Case Reports in Cardiology最新文献_第10页

Life-Threatening Coronary Vasospasm Treated by Implantable Cardioverter Defibrillator: The Warning Signs. 植入式心律转复除颤器治疗危及生命的冠状血管痉挛:警告信号。

IF 0.6

Case Reports in Cardiology Pub Date : 2022-07-27 eCollection Date: 2022-01-01 DOI: 10.1155/2022/4504028

Deborah Adepoju, Jamie A L Smith, Stephen J Leslie

{"title":"Life-Threatening Coronary Vasospasm Treated by Implantable Cardioverter Defibrillator: The Warning Signs.","authors":"Deborah Adepoju, Jamie A L Smith, Stephen J Leslie","doi":"10.1155/2022/4504028","DOIUrl":"https://doi.org/10.1155/2022/4504028","url":null,"abstract":"Coronary artery vasospasm is the sudden narrowing of an artery caused by rapid prolonged contraction. It reduces blood supply to the heart and can present with typical cardiac chest pain symptoms. Vasospasm can lead to fatal arrhythmic complications such as ventricular fibrillation. Our case report describes an example of this occurring in a 53-year-old female, and the management plan that ensued. We look at the importance of accurate and prompt diagnosis of vasospasm and how this can have implications for treatment options. One of the available treatments for vasospasm is placement of an implantable cardioverter defibrillator (ICD). This delivers a shock in the event of future life-threatening arrhythmia, with the aim of preventing cardiac arrest. ICD placement, however, is not always a suitable option. This case report discusses the various challenges that arose while making the decision for ICD placement and gives insight into the best available treatment options for coronary artery vasospasm. We also highlight early warning signs that predict life-threatening vasospastic events and how this can be diagnosed and treated appropriately.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":" ","pages":"4504028"},"PeriodicalIF":0.6,"publicationDate":"2022-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9348961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40688581","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

Ticagrelor-Induced Torsades de Pointes following Myocardial Infarction. 替格瑞洛诱发心肌梗死后点扭转。

IF 0.6

Case Reports in Cardiology Pub Date : 2022-07-21 eCollection Date: 2022-01-01 DOI: 10.1155/2022/4505964

Seong Hyeon Bu, Sung-Hwan Kim

引用次数: 1

Recurrence of LV Thrombus in a Patient with Severe Ischaemic Cardiomyopathy Anticoagulated with Apixaban. 阿哌沙班抗凝治疗严重缺血性心肌病患者左室血栓复发的研究

IF 0.6

Case Reports in Cardiology Pub Date : 2022-07-21 eCollection Date: 2022-01-01 DOI: 10.1155/2022/8156942

Azhar Farooqui, Tin Lwin, Daniel Costa, Simon Hetherington, Raj Mattu

引用次数: 0

One 6-F Guiding Catheter and One Microcatheter to Accomplish a Retrograde Chronic Total Occlusion Approach: The "Reverse Tip-In" or "Introspect" Technique. 一根6-F导管和一根微导管完成逆行慢性全闭塞入路:“反向尖头”或“内省式”技术。

IF 0.6

Case Reports in Cardiology Pub Date : 2022-07-18 eCollection Date: 2022-01-01 DOI: 10.1155/2022/2952898

Ata Firouzi, Zahra Hosseini, Ehsan Khalilipur

引用次数: 0

Interruption of the Right Pulmonary Artery in a Neonate. 新生儿右肺动脉中断。

IF 0.6

Case Reports in Cardiology Pub Date : 2022-07-16 eCollection Date: 2022-01-01 DOI: 10.1155/2022/7666677

Mohammadreza Khalilian, Taraneh Faghihi Langroudi, Ali Dabbagh, Ramin Baghaei Tehrani, Tahmineh Tahouri

引用次数: 0

Intravascular Lithotripsy for Underexpanded Stent in Heavily Calcified Coronary Artery Disease. 血管内碎石术治疗严重钙化的冠状动脉疾病。

IF 0.6

Case Reports in Cardiology Pub Date : 2022-07-15 eCollection Date: 2022-01-01 DOI: 10.1155/2022/7075933

Tejas Raxwal, Cauvery Balhara, Dipak Parekh

{"title":"Intravascular Lithotripsy for Underexpanded Stent in Heavily Calcified Coronary Artery Disease.","authors":"Tejas Raxwal, Cauvery Balhara, Dipak Parekh","doi":"10.1155/2022/7075933","DOIUrl":"https://doi.org/10.1155/2022/7075933","url":null,"abstract":"Objective: Can intravascular lithotripsy safely modify calcium in an underexpanded stent and result in optimal expansion and improved outcome? Coronary artery calcification results in difficulty with stent delivery and expansion and is associated with adverse outcomes. Intravascular lithotripsy (IVL) by delivering acoustic pressure waves modifies calcium plaque that improve vessel compliance resulting in optimizing stent deployment.Results: A 63-year-old patient presented with acute coronary syndrome with symptoms of unstable angina who underwent angiography that showed calcified right coronary artery which was treated with balloon angioplasty and stenting with drug eluting stent. However, after multiple inflations with noncompliant balloon, the patient was noted to have persistent residual in stent stenosis of 70%. Stenotic lesion in poorly expanded stent was treated with Shockwave C2 Coronary Intravascular Lithotripsy catheter resulting in 0% residual stenosis. The patient was followed for major adverse cardiovascular events at 30 days and 12 months. The patient remained MACE free at 30 days and 12 months.Conclusions: Coronary IVL safely and effectively facilitated stent expansion in severely calcified lesion in a poorly expanded stent with MACE free at 12-month follow-up.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":" ","pages":"7075933"},"PeriodicalIF":0.6,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9307410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40644818","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

Acute Coronary Artery Occlusion during Transcatheter Aortic Valve Replacement in a Patient with an Anomalous Left Circumflex Coronary Artery. 左旋冠状动脉异常患者经导管主动脉瓣置换术中的急性冠状动脉闭塞。

IF 0.6

Case Reports in Cardiology Pub Date : 2022-07-08 eCollection Date: 2022-01-01 DOI: 10.1155/2022/6257367

Rongfeng Xu, Jiandong Ding, Lijuan Chen, Yi Feng, Genshan Ma

{"title":"Acute Coronary Artery Occlusion during Transcatheter Aortic Valve Replacement in a Patient with an Anomalous Left Circumflex Coronary Artery.","authors":"Rongfeng Xu, Jiandong Ding, Lijuan Chen, Yi Feng, Genshan Ma","doi":"10.1155/2022/6257367","DOIUrl":"https://doi.org/10.1155/2022/6257367","url":null,"abstract":"Background: Acute coronary artery occlusion (CAO) during transcatheter aortic valve replacement (TAVR) is a rare but life-threatening complication during the procedure; there were a few case reports about an anomalous LCX during perioperative period. We report a case of successful coronary protection using the chimney stenting technique in a patient with a severely calcified aortic valve and an anomalous LCX. Case Summary. A 75-year-old man was found an anomalous left circumflex coronary artery (LCX) originating from the right coronary cusp with severely calcified aortic valve stenosis requiring TAVR. When a self-expanding aortic valve was deployed, we found flow compromise in the right coronary system and circumflex to TIMI-0 flow. By using the chimney stenting technique, we rapidly planted 2 stents from the proximal CX branch to the sinotubular junction and the coronary flow was maintained.Conclusion: Chimney stenting protection as a bailout technique is safe and feasible and should be considered in patients deemed to be at high risk of coronary flow compromise, especially with an anomalous LCX.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":" ","pages":"6257367"},"PeriodicalIF":0.6,"publicationDate":"2022-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9286928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40513197","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: 1

Therapeutic Potential of a Vasopressin V2 Receptor Antagonist for Calcium Channel Blocker-Associated Edema with Vasospastic Angina. 血管加压素V2受体拮抗剂治疗钙通道阻滞剂相关性水肿伴血管痉挛性心绞痛的潜力

IF 0.6

Case Reports in Cardiology Pub Date : 2022-07-08 eCollection Date: 2022-01-01 DOI: 10.1155/2022/9550006

Kojiro Toda, Masashi Fujino, Kota Murai, Teruo Noguchi

引用次数: 1

Anterior Papillary Muscle Rupture due to Acute Myocardial Microinfarction of the Small High Lateral Branch. 小高外侧支急性心肌微梗死致前乳头肌破裂。

IF 0.6

Case Reports in Cardiology Pub Date : 2022-07-08 eCollection Date: 2022-01-01 DOI: 10.1155/2022/7149724

Takanori Kono, Kazuyoshi Takagi, Shinya Negoto, Eiki Tayama

{"title":"Anterior Papillary Muscle Rupture due to Acute Myocardial Microinfarction of the Small High Lateral Branch.","authors":"Takanori Kono, Kazuyoshi Takagi, Shinya Negoto, Eiki Tayama","doi":"10.1155/2022/7149724","DOIUrl":"https://doi.org/10.1155/2022/7149724","url":null,"abstract":"Papillary muscle rupture is a catastrophic condition, of which most cases manifest posterior papillary muscle rupture. Anterior papillary muscle rupture is a rare condition. Particularly, anterior papillary muscle rupture due to acute myocardial microinfarction of the small high lateral branch is extremely rare. Since papillary muscle rupture can occur even in such a small branch or small area due to myocardial infarction, echocardiographic and/or ventriculographic confirmation is essential in cases of sudden worsening of heart failure. Herein, we report the case of anterior papillary muscle rupture with a good outcome. A 61-year-old man was admitted to our hospital with cardiogenic shock. Echocardiography revealed severe mitral regurgitation due to papillary muscle rupture. Coronary angiography demonstrated high-grade stenosis in the high lateral branch. However, no other significant stenoses were found. Emergency mitral valve replacement was performed. The patient was discharged 19 days after surgery without any complications.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":" ","pages":"7149724"},"PeriodicalIF":0.6,"publicationDate":"2022-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9286937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40598412","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

Eosinophilic Myocarditis: An Often-Overlooked Diagnosis in Patients Presenting with Heart Failure. 嗜酸性心肌炎:心衰患者常被忽视的诊断。

IF 0.6

Case Reports in Cardiology Pub Date : 2022-07-01 eCollection Date: 2022-01-01 DOI: 10.1155/2022/8453581

Young Min Cho, Abdullah Asreb, Riaz Mahmood, Ahmad Moaz, Ugochukwu Egolum

{"title":"Eosinophilic Myocarditis: An Often-Overlooked Diagnosis in Patients Presenting with Heart Failure.","authors":"Young Min Cho, Abdullah Asreb, Riaz Mahmood, Ahmad Moaz, Ugochukwu Egolum","doi":"10.1155/2022/8453581","DOIUrl":"https://doi.org/10.1155/2022/8453581","url":null,"abstract":"Introduction. Hypereosinophilic syndrome (HES) is a rare disease characterized by unexplained peripheral eosinophilia along with evidence of end-organ damage. Cardiac involvement is the most life-threatening consequence and is frequently underreported with a prevalence of around 5%. The gold standard for diagnosis is myocardial biopsy, but less-invasive imaging such as cardiac MR (CMR) has been frequently used to help with the diagnosis. We are presenting a unique case of a patient diagnosed with Eosinophilic myocarditis (EM) supported by CMR with rapid improvement after starting steroid treatment. Case Presentation. A 67-year-old African American female with extensive cardiovascular disease history presenting with chest pain was diagnosed with EM secondary to hypereosinophilic syndrome (HES). Lab workup revealed absolute eosinophils of 4.70 × 103/μL (normal 0-0.75 × 103/μL). Transthoracic echocardiography showed mild reduction in left ventricular function and a large obliterating thrombus in the right ventricular apex. CMR showed increased signal intensity at the left ventricular and right ventricular apex, consistent with myocardial edema. Subsequently, the patient was placed on dexamethasone 10 mg daily with significant symptomatic improvement. Discussion. EM is a rare complication of hypereosinophilic syndrome and can mimic common cardiovascular diseases such as acute exacerbation of heart failure or myocardial infarction. A high index of suspicion is essential especially in the setting of suggestive lab workup. CMR is a promising noninvasive and cost-effective alternative for myocardial biopsy in diagnosis.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":" ","pages":"8453581"},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9270166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40489956","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