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Context In the context of hospitalization for acute heart failure (AHF), patients’ characteristics and outcome depending on the department of management (cardiologic or cardiogeriatric) are unknown. The aims of this study were to determine the profile and the outcome (rehospitalizations at 90 days) of patients hospitalized for HF in the Val de Marne area, a district in the suburbs of Paris, depending on whether they were hospitalized in cardiology or in a specific cardiogeriatric centre; and to analyze the modes and the precipitating factors triggering rehospitalizations in the two type of centre. Methods We conducted the ICREX-94 observatory within seven French cardiologic departments and three specific cardiogeriatric departments in the Val de Marne district, France. Results 308 patients were hospitalized for AHF between October 2017 and January 2019. During the 3 months following discharge, 52 (17%) patients were rehospitalized for AHF. Compared with patients hospitalized in cardiogeriatric centre, patients from cardiologic department were younger (P Conclusion Compared to cardiogeriatric centres, AHF patients discharged from cardiologic centers had clinical differences, but we found that they had the same prognosis regarding AHF rehospitalization at 90 days.

Implantable cardioverter defibrillator (ICD) is well-recognized therapy to prevent sudden cardiac death. Classic ICD need the use of permanent endocavitary leads, which may cause serious troubles (lead dislodgement, ventricular perforation, lead infections, etc.). The subcutaneous implantable cardioverter defibrillator (S-ICD) is a new device provided by only a subcutaneous lead. It has been developed for the last five years and it is becoming at present a real alternative to classic ICD. We report a clinical case of a 34 y.o. woman who presented a sudden cardiac death and who benefited the implantation of this new technology. This paper deals with the potential indications, usefulness benefits, and problems of the S-ICD.

Tuberculosis is a common pulmonary disease, which is still endemic in disadvantaged communities. Pericarditis is a rare but very lethal visceral localization. The authors report the case of a 58-year-old man, without neither medical history nor social risk, who presented a cardiac tamponade as the first and atypic manifestation of a visceral tuberculosis.

Resume A l’occasion d’une embolie pulmonaire septique, une endocardite tricuspidienne a Staphyloccocus aureus et Serratia marcescens est decouverte chez un ancien toxicomane. Malgreune antibiotherapie systemique adaptee, la persistance d’une vegetation supracentrimetrique et l’aggravation de complications immunologiques renales font pratiquer une chirurgie conservatrice de l’orifice tricuspidien. L’evolution est rapidement favorable et permet la reprise des activites habituelles.

Resume Introduction L’association d’un choc vasoplegique et d’un infarctus du myocarde chez un patient traite par iloprost pour ischemie critique des membres inferieurs n’a pas ete rapportee jusqu’alors. Observation Chez un patient âge de 56 ans, diabetique de type 2, hypertendu et dyslipidemique, une ischemie critique du membre inferieur droit a ete traitee par iloprost. Au 19th jour de perfusion, est survenu un etat de choc avec infarctus du myocarde, d’evolution secondairement favorable. Commentaires Cette observation implique un renforcement de la surveillance de la pression arterielle ainsi que de l’electrocardiogramme chez des patients diabetiques traites par iloprost.