Antonio Pagano MD, Lavinia Saldamarco MD, Carlo Bitello MD, Fiorella Paladino MD
MD Emergency Medicine Department, Cardarelli Hospital, Naples, Italy


Cardiac perforation by permanent pacemaker lead is a rare but possible event. Usually it occurs early, but less frequently it is a late onset complication. We report a case of delayed perforation by passive fixation lead, two weeks after the implantation, in a patient with no comorbidities. The strumental and clinical
Read more: A case of cardiac perforation

Antonio Polenta (1); Giancarlo Sinelli (2); Paola Mainqua (2); Stefano Loffreda (2).
1) School Specialising in Emergency Medicine, University l’Aquila
2) MD Emergency Medicine Department – S. Salvatore - Pesaro.
Acquired hemophilia A (AHA) is a rare bleeding disorder with an incidence of approximately 1.5 cases/million/year1 and is characterized by autoantibodies directed against circulating coagulation FVIII. These autoantibodies constitute the most common
Read more: Acquired hemophilia A: a case report

Benedetta Marigliano (1), Gabriele Valli (2), Raffaele Antonelli lncalzi (1), Maria Pia Ruggieri (2).
1) U.O.C. of Internal Medicine, University Campus Bio-Medico of Rome
2) Emergency Department of 5. Giovanni-Addolorata Hospital in Rome


Disseminated intravascular coagulation (DlC) is often a hard to recognize haematological disorder, which is always difficult to treat, as it is the final manifestation of a number of different serious syndromes. lts
Read more: Therapeutic dilemma in disseminated intravascular coagulation: primary myelofibrosis is not a...

Valeria Clemente MD-Phd, Beniamino Susi MD
Department of Emergency Medicine of Polyclinic Tor Vergata Rome


Pulmonary embolism is a life-threatening condition, with a high mortality rate. Recent studies show that 30-day mortality is 4%, but may increase to 13% after 90 days (1). The risk of developing a PE increases during and after surgery and it depends from the type of surgery and patient risk factors. Orthopedic procedures have the highest incidence of
Read more: A case of pulmonary embolism after orthopedic surgery


Itjem is the official italian scientific review for emergency medicine.

Publisher: Simeu, Società italiana della medicina di emergenza-urgenza, via Valprato, 68 Torino -

Editorial coordination: Silvia Alparone.

Scientific Manager : Giuliano Bertazzoni; Operating Editorial Board: Paolo Balzaretti, Guido Borasi, Rodolfo Ferrari, Mauro Giordano, Paolo Groff, Emanuele Pivetta;

Advisory Board: Michele Gulizia, Riccardo Lubrano, Marco Ranieri, Maria Pia Ruggieri, Roberta Petrino, Francesco Violi.

Editorial Board and Reviewers: Giancarlo Agnelli, Giancarlo Avanzi, Marco Baroni, Stefania Basili, Alessio Bertini, Francesco Buccelletti, Gian A. Cibinel, Roberto Cosentini, Fabio De Iaco, Andrea Fabbri, Paola Noto, Giovanni Ricevuti, Fernando Schiraldi, Danilo Toni.

Norme editoriali clicca qui.

  • Scientifici

  • Divulgativi