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Cardiovascular Medicine
Volume 21
Issue 10
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Cardiovascular Medicine is published by MDPI from Volume 28 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Editores Medicorum Helveticorum (EMH).

Cardiovasc. Med., Volume 21, Issue 10 (10 2018) – 7 articles

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3 pages, 309 KB  
Editorial
Prevention Summit 2018
by Thomas F. Lüscher
Cardiovasc. Med. 2018, 21(10), 264; https://doi.org/10.4414/cvm.2018.00575 - 17 Oct 2018
Viewed by 12
Abstract
Vorbeugen ist besser als Heilen – dies gilt heute mehr denn je [...] Full article
2 pages, 234 KB  
Interesting Images
Percutaneous Treatment of a Degenerated Transcatheter Heart Valve
by Stefan Toggweiler, Miriam Brinkert, Matthias Bossard, Florim Cuculi and Richard Kobza
Cardiovasc. Med. 2018, 21(10), 262; https://doi.org/10.4414/cvm.2018.00579 - 17 Oct 2018
Viewed by 15
Abstract
A 68-year-old man presented with increasing shortness of breath and a history of decompensated heart failure 8 years after transfemoral implantation of a CoreValve 29 mm for severe [...] Full article
3 pages, 460 KB  
Case Report
Myocardial Infarction due to Obstruction of the Left Main Coronary
by Boris Adjibodou, Diego Arroyo, Benoit Desgraz, Jean-Jacques Goy, Gregory Katchatourov, Stephane Cook and Jean-Christophe Stauffer
Cardiovasc. Med. 2018, 21(10), 259; https://doi.org/10.4414/cvm.2018.00585 - 17 Oct 2018
Viewed by 19
Abstract
We present a challenging case of myocardial infarction with partial intermittent obstruction of the left main coronary due to a mass of unknown origin in an otherwise healthy 34-year-old male. Full article
4 pages, 1139 KB  
Case Report
Eliminating the Trigger for Polymorphic Ventricular Tachycardia
by Nadina Molitor, Alexander Breitenstein and Ardan M. Saguner
Cardiovasc. Med. 2018, 21(10), 255; https://doi.org/10.4414/cvm.2018.00584 - 17 Oct 2018
Viewed by 22
Abstract
A 60-year-old female patient was referred to our hospital because of recurrent syncope. The resting 12-lead ECG showed sinus rhythm with left bundle branch block and a high burden of monomorphic single premature ventricular beats (PVCs). Imaging studies confirmed a structurally normal heart [...] Read more.
A 60-year-old female patient was referred to our hospital because of recurrent syncope. The resting 12-lead ECG showed sinus rhythm with left bundle branch block and a high burden of monomorphic single premature ventricular beats (PVCs). Imaging studies confirmed a structurally normal heart and ischaemic heart disease was ruled out by coronary angiography. Telemetry revealed repeated episodes of polymorphic ventricular tachycardia (VT) triggered by monomorphic PVCs causing syncope. Therefore, an ICD was implanted and the patient was discharged on bisoprolol 10 mg/day. A few weeks later, she was referred to our hospital owing to repeated ICD shocks triggered by monomorphic PVCs with long-short sequences. Radiofrequency catheter ablation targeting the monomorphic PVC causing polymorphic VT was performed. With an almost perfect pace map within the distal coronary sinus, ablation in this region did not abolish the PVC. Therefore, we antegradely mapped the LV via transseptal access. Endocardial mapping at the anterior mitral anulus using the reverse S-curve technique revealed the earliest bipolar activation in close proximity to the ablated region within the coronary sinus. Ablation at this site abolished the clinical PVC. ECG monitoring at 3, 6 and 12 months did not reveal any PVC, and no ICD discharges have occurred since ablation. Full article
6 pages, 775 KB  
Article
Direct His Bundle Pacing in Routine Clinical Practice
by Haran Burri and Carine Stettler
Cardiovasc. Med. 2018, 21(10), 249; https://doi.org/10.4414/cvm.2018.00586 - 17 Oct 2018
Viewed by 16
Abstract
Direct His bundle pacing has recently attracted interest as a more physiological alternative to right ventricular or biventricular stimulation. The advent of new tools has facilitated the implantation procedure. This report relates our initial experience with this technique in our first 50 patients. [...] Read more.
Direct His bundle pacing has recently attracted interest as a more physiological alternative to right ventricular or biventricular stimulation. The advent of new tools has facilitated the implantation procedure. This report relates our initial experience with this technique in our first 50 patients. Full article
4 pages, 193 KB  
Review
Amiodarone and the "Dizzy" Patient
by Daniel Eschle
Cardiovasc. Med. 2018, 21(10), 245; https://doi.org/10.4414/cvm.2018.00582 - 17 Oct 2018
Viewed by 15
Abstract
Beware of neurotoxicity, among other side effects, when treating patients with amiodarone. Patients will typically complain of tremor, but also “dizziness” as an umbrella term for an unsteady gait. There are various levels of the nervous system where amiodarone can impair ambulation: (1) [...] Read more.
Beware of neurotoxicity, among other side effects, when treating patients with amiodarone. Patients will typically complain of tremor, but also “dizziness” as an umbrella term for an unsteady gait. There are various levels of the nervous system where amiodarone can impair ambulation: (1) optic neuropathy, (2) distal-symmetric polyneuropathy, (3) cerebellar toxicity, (4) peripheral vestibulopathy, and (5) myopathy. As a rule of thumb, neurotoxicity has become rarer as lower amiodarone maintenance doses are in use (≤5%). But there is a degree of idiosyncrasy regarding neurotoxicity, so one should always be on the look-out for pertinent signs and symptoms. This review will discuss a few easy to use clinical tests to detect potential neurotoxicity. In most cases, neurotoxicity will resolve when amiodorone is discontinued, but as a result of its long half-life this can be a waiting game. Full article
3 pages, 311 KB  
Editorial
Blick zurück auf grosse Ärzte, ihre Taten und die Folgen
by Thomas F. Lüscher
Cardiovasc. Med. 2018, 21(10), 241; https://doi.org/10.4414/cvm.2018.00577 - 17 Oct 2018
Viewed by 13
Abstract
Die Medizin braucht wie alles im Leben Vorbilder, denen die nächsten Generationen nacheifern können. Was Pioniere auszeichnet, ist ihre Fähigkeit, scheinbar fest Verankertes in Frage zu stellen, Grenzen zu überschreiten und Unerwartetes zu nutzen. Wenn die Erinnerung uns erneut daran denken lässt, haben [...] Read more.
Die Medizin braucht wie alles im Leben Vorbilder, denen die nächsten Generationen nacheifern können. Was Pioniere auszeichnet, ist ihre Fähigkeit, scheinbar fest Verankertes in Frage zu stellen, Grenzen zu überschreiten und Unerwartetes zu nutzen. Wenn die Erinnerung uns erneut daran denken lässt, haben die Jahrestage ihre Wirkung getan. Full article
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