Cardiovascular Medicine

1 pages, 478 KB

Open AccessEditorial

by Peter Matt

Cardiovasc. Med. 2023, 26(5), 139; https://doi.org/10.4414/cvm.2023.1239215883 - 14 Aug 2024

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The latest issue of Cardiovascular Medicine deals with various topics on cardiovascular diseases, again with a focus on sex-specific subjects [...] Full article

5 pages, 1388 KB

Open AccessReview

Sex-Specific Aspects of Cardiac Electrophysiology and Arrhythmias

by Aline Mühl, Babken Asatryan and Hildegard Tanner

Cardiovasc. Med. 2023, 26(5), 698; https://doi.org/10.4414/cvm.2023.1243790698 - 20 Sep 2023

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Abstract

This article provides a condensed but comprehensive summary of the latest knowledge of sex-specific aspects of arrhythmias. Starting with sex-based differences in electrophysiological properties of the heart, it further covers sex- and gender-differences in supraventricular tachycardia, atrial fibrillation, ventricular tachycardia and selected inherited [...] Read more.

This article provides a condensed but comprehensive summary of the latest knowledge of sex-specific aspects of arrhythmias. Starting with sex-based differences in electrophysiological properties of the heart, it further covers sex- and gender-differences in supraventricular tachycardia, atrial fibrillation, ventricular tachycardia and selected inherited cardiac arrhythmias. Full article

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4 pages, 293 KB

Open AccessCase Report

Uncommon Cause for Hemorrhagic Tamponade in a 26-Year Old Male

by Alexandra-Maria Neagoe, David Reineke, Attila Kollár, Yara Banz and Kerstin Wustmann

Cardiovasc. Med. 2023, 26(5), 2223; https://doi.org/10.4414/cvm.2022.02223 (registering DOI) - 20 Sep 2023

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Abstract

By our case report, we want to bring to light the necessity of further workup in young patients with syncope, chest pain and dyspnea. A 26-year-old male was admitted due to syncope after complaining of chest pain and breathing difficulties. Transthoracic echocardiography showed [...] Read more.

By our case report, we want to bring to light the necessity of further workup in young patients with syncope, chest pain and dyspnea. A 26-year-old male was admitted due to syncope after complaining of chest pain and breathing difficulties. Transthoracic echocardiography showed cardiac tamponade and pericardiocentesis was performed with removal of hemorrhagic fluid. Cardiac magnetic resonance showed a heterogeneous, highly perfused mass located in the right atrium (RA) with necrotic areas. Histopathology during cardiac surgery determined a high grade angiosarcoma in the RA and R0 margins. Adjuvant chemotherapy was started but a local relapse occurred followed by multiple metastases and death. Haemorrhagic pericardial effusion is highly suspicious of cardiac malignancies and warrants further workup by a multidisciplinary team. Full article

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4 pages, 661 KB

Open AccessCase Report

Relapsing Terlipressin-Induced Acute Pulmonary Oedema in a Patient with Hepatorenal Syndrome

by Baudouin Bourlond, Jean-Michel Dogné, Luis Urbano and Oscar Marchetti

Cardiovasc. Med. 2023, 26(5), 20; https://doi.org/10.4414/cvm.2022.02222 - 20 Sep 2023

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Abstract

Terlipressin is a synthetic analogue of vasopressin recommended as a vasoactive drug with relative specificity for the splanchnic circulation in patients with portal hypertension and bleeding oesophageal varices or hepatorenal syndrome. We report a relapsing terlipressin-induced acute pulmonary oedema in a 59 year-old [...] Read more.

Terlipressin is a synthetic analogue of vasopressin recommended as a vasoactive drug with relative specificity for the splanchnic circulation in patients with portal hypertension and bleeding oesophageal varices or hepatorenal syndrome. We report a relapsing terlipressin-induced acute pulmonary oedema in a 59 year-old man with Child B9 alcoholic liver cirrhosis. Full article

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3 pages, 4118 KB

Open AccessCase Report

A Case of Acute Coronary Syndrome Featuring a Forgotten and Disguised Intruder

by Andreas Y. Andreou

Cardiovasc. Med. 2023, 26(5), 176; https://doi.org/10.4414/cvm.2023.1243822743 - 20 Sep 2023

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Abstract

An infrequently diagnosed case of atrial infarction which occurred in conjunction with left ventricular myocardial infarction is presented. Atrial infarction was recognised by the presence of PR segment depression in conjunction with premature atrial complexes. Spatial vector analysis of premature atrial complexes, is [...] Read more.

An infrequently diagnosed case of atrial infarction which occurred in conjunction with left ventricular myocardial infarction is presented. Atrial infarction was recognised by the presence of PR segment depression in conjunction with premature atrial complexes. Spatial vector analysis of premature atrial complexes, is highlighted as a means to localise atrial infarction. Full article

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2 pages, 1965 KB

Open AccessCase Report

Intrapericardial Doppler Flow Signals in a Patient with Pericardial Effusion

by Samuel Stempfel, Kerstin Wustmann, Stéphane Cook and Diego Arroyo

Cardiovasc. Med. 2023, 26(5), 174; https://doi.org/10.4414/cvm.2023.1243882557 - 20 Sep 2023

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Abstract

We present the case of a 50-year-old woman with a chemotherapeutically treated primary mediastinal lymphoma and circumferential pericardial effusion, whose echocardiogram revealed unusual intrapericardial colour and pulsed-wave Doppler flow signals. Insights on workup and hypotheses are discussed. Full article

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8 pages, 7881 KB

Open AccessReview

Takotsubo Syndrome and Spontaneous Coronary Artery Dissection

by Davide Di Vece, Christian Templin and Jelena Rima Ghadri

Cardiovasc. Med. 2023, 26(5), 160; https://doi.org/10.4414/cvm.2023.1246945772 - 20 Sep 2023

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Abstract

Acute coronary syndrome (ACS) in women presents unique challenges in terms of pathophysiology, diagnosis and management. Rare forms of ACS, such as takotsubo syndrome (TTS) and spontaneous coronary artery dissection (SCAD), have gained increasing attention in recent years. TTS is characterized by transient [...] Read more.

Acute coronary syndrome (ACS) in women presents unique challenges in terms of pathophysiology, diagnosis and management. Rare forms of ACS, such as takotsubo syndrome (TTS) and spontaneous coronary artery dissection (SCAD), have gained increasing attention in recent years. TTS is characterized by transient left ventricular dysfunction in the absence of epicardial culprit lesions, while SCAD involves separation within layers of the arterial wall of the coronary arteries leading to blood flow disruption and potential myocardial infarction. Despite a different pathogenesis, TTS and SCAD share common features such as a significantly higher prevalence in women and a higher rate of recurrent events compared to traditional ACS. Additionally, both conditions are typically anticipated by emotional or physical stressors and have higher incidence in individuals with neuropsychiatric disorders. These similarities suggest that there could be shared risk factors and pathophysiological mechanisms underlying these conditions, which could inform future research and management strategies. The purpose of this review is to provide a comprehensive clinical overview of TTS and SCAD focusing on various aspects of these conditions including epidemiology, clinical profiles, diagnostic workup, prognosis, and management. By highlighting these key areas, this review aims to increase awareness and understanding of these rare forms of ACS among healthcare professionals leading to improved management and treatment. Full article

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2 pages, 1298 KB

Open AccessEditorial

Nachruf – Professor Paul J. E. Erne

by Thomas F. Lüscher, Hans Rickli and Michel Zuber

Cardiovasc. Med. 2023, 26(5), 144; https://doi.org/10.4414/cvm.2023.1243787466 - 20 Sep 2023

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Abstract

Am 22. Juli 2023 ist der bekannte Schweizer Kardiologe Paul J. E. Erne nach langer Krankheit verstorben […] Full article

5 pages, 1388 KB

Open AccessReview

Acute Coronary Syndromes in Women and Men

by Florian A. Wenzl, Simon Kraler, Giovanni G. Camici and Thomas F. Lüscher

Cardiovasc. Med. 2023, 26(5), 1; https://doi.org/10.4414/cvm.2023.1246812107 - 20 Sep 2023

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Abstract

Acute coronary syndrome (ACS) remains a major cause of morbidity and mortality worldwide. Emerging data indicates that there are relevant sex-specific differences in the pathobiology, clinical presentation, and management of ACS in women and men. Premenopausal women appear to be largely protected from [...] Read more.

Acute coronary syndrome (ACS) remains a major cause of morbidity and mortality worldwide. Emerging data indicates that there are relevant sex-specific differences in the pathobiology, clinical presentation, and management of ACS in women and men. Premenopausal women appear to be largely protected from typical ACS, with women presenting 5 to 10 years later than men. Females tend to experience chest pain or discomfort less frequently and more often present with other associated symptoms, which may contribute to longer prehospital delays and less frequently administered guideline-directed care. Indeed, females are less likely to undergo coronary angiography and percutaneous coronary interventions, and less likely to get a prescription for statins after the acute event. Over the past decades, we made remarkable progress in ACS treatment, reducing short-term mortality from far above 50% to below 10% in both women and men. Novel risk tools for clinical risk assessment such as the machine learning-based GRACE 3.0 risk score may help to further improve the management of female and male non-ST segment elevation ACS patients. In this review, we discuss the role of sex in the diagnosis, management, and outcomes of patients with ACS. Full article

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3 pages, 153 KB

Open AccessCase Report

Posttraumatischer Stress in der Kardiologie

by Mary Princip and Rebecca E. Langraf-Meister

Cardiovasc. Med. 2023, 26(5), 14; https://doi.org/10.4414/cvm.2022.02194 - 1 Sep 2022

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Abstract

Kardiologische Erkrankungen zählen zu den führenden Todesursachen in der industrialisierten Welt [...] Full article

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Cardiovasc. Med., Volume 26, Issue 5 (09 2023) – 10 articles

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