Case Presentation: A 45-year-old previously healthy male with a known history of polysubstance use (tobacco, ethanol, and cocaine) presented to the emergency department with sudden onset left-sided facial droop, hemiparesis, hemisensory loss, and dysarthria. The [...]
Case Presentation: A 64-year-old woman with a history of heart failure (HF) and end stage renal disease on dialysis presented with three days of abdominal pain. She was lethargic, hypothermic to 34.5 C, with jugular [...]
Case Presentation: A 49-year-old male presented with progressive lower extremity edema, exertional dyspnea and orthopnea for three weeks. Past medical history significant for non-ischemic cardiomyopathy, systolic heart failure and moderate aortic regurgitation (AR) diagnosed one [...]
Background: Lung ultrasound (LUS) is emerging as a useful diagnostic tool for several lung pathologies. Some studies have found its accuracy in diagnosing pulmonary edema surpasses that of chest x-ray (CXR) but the available evidence [...]
Case Presentation: A 66 year old female with a history of RA, diabetes mellitus, and deep vein thrombosis, presented to ED with tachycardia and hypoxic respiratory failure requiring 5 liters of oxygen. Physical exam was notable [...]
Case Presentation: A 65 year old male with ischemic cardiomyopathy, EF of 25% and NYHA III symptoms despite optimal medical therapy, severe mitral regurgitation (MR) and left bundle branch block (LBBB) with QRS>150ms (figure 1) [...]
Case Presentation: A 43-year-old female presented with a three-week history of shortness of breath and abdominal pain. The patient denied alcohol use and stated that she previously had regular menstrual periods until 14 months ago [...]
Background: Heart failure (HF) is a major public health concern that affects over 5 million adults in the US. HF is among the most common reasons for hospital admissions and presents a considerable cost burden [...]
Case Presentation: A 87 year old female with history of Left ventricular non-compaction(LVNC), HFrEF with EF25-30%, CAD, hypertension, hyperlipidemia presented with acute dyspnea. She denied chest pain, palpitation, lightheadedness. Exam revealed tachycardia, tachypnea and hypoxia, [...]
Case Presentation: A 40 year-old male with no significant past medical history presented with two months of increasing fatigue, anorexia, and progressive exertional dyspnea. Additionally, he reported a mild increase in abdominal girth during the [...]
Background: Hyperlipidemia is a recognized risk factor for incident acute myocardial infarction (AMI) and acute decompensated heart failure (ADHF), and no such documented association with pneumonia. However, the influence of hyperlipidemia on long-term mortality after [...]
Background: Involvement of a cardiologist in the care of hospitalized patients with a primary diagnosis of heart failure (HF) has been shown to improve outcomes and may affect their readmission rates. However, less is known [...]
Background: Heart failure is a deadly epidemic with over 37 million people affected worldwide with a multitude of physical, psychological and financial implications on patients and the healthcare system. The progression of heart failure can [...]
Background: Despite recent advancements in the medical management of acute and chronic Heart Failure (HF), smooth transitions of care for patients hospitalized with HF remain elusive for most health care systems. Use of home health [...]
Background: Diuretic therapy is the mainstay of treatment for heart failure exacerbations but its optimal dosing strategy remains unclear. In 2011, the DOSE trial exhibited a trend toward improvement in patients’ global symptom assessments when [...]