Case Presentation: A previously healthy 4-year-old female born in Mexico was sent to the emergency department for elevated blood pressures noted at her routine outpatient clinic visit. On arrival, her blood pressure was 161/126. The patient reported polydipsia, polyuria, and weight loss. Her initial physical exam was unremarkable and her vitals were otherwise within normal [...]

Background: The lesbian, gay, bisexual, transgender and queer or questioning (LGBTQ) population has been steadily growing in the United States over the past decade. Several reports suggested higher prevalence of cardiovascular risk factors in the transgender population, including higher rates of human immunodeficiency virus infection, obesity, sedentary lifestyle, alcohol abuse, smoking and mood disorders. Our [...]

Background: Coronary artery calcification (CAC) is a strong predictor of cardiovascular events. We aimed to evaluate the prognostic significance of CAC detected by chest CT scan (CT) in heart failure (HF) with preserved ejection fraction (HFpEF) patients (pts) in the absence of coronary artery disease history (CAD Hx). Methods: In this retrospective cohort, we queried [...]

Background: Hepatic artery pseudoaneurysm (HAP) is a rare entity, potentially life threatening and associated with high mortality. The aim of this study was to evaluate Mayo Clinic enterprise’s clinical experience with HAP occurrence, clinical features and outcome in the last 20 years, and to compare our results with what the literature. Methods: This retrospective analysis [...]

Background: Despite the consistently proven benefits of cardioprotective medications, medication adherence (MA) remains a challenge in coronary artery disease (CAD) patients. Studies suggest that up to 50% of patients with CAD are nonadherent to medications, with patient knowledge, beliefs, and expectations playing a vital role. We aimed to assess patient-related medication non-adherence (MNA) factors in [...]

Background: Coronary Computed Tomography Angiography (CCTA) is a common anatomic modality for detection of cardiac ischemia in the setting of chest pain hospitalizations. However, invasive coronary angiography (ICA) is the gold standard for diagnosing ischemic coronary artery disease. Research showed that CCTA has a high sensitivity but lacks the specificity and accuracy component of Fractional [...]

Case Presentation: 57 year old male with history of hypertension, hyperlipidemia, poliomyelitis with right leg atrophy and chronic crutch use presented with right-sided hearing loss, vertigo, and arm numbness. MRI brain and MRA head and neck revealed acute infarction in the right inferior cerebellum in the Anterior and Posterior Inferior Cerebellar Artery territories; left cerebellar [...]

Case Presentation: A 56 year old man presented to the emergency department with sudden onset of severe chest pain that radiated to his back. He had an initial HR of 72 and BP of 208/114. CT angiogram of the chest and abdomen revealed a large type B aortic dissection (AD). The patient was treated with [...]

Case Presentation: A 63-year-old female with no PMH or FH of heart disease presented to the ER with dyspnea and pressure-like central chest pain. She reported a 3-week history of cough, sore throat and rhinorrhea. On evaluation, vital signs were T 97.8°F, BP 143/85 mmHg, HR 150/min, RR 20/min and SpO297%. Physical exam was significant [...]

Case Presentation: A 46 year-old man with a past medical history of untreated hypertension presented with right ptosis and miosis. The patient was in his usual state of health until one month prior to presentation, when he developed right retrobulbar pain in the absence of additional upper airway or constitutional symptoms. The patient subsequently noticed [...]