Learn More
A 42-year-old man was admitted to our hospital with palpitation attacks. Holter ECG showed 2:1 atrioventricular block and bradycardia with the minimum heart rate of 44 beats/min. There was a possible indication of electrophysiological study and cardiac pacemaker implantation. Laboratory data on admission revealed elevated thyrotropin level, with normal(More)
An 84-year-old man was referred to the emergency department with severe dyspnea. Based on his physical findings, electrocardiogram, X-ray and echocardiographic findings, congestive heart failure was suspected and drip infusion of prophylactic heparin against intracardiac thrombosis was commenced together with dopamine, nitroglycerin and furosemide. Diuresis(More)
Carvedilol, which also has alpha-adrenoceptor antagonistic and vasodilating actions, is a unique betaadrenoceptor antagonist. One of its specific features is that carvedilol hardly impairs glucose metabolism [1,2]. However, we recently experienced a case of acute onset or severe exacerbation of diabetes mellitus (DM) during carvedilol therapy in conjunction(More)
A 79-year-old female patient, who was initially suspected to have pneumonia, was admitted to the respiratory department of our hospital. She experienced chest pain on the second admission day. Electrocardiography showed ST-segment elevation in leads V3 through V6, and echocardiography revealed hypokinetic left ventricular wall motion. Therefore, myocardial(More)
Atrial fibrillation is a common cardiac arrhythmia often associated with hemodynamic impairment and thromboembolic events. The direct-current (DC) shock cardioversion is an established therapeutic strategy especially for new-onset atrial fibrillation with hemodynamic instability or unacceptable symptoms [1]. However, it fails in many cases without obtaining(More)
Retropharyngeal hematoma following blunt cervical spine injury is a known cause of airway obstruction, but it is not known to cause hemorrhagic shock. We report the case of a massive retropharyngeal hematoma caused by a blunt vertebral artery transection leading simultaneously to airway obstruction and hemorrhagic shock. An 83-year-old woman was injured in(More)
A 52-year-old man was admitted with anemia and slight fever, which he had for the last 2 months. He had undergone replacement of the ascending aorta for acute aortic dissection 10 years previously. Echocardiography demonstrated a flailing thin structure in the anterior wall of the ascending aorta corresponding to the proximal portion of the prosthetic(More)