Case Presentation: A 62-year-old male with a history of paroxysmal atrial fibrillation presented with hypotension and 2 week history of chest pain after an ablation with pulmonary vein isolation. Transthoracic echocardiography demonstrated a pericardial effusion. Pericardial fluid sampling revealed an elevated leukocyte count of 130,000 cells per cubic millimeter and culture grew rare strep mitis/oralis [...]

Case Presentation: A 33-year-old G2P1011 woman who was 6 days postpartum from an uncomplicated vaginal delivery presented to the emergency department with acute right flank pain, hypotension (BP 88/60), tachycardia (HR 125) and new onset anemia with hemoglobin 9g/dL. CT abdomen/pelvis (CT AP) revealed a 21.5cm right renal angiomyolipoma (AML) with an associated bleeding pseudoaneurysm [...]

Case Presentation: A 65-year-old male presented with sharp severe chest pain, worsened with respiratory movements. One day prior to admission, patient had catheter ablation due to persistent atrial fibrillation. He had no other medical history. Initial echocardiogram was normal and pericarditis treatment was started. Two days later, patient’s symptoms worsened: nausea and odynophagia. Repeat bedside [...]

Case Presentation: A 39-year-old man presented with family history of arrhythmogenic right ventricular cardiomyopathy (ARVC). He reported palpitations with exercise. Cascade genetic testing was positive for plakophilin-2 gene mutation. EKG demonstrated sinus bradycardia with possible epsilon wave in V1 and right-axis deviation. Transthoracic echocardiogram was normal. Cardiac MRI (CMR) showed right ventricular free wall thinning [...]

Case Presentation: 59 year old male with past medical history of paroxysmal atrial fibrillation status post radiofrequency ablation x2 who presents with fever, chills, left sided weakness, and hematemesis 2 weeks after a redo radiofrequency (RF) ablation. The patient initially presented to the outside hospital Emergency Department after developing fever, rigors, and nausea about 9 [...]

Case Presentation: Introduction: Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia. In the past decade, catheter ablation of AF has evolved from an investigational procedure to a frequent therapeutic one. Phrenic nerve injury (PNI) is a complication of ablation that internists should be familiar with, due to its increasing incidence. Case: A 77-year-old [...]

Case Presentation: We present a case of a 42-year-old male with a past medical history of atrial fibrilation (AF) on anti-coagulation (AC) who underwent left atrial radio-frequency ablation (RFA) and pulmonary vein isolation (PVI) and presented with confusion and bilateral upper and lower extremity weakness.The patient tolerated the procedure but complained of difficulty swallowing afterwards. [...]

Case Presentation: A 78-year-old male presented to the emergency department with past medical history of hypertension, hyperlipidemia, benign prostatic hyperplasia, and asthma presented to the emergency department with progressively worsening shortness of breath and substernal chest pain 2 days after undergoing Electrophysiology Studies (EPS), Radiofrequency Ablation (RFA) with pulmonary vein isolation (PVI), and Cavo-tricuspid isthmus [...]

Case Presentation: The patient is a 58-year-old hispanic man with a past medical history of decompensated hepatitis C virus, alcoholic cirrhosis, hepatocellular carcinoma (HCC), and asthma who presented for definitive management of his known hepatic mass. Based on prior work up and imaging, this mass was presumed to be HCC. He presented to the hospital [...]

Case Presentation: We present the case of a 70-year-old male with a medical history of atrial fibrillation, hypertension, hyperlipidemia, and chronic obstructive pulmonary disease (COPD), admitted for elective radiofrequency ablation for atrial fibrillation. In the immediate postoperative period, the patient became hypotensive, with a blood pressure of 60/40 mmHg, and developed tachycardia, with a heart [...]