keyword
https://read.qxmd.com/read/38618609/all-that-doesn-t-enhance-isn-t-a-thrombus-pitfalls-using-cardiac-mri-ti-600-sequence-to-distinguish-between-cardiac-thrombus-versus-myxoma
#1
Aakash D Rana, Srikanth Vallurupalli, Mark Mitchell, David Duncan, Jack Xu
A 51-year-old male with a complicated medical history presented with shortness of breath. Preoperative workup confirmed the presence of a large atrial mass. However, delayed gadolinium enhancement CMR with long inversion time (TI 600) showed lack of enhancement, which was suggestive of a thrombus. During cardiac magnetic resonance imaging, delayed gadolinium enhancement sequences with long inversion time (TI 600) are commonly used to distinguish between an avascular thrombus versus a vascular tumor.
2024: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/38601067/a-challenging-case-of-diabetes-in-a-patient-with-xxyy-syndrome
#2
Luisa M Bernacet Rivera, Hassaan B Aftab, Faryal S Mirza
48 XXYY syndrome is a rare polyploidy often compared with Klinefelter syndrome because of shared features such as tall stature, neurocognitive diseases, hypogonadism, and cardiac malformations. This population is believed to be predisposed to type 2 diabetes because of the presence of hypogonadism and central adiposity. We present a patient with XXYY syndrome who had an atypical and difficult-to-manage diabetes presentation. The patient was nonadherent to medication regimen with poorly controlled diabetes and hemoglobin A1c ranging from 12% to 14% (16...
April 2024: JCEM Case Rep
https://read.qxmd.com/read/38591838/longer-and-better-lives-for-patients-with-atrial-fibrillation-the-9th-afnet-ehra-consensus-conference
#3
JOURNAL ARTICLE
Dominik Linz, Jason G Andrade, Elena Arbelo, Giuseppe Boriani, Guenter Breithardt, A John Camm, Valeria Caso, Jens Cosedis Nielsen, Mirko De Melis, Tom De Potter, Wolfgang Dichtl, Søren Zoega Diederichsen, Dobromir Dobrev, Nicolas Doll, David Duncker, Elke Dworatzek, Lars Eckardt, Christoph Eisert, Larissa Fabritz, Michal Farkowski, David Filgueiras-Rama, Andreas Goette, Eduard Guasch, Guido Hack, Stéphane Hatem, Karl Georg Haeusler, Jeff S Healey, Hein Heidbuechel, Ziad Hijazi, Lucas H Hofmeister, Leif Hove-Madsen, Thomas Huebner, Stefan Kääb, Dipak Kotecha, Katarzyna Malaczynska-Rajpold, José Luis Merino, Andreas Metzner, Lluís Mont, Ghulam Andre Ng, Michael Oeff, Abdul Shokor Parwani, Helmut Puererfellner, Ursula Ravens, Michiel Rienstra, Prashanthan Sanders, Daniel Scherr, Renate Schnabel, Ulrich Schotten, Christian Sohns, Gerhard Steinbeck, Daniel Steven, Tobias Toennis, Stylianos Tzeis, Isabelle C van Gelder, Roderick H van Leerdam, Kevin Vernooy, Manish Wadhwa, Reza Wakili, Stephan Willems, Henning Witt, Stef Zeemering, Paulus Kirchhof
AIMS: Recent trial data demonstrate beneficial effects of active rhythm management in patients with atrial fibrillation (AF) and support the concept that a low arrhythmia burden is associated with a low risk of AF-related complications. The aim of this document is to summarize the key outcomes of the 9th AFNET/EHRA Consensus Conference of the Atrial Fibrillation NETwork (AFNET) and the European Heart Rhythm Association (EHRA). METHODS AND RESULTS: Eighty-three international experts met in Münster for 2 days in September 2023...
March 30, 2024: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://read.qxmd.com/read/38576771/wild-type-transthyretin-amyloid-deposition-in-an-ascending-aortic%C3%A2-aneurysm
#4
JOURNAL ARTICLE
Abbas Hoteit, Faye Victoria C Casimero, James R Stone, Duke Cameron, Eric M Isselbacher, Reza Seyedsadjadi, Hanna K Gaggin
Amyloid deposition in aortic tissue is associated with increased stiffness. We report a patient with ascending aortic aneurysm and chronic abdominal aortic dissection who had significant wild-type transthyretin amyloid deposition on surgical pathology. The patient did not have cardiac involvement on further workup.
May 1, 2024: JACC. Case reports
https://read.qxmd.com/read/38574810/hepatic-artery-aneurysms-in-infective-endocarditis-report-of-10-cases-and-literature-review
#5
JOURNAL ARTICLE
Monique Boukobza, Emila Ilic-Habensus, Florent Arregle, Gilbert Habib, Xavier Duval, Jean-Pierre Laissy
BACKGROUND: Hepatic artery aneurysms (HAAs), albeit rare in infective endocarditis (IE), are associated with a life-threatening morbidity. METHODS: Retrospective review of 10 HAA-IE-patients based on a total of 623 IE-patients managed in two institutions (2008-2020) vs 35 literature' cases. RESULTS: In our patient population, HAAs (10 males, mean-age 48) were incidentally found during IE-workup. All were asymptomatic. IE involved mitral (n=6), aortic (n=3), or mitral-aortic valve (n=1)...
April 2, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38550516/the-arrhythmic-presentation-of-peripartum-cardiomyopathy-case-series-and-critical-review-of-the-literature
#6
JOURNAL ARTICLE
Giovanni Peretto, Emanuele Micaglio, Giuseppe Ciconte, Marianna Maia, Martina Luzzi, Marianna Cariello, Adele Gabriella Rosa Bonfanti, Davide Lazzeroni, Luigi Anastasia, Paolo Cavoretto, Alaide Chieffo, Paolo Della Bella, Carlo Pappone
Peripartum Cardiomyopathy (PPCM) is a polymorphic myocardial disease occurring late during pregnancy or early after delivery. While reduced systolic function and heart failure (HF) symptoms have been widely described, there is still a lack of reports about the arrhythmic manifestations of the disease. Most importantly, a broad range of unidentified pre-existing conditions, which may be missed by general practitioners and gynecologists, must be considered in differential diagnosis. The issue is relevant since some arrhythmias are associated to sudden cardiac death occurring in young patients, and the overall risk does not cease during the early postpartum period...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38549142/unusual-presentation-and-delayed-diagnosis-of-cardiac-angiosarcoma
#7
JOURNAL ARTICLE
Salman Zaheer, Alice L Zhou, John M Gross, Ahmet Kilic
BACKGROUND: Primary cardiac angiosarcomas are very rare and present aggressively with high rates of metastasis. Given the poor prognosis, particularly once disease has spread, early diagnosis and multidisciplinary treatment is essential. CASE PRESENTATION: We present the case of a 46-year-old male who presented with chest pain, intermittent fevers, and dyspnea. Workup with computed tomography scan and transesophageal echocardiography demonstrated a right atrial pseudoaneurysm...
March 28, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38546408/cardiac-implantable-electronic-devices-and-bloodstream-infections-management-and-outcomes
#8
JOURNAL ARTICLE
Tardu Özkartal, Andrea Demarchi, Giulio Conte, Damiano Pongan, Catherine Klersy, Maria Luce Caputo, Marco Bergonti, Enos Bernasconi, Valeria Gaia, Christopher B Granger, Angelo Auricchio
BACKGROUND AND AIMS: Bloodstream infection (BSI) of any cause may lead to device infection in cardiac implantable electronic device (CIED) patients. Aiming for a better understanding of the diagnostic approach, treatment, and outcome, patients with an implantable cardioverter defibrillator (ICD) and cardiac resynchronization therapy and defibrillator (CRT-D) hospitalized with BSI were investigated. METHODS: This is a single-centre, retrospective, cohort analysis including consecutive ICD/CRT-D patients implanted between 2012 and 2021...
March 28, 2024: European Heart Journal
https://read.qxmd.com/read/38523978/a-57-year-old-female-presenting-with-cardiopulmonary-arrest-secondary-to-severe-hypokalemia-from-a-fanconi-like-syndrome-a-case-report
#9
Christopher H Goss, Michael Robertson
Fanconi syndrome is a multi-factorial disorder that involves diffuse malfunction of the proximal convoluted tubule in the kidney. Renal wasting of potassium, glucose, bicarbonate, amino acids, and phosphorus characterize the condition. We report a case of a 57-year-old female who presented to our emergency department with cardiopulmonary arrest. After successful resuscitation, she had extensive workup to uncover the cause of her cardiac arrest. She had extensive negative workup but was found to have severely low potassium, prompting further evaluation...
February 2024: Curēus
https://read.qxmd.com/read/38516862/3-d-transesophageal-echocardiography-aids-in-assessment-of-embolic-stroke-due-to-aortic-atherosclerotic-plaque-a-case-series
#10
Songnan Wen, Tasneem Z Naqvi
Atherosclerosis is the most common cause of heart disease and stroke. Plaque thickness ≥4 mm in the ascending aorta or aortic arch is strongly correlated with cerebral embolic events and ischemic stroke. However, despite imaging workup, the cause of embolic stroke remains unidentified in many patients. Transesophageal echocardiography (TEE) is the preferred echocardiographic method for the evaluation of cardiac source of emboli. 2D TEE imaging evaluates aortic root and aortic arch in a single plane or two planes with biplane imaging...
March 2024: Echocardiography
https://read.qxmd.com/read/38509988/photon-counting-computed-tomography-of-in-stent-stenosis-in-a-phantom-optimal-virtual-monoenergetic-imaging-in-ultra-high-resolution
#11
JOURNAL ARTICLE
Arwed Elias Michael, Denise Schoenbeck, Matthias Michael Woeltjen, Jan Boriesosdick, Julius Henning Niehoff, Alexey Surov, Jan Borggrefe, Bernhard Schmidt, Christoph Panknin, Tilman Hickethier, David Maintz, Alexander Christian Bunck, Roman Johannes Gertz, Jan Robert Kroeger
RATIONALE AND OBJECTIVES: Coronary computed tomography angiography (CCTA) is becoming increasingly important for the diagnostic workup of coronary artery disease, nevertheless, imaging of in-stent stenosis remains challenging. For the first time, spectral imaging in Ultra High Resolution (UHR) is now possible in clinically available photon counting CT. The aim of this work is to determine the optimal virtual monoenergetic image (VMI) for imaging in-stent stenoses in cardiac stents. MATERIALS AND METHODS: 6 stents with inserted hypodense stenoses were scanned in an established phantom in UHR mode...
March 30, 2024: Heliyon
https://read.qxmd.com/read/38496107/large-right-atrial-myxoma-a-rare-presentation
#12
Joseph Maldonado-Suarez, Valentin Del Rio Santiago, Victor H Molina-Lopez
We present a case of a 74-year-old female with a large right atrial myxoma who initially presented to her primary care physician with nonspecific constitutional and abdominal symptoms. Her presenting symptoms were initially thought to originate from her gastrointestinal tract, but her workup for a gastrointestinal disorder was nondiagnostic. It was not until this patient developed symptoms of overt right heart failure that a cardiac condition was suspected. Our case highlights the importance of understanding the potential of cardiac myxomas to mimic many diseases, including cardiac, infective, neurologic, immunologic, pulmonary, and malignant diseases...
February 2024: Curēus
https://read.qxmd.com/read/38488096/subclinical-myocardial-involvement-in-a-cohort-of-patients-with-antisynthetase-syndrome
#13
JOURNAL ARTICLE
Albert Gil-Vila, Gemma Burcet-Rodriguez, Ernesto Trallero-Araguás, Hug Cuellar-Calabria, Albert Selva-O'Callaghan
OBJECTIVES: There is an increasing interest in knowing whether patients with antisynthetase syndrome (ASSD) may have silent myocardial interstitial involvement. Mapping techniques in cardiac magnetic resonance (CMR) can detect subclinical myocardial involvement. The purpose of this study was to identify alterations in multiparametric CMR in ASSD patients without overt cardiac involvement. METHODS: Patients diagnosed with ASSD underwent a CMR along with the standard clinical workup, investigation of specific and associated myositis antibodies, and high-resolution chest CT...
February 2024: Clinical and Experimental Rheumatology
https://read.qxmd.com/read/38472975/clinical-interpretation-of-serum-troponin-in-the-era-of-high-sensitivity-testing
#14
REVIEW
Marah Maayah, Scott Grubman, Stephanie Allen, Zachary Ye, Dae Yong Park, Evangelia Vemmou, Ilhan Gokhan, Wendy W Sun, Stephen Possick, Jennifer M Kwan, Parul U Gandhi, Jiun-Ruey Hu
Cardiac troponin (Tn) plays a central role in the evaluation of patients with angina presenting with acute coronary syndrome. The advent of high-sensitivity assays has improved the analytic sensitivity and precision of serum Tn measurement, but this advancement has come at the cost of poorer specificity. The role of clinical judgment is of heightened importance because, more so than ever, the interpretation of serum Tn elevation hinges on the careful integration of findings from electrocardiographic, echocardiographic, physical exam, interview, and other imaging and laboratory data to formulate a weighted differential diagnosis...
February 26, 2024: Diagnostics
https://read.qxmd.com/read/38465648/cardiovascular-management-of-patients-undergoing-hematopoietic-stem-cell-transplantation-from-pretransplantation-to-survivorship-a-scientific-statement-from-the-american-heart-association
#15
REVIEW
Salim S Hayek, Vlad G Zaha, Carmel Bogle, Anita Deswal, Amelia Langston, Seth Rotz, Alexi Vasbinder, Eric Yang, Tochukwu Okwuosa
Hematopoietic stem cell transplantation can cure various disorders but poses cardiovascular risks, especially for elderly patients and those with cardiovascular diseases. Cardiovascular evaluations are crucial in pretransplantation assessments, but guidelines are lacking. This American Heart Association scientific statement summarizes the data on transplantation-related complications and provides guidance for the cardiovascular management throughout transplantation. Hematopoietic stem cell transplantation consists of 4 phases: pretransplantation workup, conditioning therapy and infusion, immediate posttransplantation period, and long-term survivorship...
March 11, 2024: Circulation
https://read.qxmd.com/read/38465178/the-importance-of-ultrasound-guided-synovial-biopsy-in-the-workup-of-seronegative-inflammatory-arthritis-a-case-report
#16
Cherie S Zhi, Julia R Kesselhaut, Swamy R Venuturupalli, Ami Ben-Artzi
We report a case of a 74-year-old male who presented with typical clinical features of rheumatoid arthritis (RA), as well as elevated markers of inflammation. However, the patient did not respond to multiple RA treatments, and an ultrasound-guided synovial biopsy (UGSB) of the right wrist was performed, which established the diagnosis of amyloidosis. A variety of inflammatory conditions sometimes get misdiagnosed as seronegative RA due to similarities in clinical presentation. This case report highlights the importance of a thorough workup in patients who appear to have seronegative RA...
February 2024: Curēus
https://read.qxmd.com/read/38464842/a-wolf-in-sheep-s-clothing-aortic-stenosis-and-cardiac-amyloidosis-raise-ing-awareness-in-clinical-practice
#17
JOURNAL ARTICLE
H Sabbour, K Al-Humood, Z Al Taha, I Romany, H Haddadin, D Mohty
Aesop's fable of the wolf in sheep's clothing encourages us to look beneath the exterior appearance of a situation and evaluate the truth that lies beneath. This concept should be applied when managing older patients with severe aortic stenosis. This population of patients is increasingly being identified as having concomitant cardiac amyloidosis, which is an underrecognized cause of common cardiac conditions. The presence of cardiac amyloidosis negatively affects the outcome of patients with aortic stenosis, these patients undergo transcatheter aortic valve replacement (TAVR) with increasing frequency and have a significantly higher overall mortality rate than patients with aortic stenosis alone...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38452302/novel-functional-radiomics-for-prediction-of-cardiac-positron-emission-tomography-avidity-in-lung-cancer-radiotherapy
#18
JOURNAL ARTICLE
Wookjin Choi, Yingcui Jia, Jennifer Kwak, Maria Werner-Wasik, Adam P Dicker, Nicole L Simone, Eugene Storozynsky, Varsha Jain, Yevgeniy Vinogradskiy
PURPOSE: Traditional methods of evaluating cardiotoxicity focus on radiation doses to the heart. Functional imaging has the potential to provide improved prediction for cardiotoxicity for patients with lung cancer. Fluorine-18 (18 F) fluorodeoxyglucose (FDG)-positron emission tomography (PET)/computed tomography (CT) imaging is routinely obtained in a standard cancer staging workup. This work aimed to develop a radiomics model predicting clinical cardiac assessment using 18 F-FDG PET/CT scans before thoracic radiation therapy...
March 2024: JCO Clinical Cancer Informatics
https://read.qxmd.com/read/38444927/a-case-of-rapidly-growing-tricuspid-valve-papillary-fibroelastoma-presenting-with-syncope
#19
Ibrahim Kamel, Harold Dietzius, Toni Magee, Sadaf Esteghamati
Cardio-oncology, at the intersection of cardiovascular diseases, oncological conditions, and treatments, presents unique challenges in medical care. This abstract highlights a case involving a 60-year-old male presenting with syncope at work; the workup revealed a rapidly growing tricuspid valve papillary fibroelastoma (PFE), emphasizing diagnostic approaches, management strategies, and clinical implications. The diagnostic investigation, including blood cultures, transthoracic echocardiogram, transesophageal echocardiogram, and cardiac MRI, confirmed the diagnosis of tricuspid valve PFE...
March 2024: Curēus
https://read.qxmd.com/read/38413684/virtual-non-iodine-photon-counting-ct-angiography-for-aortic-valve-calcification-scoring
#20
JOURNAL ARTICLE
Philipp Feldle, Marit Scheuber, Jan-Peter Grunz, Julius F Heidenreich, Pauline Pannenbecker, Conrads Nora, Henner Huflage, Thorsten A Bley, Bernhard Petritsch
Photon-counting detector (PCD)-CT allows for reconstruction of virtual non-iodine (VNI) images from contrast-enhanced datasets. This study assesses the diagnostic performance of aortic valve calcification scoring (AVCS) derived from VNI datasets generated with a 1st generation clinical dual-source PCD-CT. AVCS was evaluated in 123 patients (statistical analysis only comprising patients with aortic valve calcifications [n = 56; 63.2 ± 11.6 years]), who underwent contrast enhanced electrocardiogram-gated (either prospective or retrospective or both) cardiac CT on a clinical PCD system...
February 27, 2024: Scientific Reports
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