 24;32(1):65-66. Epub 2019 Jan 24.

Department of Graphic Communications, McGovern Medical School, UT HealthHoustonTexas.

Actinomycosis is a chronic, progressive, and often relapsing granulomatous infection that characteristically crosses tissue planes and forms abscesses and sinus tracts. We report a unique case of a woman with actinomycosis presenting with a breast abscess, a sinus tract spontaneously exiting the sternum, and miliary lung lesions. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 24;32(1):63-64. Epub 2019 Jan 24.

Department of Medicine, McGovern Medical School, UT HealthHoustonTexas.

Mycobacterial skin infections are rare, with a wide spectrum of clinical features in immunocompromised individuals. Overall, they represent <2% of all forms of extrapulmonary tuberculosis. Tuberculous cellulitis is considered a skin manifestation of miliary tuberculosis. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 11;32(1):61-62. Epub 2019 Jan 11.

Department of Emergency Medicine, Baylor Scott & White Health Medical CenterTempleTexas.

Necrotizing fasciitis is uncommon in the United States. Despite medical advances, its mortality rate has remained unchanged over the past 20 years at 25% to 35%. Risk scoring tools have been created but often fall short when used in the clinical setting. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 7;32(1):58-60. Epub 2019 Jan 7.

BMJ LearningLondonUK.

Online clinical decision support has been shown to help physicians improve the quality of care that they provide. However, there is little evidence as to how individual physicians perceive the utility of clinical decision support considering its cost. This article evaluates the perceptions of physicians who are part of a user group at BMJ about the cost and utility of an online clinical decision support resource, BMJ Best Practice. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 15;32(1):54-57. Epub 2019 Jan 15.

Department of Pediatrics, Texas A&M Health Science Center, Baylor Scott & White McLane Children's Medical CenterTempleTexas.

This study sought to evaluate the benefit of asthma camp for patients who attended Baylor Scott & White McLane Children's Medical Center's Camp Wheeze Away in July 2016. Data were collected on children aged 8 to 15 years who were diagnosed with asthma and attended asthma camp. Information on body mass index, hospital admissions, and emergency department visits was collected 1 year before and 1 year after camp. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 15;32(1):50-53. Epub 2019 Jan 15.

Wake Forest Baptist Medical CenterWinston-SalemNorth Carolina.

The aim of this study was to analyze themes related to explicit bias in patient-doctor relationships among fourth-year medical students. Class cohorts between 2013 and 2016 taking an online elective, "Self and Culture," submitted reflections about explicit bias. Thematic analysis was conducted on 283 student submissions totaling 849 entries until saturation. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 20;32(1):43-49. Epub 2018 Dec 20.

Department of Anesthesiology, Critical Care, and Pain Medicine, The University of Texas MD Anderson Cancer CenterHoustonTexas.

This study (NCT02428413) evaluated waste anesthetic gas (WAG) in the postanesthesia care unit (PACU) and assessed the utility of the ISO-Gard mask in reducing nursing exposure to WAG. We hypothesized that WAG levels in the patient's breathing zone upon recovery would exceed the recommended levels, leading to increased exposure of the PACU nurses, with use of the ISO-Gard mask limiting this exposure. A total of 125 adult patients were recruited to participate. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 7;32(1):37-42. Epub 2019 Jan 7.

Division of Trauma, Critical Care, and Acute Care Surgery, Baylor University Medical Center at DallasDallasTexas.

Several studies have examined road rage, but few studies have examined other psychosocial factors that may contribute to the number of motor vehicle collisions (MVCs). One study found increases in MVCs in West Virginia following televised NASCAR races but did not account for audience size. This study examined associations between NASCAR's television viewership ratings and the incidence of speed-related MVCs in the USA using generalized estimating equations that controlled for seasonal effects, intoxication, road surface conditions, and lighting conditions. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 11;32(1):34-36. Epub 2019 Jan 11.

Division of Cardiology, Department of Internal Medicine, Baylor Scott and White HealthTempleTexas.

Adequate and reliable hemostasis following transcatheter aortic valve implantation (TAVI) is crucial. Closure devices have improved the amount of time required to achieve hemostasis following these procedures. We retrospectively looked at TAVI procedures that achieved adequate hemostasis after use of the Angio-Seal as an adjunctive measure following use of the Perclose ProGlide system. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 27;32(1):30-33. Epub 2018 Dec 27.

Department of Cardiology, Government Medical CollegeKottayamKeralaIndia.

The no-reflow phenomenon occurs in a considerable number of patients with ST elevation myocardial infarction (STEMI) undergoing primary reperfusion therapy. Our study aimed to identify clinical, angiographic, and procedural variables that predict this phenomenon in patients with STEMI undergoing primary percutaneous coronary intervention (PPCI), as well as determine the impact of no-reflow on in-hospital mortality. Prospective observational data from 410 patients with STEMI undergoing PPCI were obtained. Read More