Transpedal Approach for the Treatment of Acute Limb Ischemia in a Patient with Limited Access Sites
Robert Abed, MD, MPH, Naveed Rajper, MD, Joseph Puma, MD and Justin Ratcliffe, MD
Article Type: Case Report | First Published: June 27, 2020
We present a 53-year-old male with a history of extensive peripheral vascular disease, including a repaired type B aortic dissection complicated by occlusion of the left subclavian artery requiring carotid to subclavian bypass. The patient then had a subsequent repair of a graft endoleak complicated by left iliac artery occlusion requiring fem-fem bypass. He presented to the ED with left foot pain concerning for acute limb ischemia needing for prompt revascularization. However, given the extensi...
The Covid-19 Pandemic and Triggered Acute Myocardial Infarction among Non-Infected Individuals
Ayman Hammoudeh, MD, FACC, Hadi Abu-Hantash, MD, FACC, Ramzi Tabbalat, MD, FACC, Eyas Al-Mousa, MD, FACC, Eyadeh Madanat, MD, Raad Al-Muhaisen, MD, Mahmoud Fakhri, MD and Imad A Alhaddad, MD, FACP, FACC
Article Type: Commentary | First Published: June 18, 2020
We examined the exposure to various triggering events among adults who presented with AMI (including ST-segment elevation MI [STEMI] and non-ST-segment elevation MI [NSTEMI]) to 6 tertiary care centers in Amman, Jordan during the Covid-19 imposed lockdown period from March 4 through June 1, 2020. Patients were enrolled if they reported exposure to at least one Covid-19 lockdown-related triggering event. Data obtained from patients or their immediate family members included baseline clinical char...
A Case Report of Aerococcus urinae Prosthetic Valve Infective Endocarditis Initially Misidentify
atalia Lattanzio, MD, Qassem Abdelal, MD, Stephen Bell, MD, Talal Alkayali, MD, Christian Lorenzo, MD, Ricardo Villasmil, MD, Wilhelmine Wiese-Rometsch, MD and Manuel Gordillo, MD
Article Type: Case Report | First Published: June 18, 2020
Infective endocarditis (IE) is most commonly caused by species such as staphylococci, streptococcus and enterococci. When IE is caused by organisms such as Aerococcus urinae, misidentification of the organism in culture is common, resulting in misdiagnosis. We present a case of IE caused by Aerococcus urinae in a 67-year-old male with a bioprosthetic aortic valve whose culture initially grew micrococcus. Aerococcus urinae is a gram-positive catalase negative cocci that has been recognized as par...
ABO-Rhesus Blood Group Distribution among Peri-Partum Cardiomyopathy Patients: A Multi-Center Study in Sokoto, Nigeria
Hayatu Umar, MBBS, MSc, FWACP, Simeon Alabi Isezuo, MBBS, MPH, FMCP, FESC, Muawiyya Zagga Usman, MBBS, FMCP, Adeshina A Yusuf, MBBS, Bello Tambuwal Umar, MBBS, MMED (Int. Med), Femi Akindotun Akintomide, MBBS, FMCP, Abdulaziz Aminu, MBBS, Aminu Sakajiki Muhammad, MBBS, MSc, FMCP, Abubakar Sadiq Maiyaki, MBBS, FWACP, Hamidu Muhammad Liman, MBBS, FMCP, Isah Omokhudu Oborien, MBBS, FMCP, Musa Baba Muhammad, MBBS, FWACP, Abdulmumini Yakubu, MBBS, FWACP, Samaila Bello, MBBS, Usman Muhammad Waziri, MB
Article Type: Original Research | First Published: June 12, 2020
Cardiovascular disease is a major cause of death among women of child bearing age in Northern Nigeria. As much as 60% of Peripartum Cardiomyopathy (PPCM) was reported among women with heart failures in a tertiary health institution in Sokoto, Northwestern Nigeria and was responsible for about 34% of deaths in peripartum women in South Africa. The Millennium and Sustainable Development Goals (MDG & SDG) 2000 to 2015 and 2015 to 2030, respectively have it as their cardinal quests, to reduce matern...
A Rare Case of End-Stage HF Salvaged by Rescue Cardiac Resynchronization Therapy (CRT)
Yaser Khalid, DO, Neethi Dasu, DO, Kirti Dasu, BA, Paul Jang, DO and Vivek Sailam
Article Type: Case Report | First Published: June 06, 2020
End-stage heart failure (HF) is defined as a lack of improvement of HF symptoms and frequent exacerbations despite maximal medical therapy. Current guidelines recommend against the use of Cardiac Resynchronization Therapy (CRT) as a rescue device in end-stage HF. CRT is a promising intervention for new-onset end-stage HF for patients who may be able to recover enough of their EF to restart goal-directed medical therapy (GDMT). This report highlights the promising clinical outcome of an unconvent...
Covid-19 Therapeutic Prospects: Cardiotoxicity Concerns
Olawale Adeyemi, BS, MD
Article Type: Commentary | First Published: June 03, 2020
There has been extensive research on developing a treatment regimen for COVID-19. Coadministering Chloroquine and Azithromycin have shown promising results in infected people. However, these medications have a peculiar side effect; QT prolongation. Physicians should be aware of the populations taking them and routine EKGs are recommended in these candidates. Since December 2019, there was an outbreak of a novel coronavirus disease (COVID-19), which was first reported in Wuhan, China. However, th...
A Case of Left Ventricular Pseudo-Aneurysm
Allam Harfoush and Ousama Hayder
Article Type: Case Report | First Published: June 01, 2020
The patient was transferred from abroad hospital due to its medical costs, after performing a diagnostic CAG without PCI. However, the gentle-man did not have documents from his previous hospitalization but the videos of the CAG. Also, the patient has an undefined type of ACS due to the lack of information. The patient was asymptomatic when he consults the cardiovascular department in Tishreen University Hospital....
A Misleading Diagnosis: Anterolateral STEMI Disguising Type A Aortic Dissection in Postpartum
Hema Balina, MD and Thomas Wool, MD
Article Type: Case Report | First Published: June 01, 2020
Acute Myocardial Infarction (AMI) during the early postpartum period is a rare event and carries a high mortality rate. We report an unusual case of Type A aortic dissection involving the left coronary ostium and presenting as anterolateral ST segment elevation myocardial infarction. Our patient was diagnosed to have aortic dissection at the time of left heart catheterization, and suffered a cardiac arrest prior to undergoing surgical intervention....
Quality over Quantity: A Case Based Review of HDL Function and Dysfunction
Suleiman Suleiman, MB, BCH, BAO, JJ Coughlan, MB, BCH, BAO, MRCPI and Vincent Maher, MD, FRCPI, FESCFACC
Article Type: Review Article | First Published: May 16, 2020
High density lipoprotein cholesterol (HDL) has traditionally been considered athero-protective and has been associated with a reduced risk of atherosclerotic cardiovascular disease (ASCVD). This has led to an approach of increasing HDL levels in high risk patients. However, due the complexity of the HDL particle and its diverse role in inflammation and immunity, this simple approach may be detrimental to cardiovascular health. Recent analysis of large population cohorts has established a U-shape...
New Onset Atrial Fibrillation in Health Profession Student with Newly Diagnosed ADHD: A Case Report on Wellness and Cardiovascular Consequences of Burnout
Mary Gao, Justin Chin, DO, Gayathri Nagendiram, Derek Chen, Parth Rajyaguru, DO and Christine Lomiguen, MD
Article Type: Case Report | First Published: May 06, 2020
A 23-year-old Caucasian male presented to the emergency department after a 10-minute episode of dizziness, headache with visual aura, shortness of breath, palpitations, and chest pain after exercise, specifically running. Past medical history was significant for recent diagnosis of attention deficit hyperactivity disorder for which he was started on 54 mg Ritalin (extended release methylphenidate) three months prior. He denied any known congenital or structural heart disease, prior cardiac arrhy...