Case Presentation: 56-year-old male with a history of squamous cell cancer of forehead s/p Mohs surgery who was admitted from the outpatient cardiology stress lab after his EKG revealed complete heart block. Baseline TTE done during the initial part of the stress test revealed LVEF25-30%. Patient was asymptomatic on admission, hemodynamically stable with no laboratory [...]

Case Presentation: A 46 year-old woman presented with one week of palpitations and dyspnea on exertion. Her medical history was remarkable for a pericardial effusion of unknown etiology two months prior, treated with pericardiocentesis in Guyana. On presentation she was hemodynamically stable. Exam was significant for distant heart sounds and decreased breath sounds at the [...]

Case Presentation: A 45 year old African American male with sarcoidosis (2009 lung biopsy) was brought by EMS after an out of hospital ventricular fibrillation cardiac arrest. With ACLS, ROSC was attained after 20minutes. He had no family history of sudden death or heart disease. He did not engage in any toxic habits. Exam showed [...]

Case Presentation: A 47 year-old female with hypertension, dyslipidemia, and diabetes presented with two weeks of dyspnea. An ECG a year prior showed normal sinus rhythm. The rhythm strip from a transthoracic echocardiogram incidentally showed complete heart block. An ECG confirmed new persistent third degree AV block. A left heart catheterization ruled out coronary artery [...]

Case Presentation: A 47-year-old African-American man with obstructive sleep apnea presented to the emergency department after being called-back due to evidence of complete atrioventricular (AV) block on routine electrocardiogram. Patient reported a 6-month history of fatigue and exertional dyspnea. On physical examination, he was afebrile and in no acute distress. Vital signs were BP: 142/92 [...]

Case Presentation: A 56-year-old previously healthy Caucasian woman was evaluated by a neurologist for seizure-like activity and syncope. She was placed on a Holter monitor that showed episodes of paroxysmal supraventricular tachycardia, ventricular tachycardia (VT), and third-degree AV block. She presented to the emergency department with chest pain, a new left bundle branch block, and [...]

Case Presentation: An 81-year-old man with a history of urothelial carcinoma treated 10 months ago with right radical cystoprostatectomy and nephroureterectomy with ileal conduit followed by seven cycles of adjuvant atezolizumab and tiragolumab, two immune checkpoint inhibitors (ICI), was admitted with malaise, anorexia, and fever for 2 months. His past medical history included left lung [...]