Elevated Diaphragm Causing Marked Kinking of the Inferior Vena Cava.

Inferior vena cava (IVC) syndrome is commonly caused by deep vein thrombosis or a mass effect. We present an unusual case of IVC kinking and obstruction detected by echocardiography and confirmed by cardiac magnetic resonance and angiography. Management of marked tortuosity of the IVC secondary to a paralyzed hemidiaphragm is discussed.

The Utility of Myocardial Work in Clinical Practice.

Myocardial work (MW) is a novel technique used in the advanced assessment of left ventricular function. In the past few years, this invasive measure has evolved to become a more attainable noninvasive technique. MW has benefits over left ventricular ejection fraction and global longitudinal strain by speckle-tracking echocardiography, as it includes the afterload-dependent limitation and dynamic myocardial contraction in relationship to various loading conditions.

Myocardial work in Stage 1 and 2 hypertensive patients.

Aims: Myocardial work (MW) is a novel parameter that can be used in a clinical setting to assess left ventricular (LV) pressures and deformation. We sought to distinguish patterns of global MW index in hypertensive vs. non-hypertensive patients and to look at differences between categories of hypertension.

A pebble clogging a river: a case report of thrombosed coronary aneurysmal ectasia.

Background: Coronary artery ectasia (CAE) is a rare anomaly that can present at any age. Predisposing risk factors include Kawasaki disease in a younger population and atherosclerosis in the older generation. We present a unique case of the management of a young woman diagnosed with multivessel CAE with aneurysmal changes in the setting of acute coronary syndrome and subsequently during pregnancy.

Focus, Not Point-of-Care, Echocardiography in Prone Position: It Can Be Done in COVID-19 Patients.

• Prone positioning improves oxygenation in patients with ARDS. • Reducing RV dysfunction is vital to decrease mortality. • Prone positioning may assist cardiac function by offloading pressure from the RV.

A Tale of Fits and Faint: A Case of Hypervagotonic Nerve Stimulation.

Vagal nerve stimulators are devices used to treat medically refractory epilepsy. Here, we present a rare, unique, and life-threatening side effect of vagal nerve stimulator placement. ().