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: A 44-year-old man with no known medical conditions presented with acute, painless, left monocular blurred vision. There was no history of smoking or illicit drug use. Physical examination indicated blood pressure of 200/135 mmHg, heart rate 86/min and unremarkable cardiopulmonary exam. Fundoscopic examination showed branched retinal vein occlusion. Patient had elevated Troponin I. [...]

Case Presentation: A 46-year-old male without significant past medical history presented with progressive dyspnea, syncope, and epigastric pain. An electrocardiogram displayed sinus tachycardia without signs of ischemia. A chest radiograph demonstrated a widened mediastinum. A subsequent transthoracic echocardiogram demonstrated pericardial effusion and tamponade. Patient had hypotension that was unresponsive to repeated intravenous fluid boluses, prompting [...]

Case Presentation: An 86 year old man with hypertension, COPD, and a 100 pack year smoking history presented to the emergency department with 1 week of dyspnea and neck pain. He had a blood pressure of 104/74, heart rate 85, respiratory rate 27, and SpO2 95% on 3 liters nasal cannula. Labs were significant for [...]

Case Presentation: This abstract highlights Chagas Cardiomyopathy (CCM) and aims to elucidate key features and improve understanding and patient outcomes.A 49-year-old Honduran male with a two-year history of HFrEF (EF 25-30%) secondary to non-ischemic cardiomyopathy of unknown etiology and prior embolic stroke presented with nine days of worsening dyspnea, palpitations, and RUQ pain despite GDMT [...]

Case Presentation: A 56-year-old male with history of opioid and cocaine use disorder without intravenous drug use presented to the emergency room with bilateral lower extremity swelling and shortness of breath for two weeks. A transthoracic echocardiogram was performed which showed an ejection fraction of 45%, grade II diastolic dysfunction, and severe aortic regurgitation. The [...]