Open Access DOI:10.23937/2378-2951/1410203
Unexpected Coronary Angiographic Findings in a Patient with Wellens’ Sign
Morris M Kim, MD, Jonathan S Taylor, MD, Jenna S Anderson, MD and Ignatius G Zarraga, MD
Article Type: Case Report | First Published: October 23, 2020
The abnormal electrocardiogram findings of Wellens’ sign that occur in the context of unstable angina are typically associated with significant stenosis in the proximal left anterior descending (LAD) coronary artery. We report an unusual case of a patient who had unstable angina and Wellens’ sign, without significant LAD stenosis. An 81-year-old man with moderate to severe aortic stenosis, hypertension, mild left ventricular hypertrophy, hyperlipidemia, and history of tobacco use presented t...
Open Access DOI:10.23937/2378-2951/1410202
Vaping Induced Cardiac Complications - A Smokescreen Coming to Engulf the Heart?
Benji LIM, MB BCh BAO, Sheldon LEE, MBBS and Siang Chew CHAI, MBBS
Article Type: Case Report | First Published: September 26, 2020
E-cigarette usage has been shown to be associated with lung injury. However, there has been limited data of cardiovascular complications in e-cigarette users. We present two patients that developed cardiac complications after recent increased e-cigarette usage - the first with non-ischemic cardiomyopathy after a month of electronic cigarette usage at the highest power setting of 40 Watts, and the second with predominantly non-ischemic cardiomyopathy with underlying single vessel coronary artery ...
Open Access DOI:10.23937/2378-2951/1410201
Enterobacter Related İmplantable Cardiac Defibrillator Lead Endocarditis in Dialysis Patient
Hakan Duman, MD, Oğuzhan Bodur, MD and Yüksel Çiçek, MD
Article Type: Case Report | First Published: September 16, 2020
Use of intracardiac devices for heart diseases is increasing Worldwide. One of the important complications of pacemakers is infective endocarditis from the leads as the source. In this case, we report a 61-years-old male patient who is on dialysis and presented with implantable cardioverter defibrillator (ICD) lead endocarditis caused by Enterobacter Cloacae four months following implantation. Intracardiac devices are one of the predisposing conditions for infective endocarditis. It is known tha...
Open Access DOI:10.23937/2378-2951/1410200
Therapeutic Strategy for a Patient with Advanced Heart Failure and Schizophrenia without Cardiac Replacement Therapies
Masakazu Hori, MD, Teruhiko Imamura, MD, PhD, Makiko Nakamura, MD, PhD, Masaki Nakagaito, MD, PhD and Koichiro Kinugawa, MD, PhD
Article Type: Case Report | First Published: September 03, 2020
Despite considerable improvement in the cardiac replacement therapy including durable left ventricular assist device and heart transplantation, some patients are not good candidates for such intensive therapies given their comorbidities. We had a 58-year-old patient with advanced heart failure who was assigned to INTERMACS profile 2 with progressive end-organ dysfunction refractory to inotropes. Following the detailed discussion, he decided not to receive cardiac replacement therapy dominantly g...
Open Access DOI:10.23937/2378-2951/1410199
Multi-Modality Imaging of a Case of Multiple Intra-Cardiac Aneurysms Complicated by Mitral Valve Leaflet Perforation
Ruchika Meel, PhD, Liam Lorentz, FCRAD, Ricardo Goncalves, Bongane Ngutshane, MD and Shungu Mogaladi, MMED
Article Type: Case Report | First Published: September 03, 2020
Intra-Cardiac aneurysms are a rare entity. In the past case reports and series have described the entity of "annular sub-valvular left ventricular aneurysms" in patients of African descent. These authors proposed the aforementioned aneurysms to be of congenital aetiology. Majority of the time the aneurysms were located in the sub-mitral or sub-aortic positions and were diagnosed by echocardiography and ventriculography. Multiple discrete left ventricular aneurysms complicated by mitral valve per...
