Cardiology case studies for medical students

Cardiology medical report

A recent algorithm for the management of the resuscitated comatose patient was developed and published last year. However, the presence of a culprit coronary lesion is identified in about one third of hospital cardiac arrest patients without ST-segment elevation myocardial infarction. Video 1 Coronary angiogram of the left coronary artery from a right anterior oblique view with cranial angulation. Specifically, the electrocardiogram did not reveal major ischemic changes, the bedside echocardiogram showed no wall motion abnormalities, and the cardiac troponin I level was not elevated. The initial rhythm is usually pulseless electrical activity due to blood exsanguination or cardiac tamponade. Importantly, they give an indication of the decision-making process, so that other physicians can apply lateral thinking to their own cases. Ideally, in medicine, Case Studies should detail a particular medical case, describing the background of the patient and any clues the physician picked up or should have, with hindsight. Perform additional diagnostic imaging studies The patient presented with an out-of-hospital cardiac arrest. The aortic valve and the ostium of the right coronary artery appear intact. Video 2 Coronary angiogram of the right coronary artery from an anteroposterior view with cranial angulation. JC Cases provides an appropriate forum for all cardiologists by publishing without delay their important clinical Isn't the case study just a bit of light reading? It would be difficult, therefore, to say whether any conclusions could confidently be drawn by readers as a result of these reports. Although there is a Class I American College of Cardiology and American Heart Association recommendation for comatose patients who have experienced cardiac arrest due to underlying ST-segment elevation myocardial infarction to undergo emergent cardiac catheterization with the intent of primary PCI, there are no specific recommendations for comatose patients without ST-segment elevation myocardial infarction who survived a cardiac arrest.

The dissection flap is just above the left main coronary ostium. Unfortunately, the prognosis of this condition remains poor.

clinical cases

One year after their publication, all articles become accessible, at no cost, also to nonsubscribers. Despite the presence of a pericardial effusion, the diagnosis of cardiac tamponade has not been established. A recent algorithm for the management of the resuscitated comatose patient was developed and published last year.

However, it is unlikely that this lesion could account for the patient's clinical presentation.

complicated cardiology cases

Decisions on which of a range of treatment options to follow might involve input from the patient, or might be purely objective, but ideally a Case Study should outline why a particular course was followed. Nature Clinical Practice Cardiovascular Medicine Case Studies represent an opportunity to spread the benefit of knowledge across the physical boundaries imposed by looking at one case, in one place, at one time.

nuclear cardiology cases

Note the small hemopericardium anteriorly and the patent ostial and proximal right coronary artery.

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Case Studies: why are they important?