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Kawasaki disease with shock as the primary manifestation: How to distinguish from toxic shock syndrome?: A case report and literature review.
Medicine (Baltimore)
August 2024
Department of Pediatric Intensive Care Unit, Northwest Women's and Children's Hospital, Xi 'an, Shaanxi Province, China.
Rationale: Kawasaki disease (KD) is a vasculitis syndrome of small to medium-sized arteries that has typical clinical characteristics such as fever, rash, cervical lymphadenopathy, conjunctivitis, and mucosal changes. Cardiac manifestations, including coronary artery aneurysms, myocarditis, myocardial infarction, and sudden cardiac death, are the most serious complications observed in KD. On rare occasions, it may accompanied with reduced organ perfusion due to systolic hypotension, a condition known as Kawasaki disease shock syndrome (KDSS).
View Article and Find Full Text PDFUnidirectional conduction characterizing epicardial connections in patients with atrial tachyarrhythmias.
J Cardiovasc Electrophysiol
November 2023
Department of Cardiology, Ibaraki Prefectural Central Hospital, Kasama, Japan.
Introduction: Electrophysiological characteristics of epicardial connections (ECs) in atria and pulmonary veins (PVs) are unclear despite their important contributions to atrial fibrillation (AF). Unidirectional conduction associated with source-sink mismatch can occur in ECs due to their fine fibers with abrupt changes in orientation. We detailed the prevalence and electrophysiological characteristics of unidirectional conduction in the atria and investigated its association with the clinical manifestation of AF.
View Article and Find Full Text PDFNovel filamin C (FLNC) variant causes a severe form of familial mixed hypertrophic-restrictive cardiomyopathy.
Am J Med Genet A
June 2023
Centre de Recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, Laval University, Quebec, Canada.
Variants of filamin C (FLNC) have been identified as rare genetic substrate for hypertrophic cardiomyopathy (HCM). Data on the clinical course of FLNC-related HCM are conflicting with some studies suggesting mild phenotypes whereas other studies have reported more severe outcomes. In this study, we present a novel FLNC variant (Ile1937Asn) that was identified in a large family of French-Canadian descent with excellent segregation data.
View Article and Find Full Text PDFIncidental Thrombus Straddling Patent Foramen Ovale Found on Intraoperative Transesophageal Echocardiogram in a Patient With a Ventricular Assist Device.
CASE (Phila)
February 2023
Department of Anesthesiology, University of Nebraska Medical Center, Omaha, Nebraska.
• The hemodynamic changes of surgery demand close monitoring in patients with LVADs. • During intraoperative TEE, a bubble study may help to diagnose a PFO. • TEE monitoring is optimal for patients with LVADs undergoing noncardiac procedures.
View Article and Find Full Text PDFReference values of left and right atrial volumes and phasic function based on a large sample of healthy Chinese adults: A cardiovascular magnetic resonance study.
Int J Cardiol
April 2022
Zhouxin Medical Imaging and Health Screening Center, Xiamen, Fujian, China; Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Background: The left and right atrial (LA and RA) size and function are tightly linked to the morbidity and mortality of multiple cardiovascular diseases. We aimed to establish cardiovascular magnetic resonance (CMR) reference values for LA and RA volumes and phasic function based on a large sample of healthy Chinese adults.
Methods: 408 validated healthy Chinese adults (54% men; aged 21-70 years) were included.
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