We describe a rare case of Tako-Tsubo syndrome which occurred in a young woman at the beginning of pregnancy, who presented cardiac arrest at onset. In this case, the transient left ventricular ballooning involving both mid and apical segments, in absence of coronary artery disease, produced a severe impairment of cardiac function with typical echocardiographic and electrocardiographic findings...

A 68-year-old woman was admitted to our hospital due to sudden onset of dyspnea. On admission, electrocardiogram (ECG) showed T-wave inversion and QRS prolongation (120 msec) that were not found in her previous ECG. Chest X-ray showed pulmonary edema and cardiac enlargement. Left ventriculogram showed akinesis of the left ventricle except in the basal region. No significant coronary stenosis wa...

We appreciate the kind comments of Dr. SanchezGomar and colleagues about our meta-analysis of left atrial (LA) size in athletes (1) as well as their novel use of cardiac magnetic resonance to assess LA volume more accurately in older former elite endurance athletes. Their results suggest that LA size adjusted for body surface area is almost 50% (58 14 ml/m vs. 39 14 ml/m) greater in their athle...

Prolaps mitralnog zalistka (PMZ) predstavlja pomeranje jednog ili oba listića mitralnog zalistka u levu pretkomoru, iznad ravni mitralnog anulusa, tokom sistole, sa ili bez mitralne regurgitacije 1, . Zbog vrlo velikih varijacija u patološkim, kliničkim i ehokardiografskim manifestacijama, ovaj poremećaj izazvao je zbunjenost i brigu kako lekara, tako i bolesnika. Tokom poslednje dve decenije m...

To cite: Bayer S. BMJ Qual Saf 2014;23:353–355. Allocating resources to healthcare services is difficult and often contested—not least in the context of funding shortfalls and rises in demand. Tako and colleagues report on the use of simulation modelling to plan capacity investments in a service which is expecting a significant increase in demand. The obesity service in the English hospital the...