Background: Transcatheter tricuspid valve procedures (TTVP) are used to manage tricuspid regurgitation, however these procedures are less common than other transcatheter valve procedures. Limited literature on TTVP exists, especially with regards to predictors of major outcomes. Atrial fibrillation (afib) is associated with increased mortality, stroke, cardiogenic shock, need for permanent pacemaker, AKI, major bleeding in [...]

Background: Direct acting oral anticoagulants (DOACs) have been approved for conditions such as non-valvular atrial fibrillation and venous thromboembolism. High quality randomized controlled trials have demonstrated the safety and efficacy of DOACs as compared to warfarin with exceptions in specific patient populations (such as those with mechanical heart valves). DOACs are more convenient and generally [...]

Case Presentation: This is a case of cardiac myxoma in a 78-year-old female with a history of atrial fibrillation on chronic anticoagulation. The patient presented to the Emergency Department with left-sided intermittent chest pain and a one-month history of exertional fatigue and dyspnea. Physical examination revealed a diastolic rumble in the left lower sternal border. [...]

Case Presentation: A 39-year-old male with no significant past medical history presented to the ED with dyspnea on exertion, palpitations, orthopnea, lightheadedness, anxiety, 100-pound weight loss over a 2-year period, and swelling in his left lower extremity. Upon admission, the patient was tachycardic and tachypneic. EKG was significant for new onset atrial fibrillation with RVR, [...]

Case Presentation: 59 year old male with past medical history of paroxysmal atrial fibrillation status post radiofrequency ablation x2 who presents with fever, chills, left sided weakness, and hematemesis 2 weeks after a redo radiofrequency (RF) ablation. The patient initially presented to the outside hospital Emergency Department after developing fever, rigors, and nausea about 9 [...]

Case Presentation: A 54-year-old man with congestive heart failure, chronic kidney disease and atrial fibrillation (on digoxin 0.125 mg daily for 3 years) presented to the emergency department with fatigue, weakness, vomiting, poor oral intake and whole body “involuntary sudden movements.” Neurological exam revealed generalized symmetrical choreiform movements more pronounced in the head, upper torso [...]