Associazione Nazionale Medici Cardiologi Ospedalieri

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Right Atrial Myxoma Mimicking Infective Endocarditis: A Multimodality Imaging Case
Anno:
2025
A 65-year-old woman presented to the emergency department with fever for several weeks. The patient had a history of hypertension and chronic renal failure, currently undergoing renal replacement therapy via dialysis using a central venous catheter placed in the right internal jugular vein. Blood tests revealed a marked increase…
Different Anatomy in isolated Single Coronary artery: Echo and cCTA Imaging
Anno:
2025
Anomalous coronary arteries (ACA) represent an anomalous location of the coronary ostium and/or vascular course. Although most individuals with ACA are asymptomatic, some ACA variants are leading to symptoms and adverse cardiac events. In particular, isolated single coronary artery (iSCA) arising from the right sinus of Valsalva, is a…
Annular Disjunction and Post-systolic-shortening
Anno:
2025
Introduction: We report a case correlating Mitral Annular Disjunction (MAD) and Post-systolic-shortening (PSS). Case Report: A 46-year-old male, symptomatic for palpitations. Ventricular extrasystole on ECG, posterior mitral leaflet prolapse, and MAD with normal systolic and diastolic function on Cardiac Echocardiography. We studied speckle tracking,  with demonstration of PSS at…
Evaluation of Cardio-vascular Adaptation in Subjects Undergoing Passive Leg Raising (PLR): an Inferior Vena Cava Study
Anno:
2025
The passive leg raising (PLR) manoeuvre is an accepted method for assessing fluid responsiveness without the risks associated with direct fluid infusion. The present study aimed to investigate whether two consecutive PLR manoeuvres could influence fluid response, measured in terms of the diameter and collapsibility of the inferior vena…
THE FRAGILE HEART
Anno:
2025
Background: Takotsubo Syndrome (TTS) is characterized by transient, reversible left ventricular dysfunction, often triggered by severe physical or emotional stress, leading to secondary catecholaminergic hyperactivation. It occurs without significant coronary artery obstruction. Although TTS is usually benign, it can be complicated by severe conditions like left ventricular wall rupture,…
AN ENIGMATIC PNEUMONIA
Anno:
2025
CLINICAL CASE Remote medical history 48 years old, male. Regular non-competitive sports activity (cycling) with good exercise tolerance. Untreated dyslipidemia, at last laboratory check-up in September 2021 LDL cholesterol 153 mg/dl. Positive family history of carotid vasculopathy (father underwent left carotid revascularization). Recent medical history From about 5 days…
UNCOMMON CARDIAC MASS COMPRESSING THE LEFT ANTERIOR DESCENDING ARTERY: DIAGNOSTIC CHALLENGES AND MULTIMODALITY IMAGING EVALUATION
Anno:
2025
A 71-years-old man with typical chest pain and a stress test positive for angina with negative ECG criteria underwent coronary computed tomography angiography (CCTA) which detected a chronic total occlusion (CTO) in the proximal-mid segment of the left anterior descending artery (LAD). Notably, the proximal tract of LAD was…
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…