Kardiol Pol
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Case Reports
Long QT syndrome in extensive infective endocarditis complicating hypertrophic obstructive cardiomyopathy.
Infective endocarditis in hypertrophic obstructive cardiomyopathy is uncommon. We present a case of extensive infective endocarditis in a female patient with mild hypertrophic obstructive cardiomyopathy and long QT syndrome. Upon a definite diagnosis, an urgent operation was performed successfully, and the patient had an uneventful postoperative course. The clinical features and the possible mechanisms of long QT syndrome of this patient are discussed.
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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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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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Gastrointestinal haemorrhage secondary to off-pump coronary artery bypass grafting (OPCABG) surgery is uncommon but lethal. We describe an 83-year-old male patient who developed gastrointestinal haemorrhage after successful off-pump CABG. He received intensive treatment, but further deteriorated following noradrenaline infusion, and subsequently died six days after surgery. Off-pump technique in combination with an extensive calcified arterial system could lead to mesenteric ischaemia accounting for the postoperative gastrointestinal haemorrhage, which might be exacerbated by the use of noradrenaline in this octogenarian patient.
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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.