Post-Catheterization Hemoglobin Drop

2016-10-13T18:16:21-05:00April 1st, 2015|Cardiology|

Hemorrhage is a feared and potentially life-threatening complication following catheterization. This may reflect retroperitoneal hemorrhage, pericardial bleeding including cardiac tamponade, gastrointestinal, intracranial, or hemolysis. However, there can also be benign or procedural causes.

ACC Withdraws Choosing Wisely Recommendation

2016-10-13T18:16:29-05:00October 15th, 2014|Cardiology|

The results of recent studies PRAMI and CVPRVIT have demonstrated that stenting nonculprit high-grade lesions during primary PCI for myocardial infarction reduces adverse events, and has prompted the ACC with withdraw its ABIM Choosing Wisely campaign.

Acute subclavian artery thrombosis causing ACS

2016-10-13T18:16:29-05:00December 7th, 2013|ECG|

79-year-old women has severe aortic stenosis and 2-vessel coronary artery disease s/p coronary artery bypass graft who developed acute dyspnea. She was found to have chronic occlusion of her vein graft and acute thrombosis of her subclavian artery, causing diffuse cardiac ischemia and myonecrosis.

STEMI with Dual Culprit Lesions

2016-10-13T18:16:41-05:00March 10th, 2013|Cardiology, ECG|

This 59-year-old gentlemen presented with 3 hours of severe upper sternal chest pressure that radiated to his throat which he described as “strangulating”. No previous cardiac history.