Case Presentation: A 45-year-old previously healthy male with a known history of polysubstance use (tobacco, ethanol, and cocaine) presented to the emergency department with sudden onset left-sided facial droop, hemiparesis, hemisensory loss, and dysarthria. The patient reported using cocaine twelve hours previously. On arrival, the EKG revealed complete atrial ventricular dissociation with a ventricular escape [...]

Case Presentation: This is a 53-year-old Caucasian female with a history of hypertension, recent stroke, and obesity, who presented with chest pain. She had intermittent chest discomfort as a child and was told she had asthma; however, over the past few months, her chest pressure became more frequent and occurred both with activity and rest. [...]

Case Presentation: A 70-year-old man with a remote history of ischemic cardiomyopathy presented to the hospital with worsening shortness of breath. His review of systems was remarkable for orthopnea. His past medical history was significant for hypertension and hyperlipidemia. His home medications were carvedilol, aspirin, lisinopril and simvastatin. Diagnostic studies including cardiac enzymes and chest [...]

Case Presentation: This is a case of a 30 year-old female presented in acute heart failure secondary to left ventricular noncompaction cardiomyopathy (LVNC) found to have a novel sodium channel mutation. Patient with no significant medical history presented with shortness of breath and dyspnea, chest radiograph consistent with bilateral large pleural effusions, cardiomegaly, and pulmonary [...]

Case Presentation: 81 y/o African-American woman with PMH of NICM with LVEF of 35-40% and CKD stage 3 presented to ED with complaints of cough, increased lower extremity swelling, and progressive DOE. She endorsed noncompliance with her diet, indulging in fried chicken but compliance with her medications. During her last admission, she was noted to [...]

Case Presentation:   An 87-year-old female presented to the emergency department (ED) complaining of chest PAIN (CP).  Her PMH includes hypothyroidism and rosacea. While shopping, patient developed sudden onset crushing central CP that prevented her from ambulating. Initially, she attributed the pain to her hiatal hernia. However, the pain persisted with radiation to the jaw [...]