Case Studies

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Case studies

[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column width=”1/1″][vc_text_separator title=”Case 1″ title_align=”separator_align_center” color=”grey”][/vc_column][/vc_row][vc_row][vc_column width=”1/1″][vc_column_text]57 year old male presenting with a heart attack[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column width=”1/1″][vc_column_text]A 57 year old male patient presenting with acute onset chest pain. His electrocardiogram (ECG) showed a heart attack. He was a smoker (20 cigarettes/day) with a history of hypertension (high blood pressure), which was controlled. His cholesterol was within normal limits [total cholesterol = 4.2 mmo/l, HDL (good cholesterol) = 1.01 mmol/l, LDL (bad cholesterol) = 2.7 mmol/l, triglycerides = 1.9 mmol/l, cholesterol/HDL = 4.2). He weighed 97kg with a height of 183cms and a body mass index of 29.

The video file on the left shows a blocked right coronary artery (the cause of his heart attack). To reopen the artery, a wire was inserted and subsequently a stent was implanted. The video file on the right shows the restoration of flow in the artery and a successful outcome.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column width=”1/2″][vc_column_text]

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[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column width=”1/1″][vc_text_separator title=”Case 2″ title_align=”separator_align_center” color=”grey”][/vc_column][/vc_row][vc_row][vc_column width=”1/1″][vc_column_text]A 78 year old male patient was reviewed with a history of intermittent dizziness, falls and two collapses. During one of his collapses he sustained a cut to the back of his head which required gluing.

He has a history of mild aortic valve stenosis (narrowing), hypertension, asthma, and hip arthritis. Examination pulse rate 66 beats/minute, BP 110/80 with no significant change in blood pressure after checked at 1 minute and 3 minutes with unsupported standing. Massage of right neck artery for 4 seconds resulted in his heart stopping beating for almost 10 seconds associated with the patient collapsing (ECG 1 and 2). This condition is called carotid hypersensitivity syndrome. He was successfully treated with a pacemaker.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column width=”1/2″][vc_single_image image=”6485″ css_animation=”left-to-right” alignment=”center” border_color=”grey” img_link_target=”_self” img_size=”full” img_link=”http://hertslondoncardiology.co.uk/case-2″][/vc_column][vc_column width=”1/2″][vc_single_image image=”6486″ css_animation=”right-to-left” alignment=”center” border_color=”grey” img_link_target=”_self” img_size=”full”][/vc_column][/vc_row][vc_row][vc_column width=”1/2″][vc_column_text]

Baseline ECG

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Right carotid sinus massage

[/vc_column_text][vc_single_image image=”6421″ css_animation=”right-to-left” alignment=”center” border_color=”grey” img_link_large=”yes” img_link_target=”_self” img_size=”full”][/vc_column][/vc_row][vc_row][vc_column width=”1/1″][vc_column_text]Case 3

Coming soon.[/vc_column_text][/vc_column][/vc_row]