Associazione Nazionale Medici Cardiologi Ospedalieri

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CALCIFIED AMORPHOUS TUMOR (CAT): RECOGNIZING A RARE CLINICAL ENTITY
Anno:
2026
Introduction: Calcified Amorphous Tumor (CAT) of the heart is a rare non-neoplastic cardiac mass, characterized microscopically by nodular calcium deposits and amorphous fibrinous material. The pathogenesis remains poorly understood, though some hypotheses suggest a close association with hypercoagulable states and dysregulated calcium-phosphorus metabolism. Case presentation: We report the case…
NOT ONLY AN INFERIOR STEMI: AN INTERESTING CASE OF A LONG-STANDING ATRIAL SEPTAL DEFECT
Anno:
2026
We described a case of a 75-year-old man, presented to the Emergency Department with intermittent chest pain. The electrocardiogram showed ST segment elevation in the inferior, posterior and right precordial leads. In consideration of the diagnosis of inferior-posterior STEMI, the patient was urgently transferred to the CathLab where coronary…
A SILENT GIANT IN THE LEFT ATRIUM: A FATAL CASE OF MASSIVE THROMBOSIS IN VALVULAR ATRIAL FIBRILLATION
Anno:
2026
Introduction. Giant left atrial (LA) thrombi are rare but life-threatening complications of valvular atrial fibrillation. Diagnosis may be challenging in complex clinical settings and management remains controversial. We report a case of massive LA thrombosis complicating rheumatic mitral stenosis, subtherapeutic anticoagulation and sepsis. Case Report. A 63-year-old Albanian woman,…
CONCORDANCE AND CLINICAL UTILITY OF THE NEW ASE DIASTOLIC DYSFUNCTION GUIDELINES IN HFREF
Anno:
2026
BACKGROUND: Novel guidelines for assessing diastolic dysfunction (DD) have recently been published by the American Society of Echocardiography (ASE). Their concordance with prior recommendations and potential clinical advantage remain unclear, particularly in patients with heart failure with reduced ejection fraction (HFrEF). This study aimed to test the concordance between…
STOP THAT THROMBOLYSIS !
Anno:
2026
A 65-year-old woman. Past medical history essentially unremarkable. No home medications. On the morning of 26/11/2025, at around 10:00 a.m., while at work, she developed a sudden motor deficit of the right upper limb and a speech disturbance. Emergency services (112) were alerted for urgent transport (airlifted) to our…
AORTIC VALVE CALCIUM SCORE MEASURE FROM 2-D ECHOCARDIOGRAPHY USING A FREE ONLINE SOFTWARE FOR IMAGE BINARIZATION, CORRELATION WITH AORTIC VALVE AREA, MEAN GRADIENT AND PEAK TRANSVALVULAR VELOCITY
Anno:
2026
Transthoracic Echocardiography is the main imaging technique for severity grading of Aortic Valve stenosis by measuring peak transvalvular flow velocity, peak and mean transvalvular pressure gradient and Aortic valve area, usually through continuity equation. There is often discordance between Aortic valve area and transvalvular peak velocity and pressure gradient,…
ROLE OF TRANSESOPHAGEAL ECHOCARDIOGRAPHY IN THE DETERMINATION OF DEATH DURING CDCD PROCEDURES
Anno:
2026
Background: In Italy, death can be determined using either cardiac or neurological criteria. In selected patients in whom death cannot be declared by neurological criteria (Maastricht III; withdrawal of life‑sustaining therapy), when death occurs after cardiac arrest, the law mandates continuous electrocardiographic monitoring for at least 20 minutes, recorded…
INFERIOR HYPERTROPHIC CARDIOMYOPATHY: AN UNUSUAL AND SUBTLE LOCATION
Anno:
2026
Intro: Hypertrophic cardiomyopathy (HCM) is defined by an increased left ventricular (LV) wall thickness (≥15 mm) that cannot be explained solely by abnormal loading conditions. Hypertrophy preferentially involves the basal segments of the interventricular septum, it frequently extends to the lateral wall, posterior septum, and the LV apex. Isolated…