Journal of cardiology case reports最新文献_第10页

Platypnea-Orthodeoxia Syndrome in patient with patent foramen ovale, dilated ascending aorta and persisting eustachian valve: A case report 卵圆孔未闭，升主动脉扩张，咽鼓管瓣膜持续存在的患者肺动脉-正氧综合征1例

Journal of cardiology case reports Pub Date : 2020-01-01 DOI: 10.15761/jccr.1000164

J. H. Larsen, M. Poulsen, K. Oevrehus, Michael Maiborg

{"title":"Platypnea-Orthodeoxia Syndrome in patient with patent foramen ovale, dilated ascending aorta and persisting eustachian valve: A case report","authors":"J. H. Larsen, M. Poulsen, K. Oevrehus, Michael Maiborg","doi":"10.15761/jccr.1000164","DOIUrl":"https://doi.org/10.15761/jccr.1000164","url":null,"abstract":"Platypnea-Orthodeoxia Syndrome (POS) is a rare condition characterized by dyspnoea and hypoxia in upright position and symptom relief in supine position. The etiology is multifactorial depending on an interatrial defect and a functional component, which increases the right-to-left shunting in upright position. We report the case of a 68-years-old woman known with hypertension, dilated ascending aorta, two minor strokes and one episode of transient ischemic attack, admitted with severe dyspnoea and desaturation to 71% without oxygen supply. The patient experienced worsening of symptoms in vertical position and relief when lying down. Initially, pulmonary embolism was suspected, but refuted by computed tomography and ventilation/perfusion scintigraphy. The scintigraphy demonstrated tracer activity in multiple organs, which indicated a right-to-left shunt. Transesophageal echocardiogram (TEE) demonstrated a patent foramen ovale and a persisting eustachian valve resulting in right-to-left shunting, consistent with POS. Right heart catherization demonstrated normal pulmonary artery pressure of 12 mmHg ruling out pulmonary hypertension before the patient underwent PFO occlusion and gained full recovery. When POS is suspected, postural provocation should be considered when performing TEE and right heart catherization to demonstrate worsening of right-to-left shunting in upright position. In the cardiology emergency departments, POS is a rare but important differential diagnosis to pulmonary embolism.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67483033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pneumomediastinum and pneumopericardium in an adolescent with asthma attacks. Case report 青少年哮喘发作时纵隔气肿和心包膜气肿1例。病例报告

Journal of cardiology case reports Pub Date : 2020-01-01 DOI: 10.15446/cr.v6n1.81485

María Fernanda Ochoa-Ariza, Jorge Luis Trejos-Caballero, Cristian Mauricio Parra-Gelves, Marly Esperanza Camargo-Lozada, Marlon Adrián Laguado-Nieto

{"title":"Pneumomediastinum and pneumopericardium in an adolescent with asthma attacks. Case report","authors":"María Fernanda Ochoa-Ariza, Jorge Luis Trejos-Caballero, Cristian Mauricio Parra-Gelves, Marly Esperanza Camargo-Lozada, Marlon Adrián Laguado-Nieto","doi":"10.15446/cr.v6n1.81485","DOIUrl":"https://doi.org/10.15446/cr.v6n1.81485","url":null,"abstract":"Introduction: Pneumomediastinum is defined as the presence of air in the mediastinal cavity. This is a rare disease caused by surgical procedures, trauma or spontaneous scape of air from the lungs; asthma is a frequently associated factor. It has extensive differential diagnoses due to its symptoms and clinical signs. Case presentation: A 17-year-old female patient presented with respiratory symptoms for 2 days, dyspnea, chest pain radiated to the neck and shoulders, right supraclavicular subcutaneous emphysema, wheezing in both lung fields, tachycardia and tachypnea. On admission, laboratory tests revealed leukocytosis and neutrophilia, and chest X-ray showed subcutaneous emphysema in the right supraclavicular region. Diagnosis of pneumomediastinum was confirmed through a CT scan of the chest. The patient was admitted for treatment with satisfactory evolution. Discussion: Pneumomediastinum occurs mainly in young patients with asthma, and is associated with its exacerbation. This condition can cause other complications such as pneumopericardium, as in this case. The course of the disease is usually benign and has a good prognosis. Conclusion: Because of its presentation, pneumomediastinum requires clinical suspicion to guide the diagnosis and treatment. In this context, imaging is fundamental.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85540792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Acute tubulointerstitial nephritis due to the use of rifampicin. Case report 利福平引起的急性肾小管间质性肾炎。病例报告

Journal of cardiology case reports Pub Date : 2020-01-01 DOI: 10.15446/cr.v6n1.80443

J. C. Motta, C. Rodríguez, C. Cortés, J. Escobar

引用次数: 2

Coronary sinus stenting for stabilizing a difficult quadripolar left ventricular lead 冠状动脉窦内支架植入术稳定左心室四极导联

Journal of cardiology case reports Pub Date : 2020-01-01 DOI: 10.15761/JCCR.1000137

P. Barwad, K. S. Vemuri, C. Pruthvi, Jyothi Vijay

引用次数: 0

Very unusual giant pseudoaneurysm from insertion site of modified blalock-taussig shunt diagnosed by cardiac computed tomography: A case report 心脏计算机断层扫描诊断改良blallock -taussig分流术插入部位非常罕见的巨大假性动脉瘤1例

Journal of cardiology case reports Pub Date : 2020-01-01 DOI: 10.15761/jccr.1000150

S. John, Nitin A. Wadhwa, D. Adebo

引用次数: 1

Literature contributions of a paediatric cardiologist to adult congenital heart disease - Part I 儿科心脏病专家对成人先天性心脏病的文献贡献-第一部分

Journal of cardiology case reports Pub Date : 2020-01-01 DOI: 10.15761/JCCR.1000143

P. Rao

引用次数: 0

Peripartum cardiomyopathy (PPCM), 2021: dialogue with PPCM mothers 围产期心肌病(PPCM)， 2021:与PPCM母亲的对话

Journal of cardiology case reports Pub Date : 2020-01-01 DOI: 10.15761/jccr.1000162

J. Fett

引用次数: 0

Favourable natural history of multiple obstructive rhabdomyomas in a newborn 新生儿多发性阻塞性横纹肌瘤良好的自然病史

Journal of cardiology case reports Pub Date : 2020-01-01 DOI: 10.15761/jccr.1000151

M. D'alto, P. Argiento, E. Romeo, Maria G Russo

引用次数: 0

Asystole in an older patient with recurrent falls. Case report 复发性跌倒的老年患者心脏骤停1例。病例报告

Journal of cardiology case reports Pub Date : 2020-01-01 DOI: 10.15446/cr.v6n1.82558

William-Fernando Bautista-Vargas

{"title":"Asystole in an older patient with recurrent falls. Case report","authors":"William-Fernando Bautista-Vargas","doi":"10.15446/cr.v6n1.82558","DOIUrl":"https://doi.org/10.15446/cr.v6n1.82558","url":null,"abstract":"Introduction: Recurrent falls are a usual problema in older patients. It is therefore important to learn how to differentiate a pathological or syncopal episode from a simple stumbling fall, especially in patients who have limitations for communicating clearly and are poorly understood, in general terms, during the medical consultation. Implantable loop recorders (ILR) have been used as an investigation tool in selected cases of recurrent falls in older patients. Consequently, this case report aims to describe its usefulness in this type of patients. Case presentation: An 87-year-old female patient, hypertensive, with a history of recent stroke and frequent falls —referred to as stumbling—, received an implantable loop recorder due to atrial fibrillation. During one follow-up appointment, a 36-second pause related to a fall was documented, so a bicameral pacemaker was implanted. Conclusions: Evaluating repeated falls in older patients is complex; it must be done in detail to rule out syncopal episodes. Implantable devices to diagnose arrhythmic causes are useful and allow achieving accurate diagnoses and establish specific behaviors aimed at improving the quality of life of patients.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74234083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fulminant myocarditis mimicking acute myocardial infarction in a 50 years old female patient with COVID19 proven infection 一例确诊感染新冠肺炎的50岁女性患者的暴发性心肌炎模拟急性心肌梗死

Journal of cardiology case reports Pub Date : 2020-01-01 DOI: 10.15761/jccr.1000148

A. Berkovitch, Y. Wasserstrum, H. Mayan, O. Vatury, E. Maor, A. Segev, S. Matetzky

引用次数: 0