Hussam Al Hennawi, Mohammad F Mathbout, Katrina Bidwell, Christopher D Nielsen
{"title":"The curious case of an isolated right coronary artery aneurysm complicated by thrombosis and distal embolization.","authors":"Hussam Al Hennawi, Mohammad F Mathbout, Katrina Bidwell, Christopher D Nielsen","doi":"10.21542/gcsp.2022.9","DOIUrl":"10.21542/gcsp.2022.9","url":null,"abstract":"<p><p>A 40-year-old male patient with no significant medical history was admitted with an inferior ST-segment elevation myocardial infarction. Primary percutaneous coronary intervention revealed a right coronary artery aneurysm, with no evidence of significant coronary disease. We support the hypothesis of aneurysmal thrombus formation with distal embolization.</p>","PeriodicalId":12669,"journal":{"name":"Global Cardiology Science & Practice","volume":" ","pages":"e202209"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9629293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40457823","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}
Aliaa Tarek, Wessam Ali, Mohamed Sayed, Tarek Hammouda, Omnia Kamel
{"title":"Para-Hisian atrial tachycardia: A neglected cause of severe heart failure in children.","authors":"Aliaa Tarek, Wessam Ali, Mohamed Sayed, Tarek Hammouda, Omnia Kamel","doi":"10.21542/gcsp.2022.4","DOIUrl":"https://doi.org/10.21542/gcsp.2022.4","url":null,"abstract":"<p><p>Incessant focal atrial tachycardia (FAT) is the most common cause of tachycardia-induced cardiomyopathy in pediatric patients and is usually a reversible condition with effective management of tachycardia, either with medical treatment or ablation. These patients may be misdiagnosed, potentially leading to inappropriate treatment. Diagnosis is often late and should always be suspected in patients with congestive heart failure and unexplained persistent tachycardia. Para-Hisian atrial tachycardia is not an uncommon type of FATs; however, catheter ablation of anterior atrial septum-ATs has been a challenge because of its proximity to the AV node and the complex anatomy of its region.</p>","PeriodicalId":12669,"journal":{"name":"Global Cardiology Science & Practice","volume":" ","pages":"e202204"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9629301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40457820","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}
Faizan Ahmed, Jeffrey F Spindel, Agastya Belur, Shahab Ghafghazi
{"title":"Takotsubo cardiomyopathy secondary to alcohol withdrawal.","authors":"Faizan Ahmed, Jeffrey F Spindel, Agastya Belur, Shahab Ghafghazi","doi":"10.21542/gcsp.2022.6","DOIUrl":"https://doi.org/10.21542/gcsp.2022.6","url":null,"abstract":"<p><p>Physical, mental, and emotional stressors have been well known to adversely affect cardiac function. A rare complication of such stressors is stress cardiomyopathy, otherwise known as takotsubo cardiomyopathy. First identified in Japan in the 1990s, takotsubo cardiomyopathy classically presents with systolic dysfunction and apical ballooning. In this report, we present the case of a patient with a medical history of alcohol abuse who presented to the emergency department after being found unresponsive by her family. Transthoracic echocardiography revealed takotsubo cardiomyopathy, which was likely secondary to alcohol withdrawal. Alcohol withdrawal causes an imbalance between various neurotransmitters such as GABA and glutamate. This imbalance caused autonomic overactivity, which manifested as stress cardiomyopathy.</p>","PeriodicalId":12669,"journal":{"name":"Global Cardiology Science & Practice","volume":" ","pages":"e202206"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9629299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40457819","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}
Hussam Al Hennawi, Mohammad F Mathbout, Abdulrahman Taftafa, Christopher D Nielsen
{"title":"Feasible stenting of a large septal perforator providing a sizeable coronary collaterals.","authors":"Hussam Al Hennawi, Mohammad F Mathbout, Abdulrahman Taftafa, Christopher D Nielsen","doi":"10.21542/gcsp.2022.10","DOIUrl":"https://doi.org/10.21542/gcsp.2022.10","url":null,"abstract":"<p><p>While coronary artery disease involving the septal perforator branches presents similar to diseases of major coronary arteries, management can present a challenge. Owing to their relatively small size, performing interventional procedures is often impractical in terms of selecting appropriate devices. Although larger septal perforator branches have been managed percutaneously, similar to major vessels, long-term sequelae and clinical effectiveness have been indeterminate. We present our experience in managing a patient with a stenosed septal perforator branch and challenging comorbidities.</p>","PeriodicalId":12669,"journal":{"name":"Global Cardiology Science & Practice","volume":" ","pages":"e202210"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9629295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40684341","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}
Youssra Amekran, Narjisse Damoun, Abdelkader Jalil El Hangouche
{"title":"Postural orthostatic tachycardia syndrome and post-acute COVID-19.","authors":"Youssra Amekran, Narjisse Damoun, Abdelkader Jalil El Hangouche","doi":"10.21542/gcsp.2022.13","DOIUrl":"https://doi.org/10.21542/gcsp.2022.13","url":null,"abstract":"<p><p>While the acute illness of COVID-19 was the initial focus of concern, there are increasing reports of patients with chronic symptoms, known as long-COVID. Dysautonomia may be a possible post-acute neurological complication explaining the persistent symptoms observed in long COVID. Postural tachycardia syndrome (POTS), a form of dysautonomia characterized by sustained tachycardia and orthostatic intolerance, has been increasingly reported in patients after SARS-CoV-2 infection. In this context, this review aimed to report and discuss the available literature pertaining to post COVID-19 POTS.</p>","PeriodicalId":12669,"journal":{"name":"Global Cardiology Science & Practice","volume":"2022 1-2","pages":"e202213"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9629292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9390168","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}
Omnia Kamel, Tarek Hammouda, Aliaa Tarek, Wessam Ali
{"title":"Recovery of cardiogenic shock with ablation of incessant tachycardia in a neonate.","authors":"Omnia Kamel, Tarek Hammouda, Aliaa Tarek, Wessam Ali","doi":"10.21542/gcsp.2022.3","DOIUrl":"https://doi.org/10.21542/gcsp.2022.3","url":null,"abstract":"<p><p>Supraventricular tachycardia (SVT) is one of the most common conditions in neonates that require emergency cardiac care. Its incidence in infancy is 0.06 and 0.25 per 1000 patients per year by the age of 1 month and one year respectively. The symptoms are usually nonspecific and include poor feeding, irritability, vomiting, cyanosis, and pallid spells. If the symptoms are unrecognized for hours to days, the infant can present with significant hemodynamic compromise or heart failure. Despite the success of conservative management in most cases, catheter ablation is required in cases of failure of medical treatment. We report a case of SVT ablation using a single catheter in a neonate who presented with tachycardia-inducedcardiomyopathy (TIC).</p>","PeriodicalId":12669,"journal":{"name":"Global Cardiology Science & Practice","volume":" ","pages":"e202203"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9629300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40457824","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}
Momin Islam, Hussam Al Hennawi, Anwar Khedr, Khaled Harmouch, Mohammad F Mathbout
{"title":"The undesirable communication: A case of cerebral air emboli in the setting of atrio-esophageal fistula following atrial fibrillation catheter ablation.","authors":"Momin Islam, Hussam Al Hennawi, Anwar Khedr, Khaled Harmouch, Mohammad F Mathbout","doi":"10.21542/gcsp.2022.5","DOIUrl":"https://doi.org/10.21542/gcsp.2022.5","url":null,"abstract":"<p><p>Atrial-esophageal fistula is an extremely rare condition but is often a deleterious complication following catheter ablation for atrial fibrillation. The associated iatrogenic communication acts as a conduit for air and bacterial translocation, which may lead to cerebral air embolism and polymicrobial sepsis, respectively. Coupled with a history of invasive procedures, the diagnosis is largely based on the accompanying neurological symptoms. In this report, we present the case of a 73-year-old female who presented with neurological deficits attributed to cerebral vascular emboli three weeks after catheter ablation for the treatment of chronic atrial fibrillation.</p>","PeriodicalId":12669,"journal":{"name":"Global Cardiology Science & Practice","volume":" ","pages":"e202205"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9629316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40458232","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}
Benjamin L Shou, Meghan E Halub, Alice L Zhou, Jennifer S Lawton
{"title":"Caseous necrosis of the mitral annulus masquerading as an intracardiac mass.","authors":"Benjamin L Shou, Meghan E Halub, Alice L Zhou, Jennifer S Lawton","doi":"10.21542/gcsp.2022.1","DOIUrl":"https://doi.org/10.21542/gcsp.2022.1","url":null,"abstract":"<p><p>Caseous necrosis of the mitral annulus is a rare condition which typically involves the posterior leaflet or annulus. We report the case of a 71-year-old female with extensive comorbidities, presenting with dyspnea and angina, who had an incidental echocardiographic finding of a mass on or near the mitral valve. The mass increased in size over the course of three years and was associated with severe mitral regurgitation. The mass was initially thought to be a myxoma, however, surgical exploration revealed caseous necrosis of the posterior mitral annulus. Following removal of the necrotic tissue and distorted mitral leaflet, a bioprosthetic mitral valve was implanted and the patient recovered uneventfully.</p>","PeriodicalId":12669,"journal":{"name":"Global Cardiology Science & Practice","volume":" ","pages":"e202201"},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9629298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40684342","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}
{"title":"Overview of trials from AHA 2021.","authors":"Michael Gergis, Sherif Nagy, Robert O Bonow","doi":"10.21542/gcsp.2021.29","DOIUrl":"https://doi.org/10.21542/gcsp.2021.29","url":null,"abstract":"Even though the American Heart Association Scientific Sessions 2021 was a fully virtual meeting, it caught the attention of cardiologists with its prestigious program and practice-changing sessions and late breaking clinical trials. We report on some of the top trials presented during this meeting.","PeriodicalId":12669,"journal":{"name":"Global Cardiology Science & Practice","volume":"2021 4","pages":"e202129"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9491393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40389180","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}
{"title":"From Fleming to Endo: The discovery of statins.","authors":"Adrian Chester, Ahmed El Guindy","doi":"10.21542/gcsp.2021.32","DOIUrl":"https://doi.org/10.21542/gcsp.2021.32","url":null,"abstract":"<p><p>Statins are now one of the most prescribed drugs in the world and have made a major impact to the prevention and treatment of cardiovascular disease, thereby extending the lives of millions of people across the world. The scientist responsible for the discovery of the first statin, Professor Akira Endo, was recently honoured for his 'exceptional contribution to cardiovascular medicine' by award of the European Society of Cardiology Gold Medal in 2021. Inspired by the work of Sir Alexander Fleming as a young scientist, Professor Endo pursued a long research career focusing on fungal enzymes and their potential use in medicine; a journey that eventually led him to the discovery of statins.</p>","PeriodicalId":12669,"journal":{"name":"Global Cardiology Science & Practice","volume":"2021 4","pages":"e202132"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9491398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40389186","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}