A Case of Severe QTc Prolongation During Targeted Temperature Management - What Can We Learn?

BACKGROUND QTc prolongation during targeted temperature management (TTM) post cardiac arrest is a known effect of hypothermia, but its significance is unclear. Several studies suggest that temporary prolongation during TTM is not prognostic and does not potentiate fatal arrhythmias; however, there are limited cases of patients presenting with QTc intervals >700 milliseconds. CASE REPORT We describe a case in which a 57-year-old woman with diabetes, hypertension, and atrial fibrillation presented with concern for stroke.

One Lung Soldier: A Ventilation Conundrum in a Postpneumonectomy Syndrome Complicated by Acute Respiratory Syndrome.

Postpneumonectomy syndrome involves mediastinal shift causing dynamic airway obstruction via compression of the main bronchus and distal trachea. A few case reports describe the development of ARDS in patients with postpneumonectomy syndrome. Reeb et al.

Reverse Takotsubo Pattern in the Setting of Undiagnosed Pheochromocytoma and Pulmonary Embolism: A Rare Presentation.

BACKGROUND Takotsubo cardiomyopathy is a rare acute cardiac event with varied manifestations characterized by abrupt onset of transient regional dysfunction in a characteristic pattern. A reverse Takotsubo pattern is also well recognized but can also be seen in non-Takotsubo cardiomyopathies. CASE REPORT A 23-year-old woman with history of migraines and palpitations presented with nausea, vomiting, pleuritic chest pain, and dyspnea.