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Showing posts with the label Myocardial dysfunction

An Unusual Case of STEMI from Extrinsic Obstruction-Juniper Publishers

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JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract We present a patient with symptomatic multi-vessel ischemic heart disease requiring surgical intervention. The saphenous veins and radial arteries were unsuitable conduits and the ascending aorta was near porcelain. Six off-pump coronary artery bypass (OP-CAB) were performed utilizing five grafts derived from the basilic-cephalic veins and one from the internal mammary artery. Coronary angiography one year later showed complete patency of all the grafts. Background Although uncommon, cardiac fibromas can have dangerous consequences, usually arise in the ventricular muscle and may become quite large. Heart failure is the most common symptom, due to obstruction of blood flow or interference with alvular function and conduction disturbances. Here we present a rare case of acute occlusion of coronary arteries due to an interventricular cardiac fibroma ...

Eosinophilic Heart Disease: A Case Report and Review of Literature-Juniper Publishers

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JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Introduction Hypereosinophilic syndrome (HES) is a multisystem disorder diagnosed by the presence of hypereosinophilia (HE) defined as an absolute eosinophil count (AEC) >1.5x109/L (or >1500cells/microL) and multi organ involvement attributable to HE. Myocardial dysfunction is a frequent finding and is a major cause of morbidity and mortality in HES. The diagnosis of hypereosinophilic heart disease (EHD) is made in the setting of hypereosinophilia and characteristic clinical features and imaging findings of damage to the heart. We describe those clinical features in this case of HES with HHD with review of literature. Case Report A 63 year old male with no known past medical history was transferred to our hospital for hypotension, abnormal EKG and elevated troponin. The patient described nonspecific symptoms of cough, runny nose, malaise, muscle aches, nausea, diarrhea and l...