Background: Several case reports and case series have found that transcatheter mitral valve procedures (TMVP) improve hemodynamics and reduce symptoms in patients with mitral valve disease and concomitant hypertrophic obstructive cardiomyopathy (HOCM).(1-6) There is a lack of evidence regarding the outcomes of patients that undergo TMVP with HOCM, however several studies have evaluated the outcomes [...]

Case Presentation: This is a 53-year-old Caucasian female with a history of hypertension, recent stroke, and obesity, who presented with chest pain. She had intermittent chest discomfort as a child and was told she had asthma; however, over the past few months, her chest pressure became more frequent and occurred both with activity and rest. [...]

Case Presentation: An 81-year-old woman with a history of hypertrophic cardiomyopathy (HCM) and prior gastrointestinal (GI) bleeding of unknown origin in 2017 presented with lightheadedness and anemia after undergoing an ERCP the day before. She had multiple episodes of maroon-colored stool and melena while in the ED and was transfused one unit of packed red [...]

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 69 year old right-handed Asian male presented with 2 episodes of right sided focal seizures. He has a past medical history significant for chronic headaches of 4 year duration and was being treated for presumed tuberculous meningitis based on lymphocytic pleocytosis with elevated protein in Cerebrospinal Fluid (CSF) analysis, leptomeningeal enhancement in [...]

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 [...]

Case Presentation: A 62 year old male with history of rapidly progressive glomerulonephritis due to anti-glomerular basement membrane (anti-GBM) disease who remains dialysis dependent after failing to respond to steroids and plasmapheresis eight months ago presented with two months of worsening vision and frontal headaches. The patient also has chronic systolic heart failure with an [...]

Case Presentation: 65 year old female with history of rheumatoid arthritis on methotrexate and hydroxychloroquine, prior gastric ulcers on EGD, who was admitted to the hospital with bloody diarrhea, epigastric pain, acute blood loss anemia found to have duodenal ulcer. Patient received 2 units of blood products on hospitals day one and four. Course had [...]

Case Presentation:   An 87-year-old female presented to the emergency department (ED) complaining of chest PAIN (CP).  Her PMH includes hypothyroidism and rosacea. While shopping, patient developed sudden onset crushing central CP that prevented her from ambulating. Initially, she attributed the pain to her hiatal hernia. However, the pain persisted with radiation to the jaw [...]

Case Presentation: A 29-year-old man with a history of exercise-induced asthma presented with left-sided chest pain and exertional dyspnea. Two weeks ago, he started experiencing chest pain when playing basketball. The pain was relieved with rest. Prior to current admission, he was treated for asthma exacerbation for similar symptoms at a community hospital. He continued [...]