Abstract Background: Triple rule-out (TRO) computed tomography angiography (CTA) is an ECG-gated protocol that enables the simultaneous evaluation of the coronary arteries, thoracic aorta, and pulmonary arteries in a single scan. It is especially useful for patients in the emergency department with low to moderate risk of acute coronary syndrome, particularly when aortic dissection and pulmonary embolism are also considered in the differential diagnosis. Objective: This study aimed to compare two TRO protocols, fully electrocardiogram (ECG)-gated (protocol A) and partially […]

Abstract Sarcoidosis is a multisystemic granulomatous disease of unknown etiology, characterized by the formation of non-caseating granulomas in multiple organs. Cardiac involvement, an important cause of morbidity and mortality in these patients, has been generating interest in cardiology, because it is a cause of heart failure, atrioventricular blocks, and ventricular arrhythmias with unfavorable prognosis; however, there are specific treatments with the potential to change the natural history of this condition. The main challenge of cardiac sarcoidosis (CS) is diagnosis, given […]

ABSTRACT We report the case of a young patient admitted to the emergency room with precordial pain. Admission electrocardiogram identified ST-segment elevation located on the side wall associated with “mirror” image, with highly elevated cardiac enzymes, suggesting a diagnosis of coronary syndrome with ST-segment elevation. Echocardiogram revealed pericardial effusion with preserved ejection fraction and absence of segmental abnormalities, thus suggesting acute pericarditis with myocardial involvement. Cardiac magnetic resonance was performed, showing non-ischemic late enhancement, confirming the diagnosis of perimiocarditis. This […]

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Abstract Introduction Pulmonary hypertension is potentially fatal and courses with important day-to-day limitation. While the treatment is capable of slowing the disease’s progression, increase in life expectancy is directly linked to early diagnosis and treatment. Objectives To analyze the relation between alterations detectable on routine exams performed on pulmonary hypertension patients (echocardiography, electrocardiography and computerized tomography) and increases on pulmonary artery systolic pressure. Methods We analyzed the recordings of patients presented with pulmonary hypertension, and separated them in two groups […]

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