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Management of patient with acute lymphocytic myocarditis and congenital long QT syndrome presenting with electrical storm and incessant Torsade de Pointes: a case report.
J Med Case Rep
December 2024
Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Padjadjaran, Hasan Sadikin General Hospital, Bandung, Indonesia.
Background: This case highlights the management of concomitant acute myocarditis and congenital long QT syndrome with electrical storm and incessant Torsade de Pointes.
Case Presentation: An 18 years-old Southeast Asian para 1 abortus 0 (P1A0) postpartum patient with cesarean section owing to severe preeclampsia, acute lymphocytic myocarditis, and prolonged QT interval owing to long QT syndrome. She has incessant Torsade de Pointes treated with beta-blocker, lidocaine, overdrive pacing with a temporary transvenous pacemaker, left cardiac sympathetic denervation per video-assisted thoracoscopic surgery, and implantable cardioverter-defibrillator implantation.
A Case of Cavernous Sinus Fistula Caused by Ruptured Spontaneous Aneurysm on Persistent Primitive Trigeminal Artery.
NMC Case Rep J
November 2024
Department of Neurosurgery, St. Marianna University Hospital, Kawasaki, Kanagawa, Japan.
The most frequent of the embryonic persistent arteries that connect the internal carotid artery to the posterior circulation is the persistent primitive trigeminal artery (PPTA), which is recognized on 0.1%-0.6% on the basis of conventional angiography or magnetic resonance imaging (MRI).
View Article and Find Full Text PDFOutcomes of concurrent and delayed leadless pacemaker implantation following extraction of infected cardiovascular implantable electronic device.
J Interv Card Electrophysiol
December 2024
Cardiac Electrophysiology, Boston Medical Center, Boston, MA, USA.
Article Synopsis
- The study explores optimal reimplantation strategies after the removal of infected cardiovascular implantable electronic devices (CIEDs), highlighting the potential advantages of leadless pacemakers (LPs) due to their lower infection risk.
- A literature review included 22 relevant studies, covering 657 patients who had lead removal followed by LP implantation, with 44.9% receiving LPs concurrently during the procedure and minimal complications reported.
- The findings suggest that both concurrent and delayed LP implantation is safe, with low rates of reinfection and complications, positioning LPs as a viable option for patients needing temporary pacing before further treatments.
[Incidental finding of cardiac myxoma in a patient with bradyarrhythmia].
Rev Med Inst Mex Seguro Soc
September 2024
Instituto Mexicano del Seguro Social, Centro Médico Nacional de Occidente, Hospital de Especialidades "Lic. Ignacio García Téllez", Servicio de Cardiología. Guadalajara, Jalisco, México.
Background: Cardiac tumors have a low incidence in general population, and its clinical presentation varies so much. The aim of this clinical case report is to highlight the importance and utility of ultrasound and echocardiogram in the emergency department as a tool for diagnostic and therapeutic procedures.
Clinical Case: 60-year-old male patient who presented to the emergency department because of dyspnea, dizziness, and weakness.
Feasibility and safety of endomyocardial biopsy by lumenless pacing lead sheath-directed method during cardiac implantable electronic device implantation.
Heart Rhythm
November 2024
Department of Cardiology, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, People's Republic of China; Key Laboratory of Cardiovascular Intervention and Regenerative Medicine of Zhejiang Province, People's Republic of China. Electronic address:
Background: Patients with an indication for a cardiovascular implantable electronic device (CIED) are complicated with special cardiomyopathy or other unspecified cardiac abnormalities and may need endomyocardial biopsy (EMB). However, EMB by a bioptome is usually avoided to reduce the risk of lead displacement in the CIED periprocedural period.
Objective: We aimed to assess the safety and feasibility of a novel approach for transvenous right ventricular (RV) EMB using the lead sheath method (L-S-M) during CIED implantation and compared it with the traditional bioptome method (T-B-M).
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