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Malignant Middle Cerebral Artery Infarct Caused by Eagle's Syndrome.
Cureus
October 2023
Dentistry, Sharif Medical & Dental College, Lahore, PAK.
Eagle's syndrome is characterised by elongation of the styloid process. The elongated styloid process can cause symptoms like dysphagia, facial or neck pain, syncope, visual changes, etc. In severe cases, it may cause a rupture or dissection of the carotid artery, which can lead to intracranial thrombo-embolism and ischemic stroke.
View Article and Find Full Text PDFIncidence and predictors of stroke and silent cerebral embolism following very high-power short-duration atrial fibrillation ablation.
Europace
November 2023
Heart and Vascular Center, Semmelweis University, Városmajor u. 68., Budapest 1122, Hungary.
Aims: Cerebral thrombo-embolism is a dreaded complication of pulmonary vein isolation (PVI) for atrial fibrillation; its surrogate, silent cerebral embolism (SCE) can be detected by diffusion-weighted brain magnetic resonance imaging (bMRI). Initial investigations have raised a concern that very high-power, short-duration (vHPSD; 90 W/4 s) temperature-controlled PVI with the QDOT Micro catheter may be associated with a higher incidence of SCE compared with low-power long-duration ablation. We aimed to assess the incidence of procedural complications of vHPSD PVI with an emphasis on cerebral safety.
View Article and Find Full Text PDFExtensive systemic thrombo-embolism including intra-cardiac thrombosis mimicking an atrial myxoma in a patient with beta thalassaemia major - a case report.
BMC Cardiovasc Disord
October 2023
Department of Medicine, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
Background: Sepsis and thrombo-embolic disease are well known complications of thalassemia major. Intracardiac thrombi are however rare and can lead to diagnostic dilemmas.
Case Presentation: We report the case of a 20-year-old female splenectomised thalassaemia major patient with severe iron overload, who presented with life threatening sepsis associated with a liver abscess.
Prognostic value of chronic kidney disease in patients undergoing left atrial appendage occlusion.
Europace
November 2023
Texas Cardiac Arrhythmia Institute, St.David's Medical Center, 3000 North I-35, Suite 720, Austin, TX 78705, USA.
Article Synopsis
- Atrial fibrillation (AF) and chronic kidney disease (CKD) can occur together, increasing the risk of dangerous blood clots and bleeding.
- In a study of 2,124 AF patients who had a specific procedure to prevent blood clots, those with more severe CKD had higher risks of major health problems.
- The procedure reduced the risk of blood clots significantly across all CKD groups, but patients with more severe CKD still had worse outcomes compared to those with milder CKD.
Atrial fibrillation and stroke prevention: 25 years of research at EP Europace journal.
Europace
August 2023
Cardiology Division, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Policlinico di Modena, via del Pozzo 71, 41125 Modena, Italy.
Stroke prevention in patients with atrial fibrillation (AF) is one pillar of the management of this common arrhythmia. Substantial advances in the epidemiology and associated pathophysiology underlying AF-related stroke and thrombo-embolism are evident. Furthermore, the introduction of the non-vitamin K antagonist oral anticoagulants (also called direct oral anticoagulants) has clearly changed our approach to stroke prevention in AF, such that the default should be to offer oral anticoagulation for stroke prevention, unless the patient is at low risk.
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