Myocardial infarction after an electric shock: A rare complication

Myocardial infarction is one potential outcome after an electric shock though it is seen relatively rarely. Nonetheless, an increased death rate because of cardiopulmonary arrest is of concern and merits careful scrutiny. Here, we report a man with myocardial infarction following electrical shock. Although he had frankly normal coronary arteries by coronary angiography, myocardial infarction was objectively evident by cardiac enzymes, electrocardiography and echocardiography. Oral medication with a beta-blocker and angiotensin converting enzyme inhibitor was started. He was discharged in good health after stabilization for a co-existing pelvic fracture and retroperitoneal hematoma. The patient had an uneventful follow-up one year later, with persisting non-specific electrocardiographic changes

Multimodality imaging of a rare type of coronary cameral fistula

Coronary artery fistulas are defined as abnormal vascular connections between one or more coronary arteries and the cardiac chamber [coronary cameral fistula (CCF)] or a great thoracic vessel. Here, we present multimodality imaging findings of a rare case with CCF between the sinoatrial nodal artery and the left atrium. Keywords: Coronary cameral fistula, Left atrium, Sinoatrial nodal arter

The effect of different treatment strategies on left ventricular myocardial deformation parameters in patients with chronic renal failure

WOS: 000447415600007PubMed: 29948637The aim of this study was to compare left ventricular (LV) functions by speckle tracking echocardiography (STE) in chronic kidney disease (CKD) patients in various stages and under different renal replacement treatments in order to evaluate possible differences between them. This prospective study included 150 patients with CKD. Renal transplantation patients with glomerular filtration rate greater than 60ml/min/1.73m(2), patients receiving hemodialysis three times a week, and patients in the predialysis stage with glomerular filtration rate less than 30ml/dk/1.73m(2) were assigned into Group 1 (n=50), Group 2 (n=50), and Group 3 (n=50), respectively. LV longitudinal, circumferential, and radial myocardial deformation parameters (strain, strain rate [SR], rotation, twist) were evaluated by STE. Peak systolic longitudinal strain was higher in the transplantation group than the hemodialysis group (-19.93 +/- 3.50 vs-17.47 +/- 3.28%, p<0.017). Peak systolic circumferential strain was lower in the hemodialysis group (-20.97 +/- 4.90%) than Groups 1 and 3 (-25.87 +/- 4.20 and -24.74 +/- 4.55%, respectively, p<0.001). Peak systolic radial SR was higher in the transplantation group than the hemodialysis group (1.84 +/- 0.52 vs 1.55 +/- 0.52s(-1), respectively, p<0.017). Other longitudinal and circumferential deformation parameters together with peak early diastolic radial SR and twist were also significantly different between the groups. Strain, SR, and twist values were mostly lower in the hemodialysis patients, but generally higher in the transplantation patients. LV functions evaluated by STE are better in the renal transplantation patients than the hemodialysis patients and than those in the predialysis stage. This may indicate beneficial effects of renal transplantation on cardiac functions.Ondokuz Mayis University, Samsun, TurkeyOndokuz Mayis University [PYO.TIP.1904.13.030]This study was funded by the Ondokuz Mayis University, Samsun, Turkey (Project Number: PYO.TIP.1904.13.030)

Infective endocarditis with atypical clinical feature and relapse by Abiotrophia defectiva

A case of infective endocarditis caused by an uncommon agent Abiotrophia defectiva with atypical manifestations is presented. A 42-year-old woman previously had rheumatic heart disease, presented with the symptoms of fever and chills that resolved within 3 days under antibiotherapy. She was diagnosed with endocarditis due to A. defectiva. Despite culture-directed antibiotics being administered in the first admission, her symptoms and also blood culture growth relapsed 3 weeks later. She was successfully treated with antimicrobial therapy and surgical intervention including aorta and mitral valve replacement. This case demonstrates that A. defectiva should be considered as a causative organism of endocarditis particularly in the presence of atypical symptoms and should be followed up carefully in terms of relapses and complications