278,358 results match your criteria Chest Medicine On-Line[Journal]


JOURNAL CLUB: Performance of Screening Breast MRI After Negative Full-Field Digital Mammography Versus After Negative Digital Breast Tomosynthesis in Women at Higher Than Average Risk for Breast Cancer.

AJR Am J Roentgenol 2018 Dec 12:1-9. Epub 2018 Dec 12.

5 Department of Radiology, Massachusetts General Hospital, Boston, MA.

Objective: The objective of our study was to compare the supplemental cancer yield and performance of breast MRI in women at higher-than-average risk for breast cancer after negative 2D full-field digital mammography (FFDM) or negative digital breast tomosynthesis (DBT).

Materials And Methods: Retrospective review identified 4418 screening breast MRI examinations: 2291 were performed from January 2010 through January 2012 of patients with a negative FFDM examination in the 12 months before MRI (FFDM group), and 2127 were performed from January 2013 through January 2015 of patients with a negative DBT examination in the 12 months before MRI (DBT group). Screening indications included genetic predisposition, personal history of breast cancer or high-risk lesion, prior chest irradiation, family history, or other risk factors conferring a lifetime risk of greater than 20%. Read More

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December 2018

A Case of Male Primary Pulmonary Choriocarcinoma.

Chin Med J (Engl) 2018 Dec;131(24):3001-3003

Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, China.

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December 2018

Multiple intercostal neurilemmomas in a Chinese woman.

J Cancer Res Ther 2018 Dec;14(Supplement):S1220-S1222

Department of Respiratory and Critical Care Medicine, Jinling Hospital, Nanjing University Medical School, Nanjing, People's Republic of China.

Neurilemmomas are rare tumors of neural crest cell origin that occur most commonly in the head and neck region. Intercostal neurilemmomas are extremely rare and are mostly seen as solitary tumors in the posterior mediastinum. Only one case report of multiple intercostal neurilemmomas has been documented previously. Read More

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December 2018
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The prognostic role of thyroid transcription factor-1 in lung adenocarcinoma.

J Cancer Res Ther 2018 Dec;14(Supplement):S1201-S1208

Department of Medical Oncology, Faculty of Medicine, Adnan Menderes University, Aydin, Turkey.

Aims: In this study, we investigated the expression of thyroid transcription factor-1 (TTF-1) in lung adenocarcinoma patients' samples and analyzed the association of TTF-1 with clinicopathological parameters, prognosis, and treatment options in patients with lung adenocarcinoma.

Subjects And Methods: This retrospective study enrolled 200 patients who were histologically confirmed lung adenocarcinoma with Stage I-IV disease, between 2008 and 2015 years. The cytological archive of these hospitals' Pathology Department was searched. Read More

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December 2018
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Tracking significant modules and key genes for esophageal squamous cell carcinoma based on differential modules.

J Cancer Res Ther 2018 Dec;14(Supplement):S1135-S1140

Department of General Surgery, Peking University International Hospital, Beijing 100026, China.

Background: The exact molecular mechanism of esophageal squamous cell carcinoma (ESCC) is still unknown, and the prognosis of ESCC has not been significantly improved.

Objective: To understand the molecular mechanism of ESCC, differential modules (DMs) and key genes were identified through conducting analysis on the differential co-expression network (DCN) based on the gene expression profiles of ESCC and protein-protein interaction (PPI) data.

Materials And Methods: First, gene expression profiles of ESCC and PPI data recruiting and preprocessing were conducted; then, a DCN was constructed based on the gene co-expression and gene differential expression in ESCC; in the following, candidate DMs were mined from DCN through a systemic module searching strategy, and significance analysis was performed on candidate DMs to identify DMs; moreover, significant genes contained in the DMs were analyzed to identify the underlying biomarkers for ESCC. Read More

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December 2018

Relation of Length of Stay to Unplanned Readmissions for Patients Who Undergo Elective Percutaneous Coronary Intervention.

Am J Cardiol 2019 Jan 27;123(1):33-43. Epub 2018 Sep 27.

Keele Cardiovascular Research Group, Keele University, Stoke-on-Trent, United Kingdom; Royal Stoke University Hospital, Stoke-on-Trent, United Kingdom. Electronic address:

The cost of inpatient percutaneous coronary interventions (PCI) procedure is related to length of stay (LOS). It is unknown, how LOS may be associated with readmission rates and costs of index PCI and readmissions in elective PCI. This study aims to evaluate rates, predictors, causes, and costs associated with 30-day unplanned readmissions according to lLOS in patients, who underwent elective PCI. Read More

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January 2019

Isolated tension pneumoperitoneum following endobronchial ultrasound-guided transbronchial needle aspiration complicated by cardiac peri-arrest: A case report.

Monaldi Arch Chest Dis 2018 Dec 12;88(3):999. Epub 2018 Dec 12.

San Raffaele Scientific Institute, Department of Thoracic Surgery.

Transbronchial needle aspiration under endobronchial ultrasound guidance (EBUS-TBNA) is recommended for the diagnosis and staging of lung cancer. Major complications following EBUS-TBNA are uncommon. We report a case of isolated tension pneumoperitoneum following EBUS-TBNA under deep sedation in an 80-year-old male patient affected by a right hilar mass suspicious for lung cancer. Read More

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December 2018

Evaluation of the proximal coronary arteries in suspected pulmonary embolism: diagnostic images in 51% of patients using non-gated, dual-source CT pulmonary angiography.

Emerg Radiol 2018 Dec 12. Epub 2018 Dec 12.

Radiology Department, Vancouver General Hospital, 889 West 12th Avenue, Vancouver, BC, V5Z 1M9, Canada.

Purpose: This retrospective study reports the frequency and severity of coronary artery motion on dual-source high-pitch (DSHP), conventional pitch single-source (SS), and dual-source dual-energy (DE) CT pulmonary angiography (CTPA) studies.

Methods: Two hundred eighty-eight consecutive patients underwent CTPA scans for suspected pulmonary embolism between September 1, 2013 and January 31, 2014. One hundred ninety-four at DSHP scans, 57 SS scans, and 37 DE scans were analyzed. Read More

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December 2018

Comparison of body weight estimation equations for camels (Camelus dromedarius).

Trop Anim Health Prod 2018 Dec 11. Epub 2018 Dec 11.

Department of Animal Production and Biotechnology, Institut Agronomique et Vétérinaire Hassan II, PO Box 6202, Rabat-Instituts, 10101, Rabat, Morocco.

The objective of the present study was to evaluate the accuracy of six different equations for weight estimation of camels using body measurements as chest girth, height at withers, and hump girth in order to identify the most reliable equation for use in the field. The prediction equations that were compared were those of Boué Revue d'Élevage et de Médecine vétérinaire des Pays tropicaux 3 (1), 13-16, 1949; Graber Revue d'Élevage et de Médecine vétérinaire des Pays tropicaux, 19, 527-543, 1966; Wilson Tropical Animal Health and Production, 10, 19-25, 1978; Field Proceedings of the Khartoum workshop on camels V1, 209-230, 1979; Bucci et al. Indian Veterinary Journal, 61, 26-30, 1984; and Yagil A Handbook for Camel Breeding, 1994 noticed as BW1, BW2, BW3, BW4, BW5, and BW6, respectively. Read More

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December 2018

The Polar OH1 Optical Heart Rate Sensor is Valid during Moderate-Vigorous Exercise.

Sports Med Int Open 2018 Jun 17;2(3):E67-E70. Epub 2018 Jun 17.

California State University San Marcos, Kinesiology, San Marcos, United States.

Purpose: Traditional heart-rate monitoring through the use of electrocardiograms or chest-worn heart rate sensors can be challenging in certain sports or in field settings. New technologies, such as photoplethysmography (PPG), have enabled heart-rate monitoring at alternate sites. However, to date, the accuracy and validity of various PPG sensors has not been examined in detail. Read More

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Pilot evaluation of an objective structured assessment of technical skills tool for chest tube insertion.

GMS J Med Educ 2018 15;35(4):Doc48. Epub 2018 Nov 15.

University of Heidelberg, Department of General, Visceral, and Transplantation Surgery, Heidelberg, Germany.

Chest tube insertion is a standard intervention for management of various injuries of the thorax. Efficient clinical training of this and similar bed-side procedures is equally demanded and improvable. Here, we propose a nouveau means of assessment and feedback using an Objective Structured Assessment of Technical Skills (OSATS) tool. Read More

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November 2018

Hypertension Is an Independent Predictor of Multivessel Coronary Artery Disease in Young Adults with Acute Coronary Syndrome.

Int J Hypertens 2018 13;2018:7623639. Epub 2018 Nov 13.

Department of Cardiology, The Affiliated Hospital of Qingdao University, Jiangsu Road 16, 266000 Qingdao, Shandong, China.

Background: Risk factors of multivessel coronary artery disease (CAD) among young acute coronary syndrome (ACS) patients remain elusive now.

Methods: This retrospective study analyzed data from 187 consecutive young (age ≤45 years) ACS patients (75 STEMI, 30 NSTEMI, and 72 unstable angina) hospitalized in our hospital from January 2012 to December 2016. Thirty-six young male patients with normal coronary angiography (CAG) findings (no-CAD), who underwent CAG due to suspected chest pain in this period, served as control group. Read More

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November 2018

Combined Use of High-Sensitive Cardiac Troponin, Copeptin, and the Modified HEART Score for Rapid Evaluation of Chest Pain Patients.

Dis Markers 2018 12;2018:9136971. Epub 2018 Nov 12.

2nd Department of Cardiology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, Katowice, Poland.

Background: Clinical short-term risk stratification is a recommended approach in patients with chest pain and possible acute myocardial infarction (AMI) to further improve high safety of biomarker-based rule-out algorithms. The study aim was to assess clinical performance of baseline concentrations of high-sensitivity cardiac troponin T (hs-TnT) and copeptin and the modified HEART score (mHS) in early presenters to the emergency department with chest pain.

Methods: This cohort study included patients with chest pain with onset maximum of 6 h before admission and no persistent ST-segment elevation on electrocardiogram. Read More

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November 2018

A novel adhesive biosensor system for detecting respiration, cardiac, and limb movement signals during sleep: validation with polysomnography.

Nat Sci Sleep 2018 26;10:397-408. Epub 2018 Nov 26.

Neurology Department, Massachusetts General Hospital, Boston, MA 02114, USA.

Background: Although in-lab polysomnography (PSG) remains the gold standard for objective sleep monitoring, the use of at-home sensor systems has gained popularity in recent years. Two categories of monitoring, autonomic and limb movement physiology, are increasingly recognized as critical for sleep disorder phenotyping, yet at-home options remain limited outside of research protocols. The purpose of this study was to validate the BiostampRC sensor system for respiration, electrocardiography (ECG), and leg electromyography (EMG) against gold standard PSG recordings. Read More

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November 2018

Impact of chemotherapy in the prognosis of non-small-cell lung cancer patients with severe to very severe COPD.

Int J Chron Obstruct Pulmon Dis 2018 21;13:3805-3812. Epub 2018 Nov 21.

Department of Respiratory and Critical Care Medicine, Tianjin Chest Hospital, Tianjin, People's Republic of China,

Background: The aim of the study was to investigate if first-line chemotherapy improves total survival time in non-small-cell lung cancer (NSCLC) patients complicated with severe to very severe COPD.

Materials And Methods: This retrospective observational clinical study included 267 consecutive NSCLC patients with COPD complications at the Department of Respiratory and Critical Care Medicine of Tianjin Chest Hospital between January 2009 and January 2018. Sixty-nine evaluable patients were included. Read More

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November 2018

Catheter Fracture of Subclavian Venous Chemoport Device at Costoclavicular Junction: Pinch-off Syndrome.

Indian J Surg Oncol 2018 Dec 30;9(4):595-597. Epub 2018 Jul 30.

1Department of Surgical Oncology, Max Super-specialty Hospital, Saket, New Delhi, India.

Chemoport is most commonly used venous access devices for instillation of chemotherapeutic drugs in cancer care. Mechanical complications like catheter fracture can lead to serious morbidity, albeit occurring rarely. We present a case of a 35-year-old lady, a case of carcinoma breast, who had spontaneous fracture of chemoport access device in subclavian vein at the level of clavicle after four successful cycles of chemotherapy. Read More

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December 2018

Clinical Utility of Staging Laparoscopy for Advanced Obstructing Rectal Adenocarcinoma: Emerging Tool.

Indian J Surg Oncol 2018 Dec 2;9(4):488-494. Epub 2018 Aug 2.

1Department of Gastrointestinal Surgery and Colorectal Surgical Oncology, Tata Memorial Hospital, Dr Ernest Borges Marg, Parel, Mumbai, Maharashtra 400012 India.

The multimodal treatment for advanced rectal adenocarcinoma mandates accurate preoperative staging with contrast-enhanced computed tomography (CECT) of the thorax, abdomen, and pelvis, and magnetic resonance imaging (MRI) of the pelvis. Unlike gastric cancer, the role of staging laparoscopy (SL) in advanced colorectal cancer has not been evaluated. This study aims to evaluate the clinical value of SL in treatment decision-making for advanced rectal cancer (RC) with near or complete obstructing tumors. Read More

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December 2018

CCN3 and DLL1 co-regulate osteogenic differentiation of mouse embryonic fibroblasts in a Hey1-dependent manner.

Cell Death Dis 2018 Dec 11;9(12):1188. Epub 2018 Dec 11.

Key Laboratory of Diagnostic Medicine designated by the Chinese Ministry of Education, Chongqing Medical University, 400016, Chongqing, China.

Notch signaling pathway is one of the most important pathways to regulate intercellular signal transduction and is crucial in the regulation of bone regeneration. Nephroblastoma overexpressed (NOV or CCN3) serves as a non-canonical secreted ligand of Notch signaling pathway and its role in the process of osteogenic differentiation of mesenchymal stem cells (MSCs) was undefined. Here we conducted a comprehensive study on this issue. Read More

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December 2018

Positive airway pressure for sleep-disordered breathing in acute quadriplegia: a randomised controlled trial.

Thorax 2018 Dec 11. Epub 2018 Dec 11.

Department of Respiratory and Sleep Medicine, Royal North Shore Hospital, St Leonards, New South Wales, Australia.

Rationale: Highly prevalent and severe sleep-disordered breathing caused by acute cervical spinal cord injury (quadriplegia) is associated with neurocognitive dysfunction and sleepiness and is likely to impair rehabilitation.

Objective: To determine whether 3 months of autotitrating CPAP would improve neurocognitive function, sleepiness, quality of life, anxiety and depression more than usual care in acute quadriplegia.

Methods And Measurements: Multinational, randomised controlled trial (11 centres) from July 2009 to October 2015. Read More

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December 2018

Objective Versus Self-Reported Adherence to Airway Clearance Therapy in Cystic Fibrosis.

Respir Care 2018 Dec 11. Epub 2018 Dec 11.

Division of Pediatric Pulmonary and Sleep Medicine, as well as the Gregory Fleming James Cystic Fibrosis Research Center, University of Alabama at Birmingham, Alabama.

Background: Historically, studies of adherence to airway clearance therapy in cystic fibrosis (CF) have relied on self-reporting. We compared self-reported airway clearance therapy adherence to actual usage data from home high-frequency chest wall compressions (HFCWC) vests and identified factors associated with overestimation of adherence in self-reports.

Methods: Pediatric patients who perform airway clearance therapy with a HFCWC vest were eligible to participate. Read More

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December 2018

Continuous Versus Intermittent Vital Signs Monitoring Using a Wearable, Wireless Patch in Patients Admitted to Surgical Wards: Pilot Cluster Randomized Controlled Trial.

J Med Internet Res 2018 Dec 11;20(12):e10802. Epub 2018 Dec 11.

Leeds Institute of Biomedical & Clinical Sciences, University of Leeds, Leeds, United Kingdom.

Background: Vital signs monitoring is a universal tool for the detection of postoperative complications; however, unwell patients can be missed between traditional observation rounds. New remote monitoring technologies promise to convey the benefits of continuous monitoring to patients in general wards.

Objective: The aim of this pilot study was to evaluate whether continuous remote vital signs monitoring is a practical and acceptable way of monitoring surgical patients and to optimize the delivery of a definitive trial. Read More

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December 2018
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The unclosable chest-When going negative is positive and can bring closure: Negative-pressure wound therapy.

J Thorac Cardiovasc Surg 2018 Nov 9. Epub 2018 Nov 9.

Cardiothoracic Surgery, Doylestown Hospital, Reif Heart Institute, Doylestown, Pa. Electronic address:

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November 2018

Bloodstream infections during post-cardiotomy extracorporeal membrane oxygenation: Incidence, risk factors, and outcomes.

Int J Artif Organs 2018 Dec 11:391398818817325. Epub 2018 Dec 11.

2 ECMO Team, IRCCS Policlinico San Donato, Milan, Italy.

Introduction:: Veno-arterial extracorporeal membrane oxygenation after heart surgery is a relatively common procedure. It is easily applicable but associated with a number of complications, including bloodstream infections. The aim of this study is to determine the current rate and the risk factors related to bloodstream infections acquired during post-cardiotomy veno-arterial extracorporeal membrane oxygenation. Read More

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December 2018

Transthoracic Needle Biopsy (TNB) under Different Guiding Methods - the Experience of the Thoracic Surgery Clinic of Craiova after the First 235 Cases.

Curr Health Sci J 2015 Jul-Sep;41(3):239-245. Epub 2015 Mar 15.

Radiology and Imaging Department, University of Medicine and Pharmacy of Craiova, Romania.

Transthoracic needle biopsy (TNB) is a fast and safe method used to establish definitive diagnosis for most thoracic lesions, whether the lesion is located in the pleura, the lung parenchyma, or the mediastinum. Diffuse disease and solitary lesions are equally approachable.TNB can avoid (when technically possible) more complex diagnostic interventions such asmediastinoscopy, thoracoscopy and exploratory thoracotomy. Read More

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Isolated cardiac sarcoidosis requiring open-chest myocardial biopsy for differentiation from malignant lymphoma.

J Cardiol Cases 2014 Jun 18;9(6):239-242. Epub 2014 Apr 18.

Cardiovascular, Respiratory and Neurology Division, Department of Internal Medicine, Asahikawa Medical University, Hokkaido, Japan.

A 68-year-old woman with a history of hypertension was admitted to our hospital because of dyspnea during physical exertion. Echocardiography demonstrated impaired left ventricular systolic function, and her ejection fraction was reduced to 30%. Coronary angiography did not show significant stenosis. Read More

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A rectangular (quadrangular) heart.

J Cardiol Cases 2014 May 24;9(5):208-210. Epub 2014 Feb 24.

Division of Cardiology, SUNY Downstate Medical Center, Brooklyn, New York, NY, USA.

We report a case of "rectangular (quadrangular) heart" seen on the chest X-ray. Full evaluation showed massive enlargement of right-sided chambers shadowing the left-sided chambers. Primary etiology of the right-sided failure was attributed to severe mitral and tricuspid regurgitation for which the patient underwent surgery. Read More

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A case of acute myocardial infarction during perioperative period of non-cardiac surgery in a patient with antiphospholipid syndrome and a history of coronary artery bypass surgery.

J Cardiol Cases 2014 May 22;9(5):189-191. Epub 2014 Feb 22.

Department of Cardiology and Hematology, Fukushima Medical University, 1 Hikarigaoka, Fukushima 960-1295, Japan.

A 65-year-old woman underwent coronary artery bypass surgery and was diagnosed with antiphospholipid syndrome (APS) at the same time in 1985. She was admitted to our hospital to undergo mastectomy for left breast cancer in 2012. She was put on intravenous infusion of heparin and stopped receiving both antiplatelet agents and warfarin. Read More

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Takotsubo cardiomyopathy triggered by lateral wall ST-segment elevation myocardial infarction.

J Cardiol Cases 2014 Mar 7;9(3):117-120. Epub 2014 Jan 7.

Division of Cardiovascular Medicine, Koseiren Tsurumi Hospital, Beppu, Japan.

We herein report the case of a 72-year-old female with a lateral wall acute myocardial infarction (MI) complicated by takotsubo cardiomyopathy (TC). The patient presented with "severe" chest pain lasting for one hour. She did not experience any obvious emotional or physical stress preceding the chest pain. Read More

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Chest pain associated with rate-related left bundle branch block and cardiac memory mimicking ischemia.

J Cardiol Cases 2014 Mar 12;9(3):87-90. Epub 2013 Dec 12.

Division of Cardiology, University of South Alabama, Mobile, AL, USA.

Background: Intermittent left bundle branch block (LBBB) has been linked to chest pain, and causes cardiac memory electrocardiographic (ECG) changes mimicking ischemia.

Purpose: To present a case of chest pain with ECG abnormalities suggestive of ischemia, both likely caused by LBBB.

Case: A 33-year-old hypertensive female evaluated for chest pain and LBBB by ECG was treated with lisinopril and metoprolol, and scheduled for stress testing. Read More

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Peripartum cardiomyopathy with biventricular thrombus which led to massive cerebral embolism.

J Cardiol Cases 2014 Feb 13;9(2):71-74. Epub 2013 Dec 13.

Department of Neurosurgery, Shizuoka City Shizuoka Hospital, Shizuoka, Japan.

A 37-year-old female who delivered her second child via a cesarean section 4 months previously presented to our hospital with gradual worsening of dyspnea on effort. Chest radiographic appearance showed cardiomegaly (cardiothoracic ratio 61%) and slight bilateral pulmonary congestion. Echocardiogram revealed diffuse hypokinesis of both left and right ventricles (left ventricular ejection fraction 29%) and large biventricular thrombus [left ventricular apex (28 mm × 21 mm, 22 mm × 14 mm) and right ventricular apex (16 mm × 11 mm)]. Read More

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February 2014

Acute myocardial infarction caused by left anterior descending artery occlusion presenting as inferior ST elevation and anterior ST depression.

J Cardiol Cases 2014 Feb 12;9(2):67-70. Epub 2013 Dec 12.

Department of Cardiology, Cardiovascular Center, National Hospital Organization Kumamoto Medical Center, Kumamoto, Japan.

We report a case of acute myocardial infarction caused by left anterior descending artery occlusion presenting as ST elevation in the inferior leads and ST depression in the precordial leads, suggesting an involvement of the right coronary artery (RCA). However, coronary angiography (CAG) showed a complete occlusion of the proximal left anterior descending (LAD) coronary artery and collaterals from the left circumflex coronary artery and the RCA. Although he underwent primary percutaneous coronary intervention (PCI), he had chest pain at four days after primary PCI. Read More

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February 2014

Chronic pseudo-angina left precordial chest pain caused by a thoracic meningioma.

J Cardiol Cases 2014 Feb 12;9(2):54-56. Epub 2013 Dec 12.

Service de Consultations et d'Explorations Fonctionnelles Neurologiques, Hospices Civils de Lyon, CH Lyon Sud, 69000 Pierre-Bénite, France.

Left precordial chest pain (LPCP) evokes above all angina. Eliminating a cardiac origin is then always the first priority. When cardiac causes are eliminated, non-cardiac causes are sought in order to avoid leaving patients with undiagnosed or undifferentiated chest pain. Read More

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February 2014
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"Porcelain heart" a case of acute heart failure with massive myocardial calcification complicated with primary hyperparathyroidism.

J Cardiol Cases 2013 Dec 29;8(6):183-186. Epub 2013 Oct 29.

Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan.

A 47-year-old Japanese woman was transported to our hospital due to acute heart failure (AHF). She had been diagnosed with primary hyperparathyroidism (pHPT) and undergone parathyroidectomy 3 months previously. Chest X-ray showed marked cardiomegaly and severe pulmonary congestion, and transthoracic echocardiography indicated both left ventricular (LV) systolic and diastolic dysfunction, complicated with extensive massive myocardial calcification and no LV hypertrophy. Read More

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December 2013

A case of a young, healthy woman with spontaneous coronary artery dissection associated with oral contraceptive use: Long-term residual dissection of the coronary artery.

J Cardiol Cases 2013 Dec 29;8(6):179-182. Epub 2013 Oct 29.

Department of Cardiology, National Hospital Organization, Kure Medical Center Chugoku Cancer Center, 3-1 Aoyama-cho, Kure, Hiroshima 737-0023, Japan.

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome, typically affecting young, healthy women, particularly during the peripartum period. Oral contraceptive use is also recognized as a risk factor for SCAD. In the present report, we describe a case of a young woman with an anterior wall myocardial infarction caused by SCAD of the left anterior descending artery (LAD). Read More

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December 2013

Complete congenital absence of the pericardium: An incidental finding.

J Cardiol Cases 2013 Nov 26;8(5):148-150. Epub 2013 Sep 26.

Cardiovascular Department, Blackpool Victoria Hospital, Whinney Heys Road, Blackpool FY3 8NR, United Kingdom.

A 62-year-old male presented with generalized aches and pains accompanied by night sweats and weight loss. Clinical examination was unremarkable and the chest X-ray was reported as normal. Subsequent computed-tomography thorax and bone marrow aspirate diagnosed a diffuse large B-cell lymphoma. Read More

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November 2013

Pathological analyses of very long-term sirolimus-eluting stent implantation in human coronary artery.

J Cardiol Cases 2013 Nov 26;8(5):145-147. Epub 2013 Sep 26.

Kokura Memorial Hospital, Kokura, Japan.

A 73-year-old man underwent sirolimus-eluting stent (SES) implantation for chest pain on exertion with left anterior descending coronary artery (LAD) and left circumflex coronary artery (LCX). The patient died due to non-obstructive mesenteric ischemia after 57 months of SES implantation. An autopsy demonstrated that the lesions of stented site at LAD and LCX were histopathologicaly similar images. Read More

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November 2013

Vasospastic angina resulting in sudden cardiac arrest, initially misdiagnosed as a psychiatric disorder.

J Cardiol Cases 2015 May 18;11(5):150-154. Epub 2015 Mar 18.

Cardiovascular Center, International University of Health and Welfare, Mita Hospital, Tokyo, Japan.

A 51-year-old-woman with a history of ablation therapy due to Wolff-Parkinson-White syndrome had been suffering from ambiguous chest pain, prompting investigation by several cardiologists. After being dissatisfied with a psychiatric disorder diagnosis, she was admitted to our hospital for further investigation. She lost her consciousness due to a sudden cardiac arrest shortly after admission. Read More

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Rare cause of ventricular tachycardia: Pheochromocytoma.

J Cardiol Cases 2015 Feb 14;11(2):62-65. Epub 2014 Nov 14.

Department of Cardiology, Aalborg University Hospital, Hobrovej 18-22, 9000 Aalborg, Denmark.

Pheochromocytoma is known from a wide range of clinical manifestations and can mimic other disorders which can lead to delay in diagnosis. We report a case of a young female presenting with chest pain, electrocardiographic changes, and episodes of ventricular tachycardia, finally diagnosed with this catecholamine-producing tumor. < Pheochromocytoma is a rare catecholamine-producing tumor that can pose a diagnostic challenge due to its multiple manifestations mimicking various conditions, including cardiovascular disorders. Read More

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February 2015

Pathological evaluation of massive left atrial calcification 35 years after mitral-aortic valve replacement.

J Cardiol Cases 2015 Feb 31;11(2):44-47. Epub 2014 Oct 31.

Department of Surgical Pathology, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan.

Massive calcification of the left atrium is an uncommon complication of long-standing rheumatic valve disease, and is frequently revealed in patients with a previous operation on the mitral valve. An 84-year-old woman, who had a history of rheumatic valvulopathy and mitral-aortic valve replacement surgery 35 years previously, was admitted to our hospital due to congestive heart failure. Chest X-ray showed severe cardiomegaly with rim of calcification outlining the enlarged left atrium. Read More

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February 2015

Alemtuzumab induced ST-segment elevation and acute myocardial dysfunction.

J Cardiol Cases 2014 Nov 28;10(5):176-179. Epub 2014 Jul 28.

Montefiore-Einstein Center for Heart and Vascular Care, Albert Einstein College of Medicine, Bronx, NY, USA.

Cardiac toxicity as a side effect of chemotherapeutic agents has been well reported in the literature. Cardiac toxicity secondary to alemtuzumab has been reported, presenting as congestive heart failure and arrhythmias. Here we report a case of acute myocardial dysfunction after administration of a test dose of alemtuzumab. Read More

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November 2014

Giant left atrial aneurysm.

J Cardiol Cases 2014 Oct 17;10(4):144-146. Epub 2014 Jul 17.

Department of Echocardiography, Shaheed Rajaei Heart Center, Tehran, Iran.

Congenital aneurysmal dilatation of the left atrium is a rare anomaly that could be associated with supraventricular arrhythmias and life-threatening systemic embolization. We describe a 32-year-old man with a giant left atrial aneurysm diagnosed with new imaging modalities that underwent surgical resection with good results. < Left atrial aneurysms are rare and characterized by their origin from an otherwise normal atrium, a clearly defined communication with the atrial cavity, and their intrapericardial location. Read More

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October 2014

A case of ventricular septal rupture associated with major septal branch occlusion after percutaneous coronary intervention.

J Cardiol Cases 2014 Oct 17;10(4):140-143. Epub 2014 Jul 17.

Department of Cardiovascular Surgery, Shizuoka City Shizuoka Hospital, Shizuoka, Japan.

A 67-year-old man underwent elective percutaneous coronary intervention (PCI) of the left anterior descending artery. The major septal branch became occluded during coronary stenting. The patient developed dyspnea 19 days later. Read More

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October 2014

Successful treatment using corticosteroids in a patient with refractory vasospastic angina and bronchial asthma.

J Cardiol Cases 2014 Oct 7;10(4):132-135. Epub 2014 Aug 7.

Department of Cardiology, Ashikaga Red Cross Hospital, Tochigi, Japan.

We report a 55-year-old female patient with refractory vasospastic angina and bronchial asthma treated successfully with corticosteroids. She was diagnosed with vasospastic angina by coronary angiography and the acetylcholine provocation test. Even after administration of oral vasodilators (benidipine, diltiazem, nicorandil, isosorbide mononitrate) she had recurrent chest pain with ST elevation. Read More

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October 2014

Case of Takotsubo cardiomyopathy after tooth extraction - Unusual trigger of a rare syndrome.

J Cardiol Cases 2014 Oct 17;10(4):129-131. Epub 2014 Jul 17.

Division of Cardiology, Schuechtermann Clinic, Bad Rothenfelde, Germany.

We describe a case of Takotsubo cardiomyopathy in a 75-year-old woman after an elective extraction of 10 teeth of the lower jaw using bilateral mandibular anesthesia. The patient complained of shortness of breath and chest pain after 24 h. Coronary angiography showed smooth normal coronary arteries with thrombolysis in myocardial infarction III flow. Read More

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October 2014

Septic embolization of left and right coronary arteries resulting in sudden death: A rare complication of infective endocarditis.

J Cardiol Cases 2014 Jul 1;10(1):22-24. Epub 2014 May 1.

Teaching Hospital Kandy, Kandy, Sri Lanka.

Bacterial endocarditis gives rise to a variety of complications due to local tissue damage, immunological phenomena, and embolic phenomena. Only a small number of cases of coronary embolization have been reported in infective endocarditis patients. This is a case of subacute bacterial endocarditis in a postpartum mother complicated by fatal left and right coronary artery embolization. Read More

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Cardiac capillary hemangioma in a patient with atypical chest pain and normal ECG.

J Cardiol Cases 2014 Jul 17;10(1):16-18. Epub 2014 May 17.

Shahid Beheshti University of Medical Sciences, Iran.

Cardiac hemangiomas account for less than 2% of primary cardiac tumors. They can present with palpitation, arrhythmia, right ventricular outflow tract obstruction, pseudoangina, and in more extreme cases sudden death. Our case report presents a 41-year-old man with atypical chest pain, who had a normal heart examination, electrocardiogram, and an unremarkable family and medical history. Read More

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Aortic regurgitation due to back-and-forth intimal flap movement detected by both multidetector computed tomography and transesophageal echocardiography.

J Cardiol Cases 2013 Jun 16;7(6):e161-e163. Epub 2013 Mar 16.

Division of Cardiology and Cardiovascular Surgery, Mitsui Memorial Hospital, 1 Kanda-Izumicho, Chiyoda-ku, Tokyo 101-8643, Japan.

A 46-year-old man with a history of hypertension, chronic kidney disease, and chronic aortic dissection classified as DeBakey type IIIB was referred to our hospital with chest and back pain. The patient underwent 64-row multidetector computed tomography (MDCT), which revealed new-onset DeBakey type II aortic dissection. The intimal flap prolapsed into left ventricle in the diastolic phase of cardiac cycle and stuck to the right coronary cusp (RCC) of the aortic valve. Read More

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Spontaneous healing of saccular type aneurysm with ventricular septal lacerations after blunt chest trauma.

J Cardiol Cases 2013 May 28;7(5):e149-e152. Epub 2013 Feb 28.

Division of Cardioangiology, Nephrology, and Endocrinology, Department of Internal Medicine, Iwate Medical University.

We present a case of spontaneous healing of saccular type aneurysm with ventricular septal lacerations after blunt chest trauma. A 50-year-old Japanese man was transferred to our hospital diagnosed with ventricular septal lacerations after blunt chest trauma. Electrocardiogram (ECG) at admission showed ST elevations in I, II, III, aVL, aVF, V2-through to V6 were observed. Read More

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May 2013
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Left ventricular plasty improved cardiac function in a case of takotsubo cardiomyopathy with persistent aneurysm.

J Cardiol Cases 2013 May 15;7(5):e133-e136. Epub 2013 Feb 15.

Department of Cardiology and Hematology, Fukushima Medical University, 1 Hikarigaoka, Fukushima 960-1295, Japan.

A 72-year-old woman was admitted to a local hospital due to repeated chest pain in December 2011. On admission, blood tests showed elevation of cardiac enzyme and B-type natriuretic peptide levels. Electrocardiography showed ST-segment elevation in almost all leads. Read More

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Extensive dissecting aneurysm of the ascending aorta.

J Cardiol Cases 2013 Apr 29;7(4):e97-e100. Epub 2013 Jan 29.

Department of Medicine III, Division of Cardiology, Goethe University, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany.

We present the case of a 69-year-old female surviving an extensive dissecting thoracic aortic aneurysm. Due to the initial presentation with angina and epigastric pain the first working diagnosis was acute coronary syndrome. However, on transthoracic and transesophageal echocardiography (TEE), the dissecting aneurysm (type Stanford A) could be detected. Read More

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