International journal of cardiology
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Letter Case Reports
Takotsubo cardiomyopathy in a patient with Addison disease.
Transient left ventricular apical ballooning syndrome, also known as Takotsubo Cardiomyopathy (Broken Heart Syndrome) is increasingly being reported in the medical literature. Its clinical picture resembles of an acute coronary syndrome with transient apical dyskinesia and normal coronary arteries. We report here a case of Takotsubo cardiomyopathy in a patient with Addison disease with reversible cardiomyopathy. To the best of our knowledge there has been only one other reported case of this syndrome with Addison disease but with a different outcome.
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Comparative Study
Relation of B-type natriuretic peptide (BNP) and infarct size as assessed by contrast-enhanced MRI.
Plasma B-type natriuretic peptide (BNP) measured in acute coronary syndromes independently predicts mortality, myocardial infarction and congestive heart failure. ⋯ NT-pro-BNP, a surrogate biomarker for prognosis after STEMI, is closely associated with myocardial damage as assessed by contrast-enhanced CMR.
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Letter Case Reports
Free-floating biatrial thrombi with concomitant saddle pulmonary embolism.
Free-floating intracardiac thrombi represent a severe yet uncommon condition and mostly coexist with thromboembolism. Notably, mobile right heart thrombus can occur in patients with massive pulmonary embolism. Early diagnosis and management can be life-saving. ⋯ We describe here an unusual case of free-floating biatrial thrombi with concomitant saddle pulmonary embolism in a patient with idiopathic restrictive cardiomyopathy and sinus rhythm who had lower extremity deep vein thrombosis following the left knee arthroplasty. In the absence of treatment, mortality from pulmonary embolism remains high. Nevertheless, in our patient, blood stasis with dilated atria, resulting from restrictive hemodynamics, and deep venous thrombosis were the most likely causes for the formation of biatrial thrombi and concomitant pulmonary embolism.