Case Reports in Cardiology最新文献_第8页

Recurrent Ventricular Tachycardia in a Young Adult-Imaging and Genetic Evidence of DSP-Associated Arrhythmogenic Cardiomyopathy: A Case Report. 年轻成人复发性室性心动过速——与dsp相关的心律失常性心肌病的影像学和遗传学证据：1例报告。

IF 0.5

Case Reports in Cardiology Pub Date : 2026-04-07 eCollection Date: 2026-01-01 DOI: 10.1155/cric/5899286

Luis Enrique Gomez, Nicolas Martinenghi, Martin Ortiz-Genga, Mercedes Saenz Tejeira, Paula Buonfiglio, Andres Nicolas Atamañuk

{"title":"Recurrent Ventricular Tachycardia in a Young Adult-Imaging and Genetic Evidence of DSP-Associated Arrhythmogenic Cardiomyopathy: A Case Report.","authors":"Luis Enrique Gomez, Nicolas Martinenghi, Martin Ortiz-Genga, Mercedes Saenz Tejeira, Paula Buonfiglio, Andres Nicolas Atamañuk","doi":"10.1155/cric/5899286","DOIUrl":"10.1155/cric/5899286","url":null,"abstract":"Background: Ventricular tachycardia (VT) may represent the first manifestation of inherited cardiomyopathies, particularly in young patients without overt structural heart disease. Arrhythmogenic cardiomyopathy (ACM) is an inherited myocardial disorder characterized by ventricular arrhythmias, fibrofatty myocardial replacement, and an increased risk of sudden cardiac death. Pathogenic variants in the desmoplakin (DSP) gene have been increasingly associated with left-dominant or biventricular forms of ACM and inflammatory \"hot phases\" of myocardial injury.Case presentation: We report the case of a 37-year-old male presenting with sustained monomorphic VT with right ventricular outflow tract morphology requiring synchronized electrical cardioversion. Electrocardiography in sinus rhythm demonstrated low-voltage limb leads and T-wave inversion in V1-V3. Echocardiography showed mildly reduced right ventricular function with dyskinesia of the RV free wall (TAPSE 17 mm, RV S ' 10 cm/s). Cardiac magnetic resonance revealed mild RV dilation and subepicardial late gadolinium enhancement in the lateral left ventricular wall with mild pericardial involvement, consistent with an ACM-related inflammatory phenotype. An implantable cardioverter defibrillator was implanted for secondary prevention. Genetic testing identified a heterozygous pathogenic DSP frameshift variant (c.1009_1010dup; p.Leu338Serfs36∗), confirming the diagnosis of DSP-related ACM.Conclusion: This case highlights the importance of integrating electrocardiography, multimodality imaging, and genetic testing in the evaluation of VT in young adults. Identification of a pathogenic DSP variant confirmed the diagnosis of ACM and has important implications for arrhythmic risk stratification and family screening.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2026 ","pages":"5899286"},"PeriodicalIF":0.5,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13054228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640653","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

Fetal Long QT Syndrome: Case Series and Literature Review With Focus on Multidisciplinary Care Coordination. 胎儿长QT综合征：病例系列和文献回顾，重点是多学科护理协调。

IF 0.5

Case Reports in Cardiology Pub Date : 2026-03-11 eCollection Date: 2026-01-01 DOI: 10.1155/cric/5600959

Stefani Samples, Sara Cherny, Stephanie Chandler, Ronald T Wakai, Janette F Strasburger, Sheetal Patel

引用次数: 0

Isolated Septal Branch Occlusion Causing Septal Myocardial Infarction, With Suspected Embolic Etiology From Left Atrial Appendage Thrombus: A Case Report. 孤立性室间隔支闭塞引起室间隔心肌梗死，疑似左心耳血栓栓塞1例。

IF 0.5

Case Reports in Cardiology Pub Date : 2026-03-11 eCollection Date: 2026-01-01 DOI: 10.1155/cric/6815054

A Jano, A Hamadanchi, A Große, P C Schulze, R Surber

引用次数: 0

Large Nonfunctioning Anterior Mediastinal Epiaortic Paraganglioma. 大的无功能前纵隔副神经节瘤。

IF 0.5

Case Reports in Cardiology Pub Date : 2026-03-11 eCollection Date: 2026-01-01 DOI: 10.1155/cric/4216128

Batoul Abbas, Aya Alhelou, Eman Darrh, Batool Marwa, Albaraa Bara, Mohammad Bashar Izzat

引用次数: 0

Culture-Negative Infective Endocarditis Presenting With Cardio-Hepatorenal Syndrome in a 21-Year-Old Patient: A Case Report of Diagnostic Workup and Management. 21岁感染性心内膜炎培养阴性并发心-肝肾综合征1例：诊断、检查及处理报告。

IF 0.5

Case Reports in Cardiology Pub Date : 2026-03-09 eCollection Date: 2026-01-01 DOI: 10.1155/cric/7676322

Jana Kotaich, Safaa Ghanem, Nour Mina, Rayyan El Saleh, Rim Awada, Said Chaaban, Karim Jammal

{"title":"Culture-Negative Infective Endocarditis Presenting With Cardio-Hepatorenal Syndrome in a 21-Year-Old Patient: A Case Report of Diagnostic Workup and Management.","authors":"Jana Kotaich, Safaa Ghanem, Nour Mina, Rayyan El Saleh, Rim Awada, Said Chaaban, Karim Jammal","doi":"10.1155/cric/7676322","DOIUrl":"10.1155/cric/7676322","url":null,"abstract":"Infective endocarditis (IE) imposes a challenge in clinical practice, often demanding rapid and precise identification of the causative agent to guide tailored therapeutic interventions. However, a subset of cases presents an elusive diagnostic dilemma with culture-negative results, thereby complicating the management strategy. This case report sheds light on a particularly rare instance of culture-negative IE in a 21-year-old previously healthy male who presented with dyspnea and jaundice, emphasizing the scarcity of such cases in the existing medical literature. Through a detailed examination of clinical manifestations, diagnostic modalities, and treatment outcomes, we aim to contribute valuable insights into the nuanced aspects of culture-negative IE. Furthermore, this report underscores the imperative need for clinicians to maintain a high index of suspicion for IE, even in the absence of positive cultures, to ensure timely and appropriate management for improved patient prognosis.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2026 ","pages":"7676322"},"PeriodicalIF":0.5,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12968723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437545","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

Using Orbital Atherectomy in ST-Elevation Myocardial Infarction: A Case Report From a Nonsurgical Centre. 眼眶动脉粥样硬化切除术治疗st段抬高型心肌梗死一例非手术中心报道。

IF 0.5

Case Reports in Cardiology Pub Date : 2026-03-05 eCollection Date: 2026-01-01 DOI: 10.1155/cric/8852815

Omar Bajmmal, Prashanth Raju, Naseer Ahmad, Ibrahim Antoun

{"title":"Using Orbital Atherectomy in ST-Elevation Myocardial Infarction: A Case Report From a Nonsurgical Centre.","authors":"Omar Bajmmal, Prashanth Raju, Naseer Ahmad, Ibrahim Antoun","doi":"10.1155/cric/8852815","DOIUrl":"10.1155/cric/8852815","url":null,"abstract":"Background: Coronary artery calcification significantly complicates percutaneous coronary intervention (PCI), particularly in acute myocardial infarction (AMI), where rapid revascularisation is essential. In ST-elevation myocardial infarction (STEMI) with heavily calcified culprit lesions, conventional strategies often fail due to lesion rigidity. Orbital atherectomy (OA) has emerged as an effective technique for modifying calcified plaques and improving stent delivery. However, its use in STEMI and in nontertiary centres such as district general hospitals (DGHs) remains underreported.Case presentation: A 61-year-old man with a history of smoking and hypertension presented with inferior STEMI and hemodynamic instability. Coronary angiography revealed heavy calcification and occlusion of the proximal right coronary artery (RCA). Initial attempts using standard wires, microcatheters, and parallel wiring were unsuccessful. The lesion was successfully crossed using a ViperWire, enabling OA. Subsequent adjunctive therapies achieved optimal vessel preparation and revascularisation, including intravascular lithotripsy (IVL), intravascular ultrasound (IVUS)-guided stenting, and postdilation. The patient recovered uneventfully and was discharged after 2 days, remaining asymptomatic and compliant with secondary prevention at 6 weeks. This case highlights the feasibility of OA in STEMI with severe calcification in a DGH without onsite surgical cover. Careful planning, operator expertise and multidisciplinary collaboration enabled a favourable outcome despite procedural challenges.Discussion: The case stresses the need for broader access to advanced PCI tools, enhanced training and standardised protocols in resource-limited settings. Further studies and real-world data are essential to evaluate the long-term safety and efficacy of OA in acute settings.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2026 ","pages":"8852815"},"PeriodicalIF":0.5,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12963452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379665","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

From Palpitations to Prevention: Timely Recognition of Biventricular ACM Preventing Sudden Cardiac Death. 从心悸到预防：及时识别双心室ACM预防心源性猝死。

IF 0.5

Case Reports in Cardiology Pub Date : 2026-03-04 eCollection Date: 2026-01-01 DOI: 10.1155/cric/3342504

Jasraj Singh, Fadi W Adel, Horng H Chen

{"title":"From Palpitations to Prevention: Timely Recognition of Biventricular ACM Preventing Sudden Cardiac Death.","authors":"Jasraj Singh, Fadi W Adel, Horng H Chen","doi":"10.1155/cric/3342504","DOIUrl":"10.1155/cric/3342504","url":null,"abstract":"Sudden cardiac death (SCD) is a prevalent and significant health concern which may be preceded by palpitations and presyncope in a young patient. Of the arrhythmogenic causes of SCD, arrhythmogenic cardiomyopathy (ACM) is rare but important with a high morbidity and mortality. Here, we present a classic case of biventricular (BiV) ACM in a man in his 30s who presented with progressive palpitations and syncope found to have nonsustained ventricular tachycardia and suspicious cardiac imaging findings. Diagnosis was confirmed according to the 2024 European Task Force Criteria: T wave inversions in V1-V3 without a right bundle branch block (major criterion); regional right ventricular (RV) systolic dyskinesis with both reduced RV systolic function by CMR (RVEF 34% and normal 42%-66%); and enlarged RV by indexed RV EDV by CMR (131 mL/m2) (major criterion). LV global longitudinal strain was reduced on transthoracic echocardiography at -17% (normal more negative than -18%) (minor criterion) and T wave inversions in left precordial leads (V4-V6) (in the absence of complete LBBB) (minor criterion). With timely intervention, including ICD placement and sotalol initiation, the patient made a good recovery. This case serves as a critical reminder that recognizing the subtle yet telling signs of BiV-ACM can mean the difference between life and sudden cardiac death.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2026 ","pages":"3342504"},"PeriodicalIF":0.5,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12960776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379593","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

Should Emergent Pericardiocentesis Be Added to Pediatric ICU Training? 急诊心包穿刺应该加入儿科ICU培训吗？

IF 0.5

Case Reports in Cardiology Pub Date : 2026-03-04 eCollection Date: 2026-01-01 DOI: 10.1155/cric/8965488

Lanah Almatroud, Waseem Ostwani

引用次数: 0

Complicated IVC Filter Placement in a Patient With Venous Abnormality: A Case Report. 静脉异常患者复杂的下腔静脉滤器置放一例报告。

IF 0.5

Case Reports in Cardiology Pub Date : 2026-03-03 eCollection Date: 2026-01-01 DOI: 10.1155/cric/8158808

Maryam Mehrpooya, Faeze Salahshour, Massoud Ghasemi, Amir Mohammad Salehi

{"title":"Complicated IVC Filter Placement in a Patient With Venous Abnormality: A Case Report.","authors":"Maryam Mehrpooya, Faeze Salahshour, Massoud Ghasemi, Amir Mohammad Salehi","doi":"10.1155/cric/8158808","DOIUrl":"10.1155/cric/8158808","url":null,"abstract":"As a serious, prevalent, and potentially fatal condition, deep venous thrombosis (DVT) results in a huge healthcare-related and socioeconomic burden. On the other hand, the placement of an inferior vena cava (IVC) filter is one of the last options to prevent the most dangerous complication of DVT, pulmonary embolism (PE). The patient was a 35-year-old man admitted to the hospital for dyspnea on exertion (NYHA class II) and lower extremity swelling. He had a history of pin implantation in his right leg and a recent history of DVT in his left calf and thigh, which was treated with warfarin. The patient was diagnosed with PE using CT angiography and was scheduled for IVC filter placement regarding the development of PE despite receiving warfarin therapy with a suitable INR. While inserting the IVC filter below the right renal vein, its legs did not fully open, and it did not go further. Thus, the procedure was terminated due to the risk of IVC perforation, and CT venography was requested, revealing the May-Thurner syndrome and a web-like, elongated filling defect attached to the anterior IVC wall, which was an old recanalized thrombosis. Considering the anatomical disorders, we decided to retrieve the IVC filter, and the warfarin dose was increased. The present report provides a rare case of IVC anomaly management during IVC filter placement. It is recommended to look for IVC anomalies when planning interventions related to this area.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2026 ","pages":"8158808"},"PeriodicalIF":0.5,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12957532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367177","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 Syndrome Presenting as ST-Elevation Myocardial Infarction With Concomitant Persistent High-Grade AV Block Requiring Cardiac Resynchronisation Therapy Pacemaker. Takotsubo综合征表现为st段抬高型心肌梗死并伴有持续高级别房室传导阻滞，需要心脏再同步化治疗起搏器。

IF 0.5

Case Reports in Cardiology Pub Date : 2026-02-27 eCollection Date: 2026-01-01 DOI: 10.1155/cric/1482184

Jhiamluka Solano, Ali Hussain, Adnan Ahmed, Raj Chelliah, Muhammad Usman Shah

{"title":"Takotsubo Syndrome Presenting as ST-Elevation Myocardial Infarction With Concomitant Persistent High-Grade AV Block Requiring Cardiac Resynchronisation Therapy Pacemaker.","authors":"Jhiamluka Solano, Ali Hussain, Adnan Ahmed, Raj Chelliah, Muhammad Usman Shah","doi":"10.1155/cric/1482184","DOIUrl":"10.1155/cric/1482184","url":null,"abstract":"Takotsubo syndrome (TTS), also known as stress-induced cardiomyopathy or apical ballooning syndrome, is increasingly recognised as an acute myocardial ischemic syndrome primarily involving transient microvascular dysfunction rather than epicardial coronary occlusion and characterised by transient left ventricular dysfunction. Patients are predominantly postmenopausal women and may clinically mimic acute coronary syndrome, including ST-elevation myocardial infarction (STEMI) as well as non-ST-elevation myocardial infarction (NSTEMI). While TTS may coexist with obstructive coronary artery disease (CAD), the hallmark feature is a mismatch between the severity of wall motion abnormalities and the distribution of any coronary lesions. We present a postmenopausal lady who presented as a presumed STEMI but was eventually diagnosed to have takotsubo cardiomyopathy. She developed a persistent high-grade AV block with poor ejection fraction and was subsequently implanted with a cardiac resynchronisation therapy pacemaker (CRT-P).","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2026 ","pages":"1482184"},"PeriodicalIF":0.5,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12949078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147328148","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