Thyrotoxicosis presenting as Heart Failure

61 y/o Male who was treating a “fast HR” for years with Chinese herbals presents with history of increasing lower extremity edema and difficulty breathing. History significant for NYHA Class II/III symptoms and weight loss of 30lbs. Exam significant for cachexia, lid lag, pulmonary congestion, tachycardia, elevated JVP, possible pulsatile liver, pitting edema extending up […]

Syncope

First, I wanted to thank you guys for being so excellent at resident report and participating with such vigor….that is what we (the Chiefs) live for! the best predictor for a cardiac cause for syncope in a patient with suspected/certain heart disease is the presence of the underlying cardiac dx the best predictor for a cardiac cause […]

Pericarditis

What are treatments for acute pericarditis? The COPE Trial is a randomized, controlled trial which compared added colchicine to standard regimens of NSAIDs. Symptoms and incidence of recurrence were decreased compared to COPE Trial; Circulation. 2005; 112: 2012–2016.