Case Presentation: A 61-year-old male with hypertension, hyperlipidemia, and GERD presented to the ED with intermittent palpitations associated with exertional shortness of breath and near-syncopal episodes since several months. On presentation, he was in sustained Ventricular Tachycardia storm and required defibrillation 5 times despite starting on Lidocaine and Amiodarone infusions along with bolus doses of [...]

Case Presentation: Stress cardiomyopathy, also known as takutsubo cardiomyopathy, is a syndrome that causes transient cardiac apical akinesis or hypokinesis with concurrent basal hyperkinesis. This phenomenon occurs in the absence of angiographic evidence of obstructive coronary artery disease, often induced by emotional stress, and usually reverses within a few weeks to months. A rare variant [...]

Case Presentation: A 51-year-old morbidly obese male without any significant past medical history presented to the hospital for evaluation of one month history of worsening dyspnea on exertion associated with orthopnea and PND. He was hemodynamically stable and physical examination revealed 2+ bilateral lower extremity pitting edema. Initial laboratory workup was significant for high-sensitivity troponin [...]

Case Presentation: We present the case of a 32-year-old woman with past medical history of anxiety/depression, previous heroin abuse, hepatitis C who presented with tremors, chest pain, and vomiting. In the ER, her vitals were HR 94, RR 22, BP 117/83, SpO2 95% on room air. Initial labs showed elevated troponin 1.38, 4.44, 9.15. EKG [...]

Case Presentation: A 62-year-old white male, without significant past medical history or risk factors, was referred to our clinic for arrhythmia evaluation. The patient had several brief episodes of palpitations for the last two months. On physical examination blowing systolic murmur at the apex and irregularly irregular rhythm were noticed. The 12-lead ECG demonstrated atrial [...]

Case Presentation: A 45-year-old female with a history of obesity on long-term phentermine presented with 2 months of progressive dyspnea on exertion, orthopnea, and lower extremity swelling. On presentation, the patient was tachycardic and normotensive. Her exam was notable for diffuse wheezing, jugular venous distension, and +2 bilateral lower extremity pitting edema. Labs were remarkable [...]

Case Presentation: A 60-year-old female with poorly controlled type 2 diabetes mellitus (A1c 11.8%) on insulin and previous stress cardiomyopathy during an episode of DKA with subsequently recovered systolic function presented with chest pain, nausea and vomiting following four days of cough and sore throat. On arrival, laboratory findings included: glucose 634 mg/dL, beta hydroxybutyrate [...]