Cardiovascular Medicine

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Open AccessCommunication

Awards

by Stephane Cook

Cardiovasc. Med. 2012, 15(2), 66; https://doi.org/10.4414/cvm.2012.01645 - 22 Feb 2012

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The following awards were given during the last “Wintermeeting” (Montreux, January 20–21, 2012) of our working group “Interventional Cardiology and Acute Coronary Syndrome” [...] Full article

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Open AccessCommunication

Tour de Coeur

by Philipp K. Haager and Hans Rickli

Cardiovasc. Med. 2012, 15(2), 64; https://doi.org/10.4414/cvm.2012.01644 - 22 Feb 2012

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Abstract

Mit dem Velo von Bern nach Paris zum ESC (European Society of Cardiology), eine verrückte Idee einiger passionierter Velofahrer oder doch eine Herzenssache für die, die einfach gerne per Velo unterwegs sind? [...] Full article

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2 pages, 941 KB

Open AccessInteresting Images

A Family with Upper Limb Malformations and Dyspnoea–The Holt-Oram Syndrome

by Nikesh Raj Shrestha and Stéphane Cook

Cardiovasc. Med. 2012, 15(2), 62; https://doi.org/10.4414/cvm.2012.01649 - 22 Feb 2012

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Abstract

A 16-year-old male presented at our outpatient clinic with palpitations and worsening dyspnoea during the preceding five days. [...] Full article

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3 pages, 787 KB

Open AccessInteresting Images

Atrioventricular Reentrant Tachycardia and Atrial Fibrillation in the Same Patient: One or Two Diseases?

by Tobias Reichlin, Christian Sticherling and Michael Kühne

Cardiovasc. Med. 2012, 15(2), 59; https://doi.org/10.4414/cvm.2012.01646 - 22 Feb 2012

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Abstract

A 70-year-old lady presented to the emergency room due to palpitations. She reported occasional self-limiting tachycardias occurring for more than 15 years. [...] Full article

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4 pages, 966 KB

Open AccessCase Report

Primary Left Atrial Angiosarcoma Determining Severe Mitral Valve Stenosis

by Natalia Pavone, Vasileios Tsiopoulos, Riccardo Marano, Mariangela Novello and Mario Gaudino

Cardiovasc. Med. 2012, 15(2), 55; https://doi.org/10.4414/cvm.2012.01642 - 22 Feb 2012

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Abstract

Primary cardiac tumours are a rare pathogical entity. In the vast majority of cases these tumours are benign [1,2]; among malignant histotypes, angiosarcoma is the most common, representing 15–35% of all cardiac tumours [2,3]. Primary cardiac angiosarcomas usually arise from the right atrium [...] Read more.

Primary cardiac tumours are a rare pathogical entity. In the vast majority of cases these tumours are benign [1,2]; among malignant histotypes, angiosarcoma is the most common, representing 15–35% of all cardiac tumours [2,3]. Primary cardiac angiosarcomas usually arise from the right atrium or the pericardium; they typically occur in the third to fifth decade of life and are two to three times more frequent in males. We report a case of primary angiosarcoma arising from the left atrium in a female patient who had already undergone mitral valve repair. Full article

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2 pages, 630 KB

Open AccessCase Report

Anterior ST-Elevation Myocardial Infarction After Excimer Laser Extraction of Defibrillator Leads

by Reto Berli, Jürg Grünenfelder and Christophe Wyss

Cardiovasc. Med. 2012, 15(2), 53; https://doi.org/10.4414/cvm.2012.01641 - 22 Feb 2012

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Abstract

We describe a case of a so far unknown complication after failed extraction of defibrillator leads. Perforation of the LIMA bypass caused by Excimer laser created an arterio-venous fistula from the proximal bypass to the superior subclavian vein and occlusion of the distal [...] Read more.

We describe a case of a so far unknown complication after failed extraction of defibrillator leads. Perforation of the LIMA bypass caused by Excimer laser created an arterio-venous fistula from the proximal bypass to the superior subclavian vein and occlusion of the distal LIMA bypass with consecutive anterior S T-elevation myocardial infarction. Full article

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5 pages, 627 KB

Open AccessArticle

Interventional Cardiology in Switzerland During the Year 2010

by Micha T. Maeder, Giovanni Pedrazzini, Marco Roffi, Christoph A. Kaiser, Stéphane Cook, Roberto Corti, Peter Wenaweser and Hans Rickli

Cardiovasc. Med. 2012, 15(2), 48; https://doi.org/10.4414/cvm.2012.01647 - 22 Feb 2012

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Abstract

Background: Since 1987, a nationwide annual survey of percutaneous cardiac interventions has been performed in Switzerland to assess trends in endovascular cardiac procedures. Methods: The volume and type of endovascular cardiac procedures performed during the year 2010 were collected by means of a [...] Read more.

Background: Since 1987, a nationwide annual survey of percutaneous cardiac interventions has been performed in Switzerland to assess trends in endovascular cardiac procedures. Methods: The volume and type of endovascular cardiac procedures performed during the year 2010 were collected by means of a standardised questionnaire from all adult cardiac intervention centres in Switzerland. Results: The number of coronary angiographies (2010: n = 42,648; +2.5% compared to 2009) and percutaneous coronary interventions (n = 19,925; +4.7%) continued to increase with a slight increase in the PCI/CA ratio (46.7%; 2009: 45.7%). After a decrease from 2006 to 2007 and a plateau from 2007 to 2009, the proportion of drug-eluting stents (DES) raised again to 79% in 2010 (2009: 72%). Apart from shunt closures which remained stable (closure of patent foramen ovale [n = 733; 2009: n = 728] and atrial septal defects [n = 142; 2009: n = 152]), the number of procedures for structural heart disease increased in 2010 mainly due to an increasing number of transcatheter aortic valve implantations (n = 382 performed in 11 centres; 2009: n = 277 performed in 8 centres) although the number of procedures for transcatheter mitral valve repair rose as well (n = 67; 2009: n = 33). Conclusions: The number of both CA and PCI procedures increased in Switzerland in 2010 compared with the previous year. However, the most expanding segment of percutaneous cardiac intervention involved those for structural heart disease, namely TAVI. Full article

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7 pages, 525 KB

Open AccessReview

High Altitude in the Heart of Healthy and Sick

by Hans-Peter Brunner-La Rocca

Cardiovasc. Med. 2012, 15(2), 41; https://doi.org/10.4414/cvm.2012.01643 - 22 Feb 2012

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Abstract

Today exposure to high altitudes is relatively common. Thus, basic knowledge is important also for physicians that are not specialised in this topic. Exercise capacity is limited at high altitude, mainly due to hypoxia. Additional factors (circumstances) may aggravate the problem. Still, day [...] Read more.

Today exposure to high altitudes is relatively common. Thus, basic knowledge is important also for physicians that are not specialised in this topic. Exercise capacity is limited at high altitude, mainly due to hypoxia. Additional factors (circumstances) may aggravate the problem. Still, day trips to altitudes up to 3000–3500 m are relatively safe even in patients with cardiovascular diseases, unless patients are not stable. Unstable patients are not suited for hypoxia exposure although direct evidence is largely lacking. Overnight stay at high altitude increases the risk. Also, patients with moderate to severe pulmonary hypertension, irrespective of the underlying cause, should limit exposure to altitudes of not more than 1500–2000 m. With respect to flying, similar limitations apply. Moreover, circumstances of travel must be taken into account (e.g., limited access to medical help) and sufficient medication (in duplicate at different places) should be taken with the patient. As discussed in the last part of this review, subjects that are susceptible to develop high altitude pulmonary edema should avoid rapid ascent to high altitude, or should be treated prophylactically. To what extent research in these subjects is relevant for pathophysiology of pulmonary hypertension at normoxia needs further investigation. Full article

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2 pages, 454 KB

Open AccessEditorial

Quo Vadis Swiss Report on Interventional Cardiology?

by Giovanni B. Pedrazzini

Cardiovasc. Med. 2012, 15(2), 39; https://doi.org/10.4414/cvm.2012.01648 - 22 Feb 2012

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Abstract

Without wishing to encroach on the editorials [1,2] that have accompanied the annual reports on interventional cardiology activities in Switzerland in the last two years and in the face of growing and justified criticism on the objectives of a registry started more than [...] Read more.

Without wishing to encroach on the editorials [1,2] that have accompanied the annual reports on interventional cardiology activities in Switzerland in the last two years and in the face of growing and justified criticism on the objectives of a registry started more than 20 years ago [3], we would like to take stock of the current debate and illustrate the expected changes and future goals of this epidemiological tool which we believe to be of fundamental medical importance and of great public utility. [...] Full article

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Cardiovasc. Med., Volume 15, Issue 2 (02 2012) – 9 articles

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