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. […]
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Arco Teske has contributed 33 entries to our website, so far.
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 […]
The following example shows the typical findings of left ventricular involvement in Arrhythmogenic Cardiomyopathy (AC), also known as Arrhythmogenic Right Ventricular Dysplasia / Cardiomyopathy (ARVD/C). The case features a 18 year old boy who recurrently collapsed playing field hockey. He was admitted with palpitations. The ECG showed a sustained ventricular tachycardia with a left bundle branch block (LBBB) […]
Case 2: Amlyloidosis with reduced LVEF Patient with progressive dyspnea complaints for almost 1 year. Admitted to our ward with severe heart failure (NYHA IV/IV). The findings on ultrasound were performed with the patient on dobutamine infusion. The ECG showed a sinus tachycardia with microvoltages of the QRS-complex. 2D assessment shows concentric LVH and a […]
Case: A 71-year old male who was known for several years with asymptomatic moderate concentric left ventricular hypertrophy and a paroxysmal 2nd degree Wenckebach AV-block. He developed heart failure / congestion due to atrial fibrillation with a total AV-block with a junctional rhythm of 45/min. He was admitted and recompensed. The echocardiogram and CMR were […]