Cardiology Cases

Editors: V. Dimov, M.D.; Anitha Rajamanickam, M.D., Clinical Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University

EKGs and Arrhythmias

EKGs with Dr. Koch -- It's Not Only Educational It's Also Fun!

Atrial fibrillation (AFib) with rapid ventricular response (RVR) due to central line placement

Should patients receive anticoagulation for paroxysmal atrial flutter?

Digoxin Toxicity in an Elderly Female

Persistent Nausea and Vomiting Due to Digoxin Toxicity

Supraventricular tachycardia (SVT) with a heart rate of 189 bpm after albuterol. What is the cause?

Amiodarone-Induced Pulmonary Toxicity

Electrical Alternans -- What Is It? QRS of Varying Size

Cardiac Ischemia

Acute MI Which Presented with RLQ Abdominal Pain

Cocaine Induced CP with High CK - MI or Rhabdomyolysis?

Aneurysms

Thoracic Aortic Dissection and Pulmonary Embolism

Thoracic Aorta Aneurysm and CAD

Large Abdominal Aorta Aneurysm (AAA) and Diverticulosis

Other

CHF vs. COPD Exacerbation

Cardiac Tamponade -- Big Heart with Clear Lungs

Double Hit -- Right and Left-Sided Endocarditis in a Heroin Abuser

Staphylococcus Aureus Prostatic Abscess Complicated By Infective Endocarditis

Aortic Stenosis and Preoperative Evaluation for Noncardiac Surgery

Non-Compaction Of The Left Ventricle – A Rare Cause Of Non-Ischemic Cardiomyopathy

Accessory Renal Artery Stenosis – A Cause For Drug Refractory Hypertension

A 33-year-old man has a low HDL level. Should you treat him?

NEJM Images in Clinical Medicine

Mapping the Atrioventricular Node. NEJM, 12/2007.
Retinal Arteriolar Cholesterol Emboli. NEJM, 02/2008.
Cerebral Embolism of Probable Aortic Origin. NEJM, 04/2008.
Changes in the Brain Stem and Fundus in Malignant Hypertension. NEJM, 05/2008.
Giant Left Atrium. NEJM, 05/2008.
Starr–Edwards Heart Valves 38 Years Later. NEJM, 05/2008.
The Aorta in Osteoporosis. NEJM, 05/2008.
Spontaneous Thrombolysis of an Obstructed Mechanical Aortic Valve. NEJM, 06/2008.
Bifid Uvula and Aortic Aneurysm. NEJM, 07/2008.
Imaging of Thebesian Venous System. NEJM, 08/2008.
Austin Flint Murmur. NEJM, 09/2008.
Pneumopericardium. NEJM, 10/2008.
What Lies Beneath a Pacemaker? Bronchogenic Adenocarcinoma. NEJM, 10/2008.
Venous Obstruction of the Thigh. NEJM, 03/2009.
Widened Mediastinum: Mediastinal Extension of a Goiter. NEJM, 03/2009.
Prosthetic Mitral Valve with Partial Thrombosis. NEJM, 04/2009.
Familial Hypercholesterolemia. NEJM, 04/2009.

Further Reading

Cardiac angiograms videos by Ken Civello, M.D., Cleveland Clinic.
EchoJournal video sharing site.
Imaging: Electrocardiograms, X-rays, CT scans
A Systematic Approach to Reading an EKG by Using 2 Mnemonics
Online ECG Training Module. EMEDU.org.
Chest pain after emotional and physical upset: Tako-tsubo cardiomyopathy or "broken heart syndrome." BMJ, 09/2008.
Medscape ECG of the Week - a large archive of files.
Conquering Heart Disease is Multifaceted. Dr. Wes, 2007.
The Concertos. Dr. Wes, 12/2007.
Essential Online Resources for Cardiology. Medscape, 01/2008.
EKG Du Jour: Brugada syndrome. Dr. Wes, 01/2008.
APDIM E-Learning Task Force: Cardiac Auscultation, Chest X-Rays, Electrocardiograms, Patient Images (Dermatology), Pulmonary Function Tests, 2009.

Test Questions

USMLERx Step 1 Question #1005
USMLERx Step 1 Question #1015
USMLERx Step 1 Question #1019
USMLERx Step 2CK Question #21301

Published: 01/12/2005
Updated: 05/16/2009