Kardiol Pol
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We present a case of a 35-year old patient with a patent foramen ovale and acute ischaemic stroke. The patient underwent successful percutaneous closure of foramen ovale with an Amplatzer device. Epidemiology, diagnosis and treatment of this condition are discussed.
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We describe a case of a 19-year-old pregnant woman with paroxysmal atrio-ventricular reentrant tachycardia (AVNRT). Transoesophageal atrial pacing (TAP) successfully terminated the arrhythmia, however, AVNRT restarted after 20 min and was initiated by ventricular ectopy. Intravenous metoprolol effectively suppressed ventricular ectopy and AVNRT did not recur. A modification of the ESC algorithm, with the inclusion of pacing techniques to terminate AVNRT, is proposed.
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Cardiac resynchronisation therapy (CRT) has been shown to be effective in the treatment of patients with end-stage heart failure (HF). However, long-term results of CRT have not yet been validated. ⋯ Clinical improvements with CRT are progressive and sustained over 2 years of follow-up.
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Case Reports
[Variant Brugada syndrome--mild ST segment elevation in inferior leads and aborted sudden cardiac death].
We describe a case of an otherwise healthy 48-year-old man who survived aborted sudden cardiac death (SCD). His ECG showed ST segment elevation in inferior leads, therefore an acute coronary syndrome was suspected. ⋯ On the basis of electrophysiological study, positive ajmaline test, persistent ST segment elevation in inferior leads and other clinical features (PQ interval of 240 ms, family history of SCD) a diagnosis of variant Brugada syndrome was made. Persistent ST segment elevations in inferior leads can be a marker of variant Brugada syndrome.