Mollusk species at a Pliocene shelf whale fall (Orciano Pisano, Tuscany)

The recovery of an intact, 10 m long fossil baleen whale from the Pliocene of Tuscany (Italy) offers the first opportunity to study the paleoecology of a fully developed, natural whale-fall community at outer shelf depth. Quantitative data on mollusk species from the whale fall have been compared with data from the sediments below and around the bones, representing the fauna living in the muddy bottom before and during the sinking of the carcass, but at a distance from it. Although the bulk of the fauna associated with the fossil bones is dominated by the same heterotrophs as found in the surrounding community, whale-fall samples are distinguishable primarily by the presence of chemosymbiotic bivalves and a greater species richness of carnivores and parasites. Large lucinid clams (Megaxinus incrassatus) and very rare small mussels (Idas sp.) testify to the occurrence of a sulphophilic stage, but specialized, chemosymbiotic vesicomyid clams common at deep-sea whale falls are absent. The whale-fall community is at the threshold between the nutrient-poor deep sea and the shallow-water shelf, where communities are shaped around photosynthetic trophic pathways and chemosymbiotic specialists are excluded by competition. © SEPM (Society for Sedimentary Geology)

Echocardiography in patients with hypertrophic cardiomyopathy: usefulness of old and new techniques in the diagnosis and pathophysiological assessment

Hypertrophic cardiomyopathy (HCM) is one of the most common inherited cardiomyopathy. The identification of patients with HCM is sometimes still a challenge. Moreover, the pathophysiology of the disease is complex because of left ventricular hyper-contractile state, diastolic dysfunction, ischemia and obstruction which can be coexistent in the same patient. In this review, we discuss the current and emerging echocardiographic methodology that can help physicians in the correct diagnostic and pathophysiological assessment of patients with HCM

Percutaneous treatment of patients with heart diseases: selection, guidance and follow-up. A review

Aortic stenosis and mitral regurgitation, patent foramen ovale, interatrial septal defect, atrial fibrillation and perivalvular leak, are now amenable to percutaneous treatment. These percutaneous procedures require the use of Transthoracic (TTE), Transesophageal (TEE) and/or Intracardiac echocardiography (ICE). This paper provides an overview of the different percutaneous interventions, trying to provide a systematic and comprehensive approach for selection, guidance and follow-up of patients undergoing these procedures, illustrating the key role of 2D echocardiography

Aetiology and pathogenesis of hypertrophic cardiomyopathy

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