- Presumed left atrial myxoma presenting with seizures, massive stroke, and systemic embolization in an adolescent: a case report. [Journal Article]Int J Emerg Med. 2026 Sep 09; 19(1).IJ
- CONCLUSIONS: A cardiac source of embolism, including a left atrial mass highly suggestive of myxoma, should be considered in pediatric patients presenting with acute neurological deficits, particularly when accompanied by systemic embolic phenomena or unexplained cardiopulmonary symptoms. Early echocardiographic evaluation is critical for timely recognition and appropriate clinical decision-making. In the absence of surgical excision and histopathological confirmation, the diagnosis should remain presumptive. Delayed recognition may result in catastrophic neurological and systemic complications and may preclude definitive diagnosis and surgical management.
- Publisher Full Text (DOI)
- Unexplained Syncope in Patients With Congenital Long QT Syndrome - Role of Implantable Loop Recorders in Diagnostic Evaluation. [Journal Article]Circ J. 2026 Sep 08. [Online ahead of print]CJ
- CONCLUSIONS: Syncope in patients with LQTS is not always attributable to TdP, and non-arrhythmic causes should be considered. Although ILRs may aid in diagnostic evaluation, careful risk stratification remains essential in patients with suspected arrhythmic syncope.
- Publisher Full Text (DOI)
- A 40-Year-Old Woman With Exertional Dyspnea and Unexplained Hypoxia. [Case Reports]Chest. 2026 Sep; 170(3):e91-e95.Chest
- A 40-year-old woman presented with a 3-week history of progressive exertional dyspnea. She had previously been active, but her symptoms progressed to the point where she was short of breath with walking. Her oxygen level was 90% at rest and decreased to 70% to 80% after exertion. The patient denied fever, cough, sputum production, edema, syncope, or other clinically remarkable symptoms. No signif…
- Publisher Full Text (DOI)
- Association between state-level syncope driving policies and motor vehicle crash rates in the United States. [Journal Article]Traffic Inj Prev. 2026 Sep 09; :1-8. [Online ahead of print]TI
- CONCLUSIONS: Mandatory physician reporting was consistently associated with lower older-driver crash rates across primary and sensitivity analyses. Longer minimum restriction duration showed a supportive but model-dependent association. These findings suggest that an organized reporting and medical-review pathway may be more consequential than restriction duration alone, but the ecological design does not establish causality or individual driving risk.
- Publisher Full Text (DOI)
- Tilt Table Testing in Paediatric Orthostatic Intolerance: Is 10 Min Long Enough? [Journal Article]J Paediatr Child Health. 2026 Sep 09. [Online ahead of print]JP
- CONCLUSIONS: In paediatric COI, a 10-min HUTT may be insufficient to detect diagnostically relevant haemodynamic responses. These findings suggest that future studies of paediatric COI may need to consider orthostatic testing protocols with a minimum duration of 20 min to optimise diagnostic yield.
- Publisher Full Text (DOI)
- Long intramural left coronary artery confined to the left sinus of Valsalva with diastolic deformation: a case report. [Case Reports]Eur Heart J Case Rep. 2026 Sep; 10(9):ytag661.EH
- CONCLUSIONS: This report describes a rare variant of AAOCA characterized by a long intramural course confined to the left sinus of Valsalva without an interarterial course. Despite the absence of a typical malignant course, the patient had symptoms suggestive of myocardial ischaemia. Multimodality imaging played a key role in diagnosis and surgical planning, while IVUS provided complementary structural and dynamic information by demonstrating luminal changes. Surgical unroofing may therefore be considered for symptomatic paediatric patients with a substantial intramural segment even without an interarterial course.
- PMC Free PDF
- Vagal activity related events and glucagon-like peptide-1 receptor agonists. [Journal Article]Eur Heart J Cardiovasc Pharmacother. 2026 Sep 08. [Online ahead of print]EH
- CONCLUSIONS: In nationwide cohorts of patients treated for T2DM or obesity, initiation of GLP-1 RA was not associated with an elevated risk of VAR events. Despite a proposed argumentation of vagal activity, GLP-1 RA use was not associated with an increased risk in real-life users.
- Publisher Full Text (DOI)
- Programmed ventricular stimulation for risk stratification in symptomatic athletes with nonischemic left ventricular scar and preserved ejection fraction. [Journal Article]Europace. 2026 Sep 02; 28(9).E
- CONCLUSIONS: In symptomatic athletes with non-ischaemic LV scar and preserved LVEF, inducibility at EPS identifies a subgroup at higher risk of MAE, whereas non-inducibility is associated with a low event rate. EPS may represent a useful adjunctive tool for arrhythmic risk stratification in athletes, particularly in those without conventional high-risk features.
- Publisher Full Text (DOI)
- Prevalence and associated factors of cough syncope in patients with chronic cough: a multicentre prospective study. [Journal Article]ERJ Open Res. 2026 Sep; 12(5).EO
- CONCLUSIONS: Cough syncope affects ∼2% of patients with chronic cough and is associated with male sex, obesity and refractory chronic cough, defining a distinct high-risk phenotype that warrants targeted risk stratification and prevention.
- PMC Free PDF
- Secondary fragility fractures after hip fracture surgery in four thousand, four hundred and eighteen older adults: risk factors and internal validation of an interpretable machine-learning model. [Journal Article]
- CONCLUSIONS: Secondary fragility fractures were associated with skeletal fragility, fall-related vulnerability, and impaired postoperative recovery. The interpretable XGBoost model showed moderate discrimination and potential clinical utility as an adjunctive screening tool to identify patients who may benefit from intensified secondary prevention. External validation and prospective evaluation are required before routine clinical implementation.
- Publisher Full Text (DOI)
- Clinical Characteristics and Early Outcomes of Acute Pulmonary Embolism Presenting with Syncope. [Journal Article]Thromb Haemost. 2026 Sep 07. [Online ahead of print]TH
- CONCLUSIONS: In acute PE, syncope identifies patients at higher risk of early adverse outcomes. This association was substantially attenuated after accounting for measured acute severity, suggesting that syncope mainly marks a more severe initial presentation rather than carrying prognostic information independent of severity.
- Publisher Full Text (DOI)
- Improvement of post-COVID-19 vaccination dysautonomia with GLP-1 receptor agonist. [Journal Article]Immunopharmacol Immunotoxicol. 2026 Sep 06; :1-6. [Online ahead of print]II
- Vasovagal syncope (VVS) is the most common form of cardiovascular dysautonomia that has multiple etiologies. Post-vaccination dysautonomia, in the form of VVS and postural orthostatic tachycardia syndrome, has been reported in the literature after various vaccines, including COVID-19 mRNA vaccination. Treatment of post-vaccination syndromes has not been explored leaving patients with post-vaccina…
- Publisher Full Text (DOI)
- Pacemaker Implantation in Patients With Syncope, Bundle Branch Block and Negative Electrophysiological Study. [Journal Article]Pacing Clin Electrophysiol. 2026 Sep 06. [Online ahead of print]PC
- CONCLUSIONS: Our findings highlighted the limited negative predictive value of EPS in patients with syncope and BBB. During extended follow-up, PM implantation is frequent and found to be associated with a clinical history of recurrent syncope and the use of ILR.
- Publisher Full Text (DOI)
- Time-Dependent Diagnostic Yield and Therapeutic Impact of Implantable Loop Recorders, Brugada Syndrome as the Exception. [Journal Article]J Cardiovasc Electrophysiol. 2026 Sep 06. [Online ahead of print]JC
- CONCLUSIONS: The value of ILR monitoring is strongly time- and indication-dependent. Prolonged routine monitoring or reimplantation appears to have limited incremental value in syncope and palpitations when early follow-up is unrevealing, whereas extended surveillance may remain justified in Brugada syndrome and should be individualized after cryptogenic stroke. These observations support indication-driven ILR follow-up strategies rather than a uniform approach based on device longevity alone.
- Publisher Full Text (DOI)
- Self-Reported Preparedness and Perceived Challenges in Managing Medical Emergencies Among Dentists at Komfo Anokye Teaching Hospital, Ghana: A Cross Sectional Study. [Journal Article]
- CONCLUSIONS: Two in five dentists reported no formal emergency-management training, most were unaware of a written protocol, and none reported access to an AED. These self-reported, single-centre findings suggest that periodic training, written protocols and verified equipment stocks merit institutional attention; confirmation in larger multi-centre studies is needed.
- PMC Free PDF