Write a Scientific Paper (WASP): Past and anticipated trends in cardiology service requirements at Mater Dei Hospital, Malta.

Introduction: The requirement for medical services fluctuates. This study was carried out in order to attempt to extrapolate the service requirements for various cardiology services at Mater Dei Hospital, Malta over the coming five years, based on service demands from previous years.

Methods: Past annual data was obtained from hospital records for various services (to 2017).

The first case of the Reveal LINQ™ Insertable Cardiac Monitor implanted in a child in Malta.

Background: The Reveal LINQ™Insertable Cardiac Monitor (ICM) or Implantable Loop recorder (ILR), is a miniaturized, subcutaneous, single lead, electrocardiographic monitoring device which has been extensively used in the differential diagnosis of unexplained syncope and palpitations in adults.

Patient Description: We describe an asymptomatic 20-month-old boy, noted to have incidental bradycardia on routine examination and in whom Holter monitoring revealed complete heart block (CHB). Over 1 year, the longest recorded pause lengthened from 1.

Preseptostomy myocardial infarction in a patient with complex transposition of the great arteries.

In transposition of the great arteries, systemic venous return is preferentially routed to the aorta, and any spontaneous or iatrogenic emboli may therefore cause organ infarction. We present a patient with transposition of the great arteries who developed myocardial infarction prior to balloon septostomy and, also, was later documented to have sustained brain infarction despite adequate precautionary measures. Minimal handling of venous sites in these patients is crucial.

Normal adult echocardiography - apical views.

Children with congenital heart disease will grow into adults who may also develop adult heart disease. This article is reviews the adult two and four chamber echocardiographic views, and is a continuation of the our previous article which dealt with the parasternal views.