RESUMEN
Oleander is a prevalent tropical plant used in many parts of India for deliberate self-harm. The active ingredients act in a mechanism similar to cardiac glycosides; hence, the toxicological profile is similar to digoxin toxicity. Cardiac toxicity occurs in the form of a heart block with concomitant ventricular arrhythmia. Identifying the distinct electrocardiographic pattern for early diagnosis and initiating emergency management is imperative. Here, we present two such interesting cases of oleander intoxication, one with Nerium oleander and the other with Thevetia peruviana.
RESUMEN
A 73-year-old woman with diabetes, hypertension, and non-ST elevation myocardial infarction underwent optical coherence tomography (OCT)-guided angioplasty for calcific stenosis of the mid-left anterior descending artery (LAD) and mid-segment of a tortuous obtuse marginal (OM).
Asunto(s)
Infarto del Miocardio , Infarto del Miocardio sin Elevación del ST , Femenino , Humanos , Anciano , Infarto del Miocardio/diagnóstico , Infarto del Miocardio/cirugía , Angiografía Coronaria/métodos , Tomografía de Coherencia Óptica/métodosRESUMEN
A 69-year-old obese man who had undergone permanent pacemaker implantation (VVIR, Medtronic) 3 weeks prior presented with a one-day history of experiencing continued, forceful pulsations in his abdomen followed by presyncope.
Asunto(s)
Marcapaso Artificial , Masculino , Humanos , Anciano , Abdomen , Síncope/diagnóstico , Síncope/etiología , Síncope/terapia , Diseño de EquipoRESUMEN
We report a case of a 16-year-old boy with symptomatic recurrent atrial septal defect due to patch degradation of an autologous pericardial patch, done 10 years back. He successfully underwent transcatheter closure of the recurrent defect after meticulous assessment of patch rims for stability.
Asunto(s)
Defectos del Tabique Interatrial , Masculino , Humanos , Adolescente , Defectos del Tabique Interatrial/cirugía , Cateterismo Cardíaco , Resultado del TratamientoRESUMEN
Interpretation of the ST-segment axis in ST-elevation myocardial infarction (STEMI) plays a crucial role in identifying the culprit artery and optimizing revascularization strategies. In certain conditions, the ST-segment axis may abruptly change during management, creating diagnostic confusion, provoking unnecessary workups, and causing treatment delays. Some reported causes of wandering ST-segment include lead misplacement, progressive injury, coronary vasospasm, migration of the thrombus, and aortic dissection. Here we describe two exciting cases of wandering ST-segment axis in acute coronary syndrome and its management.
RESUMEN
To our knowledge, this is the first case in the literature citing cobra head deformity of both atrial discs. A large delivery sheath with excess room possibly led to deformity in our case. This case highlights the importance of following manufacturer- recommended sheath sizes for optimal device implantation.
Asunto(s)
Defectos del Tabique Interatrial , Dispositivo Oclusor Septal , Animales , Elapidae , Defectos del Tabique Interatrial/diagnóstico , Defectos del Tabique Interatrial/cirugía , HumanosRESUMEN
Owing to the demonstrated safety and cost-effectiveness, balloon mitral valvuloplasty is frequently performed using reused hardware. However, chances of hardware malfunction are higher in such settings, making it pertinent for operators to be adept at recognition and management of such complications. This case illustrates that when the rent is small, a coronary balloon may be used to tackle the inflation failure.