Case Reports in Cardiology最新文献_第9页

Pyoderma Gangrenosum following Pacemaker Implantation: A Case Report and Review of Literature. 起搏器植入后坏疽性脓皮病1例报告及文献复习。

IF 0.6

Case Reports in Cardiology Pub Date : 2019-11-20 eCollection Date: 2019-01-01 DOI: 10.1155/2019/8010895

Noura Ayoubi, Zaydi Javeed, Raymond Cutro, Brooke T Baldwin

{"title":"Pyoderma Gangrenosum following Pacemaker Implantation: A Case Report and Review of Literature.","authors":"Noura Ayoubi, Zaydi Javeed, Raymond Cutro, Brooke T Baldwin","doi":"10.1155/2019/8010895","DOIUrl":"https://doi.org/10.1155/2019/8010895","url":null,"abstract":"Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis characterized by noninfectious, inflammatory, ulcerating lesions. Pathergy can be seen in these patients, whereby minor trauma or surgery can result in the development of PG ulcerations. Here, we present a case of PG following pacemaker implantation. A 76-year-old male with a history of rheumatoid arthritis presented to the cardiology team with symptomatic bradycardia. Indications for implantation were met, and the procedure was performed in a routine fashion. The patient returned to clinic for follow-up four days later, complaining of pain at the incision site, coupled with erythema and purulent drainage. Consultations with an infectious disease specialist and a dermatologist were requested, and the diagnosis of pyoderma gangrenosum was considered. The patient underwent device removal and received systemic corticosteroids at a dose of 1 mg/kg prednisone with complete lesion healing in 3 weeks. While being maintained on steroids, the patient underwent reimplantation of a new pacemaker on the contralateral side without complication and had a normal postoperative course. We present this case report, along with the review of literature, in order to highlight the multidisciplinary approach to management, which requires dermatologic treatment in order to achieve pacemaker success.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2019 ","pages":"8010895"},"PeriodicalIF":0.6,"publicationDate":"2019-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/8010895","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37449340","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

Flecainide-Associated Cardiogenic Shock in a Patient with Atrial Fibrillation. 心房颤动患者氟喹奈相关的心源性休克。

IF 0.6

Case Reports in Cardiology Pub Date : 2019-11-18 eCollection Date: 2019-01-01 DOI: 10.1155/2019/4820652

Erind Gjermeni, Andreas Bollmann, Gerhard Hindricks, Andreas Müssigbrodt

{"title":"Flecainide-Associated Cardiogenic Shock in a Patient with Atrial Fibrillation.","authors":"Erind Gjermeni, Andreas Bollmann, Gerhard Hindricks, Andreas Müssigbrodt","doi":"10.1155/2019/4820652","DOIUrl":"https://doi.org/10.1155/2019/4820652","url":null,"abstract":"Flecainide is a frequently used antiarrhythmic drug, recommended by current guidelines as a first-line treatment option for restoring and maintaining sinus rhythm in patients with atrial fibrillation and no significant structural heart disease. In overdose, it can induce severe cardiogenic shock. Cardiogenic shock after a therapeutic dose of flecainide in patients without contraindication has not yet been reported in literature. Case Summary. We report a case of flecainide-associated cardiogenic shock in a 52-year-old woman with paroxysmal atrial fibrillation after a therapeutic dose of flecainide. Pharmacological cardioversion of symptomatic tachyarrhythmic atrial fibrillation with flecainide was unsuccessful and shortly after, she developed cardiogenic shock with severely reduced LVEF. Electrical cardioversion was also unsuccessful. Coronarography was unremarkable, and the cardiac MRI showed no signs of inflammation or fibrosis. After amiodarone loading, she converted to SR. This rare but severe complication despite adequate treatment could be explained by increased susceptibility to negative inotropic effect of flecainide as a consequence of marked tachycardia. Therefore, cautious monitoring after new administration of flecainide or the administration of a higher dose is advisable.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2019 ","pages":"4820652"},"PeriodicalIF":0.6,"publicationDate":"2019-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/4820652","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37449337","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: 2

Antepartum Diagnosis and Management of Lamin A/C Disease Lamin A/C病的产前诊断与处理

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Case Reports in Cardiology Pub Date : 2019-11-11 DOI: 10.1155/2019/3512706

N. Reza, Jessica L. Chowns, A. Marzolf, Jessica Kim, L. Levine, G. Supple, A. Owens

引用次数: 1

Left Atrial Myxoma Presenting as Lateral Medullary (Wallenberg's) Syndrome. 左房黏液瘤表现为外侧髓质(瓦伦堡氏)综合征。

IF 0.6

Case Reports in Cardiology Pub Date : 2019-11-11 eCollection Date: 2019-01-01 DOI: 10.1155/2019/5610213

Simran Gupta, Ricky Ayala, Aakash Desai, Viraj I Modi, Robert J Nardino

引用次数: 2

Ticagrelor-Induced Prolongation of the QTc Interval. 替格瑞洛诱导的QTc间期延长。

IF 0.6

Case Reports in Cardiology Pub Date : 2019-11-07 eCollection Date: 2019-01-01 DOI: 10.1155/2019/5984847

Avik Ray, Ahmad Najmi, Gaurav Khandelwal, Balakrishnan Sadasivam

{"title":"Ticagrelor-Induced Prolongation of the QTc Interval.","authors":"Avik Ray, Ahmad Najmi, Gaurav Khandelwal, Balakrishnan Sadasivam","doi":"10.1155/2019/5984847","DOIUrl":"https://doi.org/10.1155/2019/5984847","url":null,"abstract":"Background: Ticagrelor has been accepted as a class I antiplatelet agent in patients undergoing percutaneous coronary angioplasty (PTCA). There have been cases reported on ticagrelor being associated with various cardiac conduction defects. But there is no evidence of QTc prolongation associated with the drug as of yet.Case presentation: A 64-year-old male who underwent PTCA was given ticagrelor. A baseline electrocardiogram (ECG) showed a QTc of 402 ms. He returned after 1.5 months with complaints of shortness of breath. An ECG revealed a prolonged QTc of 468 ms. Ticagrelor was discontinued in view of ticagrelor-induced dyspnea and the patient was started on clopidogrel. The other medications were kept unchanged. The patient returned after a month without any complaints. A follow-up ECG showed a reduced QTc of 425 ms.Conclusion: We present a case of ticagrelor-induced QTc prolongation. To our knowledge, this is the first case to be reported on the same. The Naranjo algorithm for causality assessment gave a total score of 6 indicating that the adverse drug reaction falls under the probable category.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2019 ","pages":"5984847"},"PeriodicalIF":0.6,"publicationDate":"2019-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/5984847","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37449339","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: 3

An Incidental Diagnosis of Rheumatic Mitral Stenosis and Secundum Atrial Septal Defect (Lutembacher's Syndrome) in a Young Woman 一例年轻女性风湿性二尖瓣狭窄和第二房间隔缺损(Lutembacher综合征)的偶然诊断

IF 0.6

Case Reports in Cardiology Pub Date : 2019-10-30 DOI: 10.1155/2019/9402987

M. Alam, Md Fakhrul Islam Khaled

引用次数: 5

A Rare Case of Chylothorax after Heart Transplantation 心脏移植术后乳糜胸1例

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Case Reports in Cardiology Pub Date : 2019-10-21 DOI: 10.1155/2019/2049704

A. Alam, Linle Hou, D. James, K. Mody, D. Iyer, A. Ghaly, J. Almendral

引用次数: 1

An Unusual Cause of Dyspnea and Thoracic Pressure 呼吸困难和胸压的不寻常原因