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Vol 5 ( 2021 ); Issue 3

Published: 10/09/2021

Issue Articles

MISCELLANEOUS

Content page

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EDITORIALS

From Editor-in-Chief: On September 2021 issue, hot trials at ESC congress this year, and updates on pandemics

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EDITORIALS

What is new in cardiac pacing ESC guidelines 2021?

New sections have appeared concerning patient workout before implantation, but also concerning the new modalities of conduction system pacing, and a new section on perioperative management. We summarize here the key points from these International guidelines.

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EDITORIALS

New in the diagnosis of heart failure and management of associated conditions in 2021 ESC guidelines

Heart failure (HF) is a major health problem affecting millions of people worldwide. The report about heart disease and stroke statistics claimed that almost 6.0 million Americans ≥20 years of age had HF based on the results of 2015-2018 The National Health and Nutrition Examination Survey (NHANES) (1)

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EDITORIALS

Current pharmacological treatment of heart failure: What is new in the 2021 ESC guidelines?

The current guidelines are a breakthrough in the approach to heart failure not only because of new therapies, but mainly because of the approach to treatment. The newest recommendations mark the beginning of an era in which personalization of implemented therapies comes to the fore

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ORIGINAL RESEARCH ARTICLE

The evaluation of cTnT/CK-MB ratio is as a predictor of change in cardiac function after myocardial infarction

The cTnT/CK-MB ratio was superior to its components in predicting changes in LV function after STEMI. The cTnT/CK-MB ratio can be used in clinical practice for risk stratification and treatment optimization.

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REVIEW

Choosing the vascular access in interventional cardiology: evolution and contemporary practice

Percutaneous coronary diagnostic and therapeutic procedures are very frequent worldwide and therefore bring to discussion the best vascular access for each patient. The vascular access for coronary angiography or coronary interventions must be chosen according to the patient's clinical and anatomical characteristics, as well as the experience of the interventional cardiologist. Several studies have shown the superiority of radial access compared to femoral access, reducing local complications, major cardiovascular events, death and hospital costs. The ulnar approach is a feasible and safe option in the absence of radial access.

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CASE REPORT

Sudden cardiac arrest after late permanent pacemaker implantation in a heart transplant patient

Bradycardia during the early period following heart transplantation frequently occurs with an incidence of 14 to 44% and it is usually self-limited. The incidence of late bradycardia (from 30 days to more than 5 or 6 months after transplantation) has been reported to be 1.5%. A 33-year-old male patient with a history of orthotopic heart transplantation in 2013 presented with complaints of dizziness and near syncope. A DDDR permanent pacemaker was implanted for sinus pauses exceeding 3 seconds recorded on Holter examination. Shortly after the procedure, he developed sudden cardiovascular collapse. Cardiopulmonary resuscitation was performed and a pulse steroid treatment (2 grams of methylprednisolone) was given. After 2 days, the patient was extubated. While making preparations for re-transplantation, cardiopulmonary arrest developed again and he died. Sinus pause may be a clue for rejection and is an important finding in predicting clinical course.

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CASE REPORT

Anatomy of the retrograde type A aortic dissection after endovascular repair of type B aortic dissection: a case report

We report a case of a 55-year-old gentleman who had undergone thoracic EVAR. Thirty months after the given procedure he presented with RTAD and underwent supracoronary aortic replacement. The article is intended to remind the clinicians of the importance of early detection of the possible complications when performing EVAR, and the significance of a rapid response.

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CASE REPORT

A case of undifferentiated pleomorphic cardiac sarcoma

We present a case of a 78-year-old female patient who was admitted to our hospital with progressive dyspnea and chest pain. Echocardiography revealed multiple masses of different shape and size in the left atrium, the left and right ventricles. Cardiac magnetic resonance confirmed multiple cardiac masses with signs of invasion in the myocardium and heterogeneous late gadolinium enhancement in all these masses. A biopsy of the abdominal mass revealed an undifferentiated pleomorphic sarcoma.

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QUIZ

ECG – implantable loop recorder

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QUIZ

Answer to quiz on page … and case discussion

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MISCELLANEOUS

The path of the first female surgeon to open-heart surgery - Nina Starr Braunwald

Nina Starr Braunwald - first female heart surgeon, a pioneer in cardio-thoracic surgery, certified by the American Board of Thoracic Surgery and the first elected to the American Thoracic Surgery Association, a wonderful wife and mother of three daughters, teacher and mentor of several generations of doctors. We will tell everyone about this in more detail in our historical note

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MISCELLANEOUS

First female cardiac surgeon

For a long time, medicine was the prerogative of men, and women were not allowed to this area. And despite the prohibitions and moral values of those times, women left a mark in the history of medicine.

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MISCELLANEOUS

Reviewers and editors of issue Volume 5 September 2021

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