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A Policeman with Ventricular Bigeminy

Acute Echo Challenge Season 2 - Episode 2

26/01/2022 19:00 26/01/2022 Europe/Paris A Policeman with Ventricular Bigeminy DD/MM/YYYY


The role and value of cardiac imaging in real clinical context.

The Challengee: Dr. Valentino Dammassa, Italy

I was delighted to be guided by Professor Neskovic throughout the diagnosis of this challenging clinical case. Working mainly in acute cardiovascular care, I have never encountered a ... (sorry but I can not tell you the diagnosis) and it was quite difficult to spot all the related echocardiographic findings. Now, those signs are stuck in my memory: hopefully, I will not miss this diagnosis in real-life clinical practice.

The case

  • Male, police officer, 48 years old
  • August 2021: regular professional check/up, symptom free
  • CAD RFs: smoker, hypertension, hypercholesterolaemia
  • ECG: sinus rhythm, ventricular bigeminy
  • 24h Holter ECG: 8200 VPBs, multifocal
  • Scheduled for elective coronary angiography