Yamaguchi syndrome: A mimicer of acute coronary syndrome.

Apical hypertrophic cardiomyopathy is a relatively rare subtype of hypertrophic cardiomyopathy with a wide range of clinical manifestation. The most frequent symptom is chest pain and thus it can mimic the acute coronary syndrome and due to unfamiliarity of this condition by some physicians, the diagnosis is frequently missed or delayed. In this case, report our purpose is to emphasize the importance of keeping apical hypertrophic cardiomyopathy as one of the differential diagnoses in a young patient presented with chest pain.

A case of acute onset quadriplegia: A lesson for physicians.

A 38-year-old female patient presented with acute onset quadriplegia which was initially diagnosed as Guillain-Barre syndrome. ECG features were suggestive of hypokalemia. Blood investigations revealed severe hypokalemia.

Cope's sign: A lesson for novice physicians.

We report a case of a 28-year-old male who presented in the emergency room with a history of two episodes of syncope in the last 3 days at home. ECG was done in the emergency room which was suggestive of complete heart block. The patient had a history of pain on and off in the right upper quadrant region (RUQ) after having a meal.

Left atrial metastasis of a Wilms' tumor: A rare occurrence.

Isolated involvement of the left atrium by metastasis of malignant tumors is extremely rare. Here, we report a rare case of a 6-year-old male child with left atrial metastasis of Wilms' tumor detected in transthoracic 2 D echocardiography 3 years after nephrectomy. Intra atrial extension of Wilms' tumor occurs in only about 1-3% cases and its isolated metastasis to left heart in the absence of vena cava extension is extremely rare, so we present a unique case.

Falciparum malaria mimicking acute myocardial infarction.

Severe malaria is a concerning problem in developing country and is mostly due to Plasmodium Falciparum. Common organs involved are liver, central nervous system, lungs, kidneys, and vasculature. Cardiac involvement is very rare and is mostly underestimated.

Acute right bundle branch block due to pneumothorax.

Changes in electrocardiogram (ECG) due to pneumothorax have been studied and are well described mainly in case of left-sided pneumothorax. Classic ECG finding in left-sided pneumothorax includes right-axis deviation, diminution of QRS complex, T-wave inversion, phasic R wave variation, and reduced R wave in precordial leads. There has been reported case of incomplete right bundle branch block (RBBB) in left-sided pneumothorax.

Dual left anterior descending coronary artery (type IV): a rare coronary artery anomaly.

The variants of the left anterior descending (LAD) coronary artery are important in interpretation of coronary angiogram and in interventional procedures. The double LAD coronary artery originating from the left main coronary stem and the right coronary artery is a rare congenital coronary anomaly. In this case report, we are describing a patient with the double left anterior descending coronary artery (type IV), one with normal origin, and the other originating from the right coronary artery.