Publications by authors named "Jose M Alanis-Naranjo"
Rheumatic multiple valvular heart disease remains undertreated and underestimated in older patients; many are unaware of their diagnosis until they experience complications. This case series presents 3 older patients with undiagnosed rheumatic multiple valvular heart disease who presented with complications, describing their valvular assessment and therapeutic outcomes.
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- Bidirectional ventricular tachycardia (BVT) is a rare and serious heart rhythm issue marked by changes in the QRS axis with each heartbeat, often linked to digitalis toxicity.
- A 62-year-old woman who had heart surgery developed BVT after being treated with digoxin and diuretics, leading to concerns about the interaction between these medications.
- The case stresses the need for careful monitoring of digoxin levels in patients on diuretics and suggests supportive treatments if BVT occurs, like stopping digoxin and providing potassium and magnesium supplements.
The differential diagnosis for black ascites include pancreatic ascites (PA). In majority of cases described the ascitic fluid as amber or black-colored. We report the case of a 33-year-old man with a history of alcohol abuse who presented with 24 h of epigastric pain and abdominal distension.
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