Primary Percutaneous Coronary Intervention (pPCI) Using Right Fossa Radialis (Dorsal Transradia) Approach
Santosh Kumar Sinha, Puneet aggarwal and Umeshwar Pandey
Article Type: Case Report | First Published: August 31, 2020
Haematoma, dissection, local site granuloma, and persistent radial artery occlusion are few of the complications of conventional transradial access. The distal radial artery located in the fossa radialis or anatomical snuffbox on the dorsal side of the hand may be an attractive alternative to conventional radial stick. Here, we report a case of a 47-year-old diabetic male who presented with retrosternal chest pain and sweating of 2-hours duration, and diagnosed as acute inferior wall myocardial ...
Recurrent Spontaneous Coronary Artery Dissection Leading to Recurrent Sudden Cardiac Arrests: Who is at Risk?
Anthony Weber, MD, Joseph Elliott, MD and Prabhakaran Gopalakrishnan, MD
Article Type: Case Report | First Published: August 20, 2020
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome (ACS) with medical management and conservative therapies usually resulting in favorable outcomes. SCAD often is recurrent, especially in high risk individuals with underlying connective tissue disorders. Lethal ventricular arrhythmias have been reported in SCAD without clear indications for secondary prevention with implantable cardiovert-defibrillator (ICD). Depending on risk factor for recurrence as well a...
Enhancing the Accuracy of Computerized Interpretation of Old Inferior Wall Myocardial Infarction in a Routine or Preoperative Electrocardiogram by Analyzing Repolarization Abnormalities and Q Waves in Leads II, III and aVF
Zameer Abedin, MS, MD, David Gough, MD, Moeen Abedin, MD, Tariq Siddiqui, MD, Debabrata Mukherjee, MD, Chandra P Ojha, MD, Zuber D Mulla, PhD and Zainul Abedin MD, FRCP(C), FHRS
Article Type: Original Research | First Published: August 14, 2020
Fifty-six patients, in whom computerized interpretation of the ECG resulted in the diagnosis of old IMI, and in whom imaging studies were also available, were included in this study. ECGs were interpreted using the MUSEGE system. These ECGs were also analyzed by manually measuring the depth and the width of the Q waves and morphology of ST and T-wave changes in inferior leads. Echocardiograms and nuclear medicine cardiac imaging were performed and interpreted using standard equipment and techniq...
Extensive Coronary Thrombus in Patients Presenting with STEMI and COVID-19 Infection
Angela Li, MD, Calvin Ngai, MD, Loukas Boutis, MD and Bani M Azari, MD, PhD
Article Type: Case Series | First Published: August 13, 2020
The pathophysiology of ST-elevation myocardial infarction (STEMI) is not well understood in Coronavirus disease 2019 (COVID-19). We present similar angiographic findings in two COVID-19 patients with STEMI. Despite percutaneous coronary intervention (PCI), distal coronary flow was not restored. The pro-thrombotic and inflammatory effects of COVID-19 may lead to myocardial infarction. The COVID-19 pandemic has caused a significant strain on global healthcare systems. STEMI management during this ...
Analysis of Complications of Acute Coronary Syndrome and Related Outcomes in India
Balakumaran V, Namrata H, Anirudhya and Nitin Rathod
Article Type: Research Study- Prospective Cohort | First Published: August 13, 2020
This study was conducted to reflect the clinical profile of
patients presented to Emergency department (ED) with
complications of acute coronary syndrome in developing
country like India. This prospective cohort study was conducted
in a cohort of 50 patients’ with acute coronary syndrome
(ACS). They were followed up an over duration of
three months for the outcome during hospitalization. Male;
smoker; age > 60 years; hypertension were representative
risk factors for this cohort. More t...
A Case of New Onset Iohexol Contrast Induced Kounis Syndrome after Prior Contrast Exposure
Ahmed Shahab and Maheep Sangha
Article Type: Case Report | First Published: July 31, 2020
A 76-year-old male with past medical history significant for prostate cancer (in remission), diabetes, hyperlipidemia and tobacco dependence but no identified coronary artery disease presented to emergency room complaining of Left abdominal and flank pain which started at rest. His initial work-up only revealed significant hematuria and his pain resolved IV Tylenol administration. The cause of hematuria was investigated with...
Percutaneous Reversal of Cyanosis on Catheterization Table in a 12-Year-Old Boy using Cera Vascular Plug - A Case Report
Santosh Kumar Sinha, FACC, FAESC, FSCAI, Mahmodullah Razi, Umeshwar Pandey and Vinay Krishna
Article Type: Case Report | First Published: July 29, 2020
Pulmonary arteriovenous malformations are commonly treated by embolization with coils or balloons to prevent cerebral complications and to raise the oxygenation of the blood. The Cera vascular plug (Lifetech Scientific, Shenzhen, China) is a new vascular device made of a self-expanding cylindrical nitinol mesh. Here we report a case of a 13-year-old boy who had presented with 4 year history of progressive exertional dyspnoea, cyanosis, and clubbing. Pulmonary arterio-venous malformation (multipl...
Syncope in a Patient with H/O Kearns Sayre Syndrome
Saddam Yasin, MD, Kanwal Mehmood, MBBS and Osama Alsara, MD
Article Type: Case Report | First Published: July 29, 2020
Patients with history of mitochondrial disorders are at increased risk of having conduction disorders and cardiomyopathy and should have low threshold for pacemaker and implantable cardioverter defibrillator placement. Kearns Sayre syndrome is the result of deletions in mitochondrial DNA which causes bilateral pigmentary retinopathy and conduction abnormalities. Judicious use of implantable cardioverter defibrillator in this subset population with cardiomyopathy or prolonged QT interval is requi...
Rapid-Onset Thrombocytopenia Following Tirofiban Administration
Andrew M Smith, MD, Timothy G Petrie, MD and Brian J Page, MD
Article Type: Case Report | First Published: July 24, 2020
A 61-year-old male presented to the emergency department with a two day history of intermittent, burning chest pain which became constant and radiated to the left arm. His past medical history was significant for coronary artery disease with two prior myocardial infarctions, three prior cardiac stenting procedures (in 1999, 2001, and 2006), tobacco use with more than a forty pack year history, hypertension, hyperlipidemia, gastroesophageal reflux, cluster headaches, and an early family history o...
Increased Incidence and Prevalence of Cardiovascular Events and Mortality in Female Patients with NAFLD: A Meta-Analysis and Meta-Regression
Yaser Khalid, DO , Neethi Dasu, DO, Herman Suga, DO, Kirti Dasu, BA, Debashis Reja, MD, Ankit Shah, DO, Donald McMahon, DO and Adam Levine, DO
Article Type: Meta-Analysis | First Published: July 10, 2020
Non-alcoholic fatty liver disease (NAFLD) and cardiovascular diseases (CVD) share similar risk factors. Recent studies have focused on obesity and insulin-resistance, but the link between NAFLD and CVD persists regardless of traditional risk factors. Despite the increased incidence and prevalence of NAFLD world-wide, there has been no thorough investigation of gender disparities nor a closer look taken into investigating the role gender may play in increased cardiovascular (CV) mortality inciden...