Associazione Nazionale Medici Cardiologi Ospedalieri

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A case of prosthetic valve endocarditis: when pneumonia is not the right answer
Anno:
2025
A 71 year-old man presented to our ED with a 10-day history of fever with chills, dyspnea and tachycardia. His past medical history incuded arterial hypertension, type 2 diabetes mellitus, prostatic hyperplasia, a TURB procedure for urothelial cancer and surgery for a pancreatic adenocarcinoma. Six months before admission he underwent a…
Suppressive Antibiotic Therapy: New Frontiers in the Management of High Surgical Risk Infective Endocarditis
Anno:
2025
Background and aim Suppressive antibiotic therapy (SAT) is a palliative, non-curative approach for managing infective endocarditis (IE) in selected patients. This retrospective observational descriptive study aimed to evaluate the efficacy and safety of SAT in IE patients ineligible for cardiac surgery. Methods We analyzed 14 IE patients treated with SAT between…
Type of delivery in patients with maternal heart disease: multidisciplinary management of a single center
Anno:
2025
Introduction The risk of cardiovascular disease during pregnancy has progressively increased due to the rise in the average age of the first conception as well as the ever-growing number of women with congenital heart disease able to face a pregnancy. The choice of delivery in a woman with heart…
A CASE OF HYPERCHOLESTEROLEMIA HYPORESPONDER TO iPCSK9 – CASE REPORT
Anno:
2025
Introduction: The expected response to iPCSK9 therapy in terms of LDL-C reduction is around 60% in monotherapy. In this clinical case we present an example of hyporesponse to therapy with monoclonal antibody (alirocumab) used in monotherapy. Presentation of the case: Patient F, 77 years old, hospitalized in march 2018 for lateral…
A RARE CASE OF RIGHT-SIDED ENDOCARDITIS DUE TO DISLOCATED CENTRAL VENOUS CATHETER STENT IN A HEMODIALYSIS PATIENT
Anno:
2025
A 52-year-old male with a history hypertension, type 2 diabetes mellitus complicated by diabetic foot, and stage V chronic kidney disease, has been undergoing thrice-weekly hemodialysis via a central venous catheter (CVC) placed in the left jugular vein since 2022. During this time, he experienced recurrent episodes of post-dialysis…
ADHERENCE AND PERSISTENCE TO STATIN THERAPY IN PATIENTS WITH ACUTE CORONARY SYNDROME ON TRIPLE LIPID-LOWERING THERAPY: REAL-WORLD DATA.
Anno:
2025
IntroductionThe poor adherence (A) and persistence (P) to statin therapy, represents the main problem of long-term therapy in patients at high and very high cardiovascular (CV) risk, leading to an increased risk of CV events (death, ACS recurrence, ischemic stroke, new hospitalization) and healthcare costs. Patients with acute coronary…
Rothia dentocariosa and Catheter-Related Bloodstream Infection: Rare Involvement of a Typically Non-Pathogenic Bacterium in a Pediatric Case of Pompe Disease. What is the Appropriate Treatment?
Anno:
2025
Background Rothia dentocariosa is a commensal organism of the oral cavity that rarely becomes pathogenic, typically affecting immunocompromised patients or those with indwelling medical devices. This case describes a Rothia dentocariosa infection in a central venous catheter in an 18 months old girl with Pompe disease, providing an opportunity…
NEVER STOP AT THE SURFACE: A STRANGE CASE OF SYSTEMIC THROMBOEMBOLISM
Anno:
2025
Introduction Patent foramen ovale (PFO) can play a pathogenic role in systemic thromboembolic syndromes. Cerebral embolisms represent the most common expression (37-50%), followed by lower and upper limbs, visceral arterial circulation, and coronary circulation (7-9%). Clinical Case: A 39-year old woman who was former smoker and suffered from hypertension,…
RIGHT SIDED INFECTIVE ENDOCARDITIS: A CASE SERIES
Anno:
2025
INTRODUCTION: Right-sided infective endocarditis (RSIE) accounts for 10% of all IE cases and affects the tricuspid valve(TV).It is less common than left-sided endocarditis but has distinct clinical characteristic and association.Several mechanisms have been proposed to contribute to RSIE:it mainly affects intravenous drug users(IVDU),but also patients with prosthetic valves,CVC,CIED,congenital heart…
AN UNFORTUNATE EVOLUTION OF CARDIAC ISCHEMIC DISEASE
Anno:
2025
We describe the case of a 75-years-old patient, admitted to our Emergency Department for sudden-onset aphasia and left hyposthenia. His clinical history included arterial hypertension, hypercholesterolemia, chronic coronary syndrome due to a previous myocardial infarction with residual moderate left ventricular dysfunction (EF 40%) and aneurysm of the inferior left ventricular…