Grand Rounds - The original online open access peer-reviewed case report journal
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Cardiology
Constrictive pericarditis is a difficult diagnosis that requires a high degree of clinical suspicion due to unspecific signs and symptoms. We present a 73-year-old patient with symptoms of chronic heart failure. Cardiac catheterization revealed the diagnosis of constrictive pericarditis, likely as a late consequence after tuberculosis in adolescence. The patient underwent...
(Vol 11 p 111-114, Cardiology: 9 December 2011)
Pacemaker implantation is an established therapy for patients with sinus node disease or atrioventricular block. However, we sometimes encounter cases in which delivery of the leads is technically difficult. The buddy wire technique is known to be useful in delivering stents when difficulties are encountered due to vessel tortuosity or calcification during percutaneous...
(Vol 11 p 107-110, Cardiology: 9 December 2011)
We describe a case of very late stent thrombosis (ST) in a patient presenting with hematemesis while taking aspirin and oral anticoagulation therapy (OAC). This case shows that the management of patients with an indication for OAC who undergo percutaneous coronary intervention with drug-eluting stent (DES) implantation is challenging because of the need to balance the...
(Vol 11 p 48-52, Cardiology; Emergency Medicine; Gastroenterology; Haematology; Histopathology; Pathology: 18 July 2011)
Spontaneous liver haemorrhage due to thrombolysis is an extremely rare and life-threatening condition. This is the only report of spontaneous liver haemorrhage following thrombolysis in the literature that has been managed non-operatively, and proves such an approach is possible. The clinical findings and management of this case are discussed in relation to the relevant...
(Vol 10 p 38-41, Cardiology; General Surgery; Hepatology: 22 July 2010)
Supraventricular tachycardias are the most commonly encountered arrhythmias during and shortly after pregnancy. This case report describes several ECG-based diagnostic considerations and briefly reviews the current standards of care.
(Vol 9 p 38-41, Cardiology: 17 November 2009)
We describe a case of Prinzmetal's angina that is refractory to medical therapy but responded fully after percutaneous coronary intervention. This case shows that there is a role for percutaneous coronary intervention in refractory variant angina as long as a culprit lesion within the vasospastic segment can be identified.
(Vol 8 p 49-51, Cardiology: 3 December 2008)
We report on an 81-year-old male with bilateral septic arthritis of the knee joints, who was treated with multiple joint washouts and intravenous antibiotics. As far as we know, there has been no case report in the English literature, on bilateral septic arthritis of the knee secondary to group G β-haemolytic streptococcal endocarditis.
(Vol 8 p 28-30, Cardiology; Microbiology; Orthopaedic Surgery; Infection and Immunity: 29 September 2008)
Postpartum cardiomyopathy (PPCM) is the development of heart failure in the last month of pregnancy or within 5 months after delivery without an identifiable cause in a previously healthy female. It is a rare condition, which carries a high maternal mortality. We describe the case of a 35-year-old South Asian woman who presented with dyspnoea, fatiguability, peripheral...
(Vol 8 p 19-21, Cardiac Imaging; Cardiology: 26 June 2008)
Contents by specialty
Editor-in-Chief
Frank Cross
Consultant Surgeon
St. Bartholomew's and The London NHS Trust, UK
Editors
Neil Barnes
Consultant Physician
St. Bartholomew's and The London NHS Trust, UK
Ali Jawad
Consultant Rheumatologist
St. Bartholomew's and The London NHS Trust, UK
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