ABSTRACT
We report a case of recurrent shock induced by pheochromocytoma in a previously healthy, normotensive patient. We review pathophysiology and clinical features of shock and cardiomyopathy in patients with pheochromocytoma. We discuss diagnostic evaluation and therapy for pheochromocytoma-induced shock.
Subject(s)
Pheochromocytoma/diagnosis , Shock/etiology , Adult , Cardiomyopathies/diagnosis , Cardiomyopathies/etiology , Diagnosis, Differential , Female , Humans , Norepinephrine/metabolism , Pheochromocytoma/metabolism , Pheochromocytoma/physiopathology , Receptors, Adrenergic , Recurrence , Shock/diagnosis , Shock/therapyABSTRACT
We report a case of spontaneous coronary artery dissection associated with sexual intercourse in a 32-year-old, morbidly obese patient. This is the first report of spontaneous coronary artery dissection induced by coital activity and the sixth such report in a male patient.
Subject(s)
Aortic Dissection/diagnosis , Coitus , Myocardial Infarction/diagnosis , Obesity, Morbid , Adult , Aortic Dissection/complications , Aortic Dissection/diagnostic imaging , Aortic Dissection/physiopathology , Angiography , Coronary Vessels , Diagnosis, Differential , Electrocardiography , Humans , Male , Myocardial Infarction/complications , Myocardial Infarction/diagnostic imaging , Myocardial Infarction/physiopathology , Pain/etiologyABSTRACT
Nonsteroidal antiinflammatory drugs (NSAIDs) represent the mainstay of treatment of acute pericarditis. We systematically reviewed efficacy and safety of NSAIDs, management of NSAID-induced side effects and potential superiority of specific agents in the treatment of pericarditis. We also reviewed the role of NSAIDs in specific pericardial disease entities that may represent therapeutic challenge.
Subject(s)
Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Pericarditis/drug therapy , Acute Disease , Animals , Anti-Inflammatory Agents, Non-Steroidal/adverse effects , Cardiovascular Diseases/chemically induced , Central Nervous System Diseases/chemically induced , Gastrointestinal Diseases/chemically induced , Humans , Kidney Diseases/chemically induced , Pericarditis/complications , Pericarditis/physiopathologyABSTRACT
We report a case of severe deep venous thrombosis (DVT) treated with multimodality therapy that was complicated by sepsis due to thrombus likely infected by Salmonella virchow. We review the current therapeutic options in the therapy of severe DVT and cardiovascular pathology associated with non-typhoid Salmonella.
Subject(s)
Salmonella Infections/microbiology , Sepsis/therapy , Thrombectomy , Thrombolytic Therapy , Thrombophlebitis/therapy , Venous Thrombosis/complications , Anti-Bacterial Agents/therapeutic use , Anticoagulants/therapeutic use , Combined Modality Therapy , Humans , Male , Middle Aged , Phlebography , Salmonella Infections/therapy , Sepsis/microbiology , Severity of Illness Index , Thrombophlebitis/microbiology , Thrombophlebitis/pathology , Treatment Outcome , Ultrasonography, Doppler , Venous Thrombosis/pathology , Venous Thrombosis/therapyABSTRACT
A 56-year old male presented with acute ST-elevation myocardial infarction induced by myocardial bridging. The patient underwent primary angioplasty with stent placement. Subsequent restenosis was successfully treated with the Cutting Balloon and brachytherapy. Also included in this report is a review of the epidemiology, pathophysiology, diagnosis and therapy for symptomatic myocardial bridging.
Subject(s)
Angioplasty, Balloon, Coronary , Coronary Stenosis/therapy , Coronary Vessel Anomalies/complications , Myocardial Infarction/etiology , Myocardial Infarction/therapy , Stents , Coronary Angiography , Coronary Restenosis/therapy , Coronary Vessel Anomalies/diagnostic imaging , Coronary Vessel Anomalies/epidemiology , Coronary Vessel Anomalies/physiopathology , Diagnostic Techniques, Cardiovascular , Humans , Male , Middle Aged , Treatment OutcomeABSTRACT
Superior vena cava (SVC) syndrome occurs following obstruction either from external compression or internal thrombosis or scarring. In the past, treatment was limited to medical therapy or surgical bypass but now percutaneous revascularization presents a viable therapeutic option. We present our experience in the percutaneous therapy of patients with nonmalignant SVC syndrome and review the condition with regard to its pathophysiology and management.