Association between baseline hemodynamic indices, cardiotoxicity risk, and survival in women with breast cancer.

Background: The outcome of breast cancer (BrCa) women monitored by low-dose equilibrium radionuclide angiography (ERNA) remains challenging to predict.

Aim: This study aims to determine whether heart rate (HR)/blood pressure (BP) ratio-based indexes, previously confirmed to predict outcomes of various diseases, also predict BrCa-therapy-related cardiotoxicity and survival.

Methods: Predictors of cardiotoxicity and survival were determined among pre-therapy variables, including shock index ([SI HR/systolic BP) and age-adjusted SI (ASI), in a female BrCa cohort with normal baseline ERNA-left ventricular ejection fraction (LVEF).

Routine first-line detection of breast cancer therapy-related cardiotoxicity by serial, fast and ultra-low-dose equilibrium radionuclide angiography.

Background: This study assesses a first-line left ventricular ejection fraction (LVEF) monitoring provided by an ultra-low-dose equilibrium radionuclide angiography (ERNA) in breast cancer women treated with potentially cardiotoxic drugs and analyzes patient outcome based on the ERNA results.

Methods: Breast cancer women treated with anthracyclines, followed or not by trastuzumab, were monitored using ERNA with a high-sensitivity CZT-camera. Calibrated LVEF measurements were obtained with an almost threefold reduction of radiation doses and 10-min recording times.

[Ventricular fibrillation induction by transesophageal stimulation in a patient with valvular heart disease].

Rapid atrial transesophageal stimulation is currently used to stop atrial flutter or tachycardia. We report a case complicated of ventricular fibrillation. It is possible to pace the ventricles by transesophageal stimulation in 2-10% of cases.

[Is carotid resection a valuable option in advanced head and neck squamous cell carcinomas].

Head and neck squamous cell carcinomas may involve the carotid artery. Surgical treatment of these tumors is a difficult challenge, because of related morbidity and mortality. The aim of this study of international literature was to define the best preoperative and intraoperative strategy which permits carotid resection with acceptable neurologic risk.

[Abnormal tricuspid flow in carcinoid heart disease. A case report].

A case of the carcinoid syndrome with right heart involvement is reported. Echocardiography showed diffuse right ventricular disease with a pathological tricuspid valve. Doppler recordings of forward tricuspid blood flow showed changes suggesting abnormal right ventricular filling, the mechanisms of which are discussed.

[Infarction of the right ventricle. Contribution of two-dimensional echocardiography].

This study, based on 39 cases, confirms the value of two-dimensional echocardiography in the diagnosis of right ventricular infarction during the acute phase. This diagnosis is confirmed by the presence of abnormalities of the segmental kinetics always present in the inferior wall and less frequently in the anterior wall. The inferior part of the septum is affected in two thirds of cases.