A 61-year-old male with coronary artery disease, multiple percutaneous transluminal coronary angioplasty with stenting (PTCA + S recent 4 months back) and heart failure with reduced ejection fraction (with left ventricular ejection fraction of 39%) presented with complaints of itching and redness all over the body for 3–4 days and fever for 1 day. He was started on tablet Empagliflozin 10 mg/d a fortnight ago, which was the only change in his medications. His laboratory workup revealed an elevated total leukocyte count (11 200/mm³) with eosinophilia (19%) and an absolute eosinophil count of 2100/mm³, along-with raised C-reactive protein levels (87.
View Article and Find Full Text PDFWe describe a case of 50-year-old woman with symptomatic complete heart block who underwent dual-chamber pacemaker implantation. The differential diagnosis and related mechanism of the electrocardiogram are discussed.
View Article and Find Full Text PDFIndian Pacing Electrophysiol J
December 2024
The SA node is protected from the overdrive suppression by the other tissues or tachyarrhythmias by means of atrio-sinus entrance block. A 57-year-old woman presented with symptomatic tachy-brady syndrome and severe LV dysfunction. Electrophysiological study revealed presence of left lateral accessory pathway.
View Article and Find Full Text PDFBACKGROUND Second-degree atrioventricular (AV) block is a frequently encountered conduction abnormality on surface electrocardiogram (ECG). However, it does not always imply a block at the AV nodal level. In rare cases, this block can occur below the bundle of His, within the infra-Hisian region of the His-Purkinje system.
View Article and Find Full Text PDFEur Heart J Case Rep
August 2024