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Transcatheter mitral valve implantation (TMVI) is used for treating severe mitral valve regurgitation in patients deemed unsuitable for open-heart surgery. However, delays between preoperative workup and therapy can lead to changes in the clinical condition and structural valve findings, necessitating a meticulous reevaluation of diagnostic and therapeutic options.
Severin Urech a été nommé médecin-chef en anesthésie et médecine intensive à l’Hôpital de Männedorf début août. Il rejoint ainsi la direction de l’établissement. Médecin expérimenté, il s’est imposé grâce à ses qualités professionnelles et humaines, comme l’indique un communiqué de Spital Männedorf AG.
Vor einigen Jahren wurde meine damalige Klinik am Inselspital von einer deutschen Beratungs-Unternehmung durchleuchtet. Dem Unternehmen, das wenig Erfahrungen im Gesundheitswesen nachzuweisen hatte, musste in einer ersten Stufe unter anderem erklärt werden, was die genauen Unterschiede zwischen Kardiologie und Herzchirurgie sind.
Despite an extensive body of literature, there are still many gaps in the evidence surrounding the lifetime management of aortic stenosis (AS) and upstream interventions to prevent or slow down the progression of the disease are yet to be developed.
Takotsubo cardiomyopathy is a type of stress cardiomyopathy that is usually seen in postmenopausal patients and can be triggered by emotional stress, hypoglycemia, hypothyroidism, and surgery. A patient post cardiac surgery can present with multiple complications causing hemodynamic compromise. Hence, takotsubo cardiomyopathy remains a diagnostic dilemma. Here, we present an interesting electrocardiogram (ECG) of the same condition in a patient after mitral valve replacement with normal patent coronaries but presenting with anterolateral massive infarction with shark fin pattern in the ECG.
In this issue of Cardiovascular Medicine, Bashir Alaour and Thomas Pilgrim take on the demanding task of summarizing the challenges involved in the management of patients with aortic stenosis over the course of their lives. In their engaging review, the authors emphasize the importance of a patient-tailored approach in the lifetime management of aortic stenosis. As a result, it is essential that not only interventional cardiologists and surgeons but also resident cardiologists and general practitioners are involved in finding the best management for each individual patient, from the diagnosis to intervention and any potential re-intervention.
