scholarly journals Utilizing the Cool-Down Phenomenon to Differentiate Supraventricular Tachycardias in a Patient with COVID-19 Infection

2021 ◽  
Vol 11 (3) ◽  
pp. 520-524
Author(s):  
Khalid Sawalha ◽  
Vikram Baldini Gondhalekar ◽  
Nathan Klammer ◽  
Fuad Habash ◽  
Hakan Paydak

A 63-year-old male patient with a history of hypertension, diabetes mellitus type 2, prostate cancer and class two obesity was admitted for encephalopathy. During his hospital stay he developed narrow complex tachycardia and it was difficult to definitively diagnose the underlying arrhythmia. Observation of the cool down phenomenon on telemetry strip allowed us to make the diagnosis of atrial tachycardia and elegantly rule out other causes. We report this interesting case of narrow complex tachycardia.

2021 ◽  
Vol 27 (6) ◽  
pp. S18-S19
Author(s):  
Anum Khan ◽  
Syed Wajih Rizvi ◽  
Samir Beso ◽  
Muntazir Ali Sayed ◽  
Cowthar Shurie ◽  
...  

2018 ◽  
pp. bcr-2018-225858 ◽  
Author(s):  
Subhan Mohammed ◽  
Vidya S Kollu

A 64-year-old woman with a medical history of morbid obesity, chronic hepatitis C, essential hypertension, multiple episodes of abdominal cellulitis, diabetes mellitus type 2 on insulin, intravenous and subcutaneous drug abuse presented to the emergency department complaining of left lower chest pain for 6 weeks along with multiple episodes of vomiting. Initial laboratory data revealed leucocytosis of 17 200×103/μL with left shift. She reported multiple episodes of fever spikes. Abdominal and pelvic CT showed a splenic hypodense lesion. Specimens from interventional radiology aspiration and splenectomy grew Propionibacterium acnes. Following splenectomy, patient’s symptoms resolved. To the best of our knowledge, this would represent the fifth reported case of P. acnes splenic abscess.


2020 ◽  
Vol 11 (SPL4) ◽  
pp. 2188-2193
Author(s):  
Thorat S. T ◽  
Vivek Redkar ◽  
Amit C. Botre ◽  
Vaibhav Agarwal ◽  
Nitin B. Jadhav

The metabolic disorder is depicted as bunches of irregularities, including stomach corpulence, insulin opposition, hypertension, hyperglycaemia, expanded fatty oils, and diminished high-thickness lipoprotein cholesterol. The study was aimed to assess the  Pervasiveness of Metabolic disorder in recently identified sort 2 Diabetes mellitus Among 100 newly detected type 2 DM patients, 44.18% of male and 55.82% of female had metabolic syndrome. The maximum number of patients were in the age of 30-49 years. Most of the patients had a history of DM of 4-6 months (54%). Majority 60 patients (69.76%) and IDF criteria predicting MS in 40(46.51%) patients which is least compared to others. Modified WHO and NCEP ATP III criteria's were predicting MS 55(63.95%), 48(55.81%) respectively. Raised serum TG for men (45.3%) and diminished HDL for ladies (45.3%) were most grounded single indicator successfully showing the presence of MS in recently identified type 2 DM patients. Significant WC was seen in 51.2% of patients, and 46.5% of patients had significant waist/hip ratio. CONCLUSION- Raised serum TG for men and lessened HDL for women were most grounded single pointers, satisfactorily exhibiting the presence of MS in as of late distinguished sort 2 DM patients.


Author(s):  
Peter Jackuliak ◽  
Zdenko Killinger ◽  
Juraj Payer

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