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Intra-atrial block after COVID-19 vaccination-induced fulminant myocarditis: a case report.
Eur Heart J Case Rep
November 2024
Division of Cardiology, Saiseikai Kumamoto Hospital, 5-3-1 Chikami, Minami-ku, Kumamoto 861-4193, Japan.
Background: Myocarditis is associated with an increased risk of conduction disturbances during the acute phase, which recovers in most cases but rarely recurs during the chronic phase.
Case Summary: A 50-year-old man who developed fulminant myocarditis after COVID-19 mRNA vaccination was discharged 24 days after admission. He was readmitted for heart failure associated with two P waves: one P wave (P1) had a normal amplitude and was dissociated from the QRS, and the other (P2) had a very low amplitude and was associated with the QRS.
Efficacy and safety of early postoperative ablation in patients with congenital heart disease.
Heart Rhythm
September 2024
Department of Cardiology, Boston Children's Hospital, Department of Pediatrics, Harvard Medical School, Boston, Massachusetts. Electronic address:
Article Synopsis
- Postoperative arrhythmias are typically temporary and treated with medication, but some patients need further procedures like electrophysiology study (EPS) and ablation.
- This study reviewed cases from 2000-2021 to assess the effectiveness and safety of early EPS and ablation in congenital heart surgery patients, focusing on outcomes, complications, and long-term arrhythmia recurrence.
- Of the nearly 29,000 surgeries, only 50 patients (some within 3 months and others from 3-12 months post-surgery) required EPS, showing an 82% success rate, though 54% experienced recurring arrhythmias, albeit with less severity.
[Fatal outcome of complete resection of undifferentiated pleomorphic cardiac sarcoma : About a case].
Ann Cardiol Angeiol (Paris)
December 2024
Service de chirurgie cardiovasculaire A, Hôpital Ibn Sina, Université Med V, Rabat, Maroc.
Introduction: Undifferentiated pleomorphic sarcoma (UPS) is a very rare malignant primary cardiac tumor with a poor prognosis.
Observation: A 34-year-old woman complained of dyspnea evolving in a febrile context with altered general condition: Transthoracic echocardiography (TTE) revealed a left intra-atrial mass measuring 51/26 mm in diameter. A thoracic computed tomography (CT) revealed a mass occupying the left atrium measuring 42/28/34 mm, associated with two pulmonary metastases.
Cardiac sarcoidosis presenting as multiple right intra-atrial masses mimicking cardiac tumor.
Cardiooncology
August 2024
Department of Cardiology, JSS Medical College and Hospital, Mysore, Karnataka, India.
Background: Cardiac sarcoidosis though in itself, a rare entity, very rarely presents primarily with conduction abnormalities as the primary manifestation in the spectrum of presentations accounted by this chronic granulomatous systemic disease. Sarcoidosis presenting as intra-atrial masses is virtually unheard of.
Case: A middle aged female presented with progressive conduction system disease was found to have right atrial masses of unclear etiologic on relevant imaging.
A Twenty-Year Follow-Up of Adults with Ebstein Anomaly with Special Focus on Supraventricular Arrhythmias, Supraventricular Arrhythmias and Effectiveness of Catheter Ablation in 20-Year Follow-Up of Adults with Ebstein Anomaly.
J Clin Med
April 2024
1st Department of Cardiology, Poznan University of Medical Sciences, 60-806 Poznań, Poland.
: Ebstein anomaly (EA) is a rare congenital heart disease characterized by the apical displacement of the tricuspid leaflets, creating an enlarged functional right atrium. Supraventricular arrhythmias (SVA) are common, and catheter ablation remains challenging. SVA is considered a risk factor for sudden cardiac death in this population.
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