European Heart Journal: Case Reports最新文献_第9页

ECG challenge: identifying a critical pattern in a patient with chest pain and pre-existing right bundle branch block. 心电图挑战：识别胸痛和预先存在的右束支传导阻滞患者的关键模式。

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European Heart Journal: Case Reports Pub Date : 2025-04-12 eCollection Date: 2025-04-01 DOI: 10.1093/ehjcr/ytaf192

Miguel Ferrer-Menéndez, Carlos González-Freixa, Meritxell Santaló-Corcoy

引用次数: 0

Rare case of salmonellosis-related coronary aneurysm, complicated with myocardial infarction and constrictive pericarditis: a case report. 罕见沙门氏菌病相关冠状动脉瘤合并心肌梗死及缩窄性心包炎1例。

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European Heart Journal: Case Reports Pub Date : 2025-04-12 eCollection Date: 2025-04-01 DOI: 10.1093/ehjcr/ytaf188

Ka Ho Oscar Chiu, Lap-Yan Ko, Tai-Leung Daniel Chan, Yuk-Kong Lau, Kwok-Lun Lee

{"title":"Rare case of salmonellosis-related coronary aneurysm, complicated with myocardial infarction and constrictive pericarditis: a case report.","authors":"Ka Ho Oscar Chiu, Lap-Yan Ko, Tai-Leung Daniel Chan, Yuk-Kong Lau, Kwok-Lun Lee","doi":"10.1093/ehjcr/ytaf188","DOIUrl":"https://doi.org/10.1093/ehjcr/ytaf188","url":null,"abstract":"Background: Salmonellosis is a common bacterial disease that usually runs a benign course and most patients recover without specific treatment. However, some develop extra-intestinal complications which can have long-term cardiac implications.Case summary: A 46-year-old man with known ischaemic heart disease presented with fever. The case which was thought to be a viral infection soon developed myocardial infarction, pericardial effusion, and subsequent constrictive pericarditis as a result of salmonellosis. He recovered after targeted antibiotics, repeated pericardial drainage, and surgical interventions.Discussion: This rare case of salmonellosis with infected coronary artery aneurysm and pericarditis emphasizes the importance of history taking, especially food intake in patients with unexplained fever. High index of suspicion is needed and multi-modality serial imaging should be used for early diagnosis and prompt treatment.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 4","pages":"ytaf188"},"PeriodicalIF":0.8,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12023852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968446","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

Response to the letter to the editor. 回复给编辑的信。

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European Heart Journal: Case Reports Pub Date : 2025-04-11 eCollection Date: 2025-04-01 DOI: 10.1093/ehjcr/ytaf187

Felipe Israel López-Trejo, Elias Noel Andrade-Cuellar

引用次数: 0

Type III endoleak after endovascular aortic repair: cinematic rendering unveils stent disconnection and guides management. 血管内主动脉修复后III型内漏：电影显示支架断开并指导处理。

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European Heart Journal: Case Reports Pub Date : 2025-04-10 eCollection Date: 2025-04-01 DOI: 10.1093/ehjcr/ytaf186

Heng-Sheng Zhang, Wenhui Ma, Cong Huang

引用次数: 0

Mutations in the TCAP gene may lead to restrictive phenotype hypertrophic cardiomyopathy with poor prognosis: case report. TCAP基因突变可导致限制性表型肥厚性心肌病，预后不良：病例报告。

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European Heart Journal: Case Reports Pub Date : 2025-04-10 eCollection Date: 2025-05-01 DOI: 10.1093/ehjcr/ytaf180

Yunwen Hu, Guangzhong Liu, Jie Yuan, Da Yin, Yaowang Lin

{"title":"Mutations in the TCAP gene may lead to restrictive phenotype hypertrophic cardiomyopathy with poor prognosis: case report.","authors":"Yunwen Hu, Guangzhong Liu, Jie Yuan, Da Yin, Yaowang Lin","doi":"10.1093/ehjcr/ytaf180","DOIUrl":"https://doi.org/10.1093/ehjcr/ytaf180","url":null,"abstract":"Background: Genetic disorders are a significant cause of cardiomyopathies. Mutations in the TCAP gene (OMIM #604488) encoding the Z-disc protein Telethonin associated with a mixed phenotype of hypertrophic and restrictive cardiomyopathy with poor prognosis have not yet been reported.Case summary: A 47-year-old male presented with heart failure symptoms over a year, which had worsened in the past week. He has a familial history of cardiomyopathy, as his mother was diagnosed with restrictive cardiomyopathy (RCM). Transthoracic echocardiography and cardiac magnetic resonance imaging (CMR) revealed non-obstructive hypertrophic cardiomyopathy (HCM) with severe diastolic dysfunction, biatrial enlargement, preserved ejection fraction, and normal chamber size. Endomyocardial biopsy demonstrated cardiomyocyte hypertrophy and focal fibrosis. The patient was diagnosed with hypertrophic cardiomyopathy with a restrictive phenotype (RP-HCM). Whole exome sequencing identified a frameshift TCAP mutation producing a truncated product (p.Glu12fs) in the family. Despite interventions, the patient's cardiac function progressively deteriorated, leading to his placement on the heart transplant waiting list 1 year later.Discussion: In conclusion, we report for the first time that a heterozygous TCAP frameshift mutation resulting in a truncated protein product may contribute to the development of RP-HCM, providing new insights into the genetic basis of cardiomyopathy with mixed phenotypes.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 5","pages":"ytaf180"},"PeriodicalIF":0.8,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12053251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143976217","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

Right ventricular lead migration to the abdominal cavity: a case report of an unexpected journey. 右心室导联迁移到腹腔：一个意外旅程的病例报告。

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European Heart Journal: Case Reports Pub Date : 2025-04-10 eCollection Date: 2025-04-01 DOI: 10.1093/ehjcr/ytaf179

Ibrahim Antoun, Ayman Helal, Azhar Farooqui, Mohsin Farooq, Mohammad El-Din

{"title":"Right ventricular lead migration to the abdominal cavity: a case report of an unexpected journey.","authors":"Ibrahim Antoun, Ayman Helal, Azhar Farooqui, Mohsin Farooq, Mohammad El-Din","doi":"10.1093/ehjcr/ytaf179","DOIUrl":"https://doi.org/10.1093/ehjcr/ytaf179","url":null,"abstract":"Background: Lead perforation, though an uncommon complication of cardiac device implantation, is associated with significant morbidity, especially when leads migrate to extracardiac structures. Lead migration into the abdominal cavity is exceedingly rare, and management in such cases can be complex.Case summary: We present the case of an 82-year-old woman with known dementia who underwent single-chamber pacemaker implantation for symptomatic Mobitz Type II atrioventricular (AV) block. Two weeks post-implantation, the nursing home staff observed that the patient had bradycardia. Electrocardiogram on hospital admission demonstrated recurrence of Mobitz Type II AV block. Pacing checks confirmed there was no lead sensing. Imaging studies confirmed that the right ventricle lead had perforated the myocardium, passed through the diaphragm, and migrated into the abdominal cavity near the colon. The case was discussed in a multidisciplinary team. The final clinical decision was to extract the displaced lead to avoid the risk of further intra-abdominal organ perforations and the risk of developing pericardial effusion. A new lead was successfully implanted in the septal position, with subsequent follow-up showing stable pacing function. The patient received an extended course of antibiotics and made an uneventful recovery leading up to discharge.Discussion: This case underscores the importance of prompt recognition and a multidisciplinary approach to managing instances of rare lead migration, particularly in elderly, frail patients. Careful imaging and risk assessment helped guide the decision-making process, balancing the risks of lead extraction against potential complications.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 4","pages":"ytaf179"},"PeriodicalIF":0.8,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12032392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143973106","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

Prosthetic mitral valve thrombosis associated with new-onset hyperthyroidism due to Graves' disease: a case report. Graves病致新发甲亢伴假体二尖瓣血栓1例

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European Heart Journal: Case Reports Pub Date : 2025-04-10 eCollection Date: 2025-04-01 DOI: 10.1093/ehjcr/ytaf184

Hasan Hadzalic, Selma Hasific, Luca Oechslin, Oliver Gaemperli, Patric Biaggi

{"title":"Prosthetic mitral valve thrombosis associated with new-onset hyperthyroidism due to Graves' disease: a case report.","authors":"Hasan Hadzalic, Selma Hasific, Luca Oechslin, Oliver Gaemperli, Patric Biaggi","doi":"10.1093/ehjcr/ytaf184","DOIUrl":"10.1093/ehjcr/ytaf184","url":null,"abstract":"Background: Graves' disease is linked to a range of cardiovascular diseases. However, the association of new-onset hyperthyroidism with bioprosthetic valve thrombosis has not been reported yet.Case summary: We present the case of a 59-year-old Caucasian male who developed new-onset overt hyperthyroidism 6 years after undergoing bioprosthetic mitral valve replacement. Echocardiography revealed valve failure with high transmitral gradients caused by valve thrombosis. Following appropriate thyreostatic treatment and anticoagulation, his symptoms resolved, and subsequent evaluations showed resolution of the thrombus and normal valve function.Conclusion: In this case, the association of new-onset hyperthyroidism with bioprosthetic valve thrombosis is highly likely. Hyperthyroidism, characterized by a hypercoagulable state and hypofibrinolytic disorder, is known to be associated with thrombosis and thromboembolic events. As acute hyperthyroidism shows clinical features similar to endocarditis, an interdisciplinary approach, immediate appropriate diagnostic steps and management are crucial for a favourable outcome. This case suggests that hyperthyroidism should be considered in the differential diagnosis when evaluating new-onset valvular thrombosis.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 4","pages":"ytaf184"},"PeriodicalIF":0.8,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283056","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

Percutaneous management of acute vascular occlusion after transcatheter aortic valve implantation procedure. 经导管主动脉瓣植入术后急性血管闭塞的经皮处理。

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European Heart Journal: Case Reports Pub Date : 2025-04-09 eCollection Date: 2025-05-01 DOI: 10.1093/ehjcr/ytaf182

Domingo López Vázquez, Fernando Rueda Núñez, Ramón Calviño Santos, Pablo Piñón Esteban, José Manuel Vázquez Rodríguez

引用次数: 0

A novel peak frequency mapping algorithm for the precise localization of accessory pathways in the middle cardiac vein: a case report. 一种新的峰值频率映射算法用于心脏中静脉副通路的精确定位：一个病例报告。

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European Heart Journal: Case Reports Pub Date : 2025-04-09 eCollection Date: 2025-04-01 DOI: 10.1093/ehjcr/ytaf181

Gen Fujiwara, Yoshiaki Mizutani, Satoshi Yanagisawa, Yasuya Inden, Toyoaki Murohara

{"title":"A novel peak frequency mapping algorithm for the precise localization of accessory pathways in the middle cardiac vein: a case report.","authors":"Gen Fujiwara, Yoshiaki Mizutani, Satoshi Yanagisawa, Yasuya Inden, Toyoaki Murohara","doi":"10.1093/ehjcr/ytaf181","DOIUrl":"https://doi.org/10.1093/ehjcr/ytaf181","url":null,"abstract":"Background: Advancements in three-dimensional mapping systems have enhanced the precise accessory pathway (AP) localization and conduction properties. However, accurately identifying the earliest atrial or ventricular activation sites remains challenging, particularly in cases with multiple insertions or epicardial connections.Case summary: A 24-year-old woman with palpitations and a manifest Wolff-Parkinson-White syndrome Type A underwent catheter ablation. Local activation time mapping revealed extensive conduction in the posterior mitral annulus, with a peak frequency (PF) of 291 Hz at the earliest ventricular and earliest atrial activation sites on the endocardium in the omnipolar technology near field (OTNF) mapping. The coronary sinus and middle cardiac vein were additionally mapped using an ablation mapping catheter and a 1.6-Fr electrode catheter. Emphasis mapping identified the Kent bundle location during right ventricular pacing using local activation time and PF mapping. A narrower region of atrial insertion at the entrance of the middle cardiac vein was revealed, with a PF of 645 Hz. The AP connection successfully disappeared 8 s after ablation to the entrance of the middle cardiac vein. At the 3-month follow-up, the patient showed no recurrence of delta waves on the electrocardiogram or related symptoms.Discussion: The novel OTNF concept further enhances this function by differentiating far-field potentials based on annotated PFs. The use of PF values with novel OTNF mapping proved valuable in identifying optimal target sites for the ablation of APs. The combination of OTNF mapping and advanced ablation catheters may enable the precise targeting of specific AP sites.","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 4","pages":"ytaf181"},"PeriodicalIF":0.8,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975778","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

Non-infectious inflammation in atrial septum after GORE® CARDIOFORM septal occluder implantation. GORE®CARDIOFORM房间隔封堵器植入后房间隔的非感染性炎症。

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European Heart Journal: Case Reports Pub Date : 2025-04-08 eCollection Date: 2025-04-01 DOI: 10.1093/ehjcr/ytaf171

Ryotaro Maeda, Takeshi Nakamura, Michiyo Yamano, Satoaki Matoba

引用次数: 0