European Heart Journal: Case Reports最新文献_第4页

The hernia is mightier than the aorta.

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European Heart Journal: Case Reports Pub Date : 2025-03-07 eCollection Date: 2025-03-01 DOI: 10.1093/ehjcr/ytaf122

Hisato Takagi

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Renewed appreciation of double atrial septum: a rare but important anomaly in clinical practice.

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European Heart Journal: Case Reports Pub Date : 2025-03-07 eCollection Date: 2025-03-01 DOI: 10.1093/ehjcr/ytaf121

Mengna Zhang, Zhiyong Shi, Xiaohan Yang, Xinbo Zhong

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A rare case of rapid eye movement sleep-related bradyarrhythmia syndrome with high-grade atrioventricular block: a case report.

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European Heart Journal: Case Reports Pub Date : 2025-03-06 eCollection Date: 2025-03-01 DOI: 10.1093/ehjcr/ytaf120

William Griffin, Craig McDonnell, David Keane, John Garvey

{"title":"A rare case of rapid eye movement sleep-related bradyarrhythmia syndrome with high-grade atrioventricular block: a case report.","authors":"William Griffin, Craig McDonnell, David Keane, John Garvey","doi":"10.1093/ehjcr/ytaf120","DOIUrl":"10.1093/ehjcr/ytaf120","url":null,"abstract":"Background: The relationship between sleep and arrhythmias is well established. Furthermore, the association between obstructive sleep apnoea (OSA) and bradyarrhythmias is well described. However, only a few cases of bradyarrhythmias observed during rapid eye movement (REM) sleep or REM sleep-related bradyarrhythmia syndrome, as it is known, have been documented in the literature.Case summary: Here, we report another example of this syndrome. This was diagnosed during polysomnography in a middle-aged male and was independent of OSA. Several pauses, up to 5.7 s in duration, were observed during the study. A decision was made not to insert a pacemaker in this instance.Discussion: The mechanism behind such bradyarrhythmias is not well established. However, features of autonomic lability were observed on the patient's electrocardiogram monitoring during stress testing. Such autonomic lability with vagal predominance may be the driver of the bradyarrhythmias. It is unknown whether they represent a benign incidental finding or not due to limited case numbers. Furthermore, there is currently no clear consensus on their management. This stresses the need for further research to confirm their pathophysiological basis and develop clearer management strategies.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 3","pages":"ytaf120"},"PeriodicalIF":0.8,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11939300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Myocardial infarction with non-obstructive coronary artery caused by coronary artery spasm and an increase in serum homocysteine: a case report.

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European Heart Journal: Case Reports Pub Date : 2025-03-06 eCollection Date: 2025-03-01 DOI: 10.1093/ehjcr/ytaf118

Ayano Ikeda, Jo Akama, Yoshitsugu Ohki, Hiroyuki Kunii, Shu-Ichi Saitoh

{"title":"Myocardial infarction with non-obstructive coronary artery caused by coronary artery spasm and an increase in serum homocysteine: a case report.","authors":"Ayano Ikeda, Jo Akama, Yoshitsugu Ohki, Hiroyuki Kunii, Shu-Ichi Saitoh","doi":"10.1093/ehjcr/ytaf118","DOIUrl":"10.1093/ehjcr/ytaf118","url":null,"abstract":"Background: Although elevated homocysteine levels have emerged as risk factors for cardiovascular diseases, the associations between homocysteine levels and coronary artery spasm are not well established. We present a case in coronary artery spasm resulted myocardial infarction merged severe high level of serum homocysteine without conventional coronary risk factors.Case summary: A 57-year-old male was referred to our hospital because of chest pain. Macrocytic anaemia with a decrease in the serum vitamin B12 concentration and an increase in the serum homocysteine concentration was appeared. Endoscopy was performed first due to concerns about gastritis or bleeding risk, followed by coronary angiography. He was diagnosed autoimmune gastritis. Coronary angiography revealed no arterial stenosis, and coronary artery spasm with ischaemic ST-T changes on the electrocardiogram appeared with the intracoronary administration of acetylcholine. Inferior myocardial infarction appeared via magnetic resonance imaging. Calcium channel antagonists and vitamin B12 were treated to improve coronary artery spasm and homocysteine levels. After 1 year with adjusted serum homocysteine levels, the patient had no coronary artery spasm, and his chest pain disappeared even with the intracoronary administration of acetylcholine.Discussion: Elevated serum homocysteine levels have a possibility to worsen coronary artery spasm. We concluded that serum homocysteine levels might be a new basis for devising strategies to prevent coronary artery spasm and that optimizing serum homocysteine levels may alleviate the underlying exacerbation of myocardial ischaemia.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 3","pages":"ytaf118"},"PeriodicalIF":0.8,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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From diagnosis to surgery: managing left ventricular pseudo-aneurysm with cardiac computed tomography.

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European Heart Journal: Case Reports Pub Date : 2025-03-05 eCollection Date: 2025-03-01 DOI: 10.1093/ehjcr/ytaf116

Fábio Sousa Nunes, Mariana Ribeiro Silva, Catarina Relvas Novo, Nuno Dias Ferreira

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Ebstein's anomaly with atrial septal defect, right ventricular apical hypoplasia, and hypoplastic pulmonary arteries.

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European Heart Journal: Case Reports Pub Date : 2025-03-04 eCollection Date: 2025-03-01 DOI: 10.1093/ehjcr/ytaf070

Yun Song Choo, Yinghao Lim, Ting Ting Low

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Pulsed field ablation for complex variant pulmonary vein and posterior wall isolation using the Varipulse catheter: a case report.

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European Heart Journal: Case Reports Pub Date : 2025-03-03 eCollection Date: 2025-03-01 DOI: 10.1093/ehjcr/ytaf107

Sebastian E Beyer, Moneeb Khalaph, Thomas Fink, Christian Sohns

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Percutaneous coronary intervention in anomalous aortic origin of a coronary artery: a rare case report of a dual-left anterior descending artery with a pre-pulmonary course.

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European Heart Journal: Case Reports Pub Date : 2025-03-03 eCollection Date: 2025-03-01 DOI: 10.1093/ehjcr/ytaf112

Sara Jourani, Zakaria Laraichi, Mehdi Saighi Bouaouina, Cedric Gaultier, Hakim Benamer

{"title":"Percutaneous coronary intervention in anomalous aortic origin of a coronary artery: a rare case report of a dual-left anterior descending artery with a pre-pulmonary course.","authors":"Sara Jourani, Zakaria Laraichi, Mehdi Saighi Bouaouina, Cedric Gaultier, Hakim Benamer","doi":"10.1093/ehjcr/ytaf112","DOIUrl":"10.1093/ehjcr/ytaf112","url":null,"abstract":"Background: Anomalous aortic origin of a coronary artery (AAOCA) of the left anterior descending artery (LAD) is a rare congenital anomaly. Their percutaneous coronary intervention (PCI) when an ischaemia is documented remains challenging.Case presentation: We report the case of a 52-year-old patient from Bangladesh with dual-origin LAD arising from both left and right sinus with a pre-pulmonary course, presenting with exertional angina and documented myocardial ischaemia. Computed tomography (CT) scan confirmed the anatomical course of the AAOCA. Percutaneous coronary intervention was successfully performed using tailored techniques to treat significant atherosclerotic lesions.Conclusion: This case underscores the importance of CT scan in delineating the anatomical characteristics of AAOCA, and the feasibility and efficacy of PCI in symptomatic, non-high-risk AAOCA, emphasizing its role as a minimally invasive alternative within a multidisciplinary approach.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 3","pages":"ytaf112"},"PeriodicalIF":0.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Mitral regurgitation in patients with hypertrophic cardiomyopathy: a case series.

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European Heart Journal: Case Reports Pub Date : 2025-03-03 eCollection Date: 2025-03-01 DOI: 10.1093/ehjcr/ytaf113

Mark Abela, Andrea Calleja, Tiziana Felice, Kentaro Yamagata

{"title":"Mitral regurgitation in patients with hypertrophic cardiomyopathy: a case series.","authors":"Mark Abela, Andrea Calleja, Tiziana Felice, Kentaro Yamagata","doi":"10.1093/ehjcr/ytaf113","DOIUrl":"10.1093/ehjcr/ytaf113","url":null,"abstract":"Background: Mitral regurgitation (MR) is a frequent occurrence in hypertrophic cardiomyopathy (HCM), often explained by valvular or sub-valvular abnormalities as part of a broad HCM phenotype spectrum.Case summary: In this case series, we present two HCM cases diagnosed with systolic anterior motion of the anterior mitral valve (MV) leaflet and left ventricular outflow tract (LVOT) obstruction. Both cases had abnormal sub-valvular abnormalities that led to deterioration of LVOT obstruction and MR. The series highlights the need for close collaboration within a multidisciplinary team, with a special emphasis on the need for a personalized treatment strategy when considering septal reduction therapy and/or MV surgery.Discussion: Mitral regurgitation is linked to adverse cardiac outcomes, often contributing towards symptoms, poor functional capacity, hospitalization, and advanced therapies. Complex and interlinked biomechanical factors lead to MR, often co-existing with LVOT obstruction. Multimodality imaging with echocardiography (transthoracic and transoesophageal) and cardiac magnetic resonance imaging plays a key role in determining the aetiology of MR in HCM. This case series highlights the role of this comprehensive assessment, paving the way for a personalized treatment pathway for patients.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 3","pages":"ytaf113"},"PeriodicalIF":0.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11950920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143751663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Autopsy revealed intramyocardial dissecting haematoma in the subacute phase of an anteroseptal myocardial infarction.

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European Heart Journal: Case Reports Pub Date : 2025-02-27 eCollection Date: 2025-03-01 DOI: 10.1093/ehjcr/ytaf088

Makoto Kinugawa, Yuji Nishimoto, Shiro Adachi, Takaharu Hayashi

引用次数: 0