Left Ventricular Noncompaction Cardiomyopathy
This case report describes an echocardiography-based diagnosis of left ventricular noncompaction cardiomyopathy in a male patient in his 40s who presented with sudden-onset dyspnea.
JAMA Cardiology
A Patient With Cough, Palpitations, Dyspnea, and Chest Pain
A man in his early 50s presented with recurrent episodes of cough, palpitations, shortness of breath, and exertional chest pain. What would you do next?
Patent Foramen Ovale and Dysarthria in a Man in His 60s
This case report describes a diagnosis of patent foramen ovale in a man in his 60s presenting with stroke symptoms and multifocal infarcts on magnetic resonance imaging of the brain.
Preserving and Promoting Clinical Trial Representativeness – A Review of Existing Strategies and the Path Forward
Importance Despite major advancements in cardiovascular clinical research, underrepresentation in cardiovascular clinical trials persists, limiting generalizability, access to novel therapies, and equitable care. Observations Policymakers, funding bodies, researchers, and professional societies have increasingly acknowledged the scientific importance of representation of the intended…
Recurrent Chest Pain in a Young Female Patient With Family History of Cancer
A female patient presents with chest pain, and echocardiography reveals moderate circumferential pericardial effusion, leading to a diagnosis of acute pericarditis. Initial cardiac magnetic resonance imaging phase-sensitive inversion recovery sequences in the sagittal section depict late gadolinium enhancement on the…
Yellowish Nodules on a Man Consuming a Carnivore Diet
This case report describes a diagnosis of xanthelasma in a man in his 40s who adopted a carnivore diet 8 months before presentation.
Recognition of the Large Ambulatory C2D Stage of Advanced Heart Failure—A Call to Action
Importance The advanced ambulatory heart failure (HF) population comprises patients who have progressed beyond the pillars of recommended stage C HF therapies but can still find meaningful life-years ahead. Although these patients are commonly encountered in practice, national databases selectively capture…
New Right Atrial Image After Coronary Revascularization Surgery
This case report describes a saphenous vein graft simulating an intracardiac structure on echocardiography of a patient after coronary revascularization surgery.
Coronary Artery Calcium Testing—Too Early, Too Late, Too Often
Importance Traditional risk factors, enhancing factors, and risk scores help clinicians assess atherosclerotic cardiovascular disease (ASCVD) risk for primary prevention. The latest cholesterol guidelines suggest measuring coronary artery calcium (CAC) score by computed tomography (CT) in those at intermediate risk when…
Exercise-Induced Dyspnea in an Older Woman With a History of Coronary Artery Disease
An older woman with a history of coronary artery disease presents with dyspnea upon exertion. A transthoracic echocardiogram reveals severe mitral regurgitation, and an electrocardiogram reveals sinus tachycardia with left bundle branch block. What would you do next?
