RESUMO
Dressler's syndrome, characterized by features of fever, pericarditis and pericardial effusion typically occurs in the weeks to months following a myocardial infarction. The syndrome has also been described following several other myocardial and pericardial pathologies, including two reports of Dressler's syndrome following radio-frequency ablation. We describe a case of Dressler's syndrome following a pulmonary vein isolation procedure, which is being performed with increasing frequency as a treatment strategy for atrial fibrillation.
Assuntos
Glucocorticoides/uso terapêutico , Derrame Pericárdico/tratamento farmacológico , Pericardite/tratamento farmacológico , Prednisolona/uso terapêutico , Fibrilação Atrial/terapia , Ablação por Cateter , Ecocardiografia , Febre/etiologia , Glucocorticoides/administração & dosagem , Humanos , Masculino , Infarto do Miocárdio/complicações , Infarto do Miocárdio/tratamento farmacológico , Derrame Pericárdico/complicações , Pericardite/etiologia , Prednisolona/administração & dosagem , Veias Pulmonares/cirurgia , SíndromeAssuntos
Síndrome de DiGeorge/diagnóstico , Cardiopatias Congênitas/complicações , Hipocalcemia/diagnóstico , Adulto , Síndrome de DiGeorge/complicações , Endocardite Bacteriana/etiologia , Feminino , Doenças das Valvas Cardíacas/etiologia , Humanos , Hipocalcemia/complicações , Achados Incidentais , Infecções EstreptocócicasRESUMO
Effective treatment of recurrent drug-refractory ventricular tachycardia is difficult, and conventional pharmacological and interventional approaches are often ineffective. We present a novel case report illustrating the potential use of omega-3 fatty acid supplementation in such patients.
Assuntos
Ácidos Graxos Ômega-3/uso terapêutico , Taquicardia Ventricular/tratamento farmacológico , Idoso , Eletrocardiografia , Humanos , MasculinoAssuntos
Corpos Estranhos/diagnóstico por imagem , Ventrículos do Coração , Agulhas/efeitos adversos , Transtornos Relacionados ao Uso de Opioides/complicações , Abuso de Substâncias por Via Intravenosa/complicações , Adulto , Eletrocardiografia , Humanos , Masculino , Dor/etiologia , Tomografia Computadorizada por Raios XAssuntos
Função do Átrio Esquerdo/efeitos da radiação , Calcinose/etiologia , Radioterapia/efeitos adversos , Função do Átrio Esquerdo/fisiologia , Calcinose/diagnóstico por imagem , Calcinose/fisiopatologia , Átrios do Coração/diagnóstico por imagem , Átrios do Coração/efeitos da radiação , Humanos , Achados Incidentais , Masculino , Pessoa de Meia-Idade , Neuroblastoma/radioterapia , Radiografia , Neoplasias Torácicas/radioterapiaRESUMO
BACKGROUND: Atrial en-face reconstructions are commonly used to assess mitral valve morphology in three dimensional (3D) echocardiography but may miss important abnormalities. OBJECTIVE: To present a systematic method for the analysis of the regurgitant mitral valve using a combination of en-face and longitudinal views for better anatomical evaluation. METHODS: Detailed 3D assessment was done on 58 patients undergoing mitral valve repair. En-face and longitudinal views were compared for detection and location of primary pathology. The quality of acquisitions under general anaesthesia and sedation was also compared. RESULTS: Recognition of valve structure was significantly better with longitudinal reconstruction for both mitral leaflets but not for the commissures. Accurate identification of pathology was possible in 95% cases, compared with 50% for en-face reconstruction (p < 0.001). There was no significant difference between imaging under sedation and anaesthesia. CONCLUSION: En-face reconstructions alone are inadequate. Additional longitudinal reconstructions are necessary to ensure full inspection of valve morphology.
