Nimit C Shah

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OBJECTIVES To examine whether endogenous aldosterone can cause either arrhythmias (and some of their underlying mechanisms) or endothelial dysfunction in patients with coronary artery disease (CAD) but without heart failure. BACKGROUND Aldosterone blockade has been shown to reduce the incidence of sudden death in patients with heart failure. This could be(More)
Recent evidence points to a role for the renin-angiotensin-aldosterone system (RAAS) in the pathogenesis of atherosclerosis and its complications, including acute angina pectoris. Two large trials in heart failure have clearly demonstrated that blocking aldosterone improves mortality and that this benefit occurs over and above standard therapy with(More)
CASE HISTORY A 20-year-old Asian woman presented with an 8-month history of headache. She was found to be hypertensive and started on antihypertensive medications. During follow-up, her symptoms persisted, and the hypertension was difficult to control with 2 antihypertensive drugs. She was referred to a cardiologist. In addition to headache, the patient(More)
Introduction. Cor triatriatum is a rare congenital heart disease found incidentally in children. Although cor triatriatum can be an incidental finding in asymptomatic adults; it is extremely rare to find elderly patients without symptoms and is unique in a long distance runner. Case Presentation. We present the case of an 83-year-old long-distance runner(More)
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