An Older Patient With Chest Pain Diagnostic Traps
This case report describes an older patient with persistent chest pain, recent hospitalization for SARS-CoV-2 infection, and previous kidney transplantation.
Medical Knowledge
Hidden Fatal ECG Manifestations
This case report presents the electrocardiogram findings of a patient in their 50s with syncope and palpitation and amaurosis followed by loss of consciousness for several minutes without preceding position change, cough, chest pain, or shortness of breath.
An Abnormal ECG Finding in a Patient With COVID-19
This case report presents the electrocardiogram findings of a patient in their 50s with severe COVID-19 pneumonia, hypertension, and diabetes.
An Interesting Wide QRS Complex Tachycardia
This case report describes a patient in their 70s who presented to the emergency department with sudden-onset tachycardia that had been going on for more than 1 day after experiencing recurrent palpitations for the past 20 years.
Chest Pain With Exercise-Induced Left Bundle-Branch Block Is There a Connection?
This case report describes a patient in their early 60s with chest pain during exertion.
Arrhythmia During Anaphylaxis An Intrinsic or Extrinsic Cause?
A patient in their 50s presented to the emergency department (ER) within 30 minutes of ingestion of prawns at a restaurant with complaints of an itchy skin rash, and generalized weakness; his pulse rate was 79 bpm, his blood pressure…
Incorrect Electrocardiogram Lead Placement in ST-Segment Elevation Myocardial Infarction
This case report describes a patient in their 70s with acute onset waxing and waning chest pressure, which radiated to both arms and was accompanied by shortness of breath.
Mild Transaminase Elevation With Rapid Diagnostic Escalation – A Teachable Moment
This Teachable Moment describes a 33-year-old woman with decreasing transaminase levels on repeated testing and ultrasonography showing fatty infiltration.
Adenosine Triphosphate Citrate Lyase and Fatty Acid Synthesis Inhibition – A Narrative Review
Importance Adenosine triphosphate citrate lyase (ACLY) is a key regulatory enzyme of glucose metabolism, cholesterol and fatty acid synthesis, and the inflammatory cascade. Bempedoic acid, an ACLY inhibitor, significantly reduces atherogenic lipid markers, including low-density lipoprotein cholesterol (LDL-C), non–high-density lipoprotein cholesterol,…
Woman in Her 50s With an Intravenous Mass Extending to the Right Cardiac Chamber
This case report describes a diagnosis of intravenous leiomyomatosis in a woman in her 50s who presented with exertional dyspnea and syncope and had a history of hysteromyomectomy.
