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Cardiology Case Discussion

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Avatar of Ethan J Weiss, M.D.

Case: Rising Coronary Artery Calcium in a Patient Who Has a Normal Stress Echo with an Abnormal ECG (16 Feb 2015)

Ethan J Weiss, M.D.

A 74-year-old physically active man exercises daily, takes a statin for hyperlipidemia, and has no other risk factors aside from a mildly elevated hemoglobin A1c. His most recent lipid profile, in January 2015, was: Total-c: 144 mg/dL LDL-c: 84 mg/dL HDL-c: 48 mg/dL Triglycerides: 59 mg/dL His coronary artery calcium scores were 109.5 in the…

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Avatar of Amit

Triple-Vessel Disease in an Asymptomatic Man: CABG, PCI, or Medical Management? (11 Dec 2014)

Amit Shah, MD, MSCR and James Fang, MD

Amit Shah presents the case of a 66-year-old, physically active, nondiabetic man with no symptoms who was tested for coronary artery calcium and received an unexpectedly high score.

Avatar of Jean-Pierre Usdin, MD

Case: When an “Inappropriate” Stress Test Might Be Appropriate (27 Oct 2014)

Jean-Pierre Usdin, MD and James Fang, MD

Jean-Pierre Usdin presents the case of a 58-year-old man with well-treated hypertension who experiences an ST-segment-elevation MI shortly after a stress test he had requested to clear him for exercise.

Avatar of Seth

Case: Testosterone Replacement Therapy and CV Risk (1 Oct 2014)

Seth D Bilazarian, MD, Anna Catino, MD, and James Fang, MD

A 47-year-old man presents to the hospital reporting 4 days of chest pain that occurs during treadmill exercise, left-arm and jaw discomfort, and shortness of breath with diaphoresis. His medical history is noteworthy only for orthopedic surgeries and use of testosterone replacement therapy for reportedly low testosterone syndrome. He does not smoke and drinks alcohol only…

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Avatar of Harsh

Anteroseptal MI and Left-Main Dissection in a Pregnant Woman (8 Sep 2014)

Harsh Golwala, MD and James Fang, MD

Harsh Golwala presents our latest case: A 25-year-old woman, 32 weeks pregnant, presents with sudden-onset chest pain. How do you proceed?

Avatar of Seth

An Electrophysiology Service Diagnostic Conundrum (25 Aug 2014)

Seth Shay Martin, MD and James Fang, MD

A 57-year-old woman with paroxysmal atrial fibrillation, long-QT syndrome after ICD implantation, and severe anxiety presents a unique diagnostic challenge.

Avatar of Jay

Case: Smoking-Related CV Risk and the Need for Statin Therapy in a Former Smoker Who Quit Long Ago (16 Jun 2014)

Jay D Shah, MD, Neil J Stone, MD, and James Fang, MD

Jay Shah presents the case of a 66-year-old woman who quit smoking 15 years ago and is seen for a cardiovascular risk assessment.

Avatar of Reva

Case: A Young Pregnant Woman with Prior Valvular Disease and Increasing Dyspnea on Exertion (19 May 2014)

Reva Balakrishnan, MD, MPH and James Fang, MD

Reva Balakrishnan presents the case of a 22-year-old pregnant woman with a history of valvular disease who is experiencing an increase in dyspnea on exertion.

Avatar of Seth

Case: Assessment of Cardiac Risk and Need for Preventive Medications (15 Apr 2014)

Seth Shay Martin, MD and James Fang, MD

A 68-year-old white woman with a history of obesity and depression is seen for cardiac risk assessment. The quality of her diet varies greatly, and she admits to many dietary indiscretions. She has tried several different diets, including low-carbohydrate/high-fat diets. She does not use the treadmill or stationary bicycle in her house or routinely exercise…

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Avatar of Ian

Pulmonary Embolism in a Patient with Acute Decompensated Systolic Heart Failure (20 Mar 2014)

Ian Neeland, MD and James Fang, MD

Ian Neeland presents our latest case: A 42-year-old man with heart failure is found to have a large pulmonary embolus. Tell us how you’d manage his treatment.