Cardiovascular Medicine

3 pages, 357 KB

Open AccessCase Report

Re-Entrant Atrial Tachycardia in a Patient with Arrhythmogenic Right Ventricular Cardiomyopathy

by Fu Guan, Firat Duru and Ardan M. Saguner

Cardiovasc. Med. 2023, 26(2), 64; https://doi.org/10.4414/cvm.2023.02207 - 22 Mar 2023

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Although typical atrial flutter and atrial fibrillation are not uncommon in patients with arrhythmogenic right ventricular cardiomyopathy (ARVC), there is limited information on atrial tachycardia in this population. A 59-year-old man with a diagnosis of definite ARVC according to the 2010 Task Force [...] Read more.

Although typical atrial flutter and atrial fibrillation are not uncommon in patients with arrhythmogenic right ventricular cardiomyopathy (ARVC), there is limited information on atrial tachycardia in this population. A 59-year-old man with a diagnosis of definite ARVC according to the 2010 Task Force Criteria without overt left ventricular involvement presented with recurrent palpitations. The surface 12-lead electrocardiogram raised the suspicion of atrial tachycardia. The patient had no history of cardiac surgery or cardiac ablation. During tachycardia passive activation of the right atrium was visible through invasive electroanatomical mapping indicating a left atrial origin of the tachycardia. High-density mapping of the left atrium confirmed a re-entrant tachycardia with a figure-of-eight activation pattern originating from a small scar in the anterior left atrial wall. Radiofrequency catheter ablation targeting the area of slow conduction in this area terminated the tachycardia and rendered it non-inducible. Full article

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3 pages, 524 KB

Open AccessCase Report

Management of a Recurrent Pregnancy-Related Incessant Adenosine-Sensitive Atrial Tachycardia

by Albana Thartori, Francesca Usardi, Andrea Menafoglio and François Regoli

Cardiovasc. Med. 2023, 26(2), 60; https://doi.org/10.4414/cvm.2023.02255 - 22 Mar 2023

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Abstract

A 27-year-old pregnant woman (29th week) reported palpitations, dizziness and exertional dysp-noea. The heart rate was 130 bpm at rest, up to 180 bpm during mild exertion, without haemody-namic compromise. The electrocardiogram (ECG) showed atrial tachycardia. An adenosine inter-mittent interruption of the atrial [...] Read more.

A 27-year-old pregnant woman (29th week) reported palpitations, dizziness and exertional dysp-noea. The heart rate was 130 bpm at rest, up to 180 bpm during mild exertion, without haemody-namic compromise. The electrocardiogram (ECG) showed atrial tachycardia. An adenosine inter-mittent interruption of the atrial tachycardia was observed. Metoprolol combined with flecainide controlled the ventricular rate to 80–85 bpm followed by conversion to sinus rhythm. The patient stayed asymptomatic until a second pregnancy, when the same atrial tachycardia recurred. Symptoms were controlled by combining metoprolol and flecainide at an earlier stage. Full article

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5 pages, 662 KB

Open AccessReview

Paediatric Pulmonary Hypertension

by Julie Wacker and Maurice Beghetti

Cardiovasc. Med. 2023, 26(2), 50; https://doi.org/10.4414/cvm.2023.02212 - 22 Mar 2023

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Abstract

Introduction. Children can present at any age with pulmonary hypertension [...] Full article

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4 pages, 331 KB

Open AccessReview

Where and How to Pace in 2023?

by Fabian Noti and Andreas Haeberlin

Cardiovasc. Med. 2023, 26(2), 46; https://doi.org/10.4414/cvm.2023.02256 - 22 Mar 2023

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Abstract

Introduction. In the past decade, cardiac pacing techniques evolved significantly – resulting in a large vari ety of available approaches that are used to tai lor stimulation individually to the patient’s needs [...] Full article

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3 pages, 222 KB

Open AccessReview

Subclinical Atrial Fibrillation in Implantable and Wearable Devices—A Short Update

by Alexander Breitenstein

Cardiovasc. Med. 2023, 26(2), 43; https://doi.org/10.4414/cvm.2023.02219 - 22 Mar 2023

Cited by 1 | Viewed by 40

Abstract

Atrial fibrillation (AF) is electrically defined as an uncoordinated[...] Full article

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5 pages, 313 KB

Open AccessReview

Impact of Diet on Disease Prevention and Progression in Heart Failure Patients: What's the Evidence?

by David Faeh

Cardiovasc. Med. 2023, 26(2), 38; https://doi.org/10.4414/cvm.2023.02226 - 22 Mar 2023

Cited by 1 | Viewed by 36

Abstract

Similar to other developed countries... Full article

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1 pages, 91 KB

Open AccessEditorial

From Diet to Pacing and Paediatric Pulmonary Hypertension

by Luca Koechlin and Peter Matt

Cardiovasc. Med. 2023, 26(2), 35; https://doi.org/10.4414/cvm.2023.02277 - 22 Mar 2023

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Abstract

We welcome you to this issue of Cardiovascular Medicine, which once again provides a broad overview of cardiovascular medicine with outstanding review articles in heart failure, electrophysiology, and paediatric cardiology [...] Full article

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Cardiovasc. Med., Volume 26, Issue 2 (03 2023) – 7 articles

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