Patient presenting with breathlessness has a variety of reasons in the middle age. Apart from respiratory, metabolic, cardiac, infectious, cases have been reported in the literature with compression/impression of Left Atrium (LA) by extracardiac structures like the gastrointestinal tract, aorta / intrapericardial , pulmonary and mediastinal structures. Amongst mediastinal compression, no case has been reported to date due to compression by the dorsal spine. We report such a case of compression of LA due to the dorsal spine, secondary to trauma at a young age, and presenting in the middle age with increasing breathlessness.
SARS-CoV-2 not only causes viral pneumonia but has major implications for the cardiovascular system. Nevertheless, we assisted to a drastic reduction in the number of ACS during this period. Telemedicine and telecardiology, intended as integration to the traditional management appear precious tools especially in Covid-19 era. Given the decrease in new Covid-19 cases worldwide20, now we are approaching the so-called “Phase 2” challenge of a gradual return to pre-Covid-19 life. The epidemiological and clinical situation is rapidly evolving and practice patterns with policies depend on institutions and local availability.