Associazione Nazionale Medici Cardiologi Ospedalieri

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A Rare Case of Membranous Interventricular Septal Aneurysm in a Patient Undergoing Pre-Operative Assessment for Mastectomy
Anno:
2025
Interventricular septum aneurysm is a rare, tipically non-syndromic, congenital heart malformation characterized by the presence of an aneurysm of the membranous portion of the interventricular septum. Some case reports associate interventricular septal aneurysms with rupture, thromboembolism, conduction defects but it is often asymptomatic. We present the case  of an…
A case of relapsing of spontaneous coronary artery dissection: if you hear hoof beats think of horses not zebras
Anno:
2025
A 62-year-old woman presented to the emergency department complaining of chest pain. She had an history of previous spontaneous coronary artery dissection (SCAD) of the circumflex coronary artery. At that time the transthoracic echocardiogram (TE) showed no regional wall motion abnormalities, and a mitral valve prolapse with moderate regurgitation….
TRANSTHYRETIN CARDIAC AMYLOIDOSIS AND AORTIC STENOSIS: WHEN TO SUSPECT THE COEXISTENCE
Anno:
2025
Degenerative aortic stenosis is the most common valvular heart disease and can cause severe concentric remodeling, diastolic dysfunction, and atrial fibrillation. These manifestations are also observed in wild-type transthyretin cardiac amyloidosis (TTR-CA), a restrictive cardiomyopathy with a poor prognosis. Studies have considered the coexistence of TTR-CA and low-flow, low-gradient…
BEYOND THE HEART: UNRAVELING THE LINK BETWEEN PULMONARY HYPERTENSION AND CARDIAC ANOMALIES
Anno:
2025
Case Report: A 52-year-old patient with a congenital heart defect, an atrial septal defect (ASD) surgically corrected at age 27, presents with newly diagnosed pulmonary hypertension. The patient's medical history includes previous unsuccessful catheter ablation attempts for supraventricular arrhythmias, including atrial fibrillation and atrioventricular nodal reentrant tachycardia. Recent clinical…
ENHANCED RISK PREDICTION IN NON-ISCHEMIC CARDIOMYOPATHY : THE ROLE OF CARDIAC MRI TISSUE CHARACTERIZATION
Anno:
2025
Background: Non-ischemic cardiomyopathy (NICM) with reduced ejection fraction poses significant challenges for risk stratification regarding adverse life-threatening events. This study investigated the prognostic role of cardiac magnetic resonance (CMR) parameters in predicting events in this population. Methods: This is a retrospective, observational study involving 57 consecutive patients newly diagnosed  with NICM…
The value of fibrosis in hypertrophic cardiomyopathy
Anno:
2025
Background: Late gadolinium enhancement (LGE) is an important prognostic marker in patients with Hypertrophic cardiomyopathy (HCM) and when its extent is >15% it is associated with high risk of sudden cardiac death (SCD). Aim: We proposed a novel method of Cardiac Magnetic Resonance (CMR), the LGE- dispersion mapping, to…
NOT EVERYTHING IS WHAT IT SEEMS
Anno:
2025
A 66-year-old hypertensive male called emergency services for respiratory distress. Upon arrival, he was diaphoretic and hypotensive. A FAST ultrasound revealed a large pericardial effusion, and the ECG showed ST-segment elevation in V5-V6. The patient was transferred to the emergency department, where severe pericardial effusion with early haemodynamic compromise…
THE DIAGNOSTIC AND PROGNOSTIC ROLE OF CARDIAC MRI IN PATIENTS WITH TROPONINE-POSITIVE CHEST PAIN AND UNUBSTRUCTED CORONARIES
Anno:
2025
Patients with ACS and unobstructed coronary arteries represent a clinical dilemma and their diagnosis and management is quite variable in current practice.  A 69-year-old man, who underwent valvuloplasty in 2013 for severe mitral regurgitation, presents with troponin-positive typical chest pain and a newly diagnosed RBBB that is identified as…
Left Atrial Strain and risk of Atrial Fibrillation after Coronary Artery Bypass-Grafting
Anno:
2025
Aim: Postoperative Atrial Fibrillation (POAF) is a common complication following Coronary Artery Bypass Grafting (CABG), associated with increased morbidity and mortality. Despite numerous studies, predicting which patients will develop POAF remains challenging. Aim of the study is to analyze whether the measurement of preoperative Left Atrial (LA) strain can…
A mysterious case of Nonbacterial thrombotic endocarditis (NBTE) in a young woman with extensive ischemic stroke.
Anno:
2025
Patient presentation  A 52 years-old woman was admitted to the ER due to a complaint of left-sided hand clumsiness, with fluctuating dysesthesias. Routine blood work-up and Head CT scan were unremarkable. She was admitted to the local Stroke Unit. Initial work up  In the evening of day two left-sided…