January 2021 Br J Cardiol 2021;28:39 doi:10.5837/bjc.2021.003
Apurva H Bharucha, Ritesh Kanyal, James W Aylward, Parthipan Sivakumar, Ian Webb
Case A 21-year-old man with a background of trisomy 21, previous cardiac surgery and cardiac resynchronisation therapy-pacemaker (CRT-P) was admitted with a one-week history of pleuritic chest pain, dyspnoea and non-productive cough. Cardiac surgery and CRT-P implantation was undertaken in the Middle East, the precise details of which were unavailable. Admission chest radiograph (figure 1A) revealed features suggestive of coronavirus disease 2019 (COVID-19), which was confirmed on nasopharyngeal swab. Electrocardiography (ECG) revealed sinus tachycardia with biventricular pacing markers. Other than an elevated troponin T (225 ng/L; normal ra
July 2018 Br J Cardiol 2018;25:118–20 doi:10.5837/bjc.2018.022
Cristina Aguilera Agudo, Silvia Vilches Soria, Jorge Enrique Toquero Ramos
Case report A 72-year-old man was admitted to our hospital for asthenia and general malaise for a week. He had a history of alcoholism, hypertension, diabetes, dyslipidaemia and peripheral artery disease with stent implantation in both iliac arteries. Five days before, he was admitted to the emergency department for asthenia and was diagnosed with atrial fibrillation and secondary congestive heart failure. Therapy with enoxaparin and warfarin was initiated, added to his long-term treatment with aspirin, but his symptoms worsened. On arrival, an ECG was performed showing sinus tachycardia with a narrow QRS complex (figure 1). Echocardiography
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