Case Presentation: A 71-year-old man with a history of coronary artery disease (CAD) and percutaneous coronary intervention (PCI) presented to our hospital with unstable angina. He was urgently taken for coronary angiography (CAG) using a trans-radial approach, which revealed three-vessel CAD and severe in-stent restenosis of the left anterior descending artery. Balloon angioplasty was performed [...]

Case Presentation: We have a 63 year old female with a history of spontaneous coronary artery dissection (SCAD) of the left anterior descending artery (LAD) 2 years prior that was found on a left heart catheterization after she presented to the ER with a complaint of chest pain with associated dyspnea. On a physical exam, [...]

Case Presentation: A 62-year-old male with no significant medical history presented to our clinic after new diagnosis of atrial fibrillation. He had no associated symptoms and endorsed great exercise tolerance. Transthoracic echocardiogram (TTE) was ordered and he was started on metoprolol 25 milligram two times daily. TTE demonstrated normal global systolic function with severely dilated [...]