Stone heart: An unusual case of heart failure with preserved ejection fraction due to massive myocardial calcification
We report an unusual case of heart failure due to massive myocardial calcification related to a rare combination of idiopathic mitral annular calcification, myocardial calcification of the left ventricular septum and the inferior wall without other predisposing factors, such as previous myocardial i...
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Veröffentlicht in: | Journal of cardiology cases 2021-04, Vol.23 (4), p.145-148 |
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creator | Lippolis, Antonio Buzzi, Maria Paola Romano, Ilaria Jane Dadone, Viola Gentile, Francesco |
description | We report an unusual case of heart failure due to massive myocardial calcification related to a rare combination of idiopathic mitral annular calcification, myocardial calcification of the left ventricular septum and the inferior wall without other predisposing factors, such as previous myocardial infarction, ventricular aneurysms, myocarditis, rheumatic heart disease, tuberculosis, chronic renal failure, or systemic metabolic disease (sarcoidosis or primary hyperoxaluria). The related restrictive pattern of diastolic filling of the left ventricle could explain this unusual case of heart failure with preserved ejection fraction. |
doi_str_mv | 10.1016/j.jccase.2020.10.013 |
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<Learning objective: The prevalence of heart failure with preserved ejection fraction has increased with an increasing prevalence of risk factors. For patients presenting with heart failure and normal left ventricular (LV) ejection fraction, many causes should be excluded. We make the argument that massive myocardial calcification related to a combination of idiopathic mitral annular calcification, myocardial calcification of the LV septum and the inferior wall without other predisposing factors may serve as an uncommon mechanism of heart failure with preserved ejection fraction.></description><identifier>ISSN: 1878-5409</identifier><identifier>EISSN: 1878-5409</identifier><identifier>DOI: 10.1016/j.jccase.2020.10.013</identifier><identifier>PMID: 33841589</identifier><language>eng</language><publisher>Japan: Elsevier Ltd</publisher><subject>Case Report ; Heart failure ; Massive myocardial calcification ; Mitral annular calcification ; Preserved ejection fraction</subject><ispartof>Journal of cardiology cases, 2021-04, Vol.23 (4), p.145-148</ispartof><rights>2020 Japanese College of Cardiology</rights><rights>2020 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.</rights><rights>2020 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved. 2020 Japanese College of Cardiology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3693-8fc14d31daec9185d7bd41841db61ab32fa309b747f5ef3522810ff99e218dc33</citedby><cites>FETCH-LOGICAL-c3693-8fc14d31daec9185d7bd41841db61ab32fa309b747f5ef3522810ff99e218dc33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8020043/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1878540920301407$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,3537,27903,27904,53769,53771,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33841589$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lippolis, Antonio</creatorcontrib><creatorcontrib>Buzzi, Maria Paola</creatorcontrib><creatorcontrib>Romano, Ilaria Jane</creatorcontrib><creatorcontrib>Dadone, Viola</creatorcontrib><creatorcontrib>Gentile, Francesco</creatorcontrib><title>Stone heart: An unusual case of heart failure with preserved ejection fraction due to massive myocardial calcification</title><title>Journal of cardiology cases</title><addtitle>J Cardiol Cases</addtitle><description>We report an unusual case of heart failure due to massive myocardial calcification related to a rare combination of idiopathic mitral annular calcification, myocardial calcification of the left ventricular septum and the inferior wall without other predisposing factors, such as previous myocardial infarction, ventricular aneurysms, myocarditis, rheumatic heart disease, tuberculosis, chronic renal failure, or systemic metabolic disease (sarcoidosis or primary hyperoxaluria). The related restrictive pattern of diastolic filling of the left ventricle could explain this unusual case of heart failure with preserved ejection fraction.
<Learning objective: The prevalence of heart failure with preserved ejection fraction has increased with an increasing prevalence of risk factors. For patients presenting with heart failure and normal left ventricular (LV) ejection fraction, many causes should be excluded. We make the argument that massive myocardial calcification related to a combination of idiopathic mitral annular calcification, myocardial calcification of the LV septum and the inferior wall without other predisposing factors may serve as an uncommon mechanism of heart failure with preserved ejection fraction.></description><subject>Case Report</subject><subject>Heart failure</subject><subject>Massive myocardial calcification</subject><subject>Mitral annular calcification</subject><subject>Preserved ejection fraction</subject><issn>1878-5409</issn><issn>1878-5409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9UctOwzAQtBCIVqV_gJB_oMGOk9bhgFRVvKRKHICz5dhr6iiNKzsJ6t-TECjlwl682t2ZXc8gdElJRAmdXxdRoZQMEMUk7ksRoewEjSlf8FmakOz0KB-haQgF6YLRhKf8HI0Y4wlNeTZG7UvtKsAbkL6-wcsKN1UTGlninh07M3SwkbZsPOAPW2_wzkMA34LGUICqrauw8XJIdAO4dngrQ7At4O3eKem1_SIslTVWyX7uAp0ZWQaYfr8T9HZ_97p6nK2fH55Wy_VMsXnGZtwommhGtQSVUZ7qRa4T2t2u8zmVOYuNZCTLF8nCpGBYGsecEmOyDGLKtWJsgm4H3l2Tb0ErqGovS7Hzdiv9Xjhpxd9OZTfi3bWCd7qSpCdIBgLlXQgezAFLieitEIUYrBC9FX21s6KDXR3vPYB-hP89DLrftxa8CMpCpUBb32kqtLP_b_gE-AufcQ</recordid><startdate>20210401</startdate><enddate>20210401</enddate><creator>Lippolis, Antonio</creator><creator>Buzzi, Maria Paola</creator><creator>Romano, Ilaria Jane</creator><creator>Dadone, Viola</creator><creator>Gentile, Francesco</creator><general>Elsevier Ltd</general><general>Japanese College of Cardiology</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>20210401</creationdate><title>Stone heart: An unusual case of heart failure with preserved ejection fraction due to massive myocardial calcification</title><author>Lippolis, Antonio ; Buzzi, Maria Paola ; Romano, Ilaria Jane ; Dadone, Viola ; Gentile, Francesco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3693-8fc14d31daec9185d7bd41841db61ab32fa309b747f5ef3522810ff99e218dc33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Case Report</topic><topic>Heart failure</topic><topic>Massive myocardial calcification</topic><topic>Mitral annular calcification</topic><topic>Preserved ejection fraction</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lippolis, Antonio</creatorcontrib><creatorcontrib>Buzzi, Maria Paola</creatorcontrib><creatorcontrib>Romano, Ilaria Jane</creatorcontrib><creatorcontrib>Dadone, Viola</creatorcontrib><creatorcontrib>Gentile, Francesco</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of cardiology cases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lippolis, Antonio</au><au>Buzzi, Maria Paola</au><au>Romano, Ilaria Jane</au><au>Dadone, Viola</au><au>Gentile, Francesco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stone heart: An unusual case of heart failure with preserved ejection fraction due to massive myocardial calcification</atitle><jtitle>Journal of cardiology cases</jtitle><addtitle>J Cardiol Cases</addtitle><date>2021-04-01</date><risdate>2021</risdate><volume>23</volume><issue>4</issue><spage>145</spage><epage>148</epage><pages>145-148</pages><issn>1878-5409</issn><eissn>1878-5409</eissn><abstract>We report an unusual case of heart failure due to massive myocardial calcification related to a rare combination of idiopathic mitral annular calcification, myocardial calcification of the left ventricular septum and the inferior wall without other predisposing factors, such as previous myocardial infarction, ventricular aneurysms, myocarditis, rheumatic heart disease, tuberculosis, chronic renal failure, or systemic metabolic disease (sarcoidosis or primary hyperoxaluria). The related restrictive pattern of diastolic filling of the left ventricle could explain this unusual case of heart failure with preserved ejection fraction.
<Learning objective: The prevalence of heart failure with preserved ejection fraction has increased with an increasing prevalence of risk factors. For patients presenting with heart failure and normal left ventricular (LV) ejection fraction, many causes should be excluded. We make the argument that massive myocardial calcification related to a combination of idiopathic mitral annular calcification, myocardial calcification of the LV septum and the inferior wall without other predisposing factors may serve as an uncommon mechanism of heart failure with preserved ejection fraction.></abstract><cop>Japan</cop><pub>Elsevier Ltd</pub><pmid>33841589</pmid><doi>10.1016/j.jccase.2020.10.013</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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source | Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
subjects | Case Report Heart failure Massive myocardial calcification Mitral annular calcification Preserved ejection fraction |
title | Stone heart: An unusual case of heart failure with preserved ejection fraction due to massive myocardial calcification |
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