Stress Cardiomyopathy: The Midventricular Variant.

• Midventricular TTC is a rare variant comprising 14.6% of stress cardiomyopathies. • TTC includes midventricular dyskinesis with normal basal and apical contractility.

Cardiac tamponade due to perforation of a pyogenic hepatic abscess as initial presentation of hepatoid carcinoma.

Hepatic abscesses can rarely cause pericardial disease by erosion into the pericardial space and present with haemodynamic instability due cardiac tamponade. While rare, these dramatic presentations are more often due to amoebic abscesses than bacterial abscesses. Importantly, a cause must be found for any cryptogenic hepatic abscess regardless of presentation, as there is a high association with underlying malignancy.

The Sinking Heart: A case of left anterior descending artery intervention complicated by perforation and cardiac tamponade.

Coronary interventions are one of the most commonly performed procedures in interventional medicine. They have provided a life-prolonging and -saving solution, but are not without their own complications. These, although rare, do occur and are important to recognize in order to promptly and efficiently provide a solution to prevent catastrophic consequences to the patient.

Butane-induced acute global myocardial ischemia without coronary artery pathology.

The case report describes a case of acute myocardial ischemia precipitated by propane butane inhalation. The dependency of this substance around the world is still moderate but is increasing due to the easy availability of the substance and the facility with which the effects can be concealed. The toxicity of the substance is significant; affecting the heart, the brain and the liver.