Tag Archives: heart disease

Sex Differences in the Management and 5-Year Outcome of Young Patients (<55 Years) with Acute Coronary Syndromes

Premature presentation of ischemic heart disease has become increasingly common. According to recent reports, patients younger than 55 years account for 23% of all patients with acute coronary syndrome.1 Premenopausal women are less likely than men of similar ages to present with acute coronary syndrome, accounting for only 17%-20%1, 2 of cases. Studies have consistently shown that the […]

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Transthoracic echocardiogram demonstrating mild mitral valve and aortomitral curtain thickening (arrow; Panel A), with satisfactory mitral valve opening during diastole (Panel C) in 2004; by 2016, there has been dramatic progression in mitral valve disease with severe aortomitral curtain calcification (arrow; Panel B) and severe mitral stenosis (Panels D, F), associated with significant pulmonary hypertension (Panel E).

A Tale of Two Valves

To the Editor: Radiation heart disease is associated with a high level of morbidity and mortality. Its natural history is not well understood. Its management is difficult. We report a case of radiation heart disease with dramatic disease progression over 11 years, captured on echocardiography. Case Report A 66-year-old woman presented with increasing dyspnea on […]

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Resting gradient 60 mm Hg increasing to 87 mm Hg with Valsalva maneuver.

Recurrent Syncope: An Unusual Complication of Hypertensive Heart Disease

To the Editor: Syncope accompanied by outflow tract obstruction most commonly is associated with obstructive forms of hypertrophic cardiomyopathy. Outflow tract obstruction also may be seen in select diseases that cause ventricular hypertrophy, including aortic valve replacement for aortic valve stenosis, myocardial infarction, and pheochromocytoma. Initially described by Brock, there have been several reports of hypertension implicated […]

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Initial echocardiographic images were obtained. (A) Transthoracic echocardiography (TTE) in a parasternal long axis view identified significant left ventricular hypertrophy and a thickened interventricular septum (1.65 cm). (B) This transesophageal echocardiography (TEE) view showed systolic anterior motion of the anterior leaflet of the mitral valve in the left ventricular outflow tract. (C) When enhanced with color Doppler imaging, the same TEE view as shown in B demonstrated turbulent aliased flow across the left ventricular outflow tract. (D) Apical 5-chamber TTE color Doppler imaging disclosed turbulent flow across the left ventricular outflow tract during systole.

Fool Me Once, Fool Me Twice

A thorough evaluation suggested the patient’s initial diagnosis was not quite right; but it was not wrong, either. An 83-year-old woman with presumed aortic stenosis was referred to our medical center for aortic valve replacement. She first presented at another facility with a 3-month history of worsening shortness of breath, particularly on exertion. Whereas she […]

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The Mediterranean Diet: What You Should Know

Diet fads are a dime a dozen, but one diet has risen about the rest in terms of effectiveness– the Mediterranean Diet. The American Journal of Medicine often publishes prevention-related articles that focus on diet, exercise, and lifestyle. Given the obesity epidemic, it’s important for physicians to be able to advise patients on weight management and […]

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blood pressure cuff

Should Your Blood Pressure Be Checked in Both Arms? YES!

As heart disease continues to be one of the leading causes of death in the United States, practitioners and patients alike are looking for ways to cut risk factors and identify new clues to assist with early detection. New research published in the March issue of The American Journal of Medicine suggests that there is […]

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