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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 24, Issue 3 (05 2021) – 6 articles

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5 pages, 2850 KB  
Case Report
Von der Panikattacke zum Kongenitalen Long-QT-Syndrom
by Denise Allemann, Ardan Muammer Saguner and Stefan Christen
Cardiovasc. Med. 2021, 24(3), w10064; https://doi.org/10.4414/CVM.2021.w10064 - 11 May 2021
Abstract
We present the case of a 49-year-old woman, with a longlasting history of unexplained syncopal episodes. After years of repeatedly and falsely diagnosed panic-attacks because of a known depression, a prolonged QTc time was found. Despite of out ruling all the secondary reasons [...] Read more.
We present the case of a 49-year-old woman, with a longlasting history of unexplained syncopal episodes. After years of repeatedly and falsely diagnosed panic-attacks because of a known depression, a prolonged QTc time was found. Despite of out ruling all the secondary reasons of a prolonged QTc time, our patient went into Torsade de Pointes tachycardia and survived a Sudden Cardiac Death. Based on this case, we show a family history of a hereditary Long-QT-Syndrome and the difficulty of its diagnosis. Full article
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5 pages, 1393 KB  
Case Report
Spontaneous Premature Atrial Contractions Facilitate Diagnosis in a Patient with Typical Atrioventricular Nodal Reentrant Tachycardia
by Fu Guan, Firat Duru and Ardan M. Saguner
Cardiovasc. Med. 2021, 24(3), w10063; https://doi.org/10.4414/cvm.2021.02263 - 1 May 2021
Cited by 1
Abstract
His refractory atrial extrastimulus can help for differential diagnosis between atrioventricular nodal reentrant tachycardia and junctional tachycardia. In the present patient, spontaneous premature atrial complexes occurred at junctional depolarization, i.e. His refractoriness. Furthermore, the premature atrial complexes did not influence the immediate beat [...] Read more.
His refractory atrial extrastimulus can help for differential diagnosis between atrioventricular nodal reentrant tachycardia and junctional tachycardia. In the present patient, spontaneous premature atrial complexes occurred at junctional depolarization, i.e. His refractoriness. Furthermore, the premature atrial complexes did not influence the immediate beat with no change on the following H-H interval. These observations demonstrated the electrophysiological mechanisms of atrioventricular nodal reentrant tachycardia, with the exclusion of junctional tachycardia. Full article
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4 pages, 4861 KB  
Review
The New ESC Core Curriculum for Cardiology: Implications for Revision of the Swiss Cardiology Training Programme
by Felix C. Tanner
Cardiovasc. Med. 2021, 24(3), 65; https://doi.org/10.4414/cvm.2021.02163 - 1 May 2021
Viewed by 35
Abstract
The European Society of Cardiology (ESC) has published several versions of the core curriculum for general cardiology during the last 20 years [...] Full article
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3 pages, 1084 KB  
Interesting Images
Large Native Mitral Valve Vegetation in a Previously Healthy 19-Year-Old Woman
by Balcova Jana, Yuen Bernd and Pfluger Heinz B.
Cardiovasc. Med. 2021, 24(3), 62; https://doi.org/10.4414/cvm.2021.02160 - 1 May 2021
Viewed by 33
Abstract
A 19-year-old female on a return journey from France to Finland presented with progressive weakness, diffuse limb pain, headache, vomiting and diarrhoea for 3 days [...] Full article
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5 pages, 1111 KB  
Review
His-Purkinje Conduction System Pacing
by Bakelants Elise and Burri Haran
Cardiovasc. Med. 2021, 24(3), 61; https://doi.org/10.4414/cvm.2021.02159 - 1 May 2021
Viewed by 37
Abstract
His bundle pacing is performed at our centre since 2017 and has been adopted in tertiary centres accross Switzerland. It provides true physiological stimulation, thereby avoiding avoiding the detrimental effects of right ventricular pacing. However, relatively high incidences of lead revision and increases [...] Read more.
His bundle pacing is performed at our centre since 2017 and has been adopted in tertiary centres accross Switzerland. It provides true physiological stimulation, thereby avoiding avoiding the detrimental effects of right ventricular pacing. However, relatively high incidences of lead revision and increases in capture thresholds have been reported. An alternative technique, practiced at our centre since 2020, is left bundle area pacing, which provides excellent electrical parameters. However, long-term data on lead performance and extractibility are lacking. Furthermore, although these techniques are conceptually very attractive, there is a dire need for studies randomizing conduction system pacing with right ventricular / biventricular pacing, before they can be considered as becoming the gold standard. Full article
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8 pages, 1101 KB  
Article
Determinants of Career Development in Cardiology—Results from a Swiss National Survey
by Wild Mirjam Gauri, Dettmer Susanne, Haeberlin Andreas, Regitz-Zagrosek Vera and Tanner Hildegard
Cardiovasc. Med. 2021, 24(3), 60; https://doi.org/10.4414/cvm.2021.02261 - 1 May 2021
Cited by 2 | Viewed by 37
Abstract
Background: Despite the rising proportion of female medical students and specialised female doctors in Switzerland, the field of cardiology remains one of the most male-dominated. Objectives: The goal of this study was to identify determinants of and obstacles to career development for cardiologists [...] Read more.
Background: Despite the rising proportion of female medical students and specialised female doctors in Switzerland, the field of cardiology remains one of the most male-dominated. Objectives: The goal of this study was to identify determinants of and obstacles to career development for cardiologists with special regard to an academic and interventional career. Methods: Under the direction of the Swiss working group Women in Cardiology (IG-WIC), an online survey was conducted among Swiss cardiologists and cardiologists in training. Results: 140 participants (43.6% female, 56.4% male; median age 45.0) were included. Women were more often single (27.9% vs. 10.1%, p = 0.013) and less likely to have children (52.5% vs. 70.9%, p = 0.034). If they had children, they were more likely to provide childcare themselves (37.5% vs. 10.7%, p = 0.006) or to have interrupted their work in favour of parenting (40.6% vs. 8.9%, p < 0.001). A majority of women indicated a negative impact of their gender on their career development (78.7%), and 36.3% reported sexual harassment at their workplace. Women felt less supported in their professional training, especially concerning research activities. As a hindrance for pursuit of a career in academic medicine, both sexes stated lack of compatibility of work and family (44.6%) and the competitive work environment (55.4%) being most important. Women also identified gender-specific disadvantages as one of the main reasons for not choosing an academic or interventional career. Conclusions: The overall satisfaction among Swiss cardiologists is high regarding training in health care and the working atmosphere. However, women and men plead for better compatibility of work and family and better structured training curricula. Several gender-specific aspects hindering women from advancing in cardiology training should be addressed. Full article
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