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.

Detection of Left Ventricular Remodeling in Acute ST Elevation Myocardial Infarction after Primary Percutaneous Coronary Intervention by Two Dimensional and Three Dimensional Echocardiography.

Background: Left ventricular remodeling (LVR) after ST-elevation myocardial infarction (STEMI) harbingers poor prognosis. Three-dimensional echocardiography (3DE) is more accurate than 2 D echo for the assessment of left ventricle (LV) shape. We assessed LV geometry with 3D ECHO 6 months after STEMI in patients who had primary angioplasty.