Kardiol Pol
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Case Reports
[Tako-tsubo syndrome - the cardiomyopathy induced by stress may occur at any age. Two cases report].
We present two cases of young women admitted to the hospital due to clinical and electrocardiographic features of ST elevation acute coronary syndrome. Coronary angiography revealed normal coronary arteries and echocardiography revealed typical for apical ballooning syndrome pictures, which gradually disappeared. Due to these findings the diagnosis of transient left ventricular apical ballooning syndrome was established. In one patient thyreotoxicosis was also detected.
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Systemic lupus erythematosus (SLE) is a chronic inflammatory autoimmune disease affecting young women and is associated with increased frequency of atherosclerotic vascular diseases. Pulse wave velocity (PWV) is an index of arterial stiffness and a marker of cardiovascular events. This study aimed to investigate arterial distensibility using carotid-femoral (aortic) PWV measurements in premenopausal women with SLE. ⋯ Arterial distensibility is decreased in premenopausal women with SLE.
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Enormous progress in treating acute coronary syndrome (ACS) and shortening the time between the onset of pain and intervention has been made in recent years. However, the time from the beginning of pain to the call for help is still too long. ⋯ The main cause of delayed call for help in ACS patients was a poor level of knowledge about MI, risk factors and management at the time of chest pain onset. Education concerning these issues should be started at school. Physicians, nurses and media should participate in the education.
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Rhabdomyosarcoma accounts for 20% of primary malignant cardiac tumours. We describe a woman with cardiac rhabdomyosarcoma. She had loss of appetite, loss of weight, and symptoms of heart failure. ⋯ The tumour was removed surgically in total; histological diagnosis was rhabdomyosarcoma; however, the patient died after 6 months. In conclusion, primary malignant cardiac tumours can simulate heart failure or systemic disorders. Cardiac rhabdomyosarcomas have a poor prognosis with average survival of 6 months after diagnosis.