Amgad N Makaryus

..Numerous reports have described pericardial effusions secondary to an anterior mediastinal cystic teratoma; however, to our knowledge, this is the 1st case of a teratoma causing chylopericardium that presented as tamponade...

..This article reviews the treatment of hypertension as a metabolic and vascular disease and also opens a new paradigm for the treatment of metabolic syndrome, which affects nearly one quarter of the world's population...

..We report the case of a 28-year-old male referred for the evaluation of atypical chest pain who was found to have an LV diverticulum affecting the inferoposterior wall of his LV...

..He had an angiogram that revealed normal coronary arteries and, subsequently, was diagnosed with acute pancreatitis based on suggestive pancreatic enzymes and computed tomography of the abdomen...

..Her coronary anatomy was free of significant atherosclerotic lesions, and her ventriculogram revealed apical ballooning in the shape similar to the round-bottomed Japanese pot used for trapping octopus...

..Pathologic diagnosis of the mass noted it to be composed of thrombus. In this patient, we theorize that there was an infectious process to cause a bacteremia that may have damaged the intima of the aorta and caused seeding with thrombus...

..It also examines the therapeutic implications of a diagnosis of aspirin resistance...

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..This may have prognostic implications that warrant implantable cardioverter-defibrillator programming to enable appropriate antitachycardia pacing in this group of patients...

..The tachycardia displayed characteristic dual atrioventricular-nodal physiology that was suppressed by amiodarone therapy, leading to a reversal of the cardiomyopathy. We discuss the mechanisms that surround such phenomena...

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..In this article we review the literature regarding the diagnostic and prognostic evaluation of coronary artery disease in women with respect to imaging...

..In the CE, small changes in LVOT diameter may significantly change calculated aortic valve area (AVA). Using 64-slice Multi-detector CT (MDCT), we performed LVOT planimetry to obviate the need for any geometric assumptions...

..We sought to examine the left ventricular end diastolic diameter (LVEDD) as a predictor of VA susceptibility...

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..We report the case of a 47-year-old man who underwent repair of a stab wound to the heart 25 years ago and subsequently developed a large left ventricular pseudoaneurysm and presented with angina...

..The noted pericardial effusion and the likely shifting of the atrial lead with each alternate beat caused the "sensing alternans" that was seen on the admission electrocardiogram...

..We report the case of a coronary artery dissection during a twin pregnancy involving the left anterior descending artery. Successful treatment with medical management was possible once spontaneous reperfusion had been achieved...

..pylori infection might be beneficial for DES patients on long-term antiplatelet therapy...

..We also review the literature regarding the association between adenosine NST and AV block...

..ICD discharges may be appropriate or inappropriate, and identification of patients at risk for ICD discharge is essential. We sought to determine the predictors of appropriate ICD discharge...

..Results also suggest cardiology fellows can easily learn CE...

..Thrombectomy and stenting resolved the occlusion of the artery, and the patient was discharged from the hospital on medical therapy. We discuss the pathophysiology, presentation, and treatment of this rare and often fatal condition...

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..Accurate interpretation of T-wave changes can assist the clinician toward a timely therapeutic intervention and accurate diagnosis...

..We report the case of an 81-year-old man who suffered aortic prosthetic valve listeria endocarditis, and examine the literature regarding this rare manifestation of human listeriosis...

..Evaluation with carotid ultrasound and MRA can often overestimate the degree of stenosis. We sought to determine if noninvasive imaging was sufficient for determining whether a patient should be referred for carotid intervention...

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..We present a rare case of a coronary anomaly involving three separate ostia at the right sinus of Valsalva for the left and right coronary vessels...

..The authors set out to evaluate the effect on the QT interval of patients after administration of ciprofloxacin and levofloxacin...

..She was treated with inotropic support and intravenous immunoglobulin (IVIG), and her condition improved. This presentation of GBS complicated by myocarditis is very rare. We examined the literature regarding this association...

..pandiastolic) across the left ventricular outflow tract and the pulse wave Doppler in the descending thoracic aorta showed similar variability in the duration of diastolic flow reversal...

..In this article, we review the mechanisms through which inhibitors of the RAAS benefit persons with hypertension and decrease the development of cardiovascular and renal disease above and beyond blood pressure lowering...

..Although guidelines can help with treating patients, treatment ultimately should be tailored to each person based on clinical judgment of the a priori risk of a cardiac event, symptoms, and the cardiac risk profile...

..CMR can also assess AVA by using the continuity equation employing velocity-encoded phase contrast (VEPC) imaging. We sought to assess whether velocity-encoded phase-contrast MRI can provide an alternate means of quantifying AVA by CMR...

..The medical and surgical treatment of these patients is discussed...

..Pericardial fluid analysis demonstrated A. israelii. An examination and discussion of the literature is performed regarding this rare manifestation of human actinomycosis...

..We discuss the incidence of coronary artery anomalies and the proposed mechanisms that led to SCD in these patients...

..The majority of fibroelastomas have been described on the left side of the heart involving the aortic and mitral valves. We present a rare case of a papillary fibroelastoma occurring on the pulmonic valve...

..Review of the literature shows that ventricular lead dislodgement after a motor vehicle accident is a rare incidence and cause of pacemaker malfunction...

..To our knowledge, this is the first time previously undiagnosed myocardial bridging has led to a myocardial infarction in the setting of inhaled albuterol use...

..We present 3 cases in which right-sided myxomas were diagnosed echocardiographically and review the literature on primary cardiac myxomas...

..We report the case of a 63-year-old woman who developed native mitral valve endocarditis secondary to L. acidophilus, and examine the literature regarding this rare entity...

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..The authors review the case of a 75-year-old man who presented with occasional dizziness and near-syncopal episodes. He was diagnosed with escape-capture bigeminy and subsequently underwent pacemaker placement...

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..We present a case of recurrent myocarditis in a female patient caused by a viral upper respiratory infection and streptococcal pneumonia vaccination who presented with recurrent episodes of reversible cardiomyopathy...

..We present the case of a 70-year-old asymptomatic woman who underwent a routine pre-operative cardiac stress evaluation and was found to develop a dynamic outflow tract obstruction leading to myocardial ischemia and infarction...

..We present the case of a 61-year-old Guyanese male who presented with unstable angina secondary to a stent fracture within two weeks of elective percutaneous coronary intervention (PCI) for in-stent restenosis...

..We report this novel case and review the literature for recommendations on treatment and management of patients with coronary aneurysms...

..Review of the episode on her event recorder revealed a transient cardiac asystole of 10 seconds. We discuss the incidence of NCS and the proposed mechanism by which this syncopal event occurred...

..Further work-up revealed that the Tn I levels were spuriously elevated because the patient's blood revealed a normal cTnI level when mixed with polyethylene glycol to inactivate any antibodies interfering with the cTnI assay...

..The patient was asymptomatic and in her 4th month of pregnancy. Transthoracic echocardiography revealed a ruptured sinus of Valsalva aneurysm and a fistula to the right ventricle with evidence of a continuous left-to-right shunt...

..We present the case of a healthy 20-year-old man with no past medical history who died while swimming in a river, likely secondary to cardiac arrest in the setting of HOCM...

..Awareness is raised of a possible complication of myocardial infarction following topical cocaine anesthetic use...

..We present the case of a 32-year-old woman with Eisenmenger's syndrome who gave birth at 29 weeks of gestation via C-section to a healthy baby boy, and we review the literature regarding the management of such patients...

..The rate of survival at 40 years without surgical correction is only 3%. We present the case of a man with tetralogy of Fallot who survived until the age of 52 years without surgical intervention...

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..She then underwent successful surgical closure of the coronary arteriovenous fistula. The important role of intraoperative transesophageal echocardiography in guiding this technically challenging surgical case is discussed...

..Treatment strategies for this patient are discussed...

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..Paradoxical septal motion on echo may therefore be more sensitive at identifying patients who respond to BVP. Further prospective studies are needed...

..Biopsy of the superior vena cava mass had the histological features of a granulocytic sarcoma (GS, chloroma). Massive involvement of the heart with GS is very rare, and only a few reports have been published in the literature...

..Initiation of antiarrhythmic therapy for atrial fibrillation is a key step in the treatment of this disorder. Much controversy remains as to the risks and benefits of initiating therapy as an inpatient versus an outpatient...

..The strengths and weaknesses of this approach are described and compared with transesophageal echocardiography and older intracardiac echocardiography devices...

..CONCLUSION: Rheolytic thrombectomy with the AngioJet catheter is more effective in terms of improvement in coronary blood flow as assessed by TFCs when used less than 12 hours after the onset of clinical symptoms suggestive of AMI...

..001). In conclusion, results of this study indicate high diagnostic and prognostic accuracy for MPS in symptomatic postmenopausal women...

..We sought to examine whether cardiac vein angioplasty and/or stenting would allow for the proper placement of the LV lead in these patients...

..Use of MPI facilitates identification of the severity and extent of ischaemia as well as left ventricular dilatation and systolic function in elderly patients undergoing non-cardiac surgery...

..We found that Asian-Indian patients have smaller coronary arteries, with a statistically significant difference in the mean diameter even after correction for body surface area...

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..Nevertheless, there are instances where severe left main or three-vessel CAD may be present despite no significant perfusion abnormalities on MPI...