Computed tomography coronary angiography (CTCA) offers detailed assessment of the presence of coronary atherosclerosis and helps guide patient management. We investigated influences of early CTCA on the subsequent use of preventative treatment in patients with suspected acute coronary syndrome. Read the full investigation here.
Device-detected atrial high-rate episodes (AHREs) are atrial arrhythmias detected by implanted cardiac devices. AHREs resemble atrial fibrillation but are rare and brief. Whether the occurrence of AHREs in patients without atrial fibrillation (as documented on a conventional electrocardiogram [ECG]) justifies the initiation of anticoagulants is not known. Please take a look at the full article … Read more
Arrhythmogenic-cardiomyopathy (ACM) is an inherited heart disease with right, left,or biventricular (BVACM) involvement based on EKG, imaging, family history, andgenetic testing. We present a 64-year-old woman with prior myocarditis and diagnosisof BVACM 29 years later. We propose myocarditis as a promoter of gene expression ofplakophilin-2 mutation. Please click here to read the full case report.
We present assessment of chest pain patients by multiparametric dobutamine stress echocardiography to differentiate inducible ischemia with obstructive coronary artery disease and with no obstructive coronary artery disease. In addition to the classical regional wall motion abnormality, we illustrate how coronary flow velocity reserve by Doppler echocardiography assists diagnosing coronary microvascular dysfunction. Please click here … Read more
Wearable devices could be used to continuously monitor vital signs in patients who are hospitalized, but theyrequire validation. This study aimed to evaluate the clinical validity of the prototype of a semiautomated wearable wrist device (ChroniSense Polso) to measure vital signs and provide National Early Warning Scores (NEWSs). Read the full study by clicking here.
A 36-year-old man presented to our hospital with a 2-week history of palpitations in the context of 3 months of a dry cough, weight loss, and night sweats. The patient had no medical history, no recent foreign travel, and no contact with anyone who was unwell orwho had been exposed to tuberculosis. He had no … Read more