One Patient: Two Variants of Takotsubo Cardiomyopathy.

Takotsubo cardiomyopathy (TCM) is a form of non-ischemic cardiomyopathy that can present with signs of heart failure and volume overload; it often mimics acute coronary syndrome. It is characterized by stress-induced transient left ventricular (LV) dysfunction. Echocardiography classically demonstrates LV apical ballooning and akinesis in typical TCM, although other less common variants exist.

Meta-Analysis Comparing Torsemide Versus Furosemide in Patients With Heart Failure.

Although torsemide's oral bioavailability and half-life theoretically render it a more efficient diuretic than furosemide, the clinical outcomes of torsemide compared with furosemide remain unclear. We performed a systematic review and meta-analysis, including all published studies that compared torsemide and furosemide use in heart failure patients from January 1996 through August 2019. Nineteen studies (9 randomized control trials [RCTs] and 10 observational studies) with a total of 19,280 patients were included.

Pathologic Intracardiac Bubbles in Patients With Cirrhosis: The Case for an Intestinal Origin.

• LV, RV, RA, and LA bubbles were noted in two patients without active infusion. • Bubbles were detected in the portal and hepatic veins and the IVC in one patient. • Patients were at risk for portal vein gas and portosystemic and pulmonary shunting.