Cardiology
84 Year old lady presented to the hospital with recurrent stroke. Patient was in other hospital 8 days before because of stroke. The brain CT showed embolic stroke picture. The Echo report from the prior stroke was normal. This is her echo this admission. What are the differential diagnosis for this?
A 42-year-old female came with a history of palpitation & shortness of breath. Echocardiogram is shown below.
This is a straightforward EKG that everyone should know. We saw this patient a week ago.He is 56-y-o-Hispanic man in ER with SOB. What is the interpretation? What is next?
I need your help and guidance about this current patient I have.This is a 55-year-old male with history of diabetes and hyperlipidemia. He presented to another hospital in June with anterior wall STEMI (EKG shown).He underwent PCI to LAD, unfortunately was a tough case with suboptimal result. He also has severe disease as shown in the attached angios.He then switch care to us and we are following him for the last 2 months. He is completely asymptomatic and very functional and does active labor work with no restrictions. His echocardiogram showed an ejection fraction of 35-40% roughly.his cardiac MRI shows nonviable anterior wall in the middle and apical segments. There was also some inferolateral infarct. There was a comment about mild inferior hypokinesis. Ejection fraction by MRI is 39%.His currently on reasonable medical therapy including dual antiplatelet therapy, statin, carvedilol, Ace inhibitors. Just switched to Entresto a couple of days ago. His blood pressure soft and pushing medicine further may be a challenge.Questions:-Would he benefit from PCI to RCA ( can he fit COMPLETE trial picture)?-How about ICD?
