Kardiol Pol
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Intra-aortic balloon pump (IABP) is the most frequently used device for mechanical circulation support. We report a case of a 65-year-old female patient with myocardial infarction complicated by recurrent pulmonary edema. We decided to use long-term IABP despite lack of clear indication for this therapy, what enable us to stabilise hemodynamic state of our patient and perform coronary artery bypass grafting. Indications for this procedure and risk of long-term conterpulsation is discussed.
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Dilated cardiomyopathy is characterised by significant enlargement of cardiac chambers, which can lead to functional mitral regurgitation. Surgery is a widely accepted treatment of secondary mitral regurgitation. Conventional cardiac surgery has a high procedural risk and therefore new techniques for percutaneous repair of mitral valve are being developed. The CARILLON system is one of devices that is implanted into the coronary venous system, which enables tension of the mitral ring in order to improve coaptation of the leaflets. ⋯ The CARILLON system implantation to the coronary venous system in patients with secondary mitral regurgitation can lead to the improvement of selected echocardiographic indices of mitral regurgitation.
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Case Reports
[Tako-tsubo syndrome - a form of acute coronary syndrome or completely different clinical entity - a case report].
Tako-tsubo cardiomyopathy, also known as stress-induced cardiomyopathy, is a temporary left ventricular dysfunction characterised by acute retrosternal rest pain, ST - segment elevation, slight elevation of cardiac necrosis markers, preferential apical akinesia or hypokinesia with basal hypercontractility in echocardiography. Its clinical picture mimics an acute coronary syndrome. ⋯ We report a case of woman admitted to the hospital who presented with symptoms of acute coronary syndrome with ST - segment elevation. Patient clinical presentation and tests results led to a diagnosis of tako-tsubo cardiomyopathy.