Spontaneous Coronary Artery Dissection (SCAD) is a rare, yet potentially life-threatening, condition involving the spontaneous tearing or separation of the coronary artery wall. This occurs in the absence of atherosclerosis, trauma, or iatrogenic causes. SCAD can lead to myocardial injury through coronary artery obstruction, often caused by intramural hematoma formation or intimal disruption.
Persistent left superior vena cava is a rare congenital malformation, usually without clinical impact, due to the persistence of the anterior cardinal vein. It is detected in approximately 3% of autopsies and in 2% to 4% of patients with congenital heart disease.
Background: The American Heart Association (AHA) guidelines suggest that sexual activity is reasonable for most patients with Hypertrophic Cardiomyopathy (HCM) however, it should be deferred for patients with severe symptoms until clinically stabilized. Furthermore, the AHA scientific committee noted that no Sudden Cardiac Arrest (SCA) cases linked to sexual activity in HCM have been documented. Therefore, this case report describes
Down Syndrome (DS) is the most common chromosomal abnormality in live born infants. Although limited research suggests that autonomic dysfunction may be more common in the setting of DS, a predisposition to cardiac conduction abnormalities is not well recognised. We performed a retrospective review of records at our tertiary referral centre from Jan 2018 to Jan 2021 to identify people who had Down’s syndrome and required permanent pacemaker implantation for cardiac conduction disease.
It is estimated that 1/2000 people have a solitary kidney and they are at risk for developing arterial hypertension and impaired renal function. Hypertension is an independent risk factor for progression of renal disease in people born with a solitary kidney. Early detection, regular follow up and prompt management of blood pressure may help slow the progression of renal function impairment.
Cardiac myxoma is one of the primary intracardiac tumours. We report the case of a left atrial myxoma in a 26-year-old female patient admitted for investigation of dyspnoea. Echocardiography led to the diagnosis of a giant hypermobile myxoma prolapsing into the left ventricle. The patient died before being evacuated for surgical treatment.
Pneumopericardium is defined as the presence of air within the pericardial space. Usually, it is a complication of blunt or penetrating chest trauma, but rare iatrogenic and spontaneous cases have been reported [1]. We report the case of a 21-year old girl admitted to the emergency department for road traffic injury with a favourable outcome.
The patient is a 45 year-old female who works as a hospital personnel (secretary) with no significant medical history. She had sudden cardiac arrest while she was at work. Chest compression was commenced immediately. She underwent endotracheal intubation and electrical defibrillation was successful. After 3 days she was extubated and admitted to intensive care unit, but she had dry cough. Computed tomography of chest revealed a radiopaque foreign body in the right lower lobe bronchus and bilateral alveolar infiltration...
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