The chance finding at multislice computed tomography coronary angiography of myocardial bridging

Sino-atrial block due to Guillan-Barré syndrome: a rare case

“…Positron emission tomography (PET) with fl uorodeoxyglucose (FDG) or single photon emission, computed tomography (SPECT) can be helpful in making the correct diagnosis in these situations. 18,[22][23][24] Since the lack of evidence about the better choice in terms of mortality, treatment of endocavitary clots on pacemaker wire is left on individual decision. Clot size and site and symptoms gravity are the main determinants of therapeutic approach.…”

Tako-tsubo syndrome and atrial fibrillation. New trigger for cardiomyopathy. A clinical case

“…Takotsubo syndrome (TS) is described as a pathology with a good prognosis characterized by the presence of a transient left ventricular wall disease without signifi cant culprit obstructive CAD. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] The "golden standard" for a defi nitive diagnosis is invasive coronary angiography and ventriculography, with an integrated multi-imaging approach, such as echocardiography, fi rst--line non-invasive technique, and cardiac magnetic resonance (CMR), in order to discriminate TS from other acute cardiac syndromes with troponin elevation and ventricular disfunction. [16][17][18][19] Important hallmarks of TS are a relatively small increase in T/I troponin, the left ventricle "apical ballooning" (wall motion diskinesis characterized by apical akinesis and basal hyperkinesis) at echocardiography and ventriculography associated with normal epicardial coronary vessels at angiography.…”

“…[16][17][18][19] Important hallmarks of TS are a relatively small increase in T/I troponin, the left ventricle "apical ballooning" (wall motion diskinesis characterized by apical akinesis and basal hyperkinesis) at echocardiography and ventriculography associated with normal epicardial coronary vessels at angiography. 3,7,14,[19][20][21][22] In addition there may be catecholamines (epinephrine, norepinephrine, and dopamine) and NT-proBNP elevation.…”

Rare combination of left ventricular noncompaction, bicuspid aortic valve and myocardial bridging. Rare case or common genetic mutations?

“…Ventriculography showed that the contrast medium was inserted in small intertrabecular recesses (Fig. 2C), suggesting the existence of a minor form of noncompacted myocardium [21][22][23][24][25][26][27][28][29][30][31][32][33].This finding made us suspect that different congenital heart diseases could have the same genetical background. In conclusion, we cannot ascertain from this single case the existence of a common genetic background for this association of congenital heart diseases (myocardial noncompaction, bicuspid aortic valve and myocardial bridging).…”

“…Ventriculography showed that the contrast medium was inserted in small intertrabecular recesses (Fig. 2C), suggesting the existence of a minor form of noncompacted myocardium [21][22][23][24][25][26][27][28][29][30][31][32][33].…”