Kardiol Pol
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A case of a 61-year-old female with a history of stroke in a course of mitral stenosis with atrial fibrillation is reported. Mitral commissurotomy was conducted eight years after the diagnosis. ⋯ During surgical mitral valve replacement the mass has been removed and identified as calcified thrombus. Despite numerous risk factors, anticoagulation has not been introduced until a few months before the operation.
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We present a case of a 56-year-old male who was admitted to our hospital due to cardiac tamponade. A 600 ml of purulent fluid was evacuated from the pericardium. The patient received antibiotics, however, due to recurrent pericardial effusion a pericardial drainage was required. Esophagoscopy and computerised tomography revealed oesophageal carcinoma with oesophago-pericardial fistula.
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Case Reports
[Ablation of atypical, fast atrio-ventricular nodal tachycardia in a pregnant woman--a case report].
We describe a case of a 24-year-old pregnant woman (35 hbd) who was admitted because of fast (240 bpm) supraventricular tachycardia which required electrical external cardioversion (transesophageal atrial pacing and drugs were ineffective). She underwent RF ablation during which a single RF application effectively cured atypical atrio-ventricular nodal tachycardia. The duration of fluoroscopy was 53 seconds. The child was delivered on time and with no complications.
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We describe three patients with Wellens's syndrome: biphasic T-waves or deeply inverted T-waves in the precordial leads plus a history of acute coronary syndrome without serum marker abnormalities. Wellens's syndrome is due to critical stenosis of the proximal left anterior descending artery and there is a high risk for anterior wall myocardial infarction and/or sudden cardiac death within a few weeks. Early coronary angiography with subsequent PCI or CABG should be performed in these patients. The T-wave changes usually occur during a pain-free interval but resolve within 12 months after revascularisation.