Background: Hyperthyroidism is a recognized risk factor for atrial fibrillation(AFib). Consequently, current recommendations include screening patients with new onset AFib for thyroid dysfunction by analyzing TSH, T3, and T4 levels. However, the yield of routine testing of patients hospitalized with Afib is less certain. In this study, we evaluated the testing and prevalence of thyroid […]

Case Presentation: A 49-year-old woman of German ancestry without any prior medical history presented to the hospital with complaints of shortness of breath and right lower extremity for 2 weeks. Her examination was notable for tachycardia, notable loud systolic ejection murmur at cardiac apex. Labs revealed mild leukocytosis, elevated D-dimer, BNP, mild hepatocellular transaminitis and […]

Case Presentation: A 99-year-old female presented to the emergency department due to new onset, post-prandial abdominal pain, nausea, and vomiting. History was significant for atrial fibrillation (AFib), heart failure with preserved ejection fraction (HFpEF), diabetes, and hypertension. Physical exam was significant for chronic bilateral lower extremity edema without JVD or rales. On admission, her electrocardiogram […]

Case Presentation: Contradictory to stroke prevention by left atrial appendage occlusion (LAAO) device, we present a case of a gentleman who suffered an air embolic stroke in the right fronto-temporal region during the procedure. 66-year-old male with a history of atrial fibrillation was undergoing LAAO device procedure. Air was noticed in his left ventricle which […]