Carbohydrate-restricted diet and acute coronary syndrome: a case report and review of this conflicting and yet unknown association.

We describe a case of a young patient, motivated to follow a carbohydrate-restricted diet intake for 6 years, who presented with an acute myocardial infarction.

A novel approach to standard techniques in the assessment and quantification of the interventricular systolic relationship.

Background: Blood flow between the right and left ventricles is subject to the continuity equation and systolic ventricular interdependence. Quantification of this relationship might aid in understanding inter-ventricular function. The purpose of this study was to evaluate and quantify ventricular interdependence by directly comparing right and left ventricular systolic function though echocardiographic surrogates of right and left ventricular systolic function such as MAPSE, TAPSE, RV TVI and LV TVI.

Live 3D TEE demonstrates and guides the management of prosthetic mitral valve obstruction.

A 43-year-old woman, with a remote history of rheumatic mitral stenosis and a St. Jude prosthetic mitral valve replacement, presented with shortness of breath and palpitations, shortly after a long flight. On admission, atrial fibrillation with a rapid ventricular response was noted in the setting of a long history of noncompliance with her anticoagulation.

Big MAC: caseous calcification of the mitral annulus referred for possible cardiac tumor.

A 73-year-old woman was found to have a 1.4 × 3.0 cm heterogeneous echodensity with smooth borders and central echolucency associated with a dynamic left ventricular outflow tract gradient and episodic chest pain.

"Cardiac otalgia": acute coronary syndrome masquerading as bilateral ear pain.

Patients presenting with acute coronary syndromes are classically described as having chest pressure with radiation to the left arm. However, pain can be referred to multiple sites including the face, the neck, the abdomen and the contra-lateral arm. We present a case of sudden bilateral ear pain as the sole presentation of acute coronary syndrome in an elderly man.

Antidepressant medication adherence: a study of primary care patients.

Background: Nonadherence to antidepressant medication significantly contributes to the undertreatment of depression in primary care populations. The purpose of this study was to survey primary care patients' adherence to antidepressant medication to better understand factors associated with nonadherence.

Method: Participants with a history of being prescribed an antidepressant for at least 4 weeks were recruited from a primary care research network.