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Imaging to Facilitate Ventricular Tachycardia Ablation: Intracardiac Echocardiography, Computed Tomography, Magnetic Resonance, and Positron Emission Tomography.
JACC Clin Electrophysiol
October 2024
Section of Cardiac Electrophysiology, Cardiovascular Medicine Division, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA. Electronic address:
Article Synopsis
- * Traditional methods like electrograms and pacing have limitations, while intracardiac echocardiography helps visualize anatomy and tissue changes but lacks specificity for identifying problematic areas.
- * Advanced imaging techniques, such as cardiac magnetic resonance, computed tomography, and positron emission tomography, are becoming essential for better assessing and treating VT, though more clinical trials are needed to improve their practical use.
A Rare Case of Stroke in a 76-Year-Old Woman: Left Atrial Papillary Fibroelastoma as the Culprit.
Am J Case Rep
June 2024
Division of Cardiology, Cardiocerebrovascular Center, Konyang University Hospital, Daejeon, South Korea.
BACKGROUND Papillary fibroelastoma is the most common type of benign primary cardiac tumor and is usually asymptomatic. However, tumor fragments or surface thrombus can embolize and cause transient ischemic attacks, strokes, or myocardial infarction. This report describes a 76-year-old woman who presented with dysarthria and right-sided weakness due to a stroke associated with a left atrial papillary fibroelastoma.
View Article and Find Full Text PDFA 44-year-old man with recurrent ST-segment elevation: a case report of two presentations of Granulomatosis with Polyangiitis.
Eur Heart J Case Rep
May 2024
Royal Brompton Hospital, Guy's and St Thomas' NHS Foundation Trust, Sydney Street, Chelsea, London, SW3 6NP, UK.
Background: Granulomatosis with Polyangiitis (GPA) is a rare multi-system autoimmune disorder that may present with cardiac manifestations that are often under-recognized. In this report, we discuss a usual case of a patient who presented as a cardiac emergency with recurrent ST elevation and discuss the approach and management.
Case Summary: A 44-year-old man presented with two episodes of chest pain associated with ST-segment elevation on 12-lead ECG.
Cardiac function evaluation in children with spinal muscular atrophy: A case-control study.
Pediatr Int
May 2024
Department of Pediatric Cardiology, Heart Center, The First Affiliated Hospital of Sun Yat-sen University, and NHC Key Laboratory of Assisted Circulation and Vascular Diseases (Sun Yat-sen University), Guangzhou, China.
Background: Spinal muscular atrophy (SMA) is an autosomal recessive disorder characterized by degeneration of lower motor neurons, resulting in progressive muscle weakness and atrophy. However, little is known regarding the cardiac function of children with SMA.
Methods: We recruited SMA patients younger than 18 years of age from January 1, 2022, to April 1, 2022, in the First Affiliated Hospital of Sun Yat-sen University.
Acute myocardial infarction following radiofrequency catheter ablation in a child: a case report on the mechanism of coronary artery occlusion assessed by cardiovascular imaging.
Eur Heart J Case Rep
April 2024
Department of Cardiovascular Biology and Medicine, Juntendo University Graduate School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Tokyo, Japan.
Article Synopsis
- Radiofrequency ablation is a standard treatment for atrioventricular nodal re-entrant tachycardia, effective even in pediatric patients ≥15 kg, but cases of acute coronary artery occlusion post-procedure are rare.
- An 11-year-old girl, whose atrioventricular nodal re-entrant tachycardia didn't respond to medication, underwent this procedure, which led to observed ST elevation and occlusion of the right coronary artery during surgery.
- This case marks the first documented instance of coronary artery occlusion following such an ablation, with imaging suggesting that direct thermal injury caused the blockage, but the patient ultimately recovered without complications.
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