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An incorrect diagnosis masking a cardiac blood cyst

An initial diagnosis of rheumatic heart disease masked the correct cause of persistent palpitations, despite pharmacological treatments. A congenital mitral valve blood cyst with atrial septal aneurysm was finally diagnosed, with drug treatment stopped in favour of conservative management.

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Editor's Choice

Managing cervical artery dissection

CeAD is the prime cause for ischemic stroke in young adults. Despite limited understanding of underlying mechanisms, new approaches are improving acute treatment.

SSc tied to increased cardiovascular, thromboembolic risk

Patients with systemic sclerosis have an increased risk for cardiovascular disease and venous thromboembolism before and after diagnosis.

Refractory vasoplegia in a patient with subarachnoid hemorrhage

A 59-year-old patient developed acute hypotension and went into shock after treatment for acute aneurysmal SAH. What caused refractory vasoplegia and how can you treat it?

Calprotectin shows potential as a biomarker for ASCVD risk

Calprotectin could serve as a biomarker for atherosclerotic cardiovascular disease beyond the current traditional cardiovascular risk factors.

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Episode 3: Unravelling resistant hypertension

Why is it so difficult to diagnose and manage?

Resistant hypertension is a difficult to treat and often misunderstood phenomenon that continues to frustrate cardiologists. 

In this episode, Professors Morris Brown and Bryan Williams debate the causes of resistant hypertension and explore novel treatment options.

Prof. Morris Brown
Prof. Bryan Williams
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Podcast

Case Studies

An incorrect diagnosis masking a cardiac blood cyst

An initial diagnosis of rheumatic heart disease masked the correct cause of persistent palpitations, despite pharmacological treatments. A congenital mitral valve blood cyst with atrial septal aneurysm was finally diagnosed, with drug treatment stopped in favour of conservative management.

Refractory vasoplegia in a patient with subarachnoid hemorrhage

A 59-year-old patient developed acute hypotension and went into shock after treatment for acute aneurysmal SAH. What caused refractory vasoplegia and how can you treat it?

Coarctation of the abdominal aorta hidden for 80 years

Congenital coarctation of the abdominal aorta is an issue usually diagnosed early in life. In this unusual case, it was discovered in an asymptomatic 80 year old man during a routine medical exam. The issue had been masked by compensatory dilatation of the splanchnic artery. 

Keynote webinar | Spotlight on cardio-oncology

An expert-led symposium exploring the most pertinent issues in cardio-oncology, with a focus on the new ESC guidelines. Highlights include preventative approaches in cardio-oncology, toxicity risk-stratification strategies, the clinical management of myocarditis as an adverse effect of immune checkpoint inhibitor-treatments, and the utility of biomarkers in long-term follow-up of cardiovascular disease risk in cancer patients.

Prof. Rudolf de Boer
Prof. Lorenz Lehmann
Dr. Teresa Lopéz Fernández
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Video

Current Reviews

Public Health Impact of Kawasaki Disease in India: Projections for 2030

Kawasaki disease (KD) is a systemic vasculitis that usually affects children below 5 years and has now become the leading cause of acquired heart disease in children, surpassing acute rheumatic fever. Incidence data from Chandigarh, India, between …

Safety and efficacy of the Woven EndoBridge (WEB) device in ruptured intracranial aneurysms: a systematic review and updated meta-analysis

The Woven EndoBridge (WEB; MicroVention-Terumo, Aliso Viejo, CA, USA) device has been increasingly utilized for the endovascular treatment of intracranial aneurysms, particularly in ruptured cases. One key advantage over other endovascular …

Unveiling the complexity of nonobstructive hypertrophic cardiomyopathy

Hypertrophic cardiomyopathy (HCM) is a genetic heart disorder defined by the presence of a maximal wall thickness of at least 15 mm with two main forms: obstructive (oHCM) and nonobstructive (nHCM). While oHCM is characterized by left ventricular …

Addressing the Needs of Breast Cancer Survivors

Given the advances in early cancer detection and optimal integration of local and novel systemic therapeutic options, early-stage breast cancer has become a largely curable disease and outcomes have significantly improved. [ 1 , 3 ] This has …

CME & eLearning

Patient Cases

Improve your ECG interpretation skills with this comprehensive, rapid, interactive course. Expert advice provides detailed feedback as you work through 50 ECGs covering the most common cardiac presentations to ensure your practice stays up to date. 

Developed by: Springer Medizin

Further Reading

Long-Term Mortality and Morbidity Impact on Patients with Pulmonary Arterial Hypertension (PAH) If Access to Sotatercept Is Delayed: A Simulation Model

Pulmonary arterial hypertension (PAH) is a rare and progressively worsening condition characterized by elevated blood pressure in the pulmonary arteries, affecting approximately 40,000 individuals in the US and 50,000 across Europe [ 2 – 4 ]. The …

Clinical Study to Evaluate the Possible Efficacy and Safety of l-Arginine in Children with Sickle Cell Disease and Increased Tricuspid Regurgitant Jet Velocity: a Randomized Controlled Trial

Sickle cell disease (SCD) refers to a group of related β-hemoglobinopathies marked by the presence of sickle hemoglobin (HbS) in erythrocytes. It is one of the most frequent hereditary illnesses globally [ 1 , 2 ]. Sickle hemoglobin (HbS) is …

Enhanced vascular inflammation in patients with advanced prostate cancer receiving hormone therapy

Prostate cancer (PCa) is one of the most common malignancies and the second leading cause of cancer-related deaths in men worldwide [ 1 ]. Early detection and accurate staging are critical, as the 5-year survival rate varies significantly from …

Predicting pulmonary hemodynamics in pediatric pulmonary arterial hypertension using cardiac magnetic resonance imaging and machine learning: an exploratory pilot study

Pulmonary arterial hypertension (PAH) is a severe progressive disease with a detrimental and irreversible impact on the pulmonary vasculature [ 1 , 2 ]. PAH is characterized by an increase in pulmonary arterial pressure (PAP) and pulmonary vascular …

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