Case: 55-year old male who was known for several years with asymptomatic concentric left ventricular hypertrophy. This condition was also known in his family, although no genetic testing was performed. He developed complaints of heart failure (NYHA functional class III/IV) for which he was admitted. The ECG showed a decrease in QRS voltage compared to […]
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Arco Teske has contributed 36 entries to our website, so far.
Case: 55-year old man was referred to our outpatient clinic for the endocrinology department. He is known with a neuro-endocrine tumor (NET) in his small intestine with known liver and lymph node metastases. He is currently treated with octreotide. A routine follow up PET-scan showed a “hot-spot” in the LV myocardium (scan shown below). He […]
Case: 50 year old man known at our institution since 2012. He initially presented with an out of hospital cardiac arrest based on ventricular fibrillation. Coronary angiography was completely normal and ultrasound showed a normal LV function with hypokinesia in the inferior wall. CMR at the time of presentation showed a focal epicardial spot of […]
Case: 33 year old man who presented with an ischemic stroke. There was a complete neurological recovery after thrombolysis. The ECG was abnormal with pathological Q-waves in the anterior lead and ST elevations. The echocardiographic examination is shown below. This shows clear wall motion abnormalities in the apex and midventricular region of the posterolateral wall. […]
Case 65-year old woman undergoing an urological surgical procedure (with an otherwise blank medical history) was found to have ECG abnormalities fitting left ventricular hypertrophy at pre-operative screening. She was sent to our outpatient clinic for pre-operative consultation. She has been free of any cardiac complaints. Physical examination was unremarkable (no signs of congestion, no […]
Case The following case demonstrates a patient with recurrent episodes of pericarditis. Deformation imaging reveals a potential early sign of constriction. A 50-year old man, known with recurrent pleuritis was sent to the outpatient clinic. The last episodes of his pleuritis were associated with pleural effusion and complaints fitting with a pericarditis. Initial echocardiographic examinations […]
Case The presented case involves a 68-year old woman with a blank medical history despite chronic back complaints. For this she was put on pain-killers. After the first dose she developed a severe allergic reaction for which intramuscular adrenaline was administered. Shortly afterwards she complained of chest discomfort. The ECG on the emergency room showed […]
Case The following case shows typical findings in hypertensive heart disease with a moderate reduction in longitudinal systolic strain in the basal septum 55-year old woman with long standing hypertension which was found on routine examination by the general physician. She was free from cardiac complaints and had no additional risk factors. Medical therapy (ACE […]
Case: The presented case demonstrates the typical findings in an endurance athlete. This is a 21 year old professional cyclists. He has a no medical history, trains approximately 28 hours per week, and participates in international competitions. The basic ultrasound shows typical remodeling of the heart with enlargement of all cardiac compartments. The LV mass is […]
Case: The following example shows the typical findings of RV deformation imaging in severe arrhythmogenic cardiomyopathy (or ARVC) The case features a 55-year-old male who was diagnosed with ARVC fifteen years ago. The genetic substrate was found to be a pathogenic desmosomal mutation (DSG2). His exercise tolerance is slowly decreasing over the last couple of […]