Associazione Nazionale Medici Cardiologi Ospedalieri

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REAL-WORLD USE OF ARNI AND SGLT2-INHIBITORS IN DUCHENNE-RELATED CARDIOMYOPATHY: INSIGHT FROM THE MOLINETTE-HF REGISTRY
Anno:
2026
Background : Cardiomyopathy is a leading cause of morbidity and mortality in Duchenne muscular dystrophy (DMD), yet evidence guiding the use of contemporary heart failure (HF) therapies—particularly angiotensin receptor–neprilysin inhibitors (ARNI) and SGLT2 inhibitors (SGLT2i)—remains scarce, as DMD patients are systematically excluded from randomized trials. Objectives : To assess…
CARDIAC INVOLVEMENT IN A PATIENT WITH LIMB-GRINDLE MUSCULAR DYSTROPHY: HOW TO FIT THE PUZZLE PIECES TOGHETHER, A CASE REPORT.
Anno:
2026
Muscular dystrophies of the limbs are a group of heritable genetic disorders that mainly affect the pelvic or shoulder girdle muscles, causing progressive weakness. Although the underlying genetic origin varies widely, a cardiac involvement has been frequently observed in neuromuscular disorders. Therefore, cardiac imaging is an indispensable part of…
ACUTE MYOCARDITIS IN BECKER MUSCULAR DYSTROPHY: INCIDENTAL FINDING OR “HOT PHASE” OF CARDIOMYOPATHY ONSET?
Anno:
2026
Introduction Becker muscular dystrophy (BMD) is an X-linked disorder caused by mutations in the dystrophin gene, characterized by progressive skeletal and cardiac muscle involvement. Cardiac involvement, often subclinical, affects up to 50% of patients and is typically characterized by myocardial fibrosis and fibro-fatty replacement of the inferolateral walls of…
RING-LIKE LGE IN NON-DILATED LEFT VENTRICULAR CARDIOMYOPATHY: IMAGING-GENETIC INTEGRATION FOR EARLY ARRHYTHMIC RISK STRATIFICATION
Anno:
2026
Abstract Background: Non-dilated left ventricular cardiomyopathy (NDLVC) is a recently defined entity, often characterized by arrhythmic risk disproportionate to ventricular function. According to the 2023 ESC guidelines, cardiac magnetic resonance (CMR) and genetics are essential for risk stratification. Recent multicenter studies have highlighted the prognostic role of ring-like late…
EPSILON WAVE IN ARRHYTHMOGENIC RIGHT VENTRICULAR CARDIOMYOPATHY: UNRAVELING THE ECG PUZZLE
Anno:
2026
Background Depolarization abnormalities represent traditional electrocardiographic (ECG) criteria to diagnose arrhythmogenic right ventricular cardiomyopathy (ARVC). Given the challenges in their reliable detection, the diagnostic significance of epsilon waves has been downgraded to a minor criterion by the European Task Force in 2024. We present a case where the application…
A CASE OF NON-DILATED LEFT VENTRICULAR CARDIOMYOPATHY (NDLVC) SUGGESTIVE OF ARRHYTHMOGENIC LEFT VENTRICULAR CARDIOMYOPATHY (AVLC)
Anno:
2026
A 71-year-old patient with a history of atrial fibrillation (AF), under treatment with flecainide, apixaban and metoprolol, was admitted to the emergency department presenting with dizziness. There was no family history of heart disease. The initial electrocardiogram (ECG) revealed a wide QRS complex tachycardia with a right bundle branch…
THE BURNING HEART: RECURRENT MYOCARDITIS-LIKE FLARES MARK PROGRESSION IN DSP-RELATED ARRHYTHMOGENIC CARDIOMYOPATHY
Anno:
2026
Arrhythmogenic Cardiomyopathy (ACM) is characterized by progressive fibrofatty replacement, predisposing to ventricular arrhythmias and sudden cardiac death. A distinct manifestation, particularly in Desmoplakin (DSP) mutation carriers, is the acute, inflammatory "hot phase," which can mimic myocarditis and accelerate structural remodelling. We report the case of a 28-year-old woman with…