A 60-year-old with heart failure symptoms due to 1st degree AV-Block caused by granulomatosis with polyangiitis (Wegener’s granulomatosis)
Publication date: Available online 4 December 2019Source: Journal of Cardiology CasesAuthor(s): Davit Saghabalyan, Dirk Schiller, Sven LerchAbstractGranulomatosis with polyangiitis is a rare systemic inflammatory disorder mainly affecting the small vessels. Cardiac involvement is rare, conduction delay being the most rare one. This case reports on a middle-aged male patient with heart failure symptoms due to a 1st degree atrioventricular block with a marked PR prolongation of 480 ms on electrocardiography (ECG). Because of heart failure symptoms as well as elevated N-terminal pro-B-type natriuretic peptide and no othe...
Source: Journal of Cardiology Cases - December 4, 2019 Category: Cardiology Source Type: research
Long distance of spontaneous coronary artery dissection involving LMT in a middle-aged man — Complete rapid healing and clinical usefulness of CABG as a temporizing strategy
Publication date: Available online 3 December 2019Source: Journal of Cardiology CasesAuthor(s): Kazunori Takemura, Masaharu Maegaki, Ryuta Nakamura, Tetsuro Takase, Kaneto Mitsumata, Tomoaki Tanabe, Imun TeiAbstractSpontaneous coronary artery dissection (SCAD) usually occurs in women, which can result in significant morbidities. A 38 year-old obese man who is currently smoking was referred to our hospital with chest pain. His electrocardiography and echocardiography suggested myocardial infarction in proximal region of left coronary artery. Emergent coronary angiography revealed 99% stenosis at mid portion of LAD and diffu...
Source: Journal of Cardiology Cases - December 3, 2019 Category: Cardiology Source Type: research
A case report of myocardial ischemia improvement despite early bypass graft occlusion: Efficiency of physiological reassessment
Publication date: Available online 28 November 2019Source: Journal of Cardiology CasesAuthor(s): Masafumi Nakayama, Takamichi Takahashi, Ryo Horinaka, Takashi UchiyamaAbstractPatients with functional ischemia often do not complain of chest symptoms even in early occlusion after coronary artery bypass grafting (CABG). The clinical evidence indicating the necessity of revascularization for these patients is unclear. A 70-year-old man who underwent 3 stent implant procedures to treat repeated in-stent restenosis to the left anterior descending artery (LAD) felt effort-related chest pain. Coronary angiography revealed that the...
Source: Journal of Cardiology Cases - November 29, 2019 Category: Cardiology Source Type: research
Adult-onset Still’s disease revealed by a complete atrioventricular block, totally regressive under corticosteroid therapy
We report the case of a 40-year-old veterinary surgeon who was admitted for spiking fevers, arthralgia, and a complete atrioventricular block. Tests revealed an inflammatory syndrome, hepatic cytolysis, neutrophilic leukocytosis, and increased troponin levels. Cardiac magnetic resonance imaging showed a small myocarditis but no tissue abnormality on the conduction pathways. In the absence of evidence-based infection and favorable evolution under broad spectrum antibiotherapy, an adult-onset Still’s disease was suspected and corticosteroid therapy administered. Evolution was then impressively favorable, with a persistent ...
Source: Journal of Cardiology Cases - November 28, 2019 Category: Cardiology Source Type: research
General internists of experience suspected variant angina as gastroesophageal reflux diseases in two cases: Heart burn may be related to coronary spasm
We describe two cases of active variant angina suspected as gastroesophageal reflux disease (GERD) initially by experienced general internists. General physicians and cardiologists should discriminate GERD from coronary spastic angina or Prinzmetal variant angina.> (Source: Journal of Cardiology Cases)
Source: Journal of Cardiology Cases - November 28, 2019 Category: Cardiology Source Type: research
