Learning point for cliniciansAtrial kick is the contraction of atria during ventricular diastole.This case report re-emphasizes importance extra support provided by atrial in filling diastole, thereby contributing to cardiac output, especially patients with dysfunction or arrhythmias leading AV dissociation.

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Current mainstay treatment for pulmonary embolism (PE) includes oral anticoagulation, thrombolytic therapy, catheter embolectomy and acute surgical embolectomy. Surgical is reserved hemodynamically unstable patients (cardiogenic shock, cardiac arrest) contraindication to therapy. We report a case of saddle PE in young female with echocardiographic signs right ventricular (RV) dysfunction who underwent early positive outcome. It would be beneficial use bedside echocardiography even stable...

Thrombocytopenia is defined as a condition where the platelet count below lower limit of normal (<150 G/L), and it categorized mild (100–149 moderate (50–99 severe (<50 G/L). We present here 79-year-old man who developed thrombocytopenia with 6 G/L, less than 24 hours after intravenous tirofiban infusion that was given to patient during percutaneous transluminal coronary angioplasty procedure placement 3 drug-eluting stents. The patient’s baseline 233 G/L before procedure. Based on...

Carotid-radial pulse wave velocity (PWV) decreases in normal healthy individuals following hyperemia provoked by release of arterial cuff occlusion. To determine the effects specific cardiovascular (CV) risk factors on hyperemic PWV response, we measured before and after brachial artery (BA) occlusion 218 participants (66% males, age 56 +/- 19 years), with without CV factors/disease. DeltaPWV ranged from -46% to +35% values were normally distributed. On univariate analyses, correlated age,...

A 90-year-old male with a history of hypertension, diabetes mellitus type II and coronary artery disease status-post bypass graft surgery in 2001 presented new onset seizure. On examination he was stuporous, afebrile, had heart rate 85 beats per minute blood pressure 148/70 mm Hg. His pupils were reactive to light, supple neck no focal neurological deficits. Had elevated jugular venous 14 cm H2O, diffuse bilateral rales on lung auscultation …

A 49-year-old African American male patient with no past medical history was admitted because of 3 months difficulty swallowing solid and liquid foods. He had constant retrosternal discomfort appeared malnourished. The chest radiograph revealed a right sided aortic arch tracheal deviation to the left. swallow study confirmed fixed esophageal narrowing at level T6. Contrast enhanced Computed Tomography (CT) angiogram neck mirror image left cardiac apex prominent ductus diverticulum (measuring...

An 89-year-old female with a history of hypertension and hyperlipidemia presented severe left side chest pain radiating to arm dyspnea. Initial episode was 1-day ago. Her heart rate 81 beats per minute blood pressure 112/75 mm Hg. Electrocardiogram showed normal sinus rhythm Q-wave anterolateral myocardial infarction (Figure 1a). Coronary angiography revealed anterior …

A 61-year-old man with a personal history of smoking and family coronary artery disease presented what he described as squeezing pain in the left side his chest that woke him from sleep. He also had dizziness diaphoresis.

Infective endocarditis (IE) is caused due to the vegetation on heart valves, myocardium wall, or pacemaker leads. Vegetation a lesion that appears as consequence of successive deposition platelets and fibrin endothelial surface heart. Colonies microbes can be usually found under vegetation. Heart valves are involved more frequently compared other places. Streptococcus mitis, formerly known S. mitior, commensal oral flora, however, if there loss integrity mucous membrane, infection may...

Um homem de 25 anos apresentou-se a clinica com queixas palpitacoes. O ecocardiograma transtoracico (ETE) mostrou presenca membrana no atrio esquerdo sugestiva cor triatriatum (coracao triatrial) []. Esse achado foi confirmado transesofagico (ETE), que revelou uma se fixa na crista Coumadin e septo atrial, apenas caudal fossa ovalis […] Cor Triatriatum Sinistrum

Background and Objective: Marijuana use causes catecholamine surge with consequent tachycardia elevation of both systolic diastolic blood pressure. It is unclear if the associated sufficient to cause left ventricular wall apical ballooning (TakoTsubo Cardiomyopathy (TTC)). Given similarity in pathophysiology TTC mechanism action cannabis, we sought investigate there any association. Methods: We obtained data from HCUP-NIS all patients older than 45 years hospitalized between 2012 - 2014. Our...

An 81-year-old independently functional woman with a history of congestive heart failure presented acute shortness breath. The day prior to the presentation she complained mild breath while having dinner but went sleep and woke up early morning difficulty in breathing chest discomfort. Prior this, was hospitalized twice for last 3 months also diagnosed left atrial myxoma. However, her family members refused surgery. She has no constitutional symptoms such as fever, fatigue, weight loss, etc....

An 82-year-old man with a history of pulmonary tuberculosis (TB) treated Plombage, hypertension and hyperlipidemia was admitted to hospital for severe community-acquired pneumonia. He medical intensive care unit, intravenous hydration, antibiotics mechanical ventilator support. The patient’s subsequent course uneventful discharged home. Patient’s anteroposterior x-ray the chest computed tomography …

Recent published data demonstrated how subjects born preterm are at higher risk of developing early atrial fibrillation (AF).The surface ECG twenty-four adults, former infants with an extremely low birth weight (ex-ELBW; mean age study: 23.2±3.3 years; gestational age: 27.8±2.3 weeks; weight: 840±120.1 grams), were compared those 24 healthy counterparts term (C). A few parameters known to be capable predicting a predisposition develop AF examined: P wave duration and dispersion, terminal...

Aim: An aortic dissection is an uncommon serious condition, which usually presents with chest pain or upper back pain. Symptoms of may mimic those other diseases, often leading to delay in diagnosis. Methods: We report unusual case hemopericardium and thrombosed left common iliac artery presenting as acute limb ischemia. Conclusion: Maintaining a high index clinical suspicion for pathology could possibly lead identification timely management greater number patients who have atypical...

Rheumatoid arthritis is one of the most common debilitating rheumatological disorders. A subcutaneous rheumatoid nodule usually occurs in advanced cases and also a hallmark chronicity disease. They are extra-articular manifestation arthritis. We present case giant nodule, developed on left elbow.