This is a 43 year old male with a history of rheumatic valvular heart disease. Based on this video, which of the following is the most likely cause of this physical exam finding?
This is a 33 year-old female with a history of infectious endocarditis with methacillin-resistant Staphylococcus aureus involving the tricuspid valve. Video 1 shows the physical exam findings. Video 2 shows the transthoracic echocardiogram of the tricuspid valve. Based on these findings the patient most likely has which of the following findings on cardiac ausculation?
A) Blowing diastolic decrescendo murmur with Austin-Flint murmur
B) Blowing holosystolic murmur radiating to the apex
C) Blowing holosystolic murmur radiating to the axilla
D) Crescendo-decrescendo systolic murmur that increases with maneuvers that decrease venous return
E) Crescendo-decrescendo systolic murmur that increases with maneuvers that increase venous return
F) Holosystolic murmur that increases on expiration
G) Holosystolic murmur that increases on inspiration
A 55-year-old woman who is status-post mantle field radiation of the mediastinum for Hodgkin's Lymphoma develops the gradual onset of dyspnea on exertion. Pulsus paradoxus is not present and cardiac markers such as troponin and creatine kinase are not elevated. Pulmonary function tests reveal a restrictive pattern. A video of her jugular venous pulse is shown. Which of the following is the most likely explanation for the clinical findings?
You are called to see a 47-year-old male patient in the cardiac intensive care unit. Which of the following is the most likely explanation for these EKG findings?
Medical Devices: Implantable Cardioverter Defibrillator (ICD)
Here's an example of an ICD in action. A Belgian soccer player with a heart condition was allowed to return to play after having a cardioverter-defibrillator implanted.
Watch as the soccer player walks towards the sidelines and collapses. This was most likely due to an arrhythmia producing decreased perfusion to the brain and syncope. A few seconds later, you can notice his legs contract due to the shock delivered by the ICD. With the heart beating again, he regains consciousness and sits up! Amazing!!!
This is one of the Miracles of Modern Medicine..... which you are now a part of!!!!!.