[Electrical storm in patients with Automatic Implantable Defibrillator : A single Center study].

Background: Electrical storms (ES) are serious cardiac emergencies associated with increased short-term mortality. The true incidence of ES in patients with an implantable cardioverter defibrillator (ICD) is still difficult to estimate because of the heterogeneous definition. The clinical presentation is variable and its management is multidisciplinary.

[Current limits of the long duration rhythmic holter: A real life study].

Background: Syncope or stroke remain frequently without any explained diagnosis. Long duration holter ECG is an available tool to diagnose arrhythmias. However, this tool is subject to availability of the recorders.

[Asymptomatic Brugada syndrome: From diagnosis to treatment].

Brugada syndrome management may be a difficult question. This article reviews diagnosis, prognosis evaluation, current and investigated treatments.

[Long term results of patients implanted with CRT-D: Results of a monocentric study].

Implantable cardiac defibrillators and resynchronization devices (CRT-D) are frequently used for heart failure patients. This is a retrospective study which included 50 patients with a CRT-D. The objective was to evaluate the prevalence of cardiac events (death, hospitalization for acute heart failure, ventricular arrhythmias).

[Platypnea-orthodeoxia syndrome: A case of hypoxemia associated with a patent foramen ovale].

Platypnea-orthodeoxia syndrome is a rare disease characterized by dyspnea and oxygen desaturation in the upright position with improvement in the supine position. We report a case of an 87-year-old woman with a recent history of traumatic hip, spine deformity and vertebral compression fracture, referred due to dyspnea oxygen desaturation. Thoracic tomodensitometry excluded the diagnosis of pulmonary embolism.

[Long term results of implantable loop recorder in patients with syncope: results of a French survey].

Background And Objective: A first publication of our group demonstrated that implantation of a loop recorder in 30 patients experiencing an unexplained syncope (Medtronic Reveal DX or XT) definitively determined that an arrhythmia was the cause of symptoms in 10 patients (32%). However, we lack the results of a survey evaluating the results of long term follow-up after a loop recorder implantation and the results in case of wider indications of implantation of loop recorders.

Methods And Results: A device (Medtronic Reveal DX or XT) was implanted in 97 patients between january 2009 and june 2014.

[Permanent junctional reciprocating tachycardia (Coumel type): a rare but curable form of tachycardia].

We report the case of a 52 year-old man experiencing recurrent and incessant tachycardias despite antiarrhythmic drugs. Electrophysiological exploration confirmed the diagnosis of permanent junctional reentrant tachycardias (Coumel tachycardia). This tachycardia has been treated successfully by catheter ablation.

[Diagnostic and prognostic value of the head-up tilt test for patients with unexplained syncope: results of a French survey].

Objective: Evaluate the diagnostic and prognostic input of head-up tilt test in the exploration of unexplained syncope.

Method: Between January 2009 and December 2012, all patients undergoing a head-up tilt test for recurrent syncope were studied. Follow-up data were obtained using telephone interviews and medical record reviews.

[Double tachycardia: association of an atrial flutter and a fascicular ventricular tachycardia].

Double tachycardia is an uncommon type of tachycardia. We report the case of a 42-year-old patient, admitted in our department for palpitations. Two types of tachycardia, narrow and wide QRS one, have been documented in the moment of palpitations.

[Long-term follow-up after implantable loop recorder in patients with syncope: results of a French general hospital survey].

Background And Objective: Despite recent advances in diagnostic procedures, syncope remains unexplained in 15 to 35% of patients. If implantable loop recorder is a validated diagnostic tool for unexplained syncope, results of this strategy are largely issued from randomized studies. We lack the results of surveys.

[Recovered sudden cardiac death associated with an early repolarization syndrome: case analysis and pratical aspects].

In this article, we report the case of a 61-year-old man who presented a cardiac arrest which has been resuscitated successfully. An early repolarization syndrome has been diagnosed by the ECG recorded the first 3 days after admission. This abnormality disappeared after that.

[Antiplatelet agents increase hemorrhagic risk in patients undergoing a cardiac pacemaker or ICD implantation].

Objectives: This study was designed to assess the hypothesis that the implantation or the replacement of a cardiac stimulator or defibrillator in patients receiving antiplatelet agents is associated with an increase of the haemorrhagic risk in comparison with patients not receiving antiplatelet agents (control group).

Methods And Results: We retrospectively included all the patients undergoing pacemaker or ICD implantation or replacement between January 2007 and May 2010. The primary criterion was the incidence of bleeding complications.

[Oral anticoagulation doesn't increase hemorrhagic risk in patients undergoing a cardiac pacemaker or defibrillator implantation].

Objectives: This study was designed to assess the hypothesis that the implantation or the replacement of a cardiac stimulator or defibrillator in patients receiving oral anticoagulants with an INR≥2 doesn't increase the hemorrhagic risk in comparison with patients for whom the treatment has been interrupted temporarily (INR<2) or with patients not receiving anticoagulants (control group).

Patients And Results: We performed a retrospective chart review of bleeding complications in all patients undergoing pacemaker or ICD implantation or replacement between January 2007 and may 2009. In this cohort, 43 patients (10%) were implanted with an INR≥2 while 36 patients (8%) were implanted with an INR<2 and 352 patients (82%) didn't receive anticoagulants.

[Non invasive methylergometrine test should be carried out after cardiac arrest due to coronary spasm?].

A 59-year-old man was admitted after cardiac arrest with successful reanimation. There was no significant coronary lesion. We conclude to the diagnosis of coronary spasm after the occurrence of a chest pain with anterior ST elevation reversible with intravenous nitrates.

Posttraumatic proximal tibial growth arrest: a rare injury managed successfully with ring fixators.

A ring fixator was used in the treatment of five patients (ages 11 to 16 years) with proximal tibial growth arrest after trauma. The mean corrections were 14.2 degrees (maximum 28 degrees , minimum 0 degrees ) in the saggital plane and 14 degrees (maximum 38 degrees , minimum 2 degrees ) in the coronal plane.

[Pulmonary hypertension and heart failure: the role of pulmonary vasculature].

Left heart disease is the most common cause of pulmonary hypertension. Increased left-sided filling pressure leads to passive postcapillary venous hypertension. In some patients, pulmonary vasoconstriction and vascular remodeling may lead to a further increase in pulmonary pressure.

First case of Streptococcus oligofermentans endocarditis determined based on sodA gene sequences after amplification directly from valvular samples.

We report the first case of infection due to Streptococcus oligofermentans, which is a recently described oral Streptococcus species. It was responsible for the endocarditis and left forearm abscess of a 43-year-old woman. Identification was made using molecular techniques performed directly from valvular and surgical samples.