Case Presentation: A 49-year-old man with a history of type 2 diabetes and obstructive sleep apnea presented after suffering a cardiac arrest at a local airport. He was reportedly healthy appearing until suddenly slumping over in his chair at the terminal. A bystander determined the patient was pulseless and initiated CPR. He received 3 shocks [...]

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 44-year-old African American female with a medical history of chronic heart failure with preserved ejection fraction (HFpEF) presented with a six month history of multiple hospitalizations for acute decompensated HFpEF and right upper quadrant pain. One month ago, she presented with an acute elevation of alkaline phosphatase (ALP) to greater than four [...]

Case Presentation: A 65 year old male with ischemic cardiomyopathy, EF of 25% and NYHA III symptoms despite optimal medical therapy, severe mitral regurgitation (MR) and left bundle branch block (LBBB) with QRS>150ms (figure 1) was referred for cardiac resynchronization therapy-defibrillator (CRT-D) implantation. The right atrial pacing and right ventricular defibrillator leads were successfully implanted, [...]

Case Presentation: An 87-year-old female with congestive heart failure (CHF), coronary artery disease, atrial fibrillation, COPD, and chronic kidney disease presented with 3-day-history of diarrhea, worsened dyspnea, leg swelling and weight gain. Vitals signs were temperature 38.3 C, pulse 104, respiration 20-25 and blood pressure 112/46. Examination was significant for bilateral crackles in lungs, irregular [...]

Case Presentation: A 74-year-old female presented to the ED with two days of shortness of breath and fatigue. She reported a past medical history of heart failure with reduced ejection fraction, chronic kidney disease, and essential hypertension. Medications included Lisinopril, Amlodipine, Furosemide, Atorvastatin, Aspirin, Famotidine, and Warfarin. She denied tobacco, alcohol, and illicit drug use. [...]

Case Presentation: Sepsis is a primary cause of death in nearly 23.5% of chronic heart failure patients. The relationship between acute cholecystitis and cardiovascular disease is vague but there have been few studies suggesting cholecystocardiac link. Here we describe a similar case that presented as pulmonary edema and myocardial ischemia.81-year-old male with past medical history [...]

Case Presentation: A 64-year-old woman with a history of heart failure (HF) and end stage renal disease on dialysis presented with three days of abdominal pain. She was lethargic, hypothermic to 34.5 C, with jugular venous pulsations (JVP) to the earlobe, a systolic murmur at the left sternal border, and right upper quadrant tenderness. Laboratory [...]

Case Presentation: A 34-year-old morbidly obese man with a history of recurrent headaches was admitted to the hospital with two months of rapidly progressive bilateral vision loss, weight gain, and lower extremities (LE) and scrotal swelling. An eye exam revealed severe papilledema in both eyes. Labs revealed brain natriuretic peptide 588 pg/ml and chest X-ray [...]