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- Antimicrobials (1)
- Aortic perforation (1)
- Aortic valve endocarditis (1)
- Aortitis (1)
- Atrial fibrillation (1)
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- Cat exposure (1)
- Coronary artery bypass graft (1)
- Dronedarone (1)
- Echocardiography (1)
- Infectious aortitis (1)
- Infective endocarditis (1)
- Invasive pneumococcal disease (1)
- LVA (1)
- Left Atrial Appendage Closure; atrial fibrillation; Chronic kidney disease; Physician Perspectives; Patient-Centered Care (1)
- Multimodality imaging (1)
- Native valve (1)
- Post myocardial infarction (1)
- Postoperative arrhythmia (1)
- Reverse Takotsubo Cardiomyopathy; Severe Dengue; Case Report; Pakistan; cardiomyopathy (1)
- Spontaneous coronary artery dissection; Ventricular fibrillation; Acute coronary syndrome; Fibromuscular dysplasia (1)
- Streptococcus canis (1)
- Streptococcus pneumoniae (1)
- Surgery (1)
- Takotsubo Syndrome; Acute coronary syndrome (1)
- Thrombocytopenia; Infective Endocarditis; Antibiotic therapy (1)
- Ventricular aneurysm (1)
Articles 1 - 9 of 9
Full-Text Articles in Medicine and Health Sciences
A Case Of Incidental Left Ventricular Aneurysm, Sacide S. Ozgur, Yezin Shamoon, Rachel Abboud, Atul Prakash, Fayez Shamoon
A Case Of Incidental Left Ventricular Aneurysm, Sacide S. Ozgur, Yezin Shamoon, Rachel Abboud, Atul Prakash, Fayez Shamoon
Journal of Community Hospital Internal Medicine Perspectives
Post MI left ventricular aneurysm (LVA) may be incidental, yet it presents potential risks such as heart failure, arrhythmias, thromboembolism. Monitoring and vigilant follow-up are essential to promptly identify LVA in patients with risk factors.
Physicians' Perspective On Percutaneous Left Atrial Appendage Closure In Patients With Atrial Fibrillation And Chronic Kidney Disease In Pakistan, Rubaiqa Khan, Malik Faisal Iftikhar, Naveed Hussain, Waleed Abbasi, Jahanzeb Malik, Waheed Akhtar, Amin Mehmoodi, Muhammad Awais
Physicians' Perspective On Percutaneous Left Atrial Appendage Closure In Patients With Atrial Fibrillation And Chronic Kidney Disease In Pakistan, Rubaiqa Khan, Malik Faisal Iftikhar, Naveed Hussain, Waleed Abbasi, Jahanzeb Malik, Waheed Akhtar, Amin Mehmoodi, Muhammad Awais
Journal of Community Hospital Internal Medicine Perspectives
This study, conducted in Pakistan, examines the perspectives of 1200 physicians across diverse specialties regarding Left Atrial Appendage Occlusion (LAAO) procedures for atrial fibrillation (AF) patients with chronic kidney disease (CKD). Using a random sampling approach, physicians participated in a survey that assessed their familiarity with LAAO, views on its effectiveness and safety, experience levels, and encountered challenges. The results unveil a spectrum of knowledge levels among physicians, reinforcing the need for tailored medical education and training programs. The majority of patients were between 30 and 49 years old (59.8%). A notable proportion, 33.3%, had limited or no knowledge of …
Streptococcus Canis Native Aortic Valve Endocarditis Linked To Cat Exposure: A Case Report And Review, Michael S. Wang, Maria Huaringa, Lauren Feld, Ken Ochiai, Tiffany Whelan, Nicholas M. Frazier
Streptococcus Canis Native Aortic Valve Endocarditis Linked To Cat Exposure: A Case Report And Review, Michael S. Wang, Maria Huaringa, Lauren Feld, Ken Ochiai, Tiffany Whelan, Nicholas M. Frazier
Journal of Community Hospital Internal Medicine Perspectives
Streptococcus canis is an uncommon human pathogen, but documented infections have been mostly associated with exposure to dogs. There are only five documented cases of endocarditis secondary to streptococcus canis, with all cases except one documenting exposure to a canine. We present a 74-year-old male with a history of Type 2 diabetes mellitus, CKD 3, moderate aortic stenosis and remote exposure to agent orange, who was found to have Streptococcus canis native valve endocarditis without exposure to a dog. To the best of our knowledge this case is the first case of endocarditis linked to feline exposure.
Reverse Takotsubo Cardiomyopathy With Severe Dengue: Case Report From Pakistan., Warda Ajmal, Zahra Iftikhar, Asaad Akbar Khan
Reverse Takotsubo Cardiomyopathy With Severe Dengue: Case Report From Pakistan., Warda Ajmal, Zahra Iftikhar, Asaad Akbar Khan
Journal of Community Hospital Internal Medicine Perspectives
Takotsubo Cardiomyopathy is an established transient cardiomyopathy found predominately in females with intense emotional and physical strain. It has four notable variants: Apical, Mid-Ventricular, Basal and Focal. Mid Ventricular variant is also referred to as Reverse Takotsubo Cardiomyopathy. Dengue is a viral arthopod-borne tropical disease endemic to Pakistan, with multiple reports of cardiovascular involvement. We report an atypical presentation of a 17 year old male, suffering from Dengue Fever, who presented to a tertiary care hospital with Reverse Takotsubo Cardiomyopathy.
Takotsubo Syndrome: Is It Just A “Broken Heart”?, Haris Muhammad Md, Angila Bag Md, Aparna Iyer Md
Takotsubo Syndrome: Is It Just A “Broken Heart”?, Haris Muhammad Md, Angila Bag Md, Aparna Iyer Md
Journal of Community Hospital Internal Medicine Perspectives
Takotsubo Cardiomyopathy (TCM) is known as stress induced cardiomyopathy which may be triggered by emotional or physical stress. It contributes approximately 0.02% of all the hospitalizations in the US. It is acute and reversible cardiomyopathy with transient decrease in ventricular function and unremarkable angiogram. TCM was initially considered to be a benign condition however recent studies have shown that it may be associated with complications and mortality similar to acute coronary syndrome (ACS). Therefore, its early recognition is fundamental in the management of potentially reversible pathology.
Severe Thrombocytopenia In Infective Endocarditis, Mayuri Patel, Biplov Adhikari, Amrit Devkota, Mahsa Mohebtash
Severe Thrombocytopenia In Infective Endocarditis, Mayuri Patel, Biplov Adhikari, Amrit Devkota, Mahsa Mohebtash
Journal of Community Hospital Internal Medicine Perspectives
Thrombocytopenia can be seen in about 20-25% of patients with bacterial infective endocarditis (IE). Platelets have a major role in the pathogenesis of endocarditis, and they are also sensitive monitors of systemic host response to bacteremia. Thrombocytopenia on presentation of patients with IE identifies higher risk groups and carries higher mortality risk. The presence of thrombocytopenia is an independent prognosticator of poor outcomes in IE. We present a case of a 40-year-old male with the history of injection drug use who was diagnosed with IE and was found to have severe thrombocytopenia on admission was treated with intravenous antibiotics, which …
Recurrent Spontaneous Coronary Artery Dissection: A Case Of Triple Trouble, Sumit Khurana, Jessica Kaushal, Dhruv Markan, John C. Wang, Antony Kaliyadan, Christopher Haas, Amrit Devkota
Recurrent Spontaneous Coronary Artery Dissection: A Case Of Triple Trouble, Sumit Khurana, Jessica Kaushal, Dhruv Markan, John C. Wang, Antony Kaliyadan, Christopher Haas, Amrit Devkota
Journal of Community Hospital Internal Medicine Perspectives
SCAD (Spontaneous Coronary Artery Dissection) is a rare disorder which rarely recurs. It is increasingly diagnosed as a cause for acute coronary syndrome (ACS) with limited insight into its pathophysiology and treatment. Lack of randomized trials and consensus guidelines make this a unique and challenging disease to manage. We describe a complex case of recurrent idiopathic SCAD with prior history of NSTE-ACS (Non-ST elevation Acute Coronary Syndrome) and discuss its management based on current clinical practices.
Dronedarone For Atrial Fibrillation Prophylaxis In Patients Undergoing Open Heart Surgical Interventions: A Case Series, Jay D. Patel, Mrhaf Alsamman, Dewansh Goel, Sai Gudduru, Rakesh Prashad
Dronedarone For Atrial Fibrillation Prophylaxis In Patients Undergoing Open Heart Surgical Interventions: A Case Series, Jay D. Patel, Mrhaf Alsamman, Dewansh Goel, Sai Gudduru, Rakesh Prashad
Journal of Community Hospital Internal Medicine Perspectives
Atrial fibrillation (a-fib) is one of the most frequently encountered and studied arrhythmias in medicine. The presence of A-fib in the post-operative period of coronary artery bypass graft (CABG) surgery is of particular concern for clinicians as this presents risks of post-operative stroke, hospital readmission, or anticoagulation dilemmas depending on the patient’s comorbidities. In this case study, we present 5 patients who were treated with dronedarone prior to undergoing open heart procedures. We subsequently followed each patients clinical course paying close attention for any evidence of post-operative a-fib.
Catastrophic Perforation In Streptococcus Pneumoniae Aortitis: Complications Of Infective Endocarditis In The Current Antimicrobial Era, Sana Shaikh, Jorge Isaac Peña Garcia, Michelle Shieh, Alexandre Lacasse
Catastrophic Perforation In Streptococcus Pneumoniae Aortitis: Complications Of Infective Endocarditis In The Current Antimicrobial Era, Sana Shaikh, Jorge Isaac Peña Garcia, Michelle Shieh, Alexandre Lacasse
Journal of Community Hospital Internal Medicine Perspectives
Infectious aortitis is an uncommon but life-threatening cause of aortitis. Given the lack of specific symptoms, establishing the diagnosis is often a challenge. When it is associated with an endovascular infection, such as infective endocarditis, blood cultures may be diagnostic although often limited by low positive predictive value. Imaging studies may reveal characteristic findings, with computerized tomography angiography being the most sensitive. Management includes prompt initiation of antimicrobial therapy followed by surgical intervention, keeping in mind that operative mortality is high due to weakened arterial wall integrity. Here we describe a 25-year-old woman without relevant medical history, who presented to …