European Heart Journal: Case Reports最新文献_第7页

Reversible complete left bundle branch block and a wide QRS complex following administration of sodium-glucose cotransporter-2 inhibitor and volume reduction in a patient with systolic heart failure: a case report. 一名收缩性心力衰竭患者在服用钠-葡萄糖共转运体-2 抑制剂和容量减少后出现可逆的完全性左束支传导阻滞和宽 QRS 波群：病例报告。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2024-09-14 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae512

Masaki Takenaka, Satoshi Yanagisawa, Yukihiko Yoshida, Yasuya Inden, Toyoaki Murohara

{"title":"Reversible complete left bundle branch block and a wide QRS complex following administration of sodium-glucose cotransporter-2 inhibitor and volume reduction in a patient with systolic heart failure: a case report.","authors":"Masaki Takenaka, Satoshi Yanagisawa, Yukihiko Yoshida, Yasuya Inden, Toyoaki Murohara","doi":"10.1093/ehjcr/ytae512","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae512","url":null,"abstract":"Background: Guidelines recommend optimal medical therapy before cardiac resynchronization therapy (CRT) implantation. Herein, we report the potential effect of sodium-glucose cotransporter-2 inhibitors (SGLT2is) in improving the QRS duration and volume reduction in a patient with complete left bundle branch block (CLBBB) and reduced cardiac function.Case summary: A 68-year-old man with a history of ischaemic cardiomyopathy and decreased cardiac function had exacerbation of heart failure (HF) at an outpatient clinic. His QRS duration increased remarkably with a CLBBB of 143 ms on an electrocardiogram, and left ventricular desynchrony was assessed by echocardiography, suggesting an indication of CRT implantation. Administration of an SGLT2i and multimodal treatment for HF stabilized his HF condition and improved the QRS duration and volume reduction thereafter. The CLBBB recovered to incomplete LBBB with a QRS duration of 112 ms on electrocardiography after 6 months. The patient has been stably followed up with continuous medications, including SGLT2i, without requiring CRT implantation or worsening of HF for 12 months.Discussion: This case presents a unique scenario wherein electrical and mechanical reverse remodelling occurred in a patient with systolic HF and CLBBB, highlighting the potential benefits of SGLT2i in HF management. It may be important to carefully consider CRT indications when seeking other options to treat HF conditions and recognize an unusual phenomenon of reverse LBBB in clinical cases.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11437653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142344059","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}

引用次数: 0

Author's reply: An unusual case of two acute coronary syndrome episodes caused by allergic and non-allergic coronary artery dissection with potential coronary vasospasm association: a case report. 作者回复：过敏性和非过敏性冠状动脉夹层引起的两次急性冠状动脉综合征发作，并可能与冠状动脉血管痉挛有关：一份不寻常的病例报告。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2024-09-14 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae508

Tomohiro Yoshino, Kei Yunoki, Takefumi Oka

引用次数: 0

Vieussens' arterial ring forming a coronary-pulmonary artery fistula with large aneurysmal dilatation: a case report. Vieussens动脉环形成冠状动脉-肺动脉瘘伴巨大动脉瘤扩张：病例报告。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2024-09-14 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae507

Shuji Moriyama, Kosuke Nakata, Hideki Doi, Toshiyuki Matsumura, Toshihiro Fukui

{"title":"Vieussens' arterial ring forming a coronary-pulmonary artery fistula with large aneurysmal dilatation: a case report.","authors":"Shuji Moriyama, Kosuke Nakata, Hideki Doi, Toshiyuki Matsumura, Toshihiro Fukui","doi":"10.1093/ehjcr/ytae507","DOIUrl":"10.1093/ehjcr/ytae507","url":null,"abstract":"Background: Vieussens' arterial ring (VAR) is an embryonic conotruncal ring remnant that represents a rare vascular anomaly involving a connection between the right coronary artery (RCA) and the left anterior descending artery (LAD). We describe a unique case of VAR associated with large aneurysmal dilatation, which presents as the formation of a fistula between the coronary artery and pulmonary artery.Case summary: An 80-year-old Japanese woman presented with an asymptomatic mediastinal mass that was incidentally detected on computed tomography. Subsequent imaging over 2 years revealed the progression of the two masses connecting the RCA to the LAD measuring 8 × 7 mm and 28 × 21 mm in diameter. Transthoracic echocardiography identified a cystic lesion anterior to the right ventricular outflow tract, and colour Doppler imaging confirmed flow into the pulmonary artery. Furthermore, coronary angiography revealed a large aneurysm arising from the LAD, with an efferent vessel communicating with the pulmonary artery. Surgical intervention involved resection of the aneurysms and closure of the coronary-pulmonary artery fistula, which yielded favourable postoperative outcomes.Discussion: Vieussens' arterial ring is a rare but clinically significant anomaly with varied presentations; the incidence of VAR remains uncertain. In this case, surgical resection and closure of the fistula were performed to mitigate the risk of rupture and to address the potential haemodynamic consequences. Understanding and documenting such cases will contribute to refining treatment approaches and improving patient care in cardiovascular medicine.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11450478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142380294","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}

引用次数: 0

Pseudo-hyperacute T-waves in a giant thoracic aortic aneurysm. 巨大胸主动脉瘤中的假性超急性 T 波。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2024-09-14 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae502

Masahiro Ishikura, Yoshiaki Kawase, Hirooki Higami, Hitoshi Matsuo

引用次数: 0

Takotsubo syndrome induced by severe hyponatraemia in mineralocorticoid-responsive hyponatraemia of the elderly: a case report. 老年人矿物质皮质激素反应性低钠血症中严重低钠血症诱发的 Takotsubo 综合征：病例报告。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2024-09-14 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae513

Fuyuki Asano, Daisuke Wakatsuki, Ayumi Omura, Hiroshi Suzuki

{"title":"Takotsubo syndrome induced by severe hyponatraemia in mineralocorticoid-responsive hyponatraemia of the elderly: a case report.","authors":"Fuyuki Asano, Daisuke Wakatsuki, Ayumi Omura, Hiroshi Suzuki","doi":"10.1093/ehjcr/ytae513","DOIUrl":"10.1093/ehjcr/ytae513","url":null,"abstract":"Background: There are limited reports on mineralocorticoid-responsive hyponatraemia of the elderly (MRHE), a condition that can cause severe hyponatraemia.Case summary: An 85-year-old woman presented with transient loss of consciousness and nausea likely due to untreated severe hyponatraemia (114 mEq/L). Thirty-nine hours after initial admission, she developed sudden cardiac dysfunction and entered a circulatory collapse state. The patient was diagnosed with Takotsubo syndrome. Her hyponatraemia was an essential feature of syndrome of inappropriate antidiuretic hormone secretion. However, she was clinically hypovolaemic. Therefore, the hyponatraemia was diagnosed as MRHE. The serum sodium level was corrected with 3% hypertonic saline administered at a rate of 10 mL per hour, with careful monitoring to avoid overly rapid correction and prevent osmotic demyelination. After 14 days, her serum sodium level, electrocardiogram findings, and cardiac contractions on echocardiography improved.Discussion: To our knowledge, this is the first documented case of Takotsubo syndrome induced by severe hyponatraemia resulting from MRHE. The present report shows that acute cardiomyopathy can develop when severe hyponatraemia is not treated within several hours and at least a day. Since patients with MRHE are hypovolaemia statement, avoidance of diuretic drugs and water restriction for the treatment of hyponatraemia should be carefully considered, especially if they have acute cardiac dysfunction. This report highlights the need for prompt management of severe hyponatraemia in elderly patients and calls for further research on MRHE treatment protocols and its link to cardiomyopathy.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11443963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364928","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}

引用次数: 0

Cardiac metastatic melanoma presenting with ventricular tachycardia: a multimodality imaging evaluation case report. 出现室性心动过速的心脏转移性黑色素瘤：多模态成像评估病例报告。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2024-09-14 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae505

Hussain Mirza Khalid, Yomary Jimenez, Wei Wang, Bruno Hochhegger, Mohammad Al-Ani

{"title":"Cardiac metastatic melanoma presenting with ventricular tachycardia: a multimodality imaging evaluation case report.","authors":"Hussain Mirza Khalid, Yomary Jimenez, Wei Wang, Bruno Hochhegger, Mohammad Al-Ani","doi":"10.1093/ehjcr/ytae505","DOIUrl":"10.1093/ehjcr/ytae505","url":null,"abstract":"Background: Cardiac tumours are rare; secondary, metastatic cardiac tumours are 22-132 times more common than primary cardiac tumours. Multimodality imaging can elucidate the mass anatomy, composition, haemodynamic consequences, and guide management plan.Case summary: We present a case of large left ventricular mass presenting with unstable ventricular tachycardia. We describe the cardiac magnetic resonance imaging, transthoracic echocardiography, and computed tomography findings used to assist in characterizing the left ventricular mass. We describe the multidisciplinary discussion involved in diagnosis, surgical biopsy, and treatment, and follow-up of cardiac metastatic melanoma.Discussion: Metastatic melanoma should be within the differential for cardiac masses. Any patient presenting with a cardiac mass should be asked about history of skin malignancy. Multimodality imaging is crucial to diagnosis, staging, haemodynamic assessment, interventional and surgical planning, and assessment of response to therapy.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11462447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142389036","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}

引用次数: 0

Successful use of point-of-care ultrasound for an elderly patient with heart failure in a primary care setting: a case report. 在基层医疗机构成功使用护理点超声波检查心衰老年患者：病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-09-13 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae511

Naoko P Kato, Josefine Svantesson, Peter Johansson, Anna Strömberg, Tiny Jaarsma

{"title":"Successful use of point-of-care ultrasound for an elderly patient with heart failure in a primary care setting: a case report.","authors":"Naoko P Kato, Josefine Svantesson, Peter Johansson, Anna Strömberg, Tiny Jaarsma","doi":"10.1093/ehjcr/ytae511","DOIUrl":"10.1093/ehjcr/ytae511","url":null,"abstract":"Background: Appropriate assessment of fluid status of patients with heart failure (HF) is challenging in outpatient settings, e.g. primary care, especially among elderly HF patients with multiple comorbidities. The use of handheld ultrasound devices for point-of-care ultrasound (POCUS) has increased.Case summary: An 80-year-old male had HF with preserved ejection fraction with New York Heart Association (NYHA) classification II. He had multiple comorbidities including chronic obstructive pulmonary disease and been followed up in both a nurse-led HF clinic and a nurse-led chronic obstructive pulmonary disease clinic in primary care. During a scheduled visit to the nurse-led HF clinic in primary care, he exhibited orthopnoea and moderate leg oedema. A HF nurse, using a handheld ultrasound device (Vscan, GE Healthcare), detected B-lines in the left lung, indicating the presence of fluid in the left lung, and an enlarged and non-varying inferior vena cava (IVC) during the POCUS examination. Based on these results, the HF nurse concluded that the patient was experiencing decompensated HF, rather than a chronic obstructive pulmonary disease exacerbation. As a result, his loop diuretics were promptly increased. The patient and his wife received advice on self-care from the HF nurse and the chronic obstructive pulmonary disease nurses. At a follow-up visit 2 weeks later, his breathlessness and swelling were reduced, with no B-lines or dilated IVC found during the POCUS examination.Discussion: The POCUS can be a good decision support tool for not only physicians but also other healthcare professionals to identify worsening HF and to monitor treatment responses in HF patients in primary care settings.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11443956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364927","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}

引用次数: 0

Takotsubo cardiomyopathy in patients with borderline stenosis of the left anterior descending artery and vasospastic angina: to stent or not to stent? A case report. 左前降支动脉边缘狭窄和血管痉挛性心绞痛患者的 Takotsubo 心肌病：支架还是不支架？病例报告。

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European Heart Journal: Case Reports Pub Date : 2024-09-13 eCollection Date: 2024-09-01 DOI: 10.1093/ehjcr/ytae452

Anna Bernacik, Łukasz Niewiara, Piotr Szolc, Jacek Legutko, Bartłomiej Guzik

{"title":"Takotsubo cardiomyopathy in patients with borderline stenosis of the left anterior descending artery and vasospastic angina: to stent or not to stent? A case report.","authors":"Anna Bernacik, Łukasz Niewiara, Piotr Szolc, Jacek Legutko, Bartłomiej Guzik","doi":"10.1093/ehjcr/ytae452","DOIUrl":"https://doi.org/10.1093/ehjcr/ytae452","url":null,"abstract":"Background: Takotsubo cardiomyopathy (TCM) is a complex disease that resembles the clinical presentation of acute myocardial infarction with non-obstructive coronary arteries. The aetiology remains elusive despite the comprehensive nature of current guidelines meticulously detailing the diagnostic process.Case summary: We present the case of a 64-year-old female who presented with a clinical profile consistent with non-ST elevation myocardial infarction, confirmed by elevated cardiac enzyme levels. Echocardiography raised suspicions of TCM. Angiography presented a challenge, revealing a 65% stenosis of the left anterior descending artery (LAD). Based on the collected evidence, we decided to delay and ultimately forgo LAD revascularization while identifying epicardial vasospasm through a provocation test as a possible cause underlying TCM.Discussion: Conducting an acetylcholine provocation test, as recommended by the European Society of Cardiology guidelines for patients with ischaemia and no obstructive coronary artery disease unveiled severe diffuse vasospasm affecting both the LAD and circumflex arteries. The intricate interplay of pathophysiological mechanisms and clinical presentations necessitates ongoing exploration to uncover the mysteries and refine our diagnostic and therapeutic strategies.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11425307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142344061","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}

引用次数: 0

Atrial tachycardia originating from a right atrial free wall diverticulum: case report. 源于右心房游离壁憩室的房性心动过速：病例报告。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2024-09-12 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae497

Shuang Zhang, Yichao Xiao, Die Hu, Mingxian Chen, Xuping Li

{"title":"Atrial tachycardia originating from a right atrial free wall diverticulum: case report.","authors":"Shuang Zhang, Yichao Xiao, Die Hu, Mingxian Chen, Xuping Li","doi":"10.1093/ehjcr/ytae497","DOIUrl":"10.1093/ehjcr/ytae497","url":null,"abstract":"Background: Atrial tachycardia (AT) is an arrhythmic disorder originating from the atrium, independent of the atrioventricular node, and includes various types based on different mechanisms such as abnormal automaticity, triggered activity, and re-entry. These mechanisms are often related to specific anatomical structures. Focal AT, though relatively rare, typically arises from well-known locations in the left and right atria, such as the pulmonary veins, mitral valve annulus, crista terminalis, and coronary sinus ostium.Case summary: We report a rare case of AT originating from a diverticulum in the right atrial free wall. The patient experienced recurrent AT episodes resistant to standard treatments. Detailed electrophysiological mapping identified the unusual origin of the tachycardia from a right atrial free wall diverticulum. Catheter ablation was successfully performed, leading to the resolution of the arrhythmia, with the patient remaining symptom-free during follow-up.Discussion: This case expands the understanding of AT origins, highlighting the right atrial free wall diverticulum as a potential, though rare, source of tachycardia. The case emphasizes the importance of comprehensive electrophysiological mapping, especially in atypical presentations of AT. Successful ablation in this instance underscores the potential for targeted interventions even in uncommon anatomical sites. Further studies are needed to assess the prevalence and clinical significance of AT arising from such rare locations.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11452801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142383294","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}

引用次数: 0

Complete pneumothorax during subcutaneous cardiac defibrillator implantation by crocheting a rib: an uncommon complication. 通过钩刺肋骨植入皮下心脏除颤器时出现完全性气胸：一种不常见的并发症。

IF 0.8

European Heart Journal: Case Reports Pub Date : 2024-09-12 eCollection Date: 2024-10-01 DOI: 10.1093/ehjcr/ytae483

Antoine Desbiolles, Sandrine Venier, Stephane Kouame, Pascal Defaye

引用次数: 0