Acute Myocarditis and ST-Segment Elevation
We report a case of focal myocarditis in a young boy mimicking acute ST-segment elevation MI. He presented with chest pain and the EKG changes were consistent with infero-laeral ST-segment…
Lower Extremity Paralysis
Severe hypokalemia in the absence of other electrolyte abnormalities, the result of diarrhea, caused striking electrocardiographic changes, generalized weakness, flaccid paralysis of the lower extremities, and biochemical evidence of mild…
Pneumomediastinum and ST-Segment Elevation
Although acute myocardial infarction is the most clinically significant cause of ST-segment elevation, other serious clinical conditions have been reported with this electrocardiographic abnormality. We report a patient with pneumomediastinum…
Dr. Bernard Kosowsky in Memoriam
This article is in Memoriam of Dr. Bernard D. Kosowsky who passed away in November 2015 at the age of 78 while riding his bicycle to work. Dr. Kosowsky was…
The Bicentennial of the Stethoscope: 1816 to 2016
This year marks the bicentennial of the invention of the stethoscope by René Théophile Hyacinthe Laennec in 1816, working at the Necker Hospital in Paris. Mediate auscultation was a logical…
Usefulness of Hand-Held Ultrasonography as a Gatekeeper to Standard Echocardiography for “Rarely Appropriate” Echocardiography Requests
Adoption of appropriate use criteria has not had a major impact on the frequency of “rarely appropriate” tests, with the rarely appropriate tests rate remaining at ∼20% in most institutions….
Impact of Point-of-Care Ultrasound Examination on Triage of Patients With Suspected Cardiac Disease
Complementing the physical examination with a point-of-care ultrasound study (POCUS) can improve patient triage. We aimed to study the impact of POCUS on the diagnosis and management of outpatients and…
Prevalence and Clinical Significance of an E-Reversal Wave in the Left Ventricular Outflow Tract
Diastolic waves are commonly seen in the left ventricular outflow tract on echocardiography. This work focuses on the E-reversal wave (Er) that occurs early in diastole, shortly after the mitral…
Meta-Analysis Comparing Established Risk Prediction Models (EuroSCORE II, STS Score, and ACEF Score) for Perioperative Mortality During Cardiac Surgery
A wide variety of multivariable risk models have been developed to predict mortality in the setting of cardiac surgery; however, the relative utility of these models is unknown. This study…
Follow-Up of Electrocardiographic Findings and Arrhythmias in Patients With Anomalously Arising Left Coronary Artery from the Pulmonary Trunk
Follow-up data and correlation of arrhythmias, electrocardiogram (ECG) changes, and cardiac function in anomalous left coronary artery from the pulmonary trunk or artery have not been previously studied. This is…
