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?
Cardiology Case DiscussionRSS
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%…
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…
Case: An Ironman with a Proximal Circumflex Lesion (11 Nov 2013)John Ryan, MD, JAMES BECKERMAN, M.D., and James Fang, MD
A 48-year-old man who runs 4 to 6 Ironman races per year reports non-exertional chest pain and is referred for a stress echocardiogram. His two sisters suffered MIs and died in their fifties, and his brother underwent CABG at age 49. The patient goes for 17 minutes on the Bruce stress protocol, with lateral and anterolateral…
A Surprising ICD Revision (17 Jul 2013)Westby G Fisher, MD, James Fang, MD, and Edward Janszen Schloss, MD
An ICD removed from a 70-year-old man has a startling appearance. Explain what you think happened, and offer your approach for how to care for this patient.
Subdural Hematoma and Possible ACS After Syncope (22 May 2013)Indu Poornima, MD and James Fang, MD
Choose your management approach and defend it.
Which Wedge to Believe? (1 May 2013)Tariq Ahmad, MD, MPH and James Fang, MD
Offer your diagnosis of a 39-year-old man with severe pulmonary hypertension and markedly variable pulmonary capillary wedge pressures among lung segments.
Left to Our Many Devices, Which One Do We Choose? (27 Mar 2013)Mark Dayer, MD PhD FRCP and James Fang, MD
A 63-year-old male smoker with type 2 diabetes presents for the first time with chest pain and shortness of breath at rest. He has no recent history of viral infection and no family history of heart failure or sudden cardiac death. Initial laboratory testing documents negative troponin, normal calcium, normal serum angiotensin-converting-enzyme (ACE) activity, and…
How do you handle a patient with pheochromocytoma who is not absorbing antiplatelet therapy adequately after placement of a bare-metal stent?
Stable Anticoagulation, Unstable Gait (15 Oct 2012)Jeff Dickey, MD and James Fang, MD
A 91-year-old man with mild drug-controlled hypertension and atrial fibrillation has long-term, well-managed stability on warfarin anticoagulation. After developing problems with his balance and some gait instability, a physical exam reveals a carotid bruit. Carotid ultrasound and magnetic resonance angiography (MRA) confirm >95% stenosis of the right internal carotid artery. Brain CT is negative. Questions:…