Publications by authors named "R J Hoefen"

Background: Aortic dissection is a critical condition often presenting with acute, severe chest pain and haemodynamic instability. Early diagnosis is essential to mitigate the high mortality risk. Imaging modalities play a pivotal role in diagnosing aortic conditions, but determining the appropriate method can be challenging.

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  • - Post-cardiac injury syndrome (PCIS) is an immune-related condition primarily affecting the pericardium and sometimes the heart and pleura, occurring in about 1% to 2% of patients after pacemaker insertion.
  • - A 62-year-old female developed PCIS eight weeks post-pacemaker surgery, experiencing severe complications including impending cardiac tamponade and recurrent pleural effusions.
  • - Despite treatment with steroids, her pleural effusions persisted and she ultimately required a procedure called talc pleurodesis, emphasizing the importance of recognizing PCIS in similar post-operative cases.
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  • A study aimed to determine the prevalence of arrhythmias in patients with inflammatory bowel diseases (IBD) using data from the Nationwide Inpatient Sample from 2012 to 2014.
  • It was found that patients with IBD were less likely to be hospitalized for dysrhythmias compared to those without IBD (9.7% vs 14.2%).
  • Contrary to previous beliefs about higher arrhythmia rates in IBD patients, this study indicates that IBD patients have lower hospitalization rates for arrhythmias in comparison to the general population.
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Cardiac myxoma is a benign neoplasm composed of stellate to plump, cytologically bland mesenchymal cells set in a myxoid stroma. Although benign, as they can lead to severe complications, they are often removed surgically. A 39-year-old female presented with a chief complaint of generalized fatigue.

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