Session Type
Meeting
Search Results for Cardiomyopathy
Abstract Number: 455
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: An 18 year old Spanish speaking male from Honduras presented following a motor vehicle accident. Initial assessment in the ED included a CXR and bedside Echocardiogram which noted cardiomegaly and a reduced EF of 15%. Patient reports experiencing headaches, blurry vision, palpitations, and non-radiating left sided chest pressure intermittently over the last four […]
Abstract Number: 461
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 64-year-old Caucasian female patient with no significant medical history came to medical attention in December 2016 with an episode of generalized tonic clonic seizure. On admission, review of systems, vital signs and physical examination were unremarkable. The following laboratory tests were normal or negative: complete metabolic panel, complete blood count, urinalysis, chest […]
Abstract Number: 468
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 49 year old Caucasian male was admitted to the hospital after suffering an outside hospital cardiac arrest due to ventricular fibrillation. His electrocardiogram (EKG) showed findings of left ventricular hypertrophy (LVH) with giant T wave inversions in anterolateral leads (fig A). An Echocardiogram showed ejection fraction of 65-70% with moderate concentric LVH and […]
Abstract Number: 555
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 78-year-old female with a past medical history of diabetes, hypertension, and vascular dementia was brought to the hospital by her family for worsening dementia, behavioral disturbances including agitation, insomnia, hallucinations and delusions. Her lab workup showed hemoglobin of 11.5 g/dl, troponin of 0.09 ng/ml, CK of 88 u/l, CK-MB of 2.25 ng/ml. Electrocardiogram […]
Abstract Number: 622
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A sixty-eight year-old woman presented with two days of confusion and lethargy following two weeks of worsening abdominal pain, nausea and emesis. Medical history was significant for chronic pain, depression, hypertension, and a remote history of alcohol withdrawal seizures. There was no reported dyspnea, cough, or chest pain. She was a one pack […]
Abstract Number: 637
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 47-year-old African American female with a past medical history of complex regional pain syndrome (CRPS), chronic migraines, and history of transient ischemic attack was admitted for elective lidocaine infusion for generalized pain secondary to CRPS. On hospital day four of infusion, the patient developed substernal chest pain and shortness of breath. An […]
Abstract Number: 662
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 68-year old female with a history of uncomplicated alcohol dependence was brought in by ambulance after a witnessed seizure at home characterized by myoclonus for several minutes and prolonged post-ictal confusion. Upon presentation, she was altered, hypertensive to 183/118, and had a supraventricular tachycardia to the 160s broken with adenosine. The patient […]
Abstract Number: 842
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 48 year-old male initially presented to an outside hospital with 2 days of cough and lethargy. He was commenced on antibiotic treatment for pneumonia and also found to be rhinovirus positive. While hospitalized, the patient developed chest pain and worsening respiratory status requiring non-invasive pressure ventilation. He was found to have new […]
Abstract Number: 876
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 59-year-old man with a history of type II diabetes, hypertension, and hyperlipidemia presented with progressive dyspnea on exertion for four weeks. On exam, the patient was tachycardic with an elevated jugular venous pressure of ~16 cmH2O, bibasilar rales, and bilateral lower extremity 2+ pitting edema. Labs were notable for an elevated BNP […]
Abstract Number: 881
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: ST-elevation in lead aVR, with ST-depression in precordial leads, has been reported to arise from left main coronary disease, often required emergent cardiac catheterization. We present a case of unstable SVT in a patient with hypertrophic cardiomyopathy (HCM) mimicking acute coronary syndrome (ACS) and cardiogenic shock. An 89-year-old female with paroxysmal atrial fibrillation […]