Case Presentation: A 51-year-old morbidly obese male without any significant past medical history presented to the hospital for evaluation of one month history of worsening dyspnea on exertion associated with orthopnea and PND. He was hemodynamically stable and physical examination revealed 2+ bilateral lower extremity pitting edema. Initial laboratory workup was significant for high-sensitivity troponin [...]

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 [...]

Case Presentation: A 24-year-old female without significant medical history was admitted with acute substernal, non-pleuritic chest pain accompanied by dyspnea, palpitations, and restlessness. She denied active illicit drug use, but admitted to taking amphetamine/dextroamphetamine (Adderall), provided by a friend, 6 hours prior to admission. On examination, she was tachycardic, hypertensive, and tachypneic, with an oxygen [...]

Case Presentation: We present the case of a 32-year-old woman with past medical history of anxiety/depression, previous heroin abuse, hepatitis C who presented with tremors, chest pain, and vomiting. In the ER, her vitals were HR 94, RR 22, BP 117/83, SpO2 95% on room air. Initial labs showed elevated troponin 1.38, 4.44, 9.15. EKG [...]

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: 78 year old woman with persistent non valvular atrial fibrillation was admitted with palpitation and dyspnea. She was in atrial fibrillation with rapid ventricular rate. Given symptomatic atrial fibrillation after rate control, decision was made for transesophageal echocardiogram (TEE) and elective direct current cardioversion (DCCV). She was successfully converted to sinus rhythm with [...]

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: 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 [...]

Case Presentation: A 56 y/o African American male with a history of paroxysmal atrial fibrillation presented with “pounding” chest pain after being assaulted. On presentation, the patient was afebrile and normotensive but significantly tachycardic (heart rate 140). Physical exam revealed an irregular rhythm with a s3 gallop and a 2/6 systolic murmur in the left [...]