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EHJ-ACVC - Spot the Diagnosis section

A picture is worth a thousand words…



The editorial team of the European Heart Journal – Acute Cardiovascular Care is aiming to take this classic quote literally (although we can only offer 500 words), with the announcement of a new feature for the journal: ‘SPOT the DIAGNOSIS’.

In this new section beginning in September 2021, authors are invited to publish an educational image on acute cardiovascular care, which will serve as the journal's front page, accompanied by a short description published inside.

Priority is granted to images that either provide a classic educational message or have a truly unique appearance. Although the nature of the image may vary from a clinical sign, emergency care situation, monitoring interface, electrocardiogram, or medical imaging result, only topics of interest to cardiac or intensive care are considered.

 

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Spot the Diagnosis November 2024 Challenge

Spot Diagnosis Nov 24.PNG

A 44-year-old man with a history of hypertension and smoking arrived at the emergency department with a 2-day history of oppressive chest pain associated with diaphoresis and nausea. Physical examination revealed high blood pressure (170/100 mmHg) and no signs of heart failure. Serial 12-lead electrocardiogram showed dynamic changes of T wave in V5 and V6, and high-sensitivity cardiac troponin levels were increased (443 ng/mL). Point-of-care ultrasound (POCUS) was performed at the bedside showing the following findings:
What is the likely aetiology of this patient’s chief complaint?


a.    Coronary sinus calcification
b.    Retroaortic coronary artery
c.    Septal communication
d.    Intra-myocardial dissection

Read the Answer 

For more updates and new groundbreaking science in area of #cvacute follow us on social media #EHJACVC @EHJACVCEiC.

Spot the Diagnosis October 2024 Challenge

October new #SpotTheDiagnosis challenge

October SPOT.jpeg

What is the cause of refractory hypoxaemia in this patient?

  • Pulmonary embolism
  • Right to left shunt
  • Pulmonary oedema
  • Pneumothorax

The answer will be published on our official X account - stay tuned.

For more updates and new groundbreaking science in area of #cvacute follow us on social media #EHJACVC @EHJACVCEiC.

Spot the Diagnosis September 2024 Challenge 

ECG spot the diagnosis Sept 2024.png

What is the most appropriate next step besides continuation of antibiotic treatment?

  1. Transoesophageal echocardiography
  2. Lead extraction
  3. CT scan of the thorax
  4. Watchful waiting

The answer will be published on our official X account - stay tuned.

For more updates and new groundbreaking science in area of #cvacute follow us on Social Media #EHJACVC @EHJACVCEiC

Why and how to submit in this section

By Frederik H Verbrugge, Deputy Editor EHJ-ACVC

Find out more

View the latest articles: Question & Answer

SPOT the DIAGNOSIS question

SPOT the DIAGNOSIS answer

Submission link

General instructions