Echocardiography in the cardiac assessment of young athletes: a 2025 guideline from the British Society of Echocardiography (endorsed by Cardiac Risk in the Young).

Sudden cardiac death in a young physically active individual or athlete is a rare but tragic event. Pre-participation screening and follow-up investigations are utilised to reduce the risk and occurrence of these events. Echocardiography plays a key role in the cardiac diagnostic pathway and aims to identify underlying inherited or congenital structural cardiac conditions.

Aortic Dissection in a Case of Peripartum Cardiomyopathy.

Management of acute Type A aortic dissection can be complicated by patient comorbidities. We describe the case of a 29-year-old female with preexisting peripartum cardiomyopathy who developed a Type A dissection. Surgery was performed and venoarterial extracorporeal membrane oxygenation (ECMO) was instituted.

Does stress echocardiography still have a role in the rapid access chest pain clinic post NICE CG95?

Introduction: The 2016 NICE clinical guideline 95 (CG95) demoted functional imaging to a second-line test following computed tomography coronary angiography (CTCA). Many cardiac CT services in the UK require substantial investment and growth to implement this. Chest pain services like ours are likely to continue to use stress testing for the foreseeable future.

Contralateral pneumothorax following repositioning of an atrial lead.

A right-sided pneumothorax developed several hours after atrial lead repositioning following otherwise straightforward implantation of a biventricular defibrillator from a left subclavian approach. Right atrial lead perforation was presumed, though this could not be demonstrated on computed tomography. The patient was managed conservatively and made a full recovery.