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American Journal of Cardiovascular Disease Research

ISSN (Print): ISSN Pending

ISSN (Online): ISSN Pending

Editor-in-Chief: Dario Galante

Website: http://www.sciepub.com/journal/AJCDR

   

Article

Superior Mesenteric Artery Thrombosis and Partial Dissection Managed Medically

1Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ, USA


American Journal of Cardiovascular Disease Research. 2016, 4(2), 15-17
doi: 10.12691/ajcdr-4-2-1
Copyright © 2016 Science and Education Publishing

Cite this paper:
Muhammad Azharuddin, Ananta Subedi, Shil Patel, Sweta Chandra. Superior Mesenteric Artery Thrombosis and Partial Dissection Managed Medically. American Journal of Cardiovascular Disease Research. 2016; 4(2):15-17. doi: 10.12691/ajcdr-4-2-1.

Correspondence to: Muhammad  Azharuddin, Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ, USA. Email: azhar_uddin203@yahoo.com

Abstract

A 44-year old male presented to the ED complaining of abdominal pain. CT angiography of the abdomen showed thrombus extend from the proximal superior mesenteric artery (3 cm distal to the origin), with partial dissection of the superior mesenteric artery. He was given intravenous fluid and was started on intravenous heparin. All hypercoagulable workup was done to rule out the causes of thrombosis or dissection was negative. The patient’s abdominal pain was decreasing, and heparin was bridged with Coumadin. The patient was discharged to home, and advised to check INR regularly and follow up with the vascular surgery department. Conservative management is generally the preferred treatment. For more serious cases, aggressive approaches such as percutaneous endovascular stent placement or surgery would be considered.

Keywords

References

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Article

Acute Inferior Wall ST-Elevated Myocardial Infarction with Normal Coronary Arteries

1Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ, USA


American Journal of Cardiovascular Disease Research. 2016, 4(2), 18-20
doi: 10.12691/ajcdr-4-2-2
Copyright © 2016 Science and Education Publishing

Cite this paper:
Braghadheeswar Thyagarajan, Muhammad Azharuddin, Rikka Banayat. Acute Inferior Wall ST-Elevated Myocardial Infarction with Normal Coronary Arteries. American Journal of Cardiovascular Disease Research. 2016; 4(2):18-20. doi: 10.12691/ajcdr-4-2-2.

Correspondence to: Braghadheeswar  Thyagarajan, Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ, USA. Email: bragmd@gmail.com

Abstract

A 59-year old woman presented to the ER complaining of chest pain. ECG showed sinus rhythm at the rate of 72 beats per minute and ST segment elevations in Lead II, III, aVF. A Code STEMI was activated for emergent cardiac catheterization, which revealed the patient had normal coronary arteries with normal left ventricular systolic function. During the procedure, her symptoms of chest pain resolved. ECG, urine toxicology, and echocardiogram tests were done in the ICU, which were normal. The patient was eventually discharged home and scheduled to follow up with cardiology and primary care physician.

Keywords

References

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Article

Amyloid Cardiomyopathy in African Americans and the Transthyretin Linkage Associated with Macroglossia: A Rare Presentation

1Department of Medicine, Overlook Medical Center, Summit, NJ 07901 USA


American Journal of Cardiovascular Disease Research. 2016, 4(2), 21-24
doi: 10.12691/ajcdr-4-2-3
Copyright © 2016 Science and Education Publishing

Cite this paper:
Roberto Ramirez, Glenmore Lasam, Gina LaCapra. Amyloid Cardiomyopathy in African Americans and the Transthyretin Linkage Associated with Macroglossia: A Rare Presentation. American Journal of Cardiovascular Disease Research. 2016; 4(2):21-24. doi: 10.12691/ajcdr-4-2-3.

Correspondence to: Glenmore  Lasam, Department of Medicine, Overlook Medical Center, Summit, NJ 07901 USA. Email: glenmore_md@yahoo.com

Abstract

We report a case of a 63 year old African American female with congestive heart failure, poorly controlled hypertension, and end stage renal disease admitted for STEMI (ST Elevation Myocardial Infarction) and hypertensive crisis. Macroglossia was noticed during hospitalization and an echocardiogram was suggestive of cardiac infiltrative disease. Protein electrophoresis and immunofixation were negative. Although macroglossia is a common finding in light chain (AL) amyloidosis, there are reported cases in transthyretin (ATTR) amyloidosis. Learning objective: To highlight a rare presentation of transthyretin amyloidosis, and to raise awareness of this disease and its particular prevalence in the African American and African Caribbean populations.

Keywords

References

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