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Bradycardia, Renal Failure, Atrioventricular (AV) Nodal Blockers, Shock, and Hyperkalemia (BRASH) Syndrome: A Confounder in the Clinical Practice.
Cureus
October 2024
Internal Medicine, Unidade Local de Saúde de Trás-os-Montes e Alto Douro, Chaves, PRT.
BRASH, an acronym for Bradycardia, Renal failure, AV nodal blockers, Shock, and Hyperkalemia, syndrome is a clinical synergic phenomenon that can result in cardiovascular collapse. We present the case of an 83-year-old woman with dilated cardiomyopathy, heart failure, and chronic kidney disease who was admitted to the emergency room due to syncope and a worsening general condition. The patient was on several medications, including carvedilol, a beta-blocker.
View Article and Find Full Text PDF[Incidental finding of cardiac myxoma in a patient with bradyarrhythmia].
Rev Med Inst Mex Seguro Soc
September 2024
Instituto Mexicano del Seguro Social, Centro Médico Nacional de Occidente, Hospital de Especialidades "Lic. Ignacio García Téllez", Servicio de Cardiología. Guadalajara, Jalisco, México.
Background: Cardiac tumors have a low incidence in general population, and its clinical presentation varies so much. The aim of this clinical case report is to highlight the importance and utility of ultrasound and echocardiogram in the emergency department as a tool for diagnostic and therapeutic procedures.
Clinical Case: 60-year-old male patient who presented to the emergency department because of dyspnea, dizziness, and weakness.
Holter Monitoring Analysis of Women Infected with the Human Immunodeficiency Virus.
Curr HIV Res
November 2024
Department of Cardiology, Beijing Ditan Hospital Affiliated to Capital Medical University, Beijing, 100015, China.
Article Synopsis
- The study aimed to evaluate the heart health of women with HIV using Holter monitoring at Ditan Hospital.
- It analyzed data from 35 female HIV-infected patients, revealing various heart rhythm issues, with the most common being sinus rhythm and various premature beats.
- The findings highlighted that Holter monitoring can detect significant ECG abnormalities in HIV-positive patients, potentially allowing for earlier treatment interventions.
Harbinger of Lyme Carditis: From Atrioventricular Block to Atrial Fibrillation.
J Community Hosp Intern Med Perspect
July 2024
Hackensack Meridian Health, NJ, USA.
Article Synopsis
- Lyme disease, caused by the Ixodes tick, can lead to serious complications like Lyme carditis, which often manifests as heart issues, including high-degree atrioventricular block and arrhythmias.
- A case study details a 70-year-old male who experienced lightheadedness and bradycardia due to Lyme carditis, confirmed by positive Lyme tests and an electrocardiogram showing atrial fibrillation.
- It’s important for medical professionals to recognize atypical cardiac presentations of Lyme carditis to avoid misdiagnosis and ensure timely treatment.*
New-Onset Left Ventricular Dysfunction After Left Bundle Branch Pacing.
JACC Clin Electrophysiol
November 2024
Geisinger Heart Institute, Geisinger Commonwealth School of Medicine, Wilkes Barre, Pennsylvania, USA.
Background: Left bundle branch pacing (LBBP) provides stable pacing parameters and has been suggested as an alternative for right ventricular pacing and cardiac resynchronization therapy.
Objectives: The aim of the study was to assess the incidence and etiology of new-onset left ventricular dysfunction (NOLVD) following LBBP in patients with baseline normal left ventricular (LV) function and cardiomyopathy patients with normalized LV function.
Methods: Patients undergoing successful LBBP for symptomatic bradyarrhythmia or as an alternative to cardiac resynchronization therapy were included.
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