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Cardiology Case Discussion

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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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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?

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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.

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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.

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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.

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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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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.

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Case: Palpitations in a Young Runner with Lamin A/C Deficiency (3 Mar 2014)

Anna Catino, MD and James Fang, MD

Anna Catino presents our latest case: A young, male, long-distance runner experiencing palpitations, who has lamin A/C deficiency and a family history of cardiac disease. How would you manage this patient?

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Case: Cardiorespiratory Arrest Requiring Intubation in a Patient with Diastolic Heart Failure (12 Feb 2014)

Saurav Chatterjee, MD and James Fang, MD

A 65-year-old African American woman with a history of hypertension, diabetes, and seizure disorder is brought to the ED via emergency medical services for respiratory distress requiring intubation. Two weeks earlier she was hospitalized for an exacerbation of acute diastolic heart failure; a transthoracic echocardiogram at that time documented an LV ejection fraction of 60%…

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Doc, Do I Really Need a New Battery? (18 Dec 2013)

Tariq Ahmad, MD, MPH and James Fang, MD

A 45-year-old man with nonischemic cardiomyopathy, diagnosed 8 years ago, presents for annual follow-up. A transthoracic echocardiogram (TTE), taken 3 years ago, showed an LV ejection fraction of 25%. Since then, the patient has improved a great deal and now has barely any signs or symptoms of heart failure. Repeat TTE right before the current visit showed an…

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