dyspnea

First, rule out cancer: giant lipoma

Lipomas, benign tumors of the adipose tissue, consist of adipocytes surrounded by a fibrous capsule, and they can arise in any region of the body. Depending on the anatomical site and dimensions, lipomas can alter movement, become inflamed, and induce lymphedema, pain, and compression syndrome Lipomas larger than 10 cm in maximum diameter or heavier than 1000 g are defined as “giant. Fluorescence in situ hybridization (FISH) can be useful in identifying liposarcomas. Amplification of MDM-2 and CDK4 genes strongly indicates this type of neoplasm.

Clinical outcomes in adult athletes with hypertrophic cardiomyopathy: A 7-year follow-up study

Objective Current guidelines recommend precautionary disqualification from competitive sports in patients with hypertrophic cardiomyopathy (HCM). We assessed the incidence of cardiovascular events in a cohort of patients with HCM engaged in long-term exercise programmes and competitive sport. Methods We reviewed data on 88 consecutive athletes diagnosed with HCM, from 1997 to 2017; 92 male, 98 Caucasian, median age 31 (IQR: 19-44) years. All participated in regular exercise programmes and competitive sport at study entry. We performed follow-up evaluation after 7±5 (1-21) years.

Bedside cardiac pocus in emergency setting: a practice review

Background: in the last years, ultrasound technology has entered in clinical practice as a tank and today, it has also allowed to no-cardiologists to extend and to deep their medical examination without the needing to call the consultant and having a good profile of diagnostic accuracy. The ultrasound bedside does not replace the consultant but it allows not to perform inappropriate consultations with more savings for hospitals.

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