Renal cell carcinoma(RCC)is an aggressive tumor known for its propensity to invade the inferior vena cava(IVC)into the heart.Cardiac metastasis of RCC without IVC involvement is rare.Even rarer is ventricular arrhythm...Renal cell carcinoma(RCC)is an aggressive tumor known for its propensity to invade the inferior vena cava(IVC)into the heart.Cardiac metastasis of RCC without IVC involvement is rare.Even rarer is ventricular arrhythmia as the primary manifestation of cardiac metastasis of RCC with only two cases reported.[1,2]We add to the literature the third case,the diagnosis of which was only possible with cardiac magnetic resonance(CMR).展开更多
Diastolic dysfunction is a common substrate of pulmonary hypertension(PH) in the elderly.A minority of them,however,has another etiology of PH with diastolic dysfunction as a confounder,the alarming echocardiographic ...Diastolic dysfunction is a common substrate of pulmonary hypertension(PH) in the elderly.A minority of them,however,has another etiology of PH with diastolic dysfunction as a confounder,the alarming echocardiographic features of which are important to recognize.For example,dilated coronary sinus is unusual,as is significantly dilated right atrium.展开更多
Quantification of degenerative mitral reg-urgitation(MR)by two-dimensional(2D)transthoracic echocardiography(TTE)and transesophageal echocardiography(TEE)is challen-ging.Eccentric,obliquely oriented regurgitant jets l...Quantification of degenerative mitral reg-urgitation(MR)by two-dimensional(2D)transthoracic echocardiography(TTE)and transesophageal echocardiography(TEE)is challen-ging.Eccentric,obliquely oriented regurgitant jets limit inter-observer and intra-observer consistency.In recent years,with increasingly sophisticated three-dimensional(3D)TTE and TEE systems that enable single-beat 3D color acquisition,3D vena contracta area(VCA)has emerged as an attractive indicator of MR severity.It overcomes geometric assumptions in 2D techniques and can be acquired in a single car-diac cycle,which is a major benefit in atrial fibrilla-tion.However,most studies of 3D VCA were perfo-rmed on the Philips TEE platform.[1-3]The perform-ance of the technique on GE systems and on 3D TTE is unexplored.We report 3D VCA measurements in a case of severe degenerative MR on 3D TTE(4V-D transducer,Vivid E95,GE Vingmed Ultrasound,Horten,Norway),and 3D TEE performed on GE(6VT-D transducer,Vivid E95,GE Vingmed Ultraso-und,Horten,Norway)and Philips(X7-2t transdu-cer,EPIC 7C,Philips Medical Systems,Andover,MA,USA).展开更多
The implantable cardioverter-defibrillator(ICD)is a key component in the primary pre-vention of sudden cardiac death in patients with ischemic cardiomyopathy.Appropriate device programming is pivotal in maximizing the...The implantable cardioverter-defibrillator(ICD)is a key component in the primary pre-vention of sudden cardiac death in patients with ischemic cardiomyopathy.Appropriate device programming is pivotal in maximizing the benefit as well as minimizing any proarrhythmic effect of dev-ice therapy.It is even more so for patients who require pacing for bradycardia,in which interaction of the de-vice with intrinsic rhythm may generate unexpected consequences.We report a case of pacing induced ven-tricular tachycardia as a result of complex interplay of competitive atrial pacing,atrial and ventricular func-tional undersensing,ventricular functional loss of capture,and the AutoCapture®algorithm specific to Abbott devices.展开更多
Inactivated and mRNA SARS-CoV-2 vaccines are highly efficacious in preventing severe disease and mortality.As the antibody level wanes over time,^([1])booster vaccination is recommended by the World Health Organizatio...Inactivated and mRNA SARS-CoV-2 vaccines are highly efficacious in preventing severe disease and mortality.As the antibody level wanes over time,^([1])booster vaccination is recommended by the World Health Organization after completion of basic vaccination sequence.^([2])Heterologous compared to homologous boosting is found to be more immunogenic,generate higher antibody levels and may reduce the risk of breakthrough infections.展开更多
Cardiac involvement in eosinophilic granulomatosis with polyangiitis (EPGA) is increasingly recognized,but it is unusual to be the initial presentation.We report a case of vasculitic myocardial infarction (MI) and car...Cardiac involvement in eosinophilic granulomatosis with polyangiitis (EPGA) is increasingly recognized,but it is unusual to be the initial presentation.We report a case of vasculitic myocardial infarction (MI) and cardiogenic shock in an elderly man caused by EPGA.A 73-year-old man presented with acute chest pain radiating to back for two days.He has a history of asthma and allergic rhinitis for more than ten years well controlled by inhaled corticosteroid.The electrocardiogram showed sinus rhythm,right bundle-branch block and anterolateral ST-segment depression.He had elevated troponin T of 548 ng/L (reference:<14 ng/L),creatine kinase of 454 IU/L (reference:39–308 IU/L)。展开更多
文摘Renal cell carcinoma(RCC)is an aggressive tumor known for its propensity to invade the inferior vena cava(IVC)into the heart.Cardiac metastasis of RCC without IVC involvement is rare.Even rarer is ventricular arrhythmia as the primary manifestation of cardiac metastasis of RCC with only two cases reported.[1,2]We add to the literature the third case,the diagnosis of which was only possible with cardiac magnetic resonance(CMR).
文摘Diastolic dysfunction is a common substrate of pulmonary hypertension(PH) in the elderly.A minority of them,however,has another etiology of PH with diastolic dysfunction as a confounder,the alarming echocardiographic features of which are important to recognize.For example,dilated coronary sinus is unusual,as is significantly dilated right atrium.
文摘Quantification of degenerative mitral reg-urgitation(MR)by two-dimensional(2D)transthoracic echocardiography(TTE)and transesophageal echocardiography(TEE)is challen-ging.Eccentric,obliquely oriented regurgitant jets limit inter-observer and intra-observer consistency.In recent years,with increasingly sophisticated three-dimensional(3D)TTE and TEE systems that enable single-beat 3D color acquisition,3D vena contracta area(VCA)has emerged as an attractive indicator of MR severity.It overcomes geometric assumptions in 2D techniques and can be acquired in a single car-diac cycle,which is a major benefit in atrial fibrilla-tion.However,most studies of 3D VCA were perfo-rmed on the Philips TEE platform.[1-3]The perform-ance of the technique on GE systems and on 3D TTE is unexplored.We report 3D VCA measurements in a case of severe degenerative MR on 3D TTE(4V-D transducer,Vivid E95,GE Vingmed Ultrasound,Horten,Norway),and 3D TEE performed on GE(6VT-D transducer,Vivid E95,GE Vingmed Ultraso-und,Horten,Norway)and Philips(X7-2t transdu-cer,EPIC 7C,Philips Medical Systems,Andover,MA,USA).
文摘The implantable cardioverter-defibrillator(ICD)is a key component in the primary pre-vention of sudden cardiac death in patients with ischemic cardiomyopathy.Appropriate device programming is pivotal in maximizing the benefit as well as minimizing any proarrhythmic effect of dev-ice therapy.It is even more so for patients who require pacing for bradycardia,in which interaction of the de-vice with intrinsic rhythm may generate unexpected consequences.We report a case of pacing induced ven-tricular tachycardia as a result of complex interplay of competitive atrial pacing,atrial and ventricular func-tional undersensing,ventricular functional loss of capture,and the AutoCapture®algorithm specific to Abbott devices.
文摘Inactivated and mRNA SARS-CoV-2 vaccines are highly efficacious in preventing severe disease and mortality.As the antibody level wanes over time,^([1])booster vaccination is recommended by the World Health Organization after completion of basic vaccination sequence.^([2])Heterologous compared to homologous boosting is found to be more immunogenic,generate higher antibody levels and may reduce the risk of breakthrough infections.
文摘Cardiac involvement in eosinophilic granulomatosis with polyangiitis (EPGA) is increasingly recognized,but it is unusual to be the initial presentation.We report a case of vasculitic myocardial infarction (MI) and cardiogenic shock in an elderly man caused by EPGA.A 73-year-old man presented with acute chest pain radiating to back for two days.He has a history of asthma and allergic rhinitis for more than ten years well controlled by inhaled corticosteroid.The electrocardiogram showed sinus rhythm,right bundle-branch block and anterolateral ST-segment depression.He had elevated troponin T of 548 ng/L (reference:<14 ng/L),creatine kinase of 454 IU/L (reference:39–308 IU/L)。
