Imaging Cardiovascular Emergencies : Real World Clinical Cases - 08/06/20

Doi : 10.1016/j.hfc.2020.03.003

Ciro Mauro, MD ^a,^{^{1
Equally contributed.}}, Olga Vriz, MD ^b,^{^{1
Equally contributed.}}, Luigia Romano, MD ^c, Rodolfo Citro, MD, PhD ^d, Valentina Russo, MD ^e, Brigida Ranieri, PhD ^f, Bandar Alamro, MD ^b, Mohammed Aladmawi, MD ^b, Riccardo Granata, MD ^e, Domenico Galzerano, MD, FESC ^b, Michele Bellino, MD ^d, Rosangela Cocchia, MD ^g, Rahul M. Mehta, MD ^h, Santo Dellegrottaglie, MD, PhD ⁱ, Hani Alsergani, MD ^b, Rajendra H. Mehta, MD ^j,^{^{2
Equally contributed.}}, Eduardo Bossone, MD, PhD, FCCP, FESC, FACC ^g,^⁎,^{^{2
Equally contributed.}}
^a Cardiology Division, A Cardarelli Hospital, Via Cardarelli 9, Naples I-80131, Italy
^b Cardiology Department, Heart Centre, King Faisal Specialist Hospital & Research Centre, MBC-16, PO Box 3354, Riyadh 11211, Saudi Arabia
^c Department of General and Emergency Radiology, A Cardarelli Hospital, Via Cardarelli 9, Naples I-80131, Italy
^d Cardiology Unit, Cardiovascular and Thoracic Department, University Hospital “San Giovanni di Dio e Ruggi d'Aragona”, Largo Città d'Ippocrate, Salerno 84131, Italy
^e Department of Advanced Biomedical Sciences, Federico II University of Naples, Via Pansini 5, Naples I-80131, Italy
^f IRCCS SDN, Via Gianturco 113, Naples I-80142, Italy
^g Division of Cardiac Rehabilitation - Echo Lab, A Cardarelli Hospital, Naples, Italy
^h ProMedica Monroe Regional Hospital, 718 North Macomb Street, Monroe, MI 48162, USA
ⁱ Division of Cardiology, Clinica Villa dei Fiori, C.so Italia 157, 80011, Acerra, Naples, Italy
^j Duke Clinical Research Institute, Durham, 300 West Morgan Street, Durham, NC 27701, USA

^∗Corresponding author. Division of Cardiac Rehabilitation - Echo Lab, A Cardarelli Hospital, Via Cardarelli 9, Naples I-80131, ItalyDivision of Cardiac Rehabilitation - Echo LabA Cardarelli HospitalVia A. Cardarelli, 9NaplesI-80131Italy

Résumé

Cardiovascular emergencies represent life-threatening conditions requiring a high index of clinical suspicion. In an emergency scenario, a simple stepwise biomarker/imaging diagnostic algorithm may help prompt diagnosis and timely treatment along with related improved outcomes. This article describes several clinical cases of cardiovascular emergencies, such as coronary stent thrombosis-restenosis, takotsubo syndrome, acute myocarditis, massive pulmonary embolism, type A acute aortic dissection, cardiac tamponade, and endocarditis.

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Keywords : Cardiovascular emergencies, Biomarkers, Transthoracic echocardiography, Computed tomography, Magnetic resonance imaging

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Key points

Introduction

Biomarker-imaging algorithm strategy for cardiovascular emergencies

Specific cardiovascular emergencies

Acute Myocardial Infarction

Takotsubo Syndrome

Myocarditis

Acute Pulmonary Embolism

Acute Aortic Dissection

Cardiac Tamponade

Infective Endocarditis

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Vol 16 - N° 3

P. 331-346 - juillet 2020 Retour au numéro

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Imaging Cardiovascular Emergencies : Real World Clinical Cases - 08/06/20

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