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Ali M, Rundhawa G, Chahal CAA, Kashyap R, Maleszewski JJ, Jacob R, Ertel D, Vranian MN. Multimodal Imaging Findings Associated With Cardiac Oxalosis Cardiomyopathy. JACC Case Rep 2024; 29:102148. [PMID: 38264303 PMCID: PMC10801797 DOI: 10.1016/j.jaccas.2023.102148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Revised: 10/31/2023] [Accepted: 11/02/2023] [Indexed: 01/25/2024]
Abstract
We report the case of a 50-year-old woman with secondary oxalosis following bowel resection resulting in restrictive cardiomyopathy and a diagnosis of cardiac amyloidosis based on the initial workup. The case documented findings by cardiac magnetic resonance imaging and technetium Tc 99m-labeled pyrophosphate scan in patients with cardiac oxalosis, which can mimic findings in cardiac amyloidosis, expanding the differential diagnosis.
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Affiliation(s)
- Murtaza Ali
- Department of Internal Medicine, York Hospital, WellSpan Health, York, Pennsylvania, USA
| | - Gohar Rundhawa
- Department of Internal Medicine, York Hospital, WellSpan Health, York, Pennsylvania, USA
| | - C. Anwar A. Chahal
- Department of Cardiology, York Hospital, WellSpan Health, York, Pennsylvania, USA
- Department of Inherited Cardiovascular Diseases, WellSpan Health, Lancaster, Pennsylvania, USA
| | - Rahul Kashyap
- Department of Research, York Hospital, WellSpan Health, York, Pennsylvania, USA
| | - Joseph J. Maleszewski
- Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA
- Department of Medical Genomics, Mayo Clinic, Rochester, Minnesota, USA
| | - Ron Jacob
- Department of Cardiology, York Hospital, WellSpan Health, York, Pennsylvania, USA
| | - Drew Ertel
- Department of Cardiology, York Hospital, WellSpan Health, York, Pennsylvania, USA
| | - Michael N. Vranian
- Department of Cardiology, York Hospital, WellSpan Health, York, Pennsylvania, USA
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Ali M, Rundhawa G, Kashyap R, Vranian MN. Progressively Prolonged PR Interval and Aortic Abscess. Cureus 2023; 15:e45341. [PMID: 37720134 PMCID: PMC10504679 DOI: 10.7759/cureus.45341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/15/2023] [Indexed: 09/19/2023] Open
Abstract
Regular electrocardiogram (ECG) monitoring in patients with endocarditis of the aortic region is a simple yet effective approach to help evaluate for the development of aortic abscess. It is important to recognize this condition as it carries a high morbidity and mortality. We report a case of a 62-year-old Caucasian female diagnosed with methicillin-sensitive Staphylococcus aureus (MSSA) bacteremia with mitral and aortic endocarditis. Progressive PR prolongation prompted re-evaluation, ultimately finding the progression of a new aortic abscess, changing the patient's care pathway. With a standardized approach of obtaining regular ECGs in patients with aortic endocarditis, it is possible to identify the progression of aortic valve endocarditis, thereby lowering the risk of morbidity and mortality.
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Affiliation(s)
- Murtaza Ali
- Department of Internal Medicine, Wellspan York Hospital, York, USA
| | - Gohar Rundhawa
- Department of Internal Medicine, Wellspan York Hospital, York, USA
| | - Rahul Kashyap
- Department of Research, Wellspan York Hospital, York , USA
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Mumtaz S, Rundhawa G, Rehman A, Patel D, Patel K. OPTIMAL INITIAL DIURETIC DOSE IN ACUTE DECOMPENSATED HEART FAILURE USING A HOME DOSE MULTIPLIER. J Am Coll Cardiol 2023. [DOI: 10.1016/s0735-1097(23)00824-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
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Mumtaz S, Mir J, Arif M, Nadar P, Schurk H, Iyer K, Rundhawa G. Prognostication Of Pulmonary Artery Pulsatility Index And Pulmonary Capillary Wedge Pressure In Patients Requiring Impella Support. J Card Fail 2022. [DOI: 10.1016/j.cardfail.2022.03.158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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