20,114 results match your criteria Syncope


A Review of Exercise Interventions in Pulmonary Arterial Hypertension and Recommendations for Rehabilitation Programing.

J Cardiopulm Rehabil Prev 2019 May;39(3):138-145

Department of Physical Therapy, College of Applied Health Sciences, The University of Illinois at Chicago (Drs Ozemek and Arena); and Department of Health and Exercise Science Wake Forest University, Winston-Salem, North Carolina (Dr Berry).

Pulmonary arterial hypertension (PAH) is characterized by impaired pulmonary vascular structure and function and is commonly associated with symptoms of dyspnea, fatigue, and potentially syncope. With chronic exposure to elevated pulmonary pressures, dramatic right ventricular dysfunction is common, thereby compromising cardiorespiratory fitness and increasing the risk of mortality. Collective investigative efforts, both at the preclinical and clinical levels, have established the safety and efficacy of regular exercise training in improving quality of life, cardiorespiratory fitness, and the physiologic profile of patients with PAH. Read More

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http://dx.doi.org/10.1097/HCR.0000000000000402DOI Listing
May 2019
1 Read

Corrigendum to: Fascicular parasystole and recurrent syncope - a case report.

Authors:

Eur Heart J Case Rep 2018 Jun 11;2(2):yty048. Epub 2018 Apr 11.

[This corrects the article DOI: 10.1093/ehjcr/yty020.][This corrects the article DOI: 10. Read More

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http://dx.doi.org/10.1093/ehjcr/yty048DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177089PMC

A Boy with Dental Phobia and Severe Syncope.

Indian J Pediatr 2019 Apr 24. Epub 2019 Apr 24.

Department of Pediatric Cardiology, Hospital Universitario Puerta de Hierro, Majadahonda, Spain.

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http://dx.doi.org/10.1007/s12098-019-02949-wDOI Listing

A case report: metastatic complete heart block.

Eur Heart J Case Rep 2018 Dec 29;2(4):yty131. Epub 2018 Nov 29.

Department of Cardiology, Seth GS Medical College, KEM Hospital, Achary Dhonde MargParel, Mumbai, Maharashtra, India.

Background: Though primary malignant tumours of the heart are rare, secondary metastatic affection of the heart is quite common. Common presentations include pericardial effusion, obstruction of inflow and outflow tracts and arrhythmias, most notably tachyarrhythmias, and very rarely complete heart blocks (CHBs).

Case Summary: A 28-year-old man suffering from carcinoma of the tongue underwent a surgery in the form of radical hemimandibulectomy. Read More

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https://academic.oup.com/ehjcr/article/doi/10.1093/ehjcr/yty
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http://dx.doi.org/10.1093/ehjcr/yty131DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426093PMC
December 2018
1 Read

Carotid sinus syndrome: a case report of an unusual presentation of cardiac arrest while diving.

Eur Heart J Case Rep 2018 Dec 26;2(4):yty128. Epub 2018 Nov 26.

Department of Internal Medicine, University Hospital Innsbruck, Anichstr. 35, Innsbruck, Austria.

Background: Carotid sinus syndrome (CSS) is an exaggerated response to carotid sinus baroreceptor stimulation, which may result in hypotension, prolonged asystole, and subsequently transient loss of consciousness due to cerebral hypoperfusion. However, this commonly benign syndrome may have lethal consequences under certain circumstances such as scuba diving.

Case Summary: We report the case of a trained 73-year-old male diver, who survived an almost fatal diving accident without any neurological deficits due to cardiac arrest under water. Read More

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http://dx.doi.org/10.1093/ehjcr/yty128DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426114PMC
December 2018

Citalopram and the KCNE1 D85N variant: a case report on the implications of a genetic modifier.

Eur Heart J Case Rep 2018 Dec 26;2(4):yty106. Epub 2018 Sep 26.

Department of Cardiology, Herlev-Gentofte Hospital, University Hospital Copenhagen, Herlev Ringvej 75, Copenhagen, Denmark.

Background: Prolongation of the QT interval on the electrocardiogram is clinically important due to the association with an increased risk of sudden cardiac death. A long QT interval may be genetically determined (congenital long QT syndrome) or be drug-induced long QT syndrome e.g. Read More

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http://dx.doi.org/10.1093/ehjcr/yty106DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426086PMC
December 2018

Cardiac sarcoidosis presenting with syncope and rapidly progressive atrioventricular block: a case report.

Eur Heart J Case Rep 2018 Dec 11;2(4):yty103. Epub 2018 Oct 11.

Department of Cardiology, Crozer-Chester Medical Center, Upland, PA, USA.

Background: Cardiac sarcoidosis (CS) accounts for a substantial morbidity and mortality. Early recognition of CS is important to prevent such detrimental consequences. A definite diagnosis of cardiac sarcoidosis remains challenging. Read More

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http://dx.doi.org/10.1093/ehjcr/yty103DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426016PMC
December 2018

Fascicular parasystole and recurrent syncope - a case report.

Eur Heart J Case Rep 2018 Mar 5;2(1):yty020. Epub 2018 Mar 5.

Department of Cardiology and Angiology I, Heart Center Freiburg University, Hugstetter Str. 55, 79106 Freiburg, Germany.

Introduction: Parasystole refers to an ectopic pacemaker that discharges with a constant rate competing with the primary pacemaker of the heart the sinus node. Parasystolic pacemakers have been described in the atrium, atrioventricular node, His bundle, and in the ventricle. Ventricular parasystole usually carries a benign prognosis, but there are a few reports of ventricular tachyarrhythmia initiated by parasystolic beats. Read More

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https://academic.oup.com/ehjcr/article/doi/10.1093/ehjcr/yty
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http://dx.doi.org/10.1093/ehjcr/yty020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426017PMC
March 2018
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Effects of a Proximal Seal System on Neurologic Outcomes of Off-Pump Coronary Artery Bypass Grafting.

Int Heart J 2019 Apr 25. Epub 2019 Apr 25.

Division of Cardiovascular Surgery, Department of Thoracic and Cardiovascular Surgery, Severance Cardiovascular Hospital, Yonsei University College of Medicine.

Severe aortic atherosclerosis is a risk factor for stroke during coronary artery bypass grafting (CABG). The purpose of this study was to evaluate the incidence of postoperative neurologic complications after off-pump CABG (OPCAB) with a proximal seal system (Heartstring).From January 2011 to December 2014, 729 patients underwent isolated OPCAB. Read More

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http://dx.doi.org/10.1536/ihj.17-283DOI Listing

Winston Churchill: two mild left hemisphere strokes, finger gangrene and syncope in 1959.

J R Soc Med 2019 Apr 24:141076819843656. Epub 2019 Apr 24.

2 City Hospital, Birmingham B18 7QH, UK.

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http://dx.doi.org/10.1177/0141076819843656DOI Listing

Pacemaker Dysfunction due to a Large Thrombus on Ventricular Lead.

Heart Surg Forum 2019 Mar 11;22(2):E131-E133. Epub 2019 Mar 11.

Department of Cardiology, The Second Affiliated Hospital of Nanchang University, Nanchang, China.

Background: Pacemaker lead-related thrombosis is a rare but severe complication in patients with pacing lead implantation in the right ventricle. We present a case with recurrent syncope after single-chamber implantable cardioverter defibrillator (ICD) implantation. Pacing lead-related thrombosis was observed during open-heart surgery. Read More

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https://journal.hsforum.com/index.php/HSF/article/view/2291
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http://dx.doi.org/10.1532/hsf.2291DOI Listing
March 2019
1 Read

Abnormal orthostatic blood pressure control among subjects with lacunar infarction.

Eur Stroke J 2016 Sep 4;1(3):222-230. Epub 2016 Aug 4.

Department of Medical Gerontology, Trinity College, Dublin, Ireland.

Introduction: Hypertension is a recognised risk factor for lacunar stroke. However, their association has been evaluated using static blood pressure (BP) assessment in supine or sitting position alone. We hypothesised that impaired dynamic (orthostatic) BP control may associate with lacunar strokes. Read More

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http://dx.doi.org/10.1177/2396987316663287DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6301241PMC
September 2016

Impact of Hanging Motionless in Harness on Respiratory and Blood Pressure Reflex Modulation in Mountain Climbers.

High Alt Med Biol 2019 Apr 19. Epub 2019 Apr 19.

1 School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.

Lanfranconi, Francesca, Alessandra Ferri, Luca Pollastri, Manuela Bartesaghi, Massimiliano Novarina, Giovanni De Vito, Egidio Beretta, and Lucio Tremolizzo. Impact of hanging motionless in harness on respiratory and blood pressure reflex modulation in mountain climbers. 16:000-000, 2019. Read More

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https://www.liebertpub.com/doi/10.1089/ham.2018.0089
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http://dx.doi.org/10.1089/ham.2018.0089DOI Listing
April 2019
1 Read

Sudden Cardiac Death in Brugada Syndrome.

Cardiol Rev 2019 Apr 12. Epub 2019 Apr 12.

From the Cardiology Division, Department of Medicine, Westchester Medical Center/ New York Medical College, Valhalla, NY 10595.

The Brugada syndrome is an inherited channelopathy that alters the main transmembrane ion currents that constitute the cardiac action potential. These changes not only modify the resting electrocardiogram, but also predispose patients to develop malignant ventricular tachyarrhythmias that can lead to syncope, cardiac arrest, and sudden cardiac death. This syndrome is responsible for nearly 20% of all sudden cardiac deaths in patients with structurally normal hearts and up to 12% of all sudden cardiac deaths. Read More

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http://dx.doi.org/10.1097/CRD.0000000000000259DOI Listing
April 2019
4 Reads

Left Atrial Volume during Stress Is Associated with Increased Risk of Arrhythmias in Patients with Hypertrophic Cardiomyopathy.

J Cardiovasc Echogr 2019 Jan-Mar;29(1):1-6

Cardiomyopathies and Heart Failure Department, Monaldi Hospital, Università della Campania "Luigi Vanvitelli," Nocera Inferiore, Italy.

Introduction: In patients affected by hypertrophic cardiomyopathy (HCM), left atrial volume index (LAVi) is associated with an increased risk of tachyarrhythmias and major clinical events. To date, the clinical meaning of LAVi measured during exercise (stress LAVi [sLAVi]) has not yet been investigated in HCM. This study sought to evaluate the correlation between LAVi/sLAVi and clinical outcome (risk of arrhythmias and heart failure [HF]) in patients with HCM. Read More

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http://dx.doi.org/10.4103/jcecho.jcecho_45_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450231PMC

Thyrotoxicosis presenting as syncope and rapid wide QRS tachycardia: A case report.

J Saudi Heart Assoc 2019 Jul 8;31(3):111-113. Epub 2019 Mar 8.

Department of Internal Medicine, Thumbay Hospital Day Care Rolla, Sharjah, United Arab EmiratesUnited Arab Emirates.

We report regarding a young lady who presented with recurrent syncopal episodes associated with palpitations, documented to be due to rapid wide QRS tachycardia, subsequently detected to have thyrotoxicosis and who responded promptly to appropriate medication to become free from arrhythmia. Read More

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http://dx.doi.org/10.1016/j.jsha.2019.02.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454121PMC

Rare Complication of Carotid Stenting: New-Onset Refractory Status Epilepticus: A Study of Five Patients.

Ann Indian Acad Neurol 2019 Apr-Jun;22(2):210-212

Department of Neurology, Bombay Hospital and Institute of Medical Sciences, Mumbai, Maharashtra, India.

Introduction: New-onset refractory status epilepticus (NORSE) is uncommon and almost 50% of cases are cryptogenic. We report the rare development of NORSE following carotid artery stenting (CAS), a procedure which is increasingly being used to treat the carotid stenosis.

Materials And Methods: Patients who developed NORSE following CAS for the prevention of stroke over a period of 5 years were analyzed retrospectively. Read More

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http://dx.doi.org/10.4103/aian.AIAN_445_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6472247PMC

The Yield of Computed Tomography of the Head Among Patients Presenting With Syncope: A Systematic Review.

Acad Emerg Med 2019 Apr 22. Epub 2019 Apr 22.

Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.

Background: Overuse of head computed tomography (CT) for syncope has been reported. However, there is no literature synthesis on this overuse. We undertook a systematic review to determine the use and yield of head CT and risk factors for serious intracranial conditions among syncope patients. Read More

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http://dx.doi.org/10.1111/acem.13568DOI Listing

Anomalous left anterior descending artery diagnosed on pulmonary artery computed tomography.

Am J Emerg Med 2019 Apr 12. Epub 2019 Apr 12.

Department of Emergency Medicine, Baylor Scott and White Health, 2401 S 31(st) Street, Temple, TX 76508, United States of America.

Typically, the left anterior descending artery (LAD) and left circumflex artery (LCX) arise from the left main coronary artery. However, uncommon coronary anomalies may be found in clinical practice. This case presents with a rare finding where the LAD originates from the right coronary artery (RCA) separately from the LCX and takes an interarterial pathway to reach its perfusion territory. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.04.028DOI Listing

Is ivabradine a wonder drug for atypical POTS?

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Internal Medicine, Abington Hospital - Jefferson Health, Abington, PA, USA.

Syncope is a sudden loss and gain of consciousness. Traditionally, it is caused by the abnormalities of neurological, cardiac or vasovagal systems. We present a case of a 19-year-old woman presenting with recurrent syncopal episodes with no apparent cause. Read More

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http://dx.doi.org/10.1136/bcr-2018-227789DOI Listing

Cardiac syncope recurrence in type 2 diabetes mellitus patients vs. normoglycemics patients: the CARVAS study.

Diabetes Res Clin Pract 2019 Apr 17. Epub 2019 Apr 17.

Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy. Electronic address:

Study hypothesis cardiac autonomic dysfunction might lead to higher vaso vagal syncope (VVS) recurrence rate in type 2 diabetes mellitus (T2DM) patients vs. non diabetics patients.

Background: VVS recurrence might be due to alterations of autonomic system function, as assessed by heart rate variability (HRV). Read More

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http://dx.doi.org/10.1016/j.diabres.2019.04.015DOI Listing

The value of multi-disciplinary team in syncope clinic for the effective diagnosis of complex syncope.

Pacing Clin Electrophysiol 2019 Apr 20. Epub 2019 Apr 20.

Heart Center, Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai, P. R.

Background: Syncope is a perplexing challenge that often receives thorough evaluation, yet the diagnosis remains unclear. Usually, the emergency department is the first point at which patients present with syncope. However, diverse medical factors, including low diagnostic rates and inconsistent management by doctors, add to healthcare costs and delay diagnosis for syncope patients. Read More

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http://dx.doi.org/10.1111/pace.13703DOI Listing
April 2019
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Syncope units: An emerging paradigm.

Pacing Clin Electrophysiol 2019 Apr 20. Epub 2019 Apr 20.

University of Wisconsin School of Medicine and Public Health, Department of Medicine.

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https://onlinelibrary.wiley.com/doi/abs/10.1111/pace.13701
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http://dx.doi.org/10.1111/pace.13701DOI Listing
April 2019
3 Reads

Proconvertase Furin Is Downregulated in Postural Orthostatic Tachycardia Syndrome.

Front Neurosci 2019 29;13:301. Epub 2019 Mar 29.

Department of Clinical Sciences, Faculty of Medicine, Clinical Research Center, Lund University, Malmö, Sweden.

Postural Orthostatic Tachycardia Syndrome (POTS) is a cardiovascular autonomic disorder characterized by orthostatic intolerance and high prevalence among young women. The etiology of POTS is uncertain, though autoimmunity and inflammation may play an important role. We aimed to identify novel inflammatory biomarkers associated with POTS. Read More

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https://www.frontiersin.org/article/10.3389/fnins.2019.00301
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http://dx.doi.org/10.3389/fnins.2019.00301DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6455076PMC
March 2019
1 Read

Pattern of Emergent Head Computed Tomography Findings in a Tertiary Care Hospital during off Working Hours: Retrospective Analysis.

J Neurosci Rural Pract 2019 Apr-Jun;10(2):207-211

Department of Radiodiagnosis, Indian Naval Hospital Ship Asvini, Mumbai, Maharashtra, India.

Introduction: Emergency head computed tomography (CT) is rising exponentially during off working hours due to evidence-based medicine, patient's expectation and desires, easy availability and apprehension of medico-legal cases, thereby raising health-care cost. There is huge gap in demand and supply of radiologist, especially during off working hours. There is need to know the pattern of emergency head findings. Read More

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http://www.ruralneuropractice.com/text.asp?2019/10/2/207/254
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http://dx.doi.org/10.4103/jnrp.jnrp_362_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454959PMC
April 2019
2 Reads

Prevalence and One-year Outcome of Carotid Sinus Hypersensitivity in Unexplained Syncope: A Prospective Cohort Study from South India.

Indian Heart J 2019 Jan - Feb;71(1):1-6. Epub 2019 Jan 30.

Department of Cardiology, Government Medical College, Kozhikode, India.

Background: Carotid sinus syndrome accounts for one third of patients who presents with unexplained syncope. Prevalence of carotid sinus hypersensitivity (CSH) in Indians has not been studied till now.

Objectives: To assess the prevalence and associations of CSH in symptomatic patients above 50 years and to study its prognostic significance pertaining to sudden cardiac death, syncope, recurrent pre syncope and falls on 1 year follow up. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00194832183008
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http://dx.doi.org/10.1016/j.ihj.2019.01.004DOI Listing
January 2019
1 Read

Anomalous Coronary Artery Origin and Sudden Cardiac Death: Clinical and Pathological Insights From a National Pathology Registry.

JACC Clin Electrophysiol 2019 Apr 30;5(4):516-522. Epub 2019 Jan 30.

Cardiovascular Pathology Department, St. George's, University of London, London, United Kingdom. Electronic address:

Objectives: This study sought to describe the clinical and pathological features of anomalous origin of a coronary artery (AOCA) in sudden cardiac death (SCD) victims.

Background: AOCA from the inappropriate sinus of Valsalva or from the pulmonary artery is increasingly diagnosed with current imaging techniques. AOCA is a possible cause of SCD. Read More

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http://dx.doi.org/10.1016/j.jacep.2018.11.015DOI Listing

Neurally mediated syncope diagnosis based on adenylate cyclase activity in Japanese patients.

PLoS One 2019 18;14(4):e0214733. Epub 2019 Apr 18.

Department of Clinical Pharmacology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, Japan.

The study aims to clarify the mechanism in patients with neurally mediated syncope (NMS), focusing on the adenylate cyclase (AC) activity level in lymphocytes. This study included 40 subjects: 22 healthy volunteers and 18 NMS patients. We investigated the changes in AC activity that occur during of syncope at rest and during the head-up tilt (HUT) test. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0214733PLOS
April 2019
1 Read

Pacing therapy in the management of unexplained syncope: a tertiary care centre prospective study.

Open Heart 2019 25;6(1):e001015. Epub 2019 Mar 25.

Department of Clinical Sciences, Lund University, Malmö, Sweden.

Objective: Pacemaker (PM) therapy is effective when syncope is associated with bradycardia, but syncope recurrences and fall injuries after PM implantation may occur. We aimed to survey indications and outcomes of PM implantation, following evaluation of unexplained syncope.

Methods: Among 1666 consecutive unpaced patients investigated in a tertiary syncope unit by carotid-sinus massage (CSM), head-up tilt test (HUT) and ECG monitoring, 106 (6. Read More

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http://openheart.bmj.com/lookup/doi/10.1136/openhrt-2019-001
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http://dx.doi.org/10.1136/openhrt-2019-001015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443123PMC
March 2019
2 Reads

Apical hypertrophic cardiomyopathy with preexcitation presenting as a myocardial infarction and ischemic stroke with a history of recurrent syncope: A case report.

Clin Case Rep 2019 Apr 14;7(4):816-820. Epub 2019 Mar 14.

Centre for Research and Development Uppsala University/Region Gävleborg Gävle Sweden.

Contrast-enhanced echocardiography or cardiac magnetic resonance imaging is of value in the diagnosis of apical hypertrophic cardiomyopathy. Apical hypertrophic cardiomyopathy is rare in Caucasians, and gene negativity does not rule out the diagnosis. Risk stratification for sudden cardiac death and decisions about anticoagulation in cases with atrial fibrillation should be based on guidelines. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/ccr3.2104
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http://dx.doi.org/10.1002/ccr3.2104DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452448PMC
April 2019
1 Read

Prolonged sinus arrest on electrocardiogram recording during apheresis donation in young female donor with convulsive syncope.

Clin Case Rep 2019 Apr 6;7(4):758-761. Epub 2019 Mar 6.

Division of Cardiology, Department of Internal Medicine Iwate Medical University Morioka Japan.

An 18-year-old young female with a convulsive syncope during apheresis donation demonstrated a prolonged sudden sinus arrest continued for approximately 30-second on monitor ECG. This prolonged sinus arrest may relate accidental serious complications in ordinal apheresis donation. Continuous electrocardiogram monitor and correspondence are indispensable. Read More

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http://dx.doi.org/10.1002/ccr3.2077DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452503PMC

Exercise-related sudden cardiac death of an American football player with arrhythmogenic right ventricular dysplasia/cardiomyopathy AND sarcoidosis.

Clin Case Rep 2019 Apr 19;7(4):686-688. Epub 2019 Feb 19.

Department of Electrophysiology, Heart Center University of Leipzig Leipzig Germany.

This case emphasizes the value of cardiac MRI and genetic testing in the early phase of ARVD/C. It also emphasizes the increased risk of SCD for patients with ARVD/C participating in competitive sports, even with immediate cardiopulmonary resuscitation. Read More

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http://dx.doi.org/10.1002/ccr3.2071DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452462PMC

Appearance of myocardial fibrosis during long-term follow up in a patient with apical hypertrophy.

J Cardiol Cases 2019 Apr 21;19(4):115-116. Epub 2018 Dec 21.

Department of Cardiology, Tokyo Women's Medical University, Tokyo, Japan.

A 67-year-old man without symptoms presented with significant negative T wave on electrocardiography. No significant abnormality was detected by echocardiography. Cardiac magnetic resonance imaging (CMR) showed trivial hypertrophied myocardium in apex. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18785409183011
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http://dx.doi.org/10.1016/j.jccase.2018.12.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6451050PMC
April 2019
1 Read

A case of desmoplakin mutation and delayed arrhythmogenic right ventricular cardiomyopathy/dysplasia after atrial septal defect closure.

J Cardiol Cases 2019 Apr 6;19(4):111-114. Epub 2019 Feb 6.

Department of Cardiology, Tokyo Women's Medical University, Tokyo, Japan.

Arrhythmogenic right ventricular cardiomyopathy/dysplasia (ARVC/D) is a slow-developing cardiomyopathy characterized by ventricular arrhythmias and fibrofatty replacement of the right ventricular (RV) myocardium. Its clinical diagnosis is challenging because of its variable clinical presentation and low genetic penetrance. We describe the case of a 67-year-old man who was diagnosed as having ARVC/D with a desmoplakin mutation that appeared after occlusion of an atrial septal defect (ASD). Read More

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http://dx.doi.org/10.1016/j.jccase.2018.09.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6451054PMC
April 2019
1 Read

Diffuse Coronary Artery Fistula Leading to Syncope and Treated by Transcatheter Coil Occlusion and a Defibrillator: A Case Report.

Med Princ Pract 2019 Apr 16. Epub 2019 Apr 16.

Objectives: Coronary artery fistulas connecting coronary arteries to cardiac cavities are rare but clinically significant anomalies.

Clinical Presentation And Intervention: A 47-year-old male patient presented with syncope. Left ventricular dysfunction was detected on echocardiography. Read More

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http://dx.doi.org/10.1159/000500309DOI Listing
April 2019
1 Read

Update in Hospital Medicine: Practical Lessons from Current Literature.

J Hosp Med 2019 Apr 8;14:E1-E5. Epub 2019 Apr 8.

Icahn School of Medicine at Mount Sinai, New York, New York.

Background: Hospital medicine continues to grow in workforce, clinical scope, and academic inquiry. This article provides a summary of recent high-impact publications for busy clinicians who provide care to hospitalized adults.

Methods: Authors reviewed articles that were published between March 2017 and March 2018 for the Update in Hospital Medicine presentations at the 2018 Society of Hospital Medicine and Society of General Internal Medicine annual meetings. Read More

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https://www.journalofhospitalmedicine.com/jhospmed/article/1
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http://dx.doi.org/10.12788/jhm.3206DOI Listing
April 2019
2 Reads

Diagnostic Yield of Customized Exercise Provocation Following Routine Testing.

Am J Cardiol 2019 Mar 19. Epub 2019 Mar 19.

Division of Cardiology, Massachusetts General Hospital, Cardiovascular Performance Program, Boston, Massachusetts. Electronic address:

Clinical guidelines advocate for customization of exercise testing to address patient-specific diagnostic goals, including reproduction of presenting exertional symptoms. However, the diagnostic yield of adding customized exercise testing to graded exercise in patients presenting with exertional complaints has not been rigorously examined and is the focus of this study. Using prospectively collected data, we analyzed the diagnostic yield of customized additional exercise provocation following inconclusive graded exercise test with measurement of gas exchange. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029149193032
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http://dx.doi.org/10.1016/j.amjcard.2019.03.027DOI Listing
March 2019
2 Reads

Risk Analysis of Perioperative Death in Lung Transplant Patients With Severe Idiopathic Pulmonary Hypertension.

Transplant Proc 2019 Apr 8;51(3):875-879. Epub 2019 Jan 8.

Department of Lung Transplantation, Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, Jiangsu Province, China. Electronic address:

Objective: To investigate the risk factors for perioperative mortality in patients with severe idiopathic pulmonary hypertension (IPAH) undergoing lung transplantation (LTx).

Methods: Twenty-two IPAH patients were included in the study and were divided 2 groups: a case group with early death post LTx (n = 5, 22.7%) and the remaining 17 recipients (87. Read More

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http://dx.doi.org/10.1016/j.transproceed.2019.01.024DOI Listing
April 2019
1 Read

The use of a single chamber leadless pacemaker for the treatment of cardioinhibitory vasovagal syncope.

Int J Cardiol Heart Vasc 2019 Jun 28;23:100349. Epub 2019 Mar 28.

Manchester University NHS Foundation Trust, United Kingdom.

Background: The use of pacemakers in the treatment of cardioinhibitory vasovagal syncope is controversial with a mixed message from the limited evidence base. Single chamber leadless pacemakers have been shown to be an effective alternative option to conventional pacemakers.

Objective: This study examines the use of leadless pacemakers in a cardioinhibitory vasovagal population in the United Kingdom. Read More

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http://dx.doi.org/10.1016/j.ijcha.2019.100349DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441741PMC
June 2019
1 Read

Characterization and Management of Arrhythmic Events in Young Patients With Brugada Syndrome.

J Am Coll Cardiol 2019 Apr;73(14):1756-1765

Department of Cardiology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel; Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. Electronic address:

Background: Information on young patients with Brugada syndrome (BrS) and arrhythmic events (AEs) is limited.

Objectives: The purpose of this study was to describe their characteristics and management as well as risk factors for AE recurrence.

Methods: A total of 57 patients (age ≤20 years), all with BrS and AEs, were divided into pediatric (age ≤12 years; n = 26) and adolescents (age 13 to 20 years; n = 31). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07351097193059
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http://dx.doi.org/10.1016/j.jacc.2019.01.048DOI Listing
April 2019
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Effects of different classroom temperatures on cardiac autonomic control and cognitive performances in undergraduate students.

Physiol Meas 2019 Apr 10. Epub 2019 Apr 10.

Internal Medicine and Syncope Unit, Humanitas Clinical and Research Center, Rozzano, ITALY.

Background: Indoor microclimate may affect students' wellbeing, cardiac autonomic control and cognitive performance with potential impact on learning capabilities. Aim. To assess the effects of classroom temperature variations on the autonomic profile and student's cognitive capabilities. Read More

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http://dx.doi.org/10.1088/1361-6579/ab1816DOI Listing
April 2019
1 Read

[Deployment of the in-hospital emergency team in a tertiary care university hospital : Data analysis for the time period 2013-2016 in North-Rhine/Westphalia].

Anaesthesist 2019 Apr 10. Epub 2019 Apr 10.

Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Köln (AöR), Kerpener Str. 62, 50937, Köln, Deutschland.

Background: Recent studies demonstrated that in-hospital emergencies are linked to a higher patient mortality. In approximately 10% of patients an unexpected incident occurs during the hospital stay. Therefore, the establishment of in-hospital medical emergency teams (MET) is becoming more important in the interdisciplinary emergency treatment. Read More

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http://dx.doi.org/10.1007/s00101-019-0586-yDOI Listing
April 2019
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A case of arrhythmogenic right ventricular cardiomyopathy with biventricular involvement.

Monaldi Arch Chest Dis 2019 Mar 27;89(1). Epub 2019 Mar 27.

San Giovanni Addolorata Community Hospital, Cardiology and Rehabilitation Unit, Department of Medicine, Rome.

We reported a case of a young adult male aged 18 years admitted in our institution for syncope during a basketball match. No previous symptoms were reported. Electrocardiogram (ECG) showed T-wave inversion in the anterior leads and an incomplete right bundle branch block. Read More

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http://dx.doi.org/10.4081/monaldi.2019.1009DOI Listing
March 2019
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Changes of clinical symptoms in patients with new psychoactive substance (NPS)-related disorders from fiscal year 2012 to 2014: A study in hospitals specializing in the treatment of addiction.

Neuropsychopharmacol Rep 2019 Apr 9. Epub 2019 Apr 9.

Mie Prefectural Mental Medical Center, Tsu, Japan.

Aims: The use of new psychoactive substances (NPS) has become increasingly widespread over the last decade, in Japan and internationally. NPS are associated with a range of increasingly serious clinical, public, and social issues. Political measures to ameliorate the effects of NPS in Japan have focused on tightening regulation rather than establishing treatment methods. Read More

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http://dx.doi.org/10.1002/npr2.12053DOI Listing
April 2019
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An Interesting Case of Atherosclerotic Occlusion of the First Septal Perforator in a Physically Young and Fit Individual Causing Complete Heart Block.

Cureus 2019 Jan 29;11(1):e3983. Epub 2019 Jan 29.

Cardiology, Cleveland Clinic - Fairview Hospital, Cleveland, USA.

Complete heart block (CHB) is an unfortunate complication of an anterior and inferior myocardial infarction (MI). We present a case of an atherosclerotic occlusion of the first septal perforator leading to CHB requiring permanent pacemaker placement in a young patient. A 33-year-old healthy white male presented to the emergency department with an episode of syncope. Read More

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https://www.cureus.com/articles/16457-an-interesting-case-of
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http://dx.doi.org/10.7759/cureus.3983DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440554PMC
January 2019
4 Reads

Pulmonary vasculitis mimicking chronic thromboembolic disease.

BMJ Case Rep 2019 Apr 8;12(4). Epub 2019 Apr 8.

Radiology, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK.

A 29-year-old female patient presented with chest pain, breathlessness and syncope on the background of constitutional symptoms, oral ulceration and a rash. Multiple investigations were performed, including a CT pulmonary angiogram (CTPA) that was initially felt to show imaging features consistent with a diagnosis of chronic thromboembolic disease (CTED). The patient was referred to a tertiary pulmonary hypertension centre and the possibility of pulmonary vasculitis was raised. Read More

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http://dx.doi.org/10.1136/bcr-2018-228409DOI Listing
April 2019
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Syncope in a patient with acute pulmonary embolism and Brugada Type-2 ECG pattern: Brugada phenocopy or Brugada syndrome?

J Electrocardiol 2019 Apr 4;54:90-92. Epub 2019 Apr 4.

Cardiology Department, ASST Nord Milano, Ospedale E. Bassini, Cinisello Balsamo, Milan, Italy.

Brugada phenocopies are clinical entities characterized by electrocardiographic patterns that are identical to true Brugada syndrome, but are elicited by a number of clinical circumstances. ECG normalizes upon resolution of underlying condition, family history of arrhythmic syncope or ventricular arrhythmias is strictly absent and provocative tests with sodium channel blockers have to be negative. We describe herein the case of type-2 ECG Brugada pattern in a patient with acute pulmonary embolism presenting with recurrent syncope but negative provocative test with sodium channel blockers. Read More

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http://dx.doi.org/10.1016/j.jelectrocard.2019.04.003DOI Listing
April 2019
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Feasibility of RA-LV pacing in patients with symptomatic left bundle branch block: a pilot study.

Heart Vessels 2019 Apr 8. Epub 2019 Apr 8.

Department of Cardiology, IPGME&R and SSKM Hospital, Flat-B1, GB-43, Narayantala (west), DB Nagar, Kolkata, West Bengal, 700059, India.

Several studies have reported the adverse effects of right ventricular apical pacing. Permanent His bundle pacing is proved to be the most physiological. But it can be technically difficult sometimes. Read More

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http://link.springer.com/10.1007/s00380-019-01390-5
Publisher Site
http://dx.doi.org/10.1007/s00380-019-01390-5DOI Listing
April 2019
4 Reads