J. H. Larsen, M. Poulsen, K. Oevrehus, Michael Maiborg
Platypnea-Orthodeoxia Syndrome (POS) is a rare condition characterized by dyspnoea and hypoxia in upright position and symptom relief in supine position. The etiology is multifactorial depending on an interatrial defect and a functional component, which increases the right-to-left shunting in upright position. We report the case of a 68-years-old woman known with hypertension, dilated ascending aorta, two minor strokes and one episode of transient ischemic attack, admitted with severe dyspnoea and desaturation to 71% without oxygen supply. The patient experienced worsening of symptoms in vertical position and relief when lying down. Initially, pulmonary embolism was suspected, but refuted by computed tomography and ventilation/perfusion scintigraphy. The scintigraphy demonstrated tracer activity in multiple organs, which indicated a right-to-left shunt. Transesophageal echocardiogram (TEE) demonstrated a patent foramen ovale and a persisting eustachian valve resulting in right-to-left shunting, consistent with POS. Right heart catherization demonstrated normal pulmonary artery pressure of 12 mmHg ruling out pulmonary hypertension before the patient underwent PFO occlusion and gained full recovery. When POS is suspected, postural provocation should be considered when performing TEE and right heart catherization to demonstrate worsening of right-to-left shunting in upright position. In the cardiology emergency departments, POS is a rare but important differential diagnosis to pulmonary embolism.
{"title":"Platypnea-Orthodeoxia Syndrome in patient with patent foramen ovale, dilated ascending aorta and persisting eustachian valve: A case report","authors":"J. H. Larsen, M. Poulsen, K. Oevrehus, Michael Maiborg","doi":"10.15761/jccr.1000164","DOIUrl":"https://doi.org/10.15761/jccr.1000164","url":null,"abstract":"Platypnea-Orthodeoxia Syndrome (POS) is a rare condition characterized by dyspnoea and hypoxia in upright position and symptom relief in supine position. The etiology is multifactorial depending on an interatrial defect and a functional component, which increases the right-to-left shunting in upright position. We report the case of a 68-years-old woman known with hypertension, dilated ascending aorta, two minor strokes and one episode of transient ischemic attack, admitted with severe dyspnoea and desaturation to 71% without oxygen supply. The patient experienced worsening of symptoms in vertical position and relief when lying down. Initially, pulmonary embolism was suspected, but refuted by computed tomography and ventilation/perfusion scintigraphy. The scintigraphy demonstrated tracer activity in multiple organs, which indicated a right-to-left shunt. Transesophageal echocardiogram (TEE) demonstrated a patent foramen ovale and a persisting eustachian valve resulting in right-to-left shunting, consistent with POS. Right heart catherization demonstrated normal pulmonary artery pressure of 12 mmHg ruling out pulmonary hypertension before the patient underwent PFO occlusion and gained full recovery. When POS is suspected, postural provocation should be considered when performing TEE and right heart catherization to demonstrate worsening of right-to-left shunting in upright position. In the cardiology emergency departments, POS is a rare but important differential diagnosis to pulmonary embolism.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67483033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
María Fernanda Ochoa-Ariza, Jorge Luis Trejos-Caballero, Cristian Mauricio Parra-Gelves, Marly Esperanza Camargo-Lozada, Marlon Adrián Laguado-Nieto
Introduction: Pneumomediastinum is defined as the presence of air in the mediastinal cavity. This is a rare disease caused by surgical procedures, trauma or spontaneous scape of air from the lungs; asthma is a frequently associated factor. It has extensive differential diagnoses due to its symptoms and clinical signs. Case presentation: A 17-year-old female patient presented with respiratory symptoms for 2 days, dyspnea, chest pain radiated to the neck and shoulders, right supraclavicular subcutaneous emphysema, wheezing in both lung fields, tachycardia and tachypnea. On admission, laboratory tests revealed leukocytosis and neutrophilia, and chest X-ray showed subcutaneous emphysema in the right supraclavicular region. Diagnosis of pneumomediastinum was confirmed through a CT scan of the chest. The patient was admitted for treatment with satisfactory evolution. Discussion: Pneumomediastinum occurs mainly in young patients with asthma, and is associated with its exacerbation. This condition can cause other complications such as pneumopericardium, as in this case. The course of the disease is usually benign and has a good prognosis. Conclusion: Because of its presentation, pneumomediastinum requires clinical suspicion to guide the diagnosis and treatment. In this context, imaging is fundamental.
{"title":"Pneumomediastinum and pneumopericardium in an adolescent with asthma attacks. Case report","authors":"María Fernanda Ochoa-Ariza, Jorge Luis Trejos-Caballero, Cristian Mauricio Parra-Gelves, Marly Esperanza Camargo-Lozada, Marlon Adrián Laguado-Nieto","doi":"10.15446/cr.v6n1.81485","DOIUrl":"https://doi.org/10.15446/cr.v6n1.81485","url":null,"abstract":"Introduction: Pneumomediastinum is defined as the presence of air in the mediastinal cavity. This is a rare disease caused by surgical procedures, trauma or spontaneous scape of air from the lungs; asthma is a frequently associated factor. It has extensive differential diagnoses due to its symptoms and clinical signs. Case presentation: A 17-year-old female patient presented with respiratory symptoms for 2 days, dyspnea, chest pain radiated to the neck and shoulders, right supraclavicular subcutaneous emphysema, wheezing in both lung fields, tachycardia and tachypnea. On admission, laboratory tests revealed leukocytosis and neutrophilia, and chest X-ray showed subcutaneous emphysema in the right supraclavicular region. Diagnosis of pneumomediastinum was confirmed through a CT scan of the chest. The patient was admitted for treatment with satisfactory evolution. Discussion: Pneumomediastinum occurs mainly in young patients with asthma, and is associated with its exacerbation. This condition can cause other complications such as pneumopericardium, as in this case. The course of the disease is usually benign and has a good prognosis. Conclusion: Because of its presentation, pneumomediastinum requires clinical suspicion to guide the diagnosis and treatment. In this context, imaging is fundamental.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":"41 1","pages":"63-69"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85540792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Rifampin is a cornerstone for the first phase of the treatment of pulmonary tuberculosis. This report presents the case of a patient with allergic tubulointerstitial nephritis (ATIN) due to rifampin, situation that has not been reported in Colombia. Case presentation: A male patient with a history of pulmonary tuberculosis treated with rifampin developed acute kidney injury. On admission, no evidence of abnormalities or history to explain the injury was found, but he did present tubular acidosis and associated Fanconi syndrome. The kidney injury was temporarily consistent with rifampicin use, and a kidney biopsy confirmed ATIN. The drug was suspended, resulting in improved kidney function. Discussion: ATIN as a side effect of rifampin is a scarcely reported disease. The risk of developing this condition should be considered when starting and restarting treatments with this medication. Conclusion: ATIN is one of the side effects of tuberculosis treatment. Albeit rare, it should be considered when starting tuberculosis medications.
{"title":"Acute tubulointerstitial nephritis due to the use of rifampicin. Case report","authors":"J. C. Motta, C. Rodríguez, C. Cortés, J. Escobar","doi":"10.15446/cr.v6n1.80443","DOIUrl":"https://doi.org/10.15446/cr.v6n1.80443","url":null,"abstract":"Introduction: Rifampin is a cornerstone for the first phase of the treatment of pulmonary tuberculosis. This report presents the case of a patient with allergic tubulointerstitial nephritis (ATIN) due to rifampin, situation that has not been reported in Colombia. Case presentation: A male patient with a history of pulmonary tuberculosis treated with rifampin developed acute kidney injury. On admission, no evidence of abnormalities or history to explain the injury was found, but he did present tubular acidosis and associated Fanconi syndrome. The kidney injury was temporarily consistent with rifampicin use, and a kidney biopsy confirmed ATIN. The drug was suspended, resulting in improved kidney function. Discussion: ATIN as a side effect of rifampin is a scarcely reported disease. The risk of developing this condition should be considered when starting and restarting treatments with this medication. Conclusion: ATIN is one of the side effects of tuberculosis treatment. Albeit rare, it should be considered when starting tuberculosis medications.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":"72 1","pages":"44-51"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80886712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The position and stability of left ventricular (LV) lead is important in determining the success of Cardiac Resynchronization Therapy (CRT). Lead dislodgement is a common problem accounting for up to 2 to 12% of cases. We report a case of successful implantation of LV lead by jailing the lead with stent implantation in the coronary sinus. *Correspondence to: Parag Barwad, Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education & Research, Chandigarh-160012, India, Tel: +91 8968732470, E-mail: paragaims@gmail.com
{"title":"Coronary sinus stenting for stabilizing a difficult quadripolar left ventricular lead","authors":"P. Barwad, K. S. Vemuri, C. Pruthvi, Jyothi Vijay","doi":"10.15761/JCCR.1000137","DOIUrl":"https://doi.org/10.15761/JCCR.1000137","url":null,"abstract":"The position and stability of left ventricular (LV) lead is important in determining the success of Cardiac Resynchronization Therapy (CRT). Lead dislodgement is a common problem accounting for up to 2 to 12% of cases. We report a case of successful implantation of LV lead by jailing the lead with stent implantation in the coronary sinus. *Correspondence to: Parag Barwad, Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education & Research, Chandigarh-160012, India, Tel: +91 8968732470, E-mail: paragaims@gmail.com","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67481629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Very unusual giant pseudoaneurysm from insertion site of modified blalock-taussig shunt diagnosed by cardiac computed tomography: A case report","authors":"S. John, Nitin A. Wadhwa, D. Adebo","doi":"10.15761/jccr.1000150","DOIUrl":"https://doi.org/10.15761/jccr.1000150","url":null,"abstract":"","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67482357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The author’s contributions with regard to defects in the atrial septum, namely, secundum atrial septal defects (ASDs) and patent foramen ovlae (PFO) will be reviewed. Successful closure with the buttoned device with excellent immediate and follow-up results was demonstrated in patients with 1. ostium secundum ASDs, 2. patent foramen ovale (PFO) presumed to be the seat of paradoxical embolism, 3. residual ASDs/PFOs with right-to-left shunt following prior cardiac surgery, and 4. ASDs/ PFOs resulting in platypnea-orthodeoxia syndrome. Also reviewed was why, when and how should ASDs be closed in adults. Since the buttoned device is no longer available for clinical use, now the author utilizes other devices, namely, Amplatzer and Gore Septal occluders instead.
{"title":"Literature contributions of a paediatric cardiologist to adult congenital heart disease - Part I","authors":"P. Rao","doi":"10.15761/JCCR.1000143","DOIUrl":"https://doi.org/10.15761/JCCR.1000143","url":null,"abstract":"The author’s contributions with regard to defects in the atrial septum, namely, secundum atrial septal defects (ASDs) and patent foramen ovlae (PFO) will be reviewed. Successful closure with the buttoned device with excellent immediate and follow-up results was demonstrated in patients with 1. ostium secundum ASDs, 2. patent foramen ovale (PFO) presumed to be the seat of paradoxical embolism, 3. residual ASDs/PFOs with right-to-left shunt following prior cardiac surgery, and 4. ASDs/ PFOs resulting in platypnea-orthodeoxia syndrome. Also reviewed was why, when and how should ASDs be closed in adults. Since the buttoned device is no longer available for clinical use, now the author utilizes other devices, namely, Amplatzer and Gore Septal occluders instead.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67482386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PPCM is defined as the development of heart failure during or immediately after pregnancy. Officially, heart failure in this setting is defined as left ventricular ejection fraction (LVEF) of 45% or less [1-3]. However, that level does not define those who are identified earlier and their LVEF may be greater than 45%. In addition, LVEF impairment only describes systolic dysfunction heart failure; and PPCM also involves diastolic dysfunction heart failure-with or without preserved LVEF. Hence, newer definitions must include both systolic and diastolic dysfunction. Similar signs and symptoms may be seen with either and the treatment is also similar [1-5]. It helps in assessing both risks for development of PPCM and existence of early pregnancyassociated cardiomyopathy (PAC) to do blood testing that includes B-type Natriuretic Peptide (BNP), soluble fms-like tyrosine kinase (sFLT1) and Placental Growth Factor (PGF) [6].
{"title":"Peripartum cardiomyopathy (PPCM), 2021: dialogue with PPCM mothers","authors":"J. Fett","doi":"10.15761/jccr.1000162","DOIUrl":"https://doi.org/10.15761/jccr.1000162","url":null,"abstract":"PPCM is defined as the development of heart failure during or immediately after pregnancy. Officially, heart failure in this setting is defined as left ventricular ejection fraction (LVEF) of 45% or less [1-3]. However, that level does not define those who are identified earlier and their LVEF may be greater than 45%. In addition, LVEF impairment only describes systolic dysfunction heart failure; and PPCM also involves diastolic dysfunction heart failure-with or without preserved LVEF. Hence, newer definitions must include both systolic and diastolic dysfunction. Similar signs and symptoms may be seen with either and the treatment is also similar [1-5]. It helps in assessing both risks for development of PPCM and existence of early pregnancyassociated cardiomyopathy (PAC) to do blood testing that includes B-type Natriuretic Peptide (BNP), soluble fms-like tyrosine kinase (sFLT1) and Placental Growth Factor (PGF) [6].","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67482732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rhabdomyomas are the most common cardiac tumours and are easily diagnosed by echocardiography. Heart failure and arrhythmias are two major complications of rhabdomyomas in foetal life and in newborns. We report the case of an apparently healthy male newborn with sporadic ventricular premature beats. The echocardiographic evaluation performed at birth showed multiple rhabdomyomas with a significant obstruction of the left and right ventricular outflow tracts. During the follow-up, we observed absence of neurological problems, no signs of heart failure, and normalization of the arrhythmic burden. Serial echocardiographic evaluation showed a reduction of the size and number of rhabdomyomas. The subsequent 14-year follow-up was completely uneventful. In conclusion, owing to the favourable natural history of rhabdomyomas, most patients can be managed conservatively.
{"title":"Favourable natural history of multiple obstructive rhabdomyomas in a newborn","authors":"M. D'alto, P. Argiento, E. Romeo, Maria G Russo","doi":"10.15761/jccr.1000151","DOIUrl":"https://doi.org/10.15761/jccr.1000151","url":null,"abstract":"Rhabdomyomas are the most common cardiac tumours and are easily diagnosed by echocardiography. Heart failure and arrhythmias are two major complications of rhabdomyomas in foetal life and in newborns. We report the case of an apparently healthy male newborn with sporadic ventricular premature beats. The echocardiographic evaluation performed at birth showed multiple rhabdomyomas with a significant obstruction of the left and right ventricular outflow tracts. During the follow-up, we observed absence of neurological problems, no signs of heart failure, and normalization of the arrhythmic burden. Serial echocardiographic evaluation showed a reduction of the size and number of rhabdomyomas. The subsequent 14-year follow-up was completely uneventful. In conclusion, owing to the favourable natural history of rhabdomyomas, most patients can be managed conservatively.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67482841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Recurrent falls are a usual problema in older patients. It is therefore important to learn how to differentiate a pathological or syncopal episode from a simple stumbling fall, especially in patients who have limitations for communicating clearly and are poorly understood, in general terms, during the medical consultation. Implantable loop recorders (ILR) have been used as an investigation tool in selected cases of recurrent falls in older patients. Consequently, this case report aims to describe its usefulness in this type of patients. Case presentation: An 87-year-old female patient, hypertensive, with a history of recent stroke and frequent falls —referred to as stumbling—, received an implantable loop recorder due to atrial fibrillation. During one follow-up appointment, a 36-second pause related to a fall was documented, so a bicameral pacemaker was implanted. Conclusions: Evaluating repeated falls in older patients is complex; it must be done in detail to rule out syncopal episodes. Implantable devices to diagnose arrhythmic causes are useful and allow achieving accurate diagnoses and establish specific behaviors aimed at improving the quality of life of patients.
{"title":"Asystole in an older patient with recurrent falls. Case report","authors":"William-Fernando Bautista-Vargas","doi":"10.15446/cr.v6n1.82558","DOIUrl":"https://doi.org/10.15446/cr.v6n1.82558","url":null,"abstract":"Introduction: Recurrent falls are a usual problema in older patients. It is therefore important to learn how to differentiate a pathological or syncopal episode from a simple stumbling fall, especially in patients who have limitations for communicating clearly and are poorly understood, in general terms, during the medical consultation. Implantable loop recorders (ILR) have been used as an investigation tool in selected cases of recurrent falls in older patients. Consequently, this case report aims to describe its usefulness in this type of patients. Case presentation: An 87-year-old female patient, hypertensive, with a history of recent stroke and frequent falls —referred to as stumbling—, received an implantable loop recorder due to atrial fibrillation. During one follow-up appointment, a 36-second pause related to a fall was documented, so a bicameral pacemaker was implanted. Conclusions: Evaluating repeated falls in older patients is complex; it must be done in detail to rule out syncopal episodes. Implantable devices to diagnose arrhythmic causes are useful and allow achieving accurate diagnoses and establish specific behaviors aimed at improving the quality of life of patients.","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":"13 1","pages":"77-83"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74234083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Berkovitch, Y. Wasserstrum, H. Mayan, O. Vatury, E. Maor, A. Segev, S. Matetzky
Cardiac involvement is one of the extra-pulmonary presentations of COVID19. We describe a patient with COVID19 who had a devastating cardiac involvement without any pulmonary presentation. The cardiac presentations of COVID19 are myocardial injury, fulminant myocarditis, and myocardial infarction. Pulmonary involvement does not always appear, and clinical deterioration is unexpected. *Correspondence to: Anat Berkovitch, Division of Cardiology, Chaim Sheba Medical Center, Tel Hashomer 52621, Israel, Tel +972-54-5746277, E-mail: anat. berko@gmail.com
{"title":"Fulminant myocarditis mimicking acute myocardial infarction in a 50 years old female patient with COVID19 proven infection","authors":"A. Berkovitch, Y. Wasserstrum, H. Mayan, O. Vatury, E. Maor, A. Segev, S. Matetzky","doi":"10.15761/jccr.1000148","DOIUrl":"https://doi.org/10.15761/jccr.1000148","url":null,"abstract":"Cardiac involvement is one of the extra-pulmonary presentations of COVID19. We describe a patient with COVID19 who had a devastating cardiac involvement without any pulmonary presentation. The cardiac presentations of COVID19 are myocardial injury, fulminant myocarditis, and myocardial infarction. Pulmonary involvement does not always appear, and clinical deterioration is unexpected. *Correspondence to: Anat Berkovitch, Division of Cardiology, Chaim Sheba Medical Center, Tel Hashomer 52621, Israel, Tel +972-54-5746277, E-mail: anat. berko@gmail.com","PeriodicalId":73637,"journal":{"name":"Journal of cardiology case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67482231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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