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Case Report: A missed diagnosis of cardiac amyloidosis using echocardiography due to immunoglobulin light chain amyloidosis with normal wall thickness in the early stage.
Front Cardiovasc Med
December 2024
National Key Laboratory for Innovation and Transformation of Luobing Theory, Jinan, China.
Background: Cardiac amyloidosis (CA) is a challenging diagnosis, particularly when the classic signs, such as increased wall thickness in a non-dilated left ventricle (LV), are absent. This makes the diagnosis more difficult in patients with normal LV wall thickness. We present a case of CA without increased wall thickness and without the characteristic granular sparkling echotexture in a non-dilated LV.
View Article and Find Full Text PDFAcute Pericarditis Manifesting as Persistent Chest Pain Following Primary Percutaneous Coronary Intervention: A Missed Diagnosis.
Heart Views
October 2024
Department of Trauma and Emergency Medicine (Cardiology), AIIMS, Jodhpur, Rajasthan, India.
Article Synopsis
- Percutaneous coronary intervention (PCI) can rarely lead to acute pericarditis, which may present soon after the procedure or after a delay, often depending on complications.
- A case study involved a 54-year-old man who experienced chest pain following urgent PCI for a myocardial infarction, initially misdiagnosed as reinfarction.
- The correct diagnosis of acute pericarditis was confirmed through ECG changes and echocardiography, leading to effective treatment, highlighting the need for careful monitoring and awareness of this condition in PCI patients.
Jammed joints and constricted heart: The science of tribology and missing lubricin. A case report on camptodactyly-arthropathy-coxa vara-pericarditis syndrome.
Ann Pediatr Cardiol
October 2024
Department of Paediatric Cardiology, Sri Padmavathi Children Heart Centre, Tirupati, Andhra Pradesh, India.
An autosomal recessively inherited noninflammatory arthropathy known as camptodactyly, arthropathy, coxa vara, and pericarditis (CACP) syndrome was discovered in 1999. It is distinguished by synoviocyte hyperplasia and subcapsular fibrosis of the synovial capsule, which results in a shortage of lubricin production. The resulting lack of joint lubrication induces increased mechanical stress, causing progressive deformities that become evident with weight-bearing and heightened joint activity.
View Article and Find Full Text PDFAn Unremarkable Midesophageal 4-Chamber Transesophageal Echocardiography View in a Hemodynamically Unstable Patient: What Are We Missing?
J Cardiothorac Vasc Anesth
January 2025
Department of Anesthesiology, Medical College of Wisconsin, Anesthesiology Service, Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI.
Myxedema Coma as a Presentation of Panhypopituitarism Secondary to Traumatic Brain Injury.
Case Rep Endocrinol
October 2024
Department of Endocrinology and Nutrition, Central University Hospital of Asturias/University of Oviedo, Oviedo, Spain.
Article Synopsis
- Myxedema coma often involves reduced consciousness and low body temperature, potentially linked to thyroid issues, especially in patients with head trauma and central hormone deficiencies.
- A 52-year-old man with head trauma exhibited symptoms like drowsiness and hypotension, with initial tests showing normal TSH levels but low ACTH and FT4, and his condition worsened before improving with medication.
- The case highlights the importance of assessing both TSH and FT4 levels for diagnosing central hypothyroidism, as relying solely on TSH might lead to overlooked conditions in patients showing hormone deficiency symptoms post-trauma.
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