Der Internist
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Case Reports
[Acute coronary lithotripsy in an 83-year-old man with syncope and acute coronary syndrome].
An 83-year-old male presented with syncope and acute coronary syndrome. An electrocardiogram (ECG) suggested left main (LM) coronary artery stenosis; angiography confirmed a heavily calcified tight LM stenosis. ⋯ Intravascular lithotripsy is a new and easily applicable method for heavily calcified coronary lesions. Cost-effectiveness and long-term results will define its future role.
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A 39-year-old male patient presented with dyspnea and palpitations. The electrocardiogram (ECG) showed a first degree atrioventricular (AV) block and frequent atrial extra systoles. ⋯ The serological proof of antibodies confirmed the diagnosis of Lyme carditis and antibiotic treatment with ceftriaxon i.v. was initiated. Normal AV conduction finally resumed and the symptoms subsided completely without any further clinical consequences.