{"title":"Torsades de Pointes due to Excessive Marijuana Use in a Susceptible Patient.","authors":"Vivek D Shah, Adeba Mohammad, Shuktika Nandkeolyar, Liset Stoletniy, Tahmeed Contractor","doi":"10.1155/2021/6621496","DOIUrl":"https://doi.org/10.1155/2021/6621496","url":null,"abstract":"<p><p>There are several recent reports of tetrahydrocannabinol vaping-related sudden cardiac arrest, and the mechanisms are unclear. We report a unique case of a 19-year-old female who suffered documented prolonged QTc leading to Torsades de pointes and cardiac arrest in the setting of frequent marijuana wax vaping. While she demonstrated normal baseline QTc measurements years earlier, she was found to have a genetic predisposition to QTc prolongation (genetic mutation, family history of prolonged QTc), suggesting that specific patient populations are at higher risk of these adverse events. The patient was acutely managed with isoproterenol to increase the heart rate and was discharged on nadolol after placement of an implantable cardioverter-defibrillator. Marijuana wax vaping and dabbing may cause fatal Torsades de pointes in susceptible patients, and further research is required to identify these patients a priori.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2021 ","pages":"6621496"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8292089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9639497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Parth J Sampat, Sana Riaz, Maneesh Bisen, Robert Carhart
{"title":"An Unusual Case of Ventricular Tachycardia in a Young Patient Associated with Cannabis Use.","authors":"Parth J Sampat, Sana Riaz, Maneesh Bisen, Robert Carhart","doi":"10.1155/2020/8813930","DOIUrl":"https://doi.org/10.1155/2020/8813930","url":null,"abstract":"<p><p>Marijuana has become the most widely used illicit drug in the United States. Approximately 43.5 million Americans aged 12 or above have reported the use of marijuana in the last year. The use of cannabinoids and its relationship with cardiac effects are not well known. Many types of arrhythmias have been noted with the use of cannabis products with atrial fibrillation being the most common arrhythmia associated with the use of cannabis. We present a case of a 36-year-old male who presented with pounding chest pain, dyspnea, and diaphoresis following marijuana use. He was found to be in ventricular tachycardia which responded to amiodarone. Workup done was negative for any structural disease, and cardiac catheterization was negative for coronary artery disease. He was ultimately discharged on metoprolol. In this report, we focus on how marijuana can be associated with many arrhythmias including ventricular tachycardia with focus on mechanisms by which it can occur. We believe a detailed social history with screening for cannabis use can identify more cases of arrhythmias that can be potentially associated with marijuana use.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2020 ","pages":"8813930"},"PeriodicalIF":0.6,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7725577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9638983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sri Harsha Patlolla, Saraschandra Vallabhajosyula, Malcolm R Bell
{"title":"Incidental Anomalous Left Coronary Artery in a Transplanted Heart.","authors":"Sri Harsha Patlolla, Saraschandra Vallabhajosyula, Malcolm R Bell","doi":"10.1155/2019/2715896","DOIUrl":"https://doi.org/10.1155/2019/2715896","url":null,"abstract":"<p><p>Anomalous coronary artery is an uncommon congenital cardiac anomaly that is often detected incidentally on coronary angiography. It has rarely been reported in the donor heart of patients who have undergone cardiac transplantation. Here, we report a case of a 72-year-old patient who received a second heart transplant and has been identified to have an anomalous left main coronary artery originating from the right coronary sinus on postoperative coronary angiography.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2019 ","pages":"2715896"},"PeriodicalIF":0.6,"publicationDate":"2019-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/2715896","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37553878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Suspected Brugada Phenocopy Secondary to Coronary Slow Flow.","authors":"Alicia Shim, Rajeev Seecheran, Valmiki Seecheran, Sangeeta Persad, Shiva Sreenivasan, Ronald Henry, Naveen Anand Seecheran","doi":"10.1155/2019/9027029","DOIUrl":"https://doi.org/10.1155/2019/9027029","url":null,"abstract":"<p><p>Brugada syndrome (BrS) is a genetic condition that accentuates the risk of potentially lethal ventricular arrhythmias and sudden cardiac death (SCD) in a structurally normal heart. The Brugada electrocardiographic pattern may manifest separately from the syndrome-this clinical scenario has been described as Brugada phenocopy (BrP). Many etiologies of BrP have been reported, but it has not yet been reported as a result of coronary slow flow (CSF) phenomenon. This case report highlights a suspected coronary slow flow-associated Brugada type 1 electrocardiographic pattern, which subsequently normalized following the institution of guideline-directed medical therapy for acute coronary syndrome.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2019 ","pages":"9027029"},"PeriodicalIF":0.6,"publicationDate":"2019-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/9027029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37499586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daniel Barnebee, Brian Morse, Jonathan R Strosberg, Marijan Pejic, Daniel Jeong
{"title":"Cardiac Magnetic Resonance for Diagnosis of Neuroendocrine Tumor Metastases to the Right and Left Ventricles with Carcinoid Heart Disease.","authors":"Daniel Barnebee, Brian Morse, Jonathan R Strosberg, Marijan Pejic, Daniel Jeong","doi":"10.1155/2019/8746413","DOIUrl":"https://doi.org/10.1155/2019/8746413","url":null,"abstract":"<p><p>A 76-year-old male with a small bowel neuroendocrine tumor with hepatic metastases presented with new onset lower extremity swelling, bloating, and weight gain which ultimately lead to cardiac magnetic resonance (CMR) to evaluate for cardiac involvement of disease. CMR showed right and left ventricular myocardial metastases along with findings suggestive of carcinoid heart disease. The patient had severe tricuspid valve regurgitation necessitating surgical valve repair. The patient underwent bioprosthetic tricuspid valve replacement and debulking of the metastases with surgical pathology confirming neuroendocrine tumor metastases. Follow-up clinical evaluations at 3, 6, and 9 months postoperatively showed improvement in cardiac function and stable hepatic tumor burden. This case demonstrates the utility of CMR to diagnose myocardial metastases and carcinoid heart disease complicated by severe tricuspid regurgitation, which guided surgical management.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2019 ","pages":"8746413"},"PeriodicalIF":0.6,"publicationDate":"2019-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/8746413","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37499585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The First Case of Native Mitral Valve Endocarditis due to <i>Micrococcus luteus</i> and Review of the Literature.","authors":"Alisha Khan, Thu Thu Aung, Debanik Chaudhuri","doi":"10.1155/2019/5907319","DOIUrl":"https://doi.org/10.1155/2019/5907319","url":null,"abstract":"<p><p>Gram-positive cocci species, notably <i>Staphylococcus</i>, <i>Streptococcus</i>, and <i>Enterococcus</i> account for 80 to 90% of infective endocarditis cases. HACEK microorganisms (<i>Haemophilus</i> spp., <i>Aggregatibacter actinomycetemcomitans</i>, <i>Cardiobacterium hominis</i>, <i>Eikenella corrodens</i>, and <i>Kingella kingae</i>) account for approximately 3% of cases and <i>Candida</i> species account for 1-2% of cases. <i>Micrococcus luteus</i> is a rare cause of endocarditis. To our knowledge, only 17 cases of prosthetic valve endocarditis have been described due to <i>M. luteus</i> and a single case of native aortic valve endocarditis has been described. The following case is the only documented case of native mitral valve endocarditis. A review of the literature pertaining to Micrococcus endocarditis was performed to further characterize the entity.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2019 ","pages":"5907319"},"PeriodicalIF":0.6,"publicationDate":"2019-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/5907319","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37499583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohammed Abdullahi Talle, Faruk Buba, Aimé Bonny, Musa Mohammed Baba
{"title":"Hypertrophic Cardiomyopathy and Wolff-Parkinson-White Syndrome in a Young African Soldier with Recurrent Syncope.","authors":"Mohammed Abdullahi Talle, Faruk Buba, Aimé Bonny, Musa Mohammed Baba","doi":"10.1155/2019/1061065","DOIUrl":"https://doi.org/10.1155/2019/1061065","url":null,"abstract":"Syncope is a common manifestation of both hypertrophic cardiomyopathy (HCM) and Wolff-Parkinson-White (WPW) syndrome. The most common arrhythmia in HCM is ventricular tachycardia (VT) and atrial fibrillation (AF). While preexcitation provides the substrate for reentry and supraventricular tachycardia (SVT), AF is more common in patients with preexcitation than the general population. Concurrence of HCM and WPW has been reported in many cases, but whether the prognosis or severity of arrhythmia is different compared to the individual disorders remains unsettled. We report a case of HCM and Wolff-Parkinson-White (WPW) syndrome in a 28-year-old male Nigerian soldier presenting with recurrent syncope and lichen planus.","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2019 ","pages":"1061065"},"PeriodicalIF":0.6,"publicationDate":"2019-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/1061065","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37487098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Silvia Negroni, Arianna Marengo, Donatella Caruso, Alessandro Tayar, Patrizia Rubiolo, Flavio Giavarini, Simone Persampieri, Enrico Sangiovanni, Franca Davanzo, Stefano Carugo, Maria Laura Colombo, Mario Dell'Agli
{"title":"A Case Report of Accidental Intoxication following Ingestion of Foxglove Confused with Borage: High Digoxinemia without Major Complications.","authors":"Maria Silvia Negroni, Arianna Marengo, Donatella Caruso, Alessandro Tayar, Patrizia Rubiolo, Flavio Giavarini, Simone Persampieri, Enrico Sangiovanni, Franca Davanzo, Stefano Carugo, Maria Laura Colombo, Mario Dell'Agli","doi":"10.1155/2019/9707428","DOIUrl":"https://doi.org/10.1155/2019/9707428","url":null,"abstract":"<p><p>Foxglove (<i>Digitalis purpurea</i> L.) leaves are frequently confused with borage (<i>Borago officinalis</i> L.), which is traditionally used as a food ingredient. Due to the presence of the cardiac glycosides, mostly digitoxin, foxglove leaves are poisonous to human and may be fatal if ingested. A 55-year-old Caucasian woman complaining weakness, fatigue, nausea, and vomiting was admitted to the Emergency Department. Her symptoms started following consumption of a home-made savory pie with 5 leaves from a plant bought in a garden nursery as borage. Digoxinemia was high (10.4 <i>μ</i>g/L). The patient was admitted to the cardiac intensive care unit for electrocardiographic monitoring. Two days after admission, a single episode of advanced atrioventricular (AV) block was recorded by telemetry, followed by a second-degree AV block episode. Plasma samples at day 11 were analysed by LC-MS spectrometry, and gitoxin was identified suggesting that this compound may be responsible for the clinical toxicity rather than digoxin. In the case of <i>Digitalis</i> spp. poisoning, laboratory data should be interpreted according to the clinical picture and method of analysis used since a variety of glycosides, which are chemically similar to the cardioactive glycosides but without or with fewer cardiac effects, may be incorrectly recognized as digoxin by the test, giving misleading results.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2019 ","pages":"9707428"},"PeriodicalIF":0.6,"publicationDate":"2019-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/9707428","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37487100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Spontaneous Coronary Artery Dissection in a Patient with a Family History of Fatal Ascending Aortic Dissection: Case Report and Discussion of Diseases Causing Both Presentations.","authors":"George Joy, Hany Eissa","doi":"10.1155/2019/7218480","DOIUrl":"https://doi.org/10.1155/2019/7218480","url":null,"abstract":"<p><strong>Background: </strong>Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome (ACS). Aortic dissection and SCAD share common aetiologies such as a fibromuscular dysplasia (FMD), Marfan, Ehlers Danlos, and more rarely systemic lupus erythematosus and Loeys-Dietz; however, SCAD has never been known to have a familial association with aortic dissection.</p><p><strong>Case summary: </strong>This case report describes a 48-year-old woman suffering from SCAD who had a mother who died from ascending aortic dissection in her 50s.</p><p><strong>Discussion: </strong>This is the first case report to our knowledge of a patient with SCAD with a first-degree relative with aortic dissection. Our case is interesting in that it shows that if predisposition to arterial dissection was inherited from mother to daughter, one of them suffered an extremely rare manifestation of their underlying disease. It also shows that a high index of suspicion is needed for SCAD in the presence of a patient with ACS and a family history of dissection elsewhere in the arterial tree.</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2019 ","pages":"7218480"},"PeriodicalIF":0.6,"publicationDate":"2019-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/7218480","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37499584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Corrigendum to \"Pulmonary Hypertension Secondary to Partial Anomalous Pulmonary Venous Return in an Elderly Patient\".","authors":"Stefan Koester, Justin Z Lee, Kwan S Lee","doi":"10.1155/2019/2347179","DOIUrl":"https://doi.org/10.1155/2019/2347179","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1155/2016/8609282.].</p>","PeriodicalId":51760,"journal":{"name":"Case Reports in Cardiology","volume":"2019 ","pages":"2347179"},"PeriodicalIF":0.6,"publicationDate":"2019-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/2347179","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37487102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}