Case Presentation: A 67-year-old female with hypertension, hyperlipidemia, diabetes, chronic kidney disease, sarcoidosis in remission, and rheumatic fever in childhood, presented to emergency department (ED) with right ear fullness and bloody discharge. During ED evaluation, she was found to have junctional rhythm at 50 beats per minute without evident P-wave, prompting admission for observation and [...]

Case Presentation: A 65-year-old female with a history significant for persistent atrial fibrillation, on apixaban, aortic and mitral bioprosthetic valve replacement, dual-chamber permanent pacemaker (PPM) implantation for heart block 2 weeks prior presented with worsening shortness of breath, dry cough, and generalized weakness for 4 days. Initially, she was found to be hemodynamically stable. Labs [...]

Case Presentation: Our patient is 78-year-old female with a history of mitral regurgitation, left ventricular outflow tract obstruction (LVOT) with systolic anterior motion (SAM) of mitral valve, migraines, and hypertension presented with lightheadedness. She had increased blood pressure at her recent office visit few weeks back necessitating an increase in dosage of verapamil. At presentation, [...]