Journal of cardiovascular medicine
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J Cardiovasc Med (Hagerstown) · Nov 2011
Comparative StudyComparison of invasive and non-invasive measurements of haemodynamic parameters in patients with advanced heart failure.
Measurement of haemodynamic parameters using a Swan-Ganz catheter is of clinical importance in patients with advanced heart failure; however, its applicability is limited due to its invasiveness. The aim of the study was to estimate the concordance between invasive and non-invasive measurements of haemodynamic parameters in patients with advanced heart failure. ⋯ Evaluation of haemodynamic parameters using a non-invasive method based on a pressure pulse contour model reveals an adequate concordance with the measures obtained using an invasive approach. Our results suggest that a non-invasive method for haemodynamic monitoring could be applied in clinical practice in patients with advanced heart failure.
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J Cardiovasc Med (Hagerstown) · Nov 2011
Case ReportsCoexistence of idiopathic left ventricular aneurysm and aneurysm of right coronary artery.
A 40-year-old man was admitted to our hospital with dyspnea and atypical chest pain. Left ventricle (LV) apico-lateral wall aneurysm and right coronary artery aneurysm were found. ⋯ Surgical treatment was considered but the patient refused. In this report, we describe an interesting and rare case of idiopathic LV aneurysm accompanied by coronary artery aneurysm.
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J Cardiovasc Med (Hagerstown) · Nov 2011
Letter Case ReportsKounis syndrome presenting with cardiogenic shock.
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J Cardiovasc Med (Hagerstown) · Oct 2011
Review Case ReportsIsolated creatine kinase-MB rise with normal cardiac troponins: a strange occurrence with difficult interpretation.
A 37-year-old man is admitted to the hospital for retrosternal chest pain lasting more than 30 min and nonspecific ECG findings. Serial assays of cardiac biomarkers reveal an isolated elevation of creatine kinase-MB and negative troponin levels. A coronary angiography shows normal vessels in the presence of a Thrombolysis in Myocardial Infarction (TIMI) 2 flow. How should this patient be managed and treated? Is it a myocardial infarction? We here provide a review of the relevant literature and suggest that such a strange condition, for which several explanations are possible, involves a worse prognosis than for normal creatine kinase-MB and troponins.