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ECG-Gated Cardiac Multidetector CT Evaluation of the Normal Pulmonary Valve and Right Ventricular Outflow Tract in Dogs.
Vet Radiol Ultrasound
January 2025
AniCura Istituto Veterinario Novara, Monticello, Italy.
With the advancement in imaging technology, ECG-gated cardiac multidetector computed tomography (MDCT) has emerged as a tool for the anatomic evaluation of the pulmonary valve and right ventricular outflow tract (RVOT) in human medicine. Currently, the evaluation of the pulmonary valve relies primarily on echocardiographic examination. However, the bi-dimensional nature of this technique and the location/orientation of the pulmonary valve in the thoracic cavity can pose challenges.
View Article and Find Full Text PDFOne artery to rule them all: A case of single coronary artery arising from the right sinus of Valsalva.
Radiol Case Rep
January 2025
General Hospital of Florina "Eleni Th. Dimitriou", Department of Cardiology, Egnatias 9, Florina 53100, Greece.
A single coronary artery (SCA) is a rare congenital anomaly with an incidence of 0.024 - 0.066% in angiographies and potential implications for adverse events depending on the course of the anomalous artery.
View Article and Find Full Text PDFEffectiveness and Safety of the ESC-TROP (European Society of Cardiology 0h/1h Troponin Rule-Out Protocol) Trial.
J Am Heart Assoc
November 2024
Department of Internal and Emergency Medicine Lund University, Skåne University Hospital Lund Sweden.
Background: European guidelines recommend the use of a 0h/1h hs-cTn (high-sensitivity cardiac troponin) protocol in patients with acute chest pain. We aimed to determine the performance of this protocol in routine care when supplemented with patient history and ECG and a recommendation to refrain from noninvasive testing in low-risk patients.
Methods And Results: This was a pre- and postimplementation study with concurrent controls.
Article Synopsis
- Diagnostic variables from insertable cardiac monitors can help identify heart failure (HF) patients at risk, but high-risk alerts must be paired with interventions to improve patient outcomes.
- The ALLEVIATE-HF study involved patients with recent HF events, using a risk score based on various monitor diagnostics to guide intervention protocols, including diuretic uptitration.
- Results showed that the intervention was generally safe, with positive symptom resolution in most cases, indicating the feasibility of tailored medication management based on high-risk alerts.
Development of Takotsubo cardiomyopathy following spontaneous coronary artery dissection in a patient with fibromuscular dysplasia.
BMJ Case Rep
October 2024
Internal Medicine Residency, Kaiser Permanente Mid-Atlantic States, Gaithersburg, Maryland, USA.
New-onset Takotsubo cardiomyopathy following spontaneous coronary artery dissection (SCAD) is rare. We report a middle-aged woman without significant cardiovascular risk factors, who initially presented with non-ST-elevation myocardial infarction (NSTEMI) with angiography showing sudden 'pruning' of the coronary artery consistent with SCAD. One week later, the patient returned with recurrent NSTEMI.
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