The silent giant

NMR spectroscopy: Chemistry awakens a silent giant.

[Giant left ventricular pseudoaneurysm: a silent catastrophe].

s c estável em classe NYHA II até ao 10.◦ mês de seguimento após internamento, tendo posteriormente abandonado a consulta. Os pseudoaneurismas são uma complicação grave do enfarte do miocárdio, podendo, contudo, desenvolver-se de forma assintomática e ser documentados de forma fortuita em doentes com eventos subclínicos prévios. As imagens apresentadas são de um homem de 62 anos, fumador, sem a...

Giant and electrically silent right atrium.

hemodynamics to detect subclinical myocardial disease in type 2 diabetes mellitus. Am J Cardiol 2011;107:615–21. 22. Boudina S, Sena S, O’Neil BT, Tathireddy P, Young ME, Abel ED. Reduced mitochondrial oxidative capacity and increased mitochondrial uncoupling impair myocardial energetics in obesity. Circulation 2005;112:2686–95. 23. How OJ, Aasum E, Severson DL, Chan WY, Essop MF, Larsen TS. In...

Phosphate: the Silent Challenge

Phosphorus (P) is one of the most vital elements for all living organisms which acts as aconstituent of essential biomolecules such as nucleic acids, phospholipids, and phosphosugars,and as a major contributor to almost all metabolic reactions including photosynthesis,respiration, and energy delivery. It is one of the most needed nutrients for plant growth anddevelopment. Despite high levels of...

The Silent Giant- Kawasaki Disease Presenting with Sudden Cardiac Arrest

A previously healthy 9 month old boy suffered an acute cardiac arrest at home after a few hours of irritability and inconsolability. His mother called 911 and initiated cardiopulmonary resuscitation (CPR). She continued CPR for 8-10 minutes until paramedics arrived. His initial rhythm was asystole. An intraosseous line was placed and 5 doses of epinephrine administered. Simultaneously, his trac...