DACOSTA DESCRIBED "IRRITABLE HEART" in 1871,1 a peculiar form of functional disorder of the heart seen in the military population during the War Between the States. He thought this disorder was similar to that described earlier among British troops in India and in the Crimean War. The disorder frequently presented either after an episode of diarrhea and persisted after the digestive disturbance...

Gutierrez O, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-223341 Description A 67-year-old woman had recently emigrated from the Dominican Republic where, many years prior, she had been evaluated for ‘tachycardias’ and had unrevealing monitors. She was well until 6 months prior to admission when she started to experience unpredictable, generally exertional palpitations, dyspnoea and left arm ...

A 48-year old man complained of dyspnoea and palpitation for 6 h. There was no history of trauma and angina. The initial ECG and laboratory tests showed no evidence of myocardial infarction. Computed tomographic angiography revealed left ventricular free wall rupture while coronary angiography was negative. Surgical intervention was carried out, and the perforation was repaired (Figs 1 and 2). ...

A 30-year old woman presented with complaints of chest pain, palpitation and echocardiographic findings of a constrictive cardiac haemodynamic pattern with calcification and thickening of the pericardium (Fig. 1). She underwent successful pericardiectomy. An intraoperative image of a typical caseification necrosis surrounding the whole pericardium, with a positive culture of mycobacterium tuber...

A 48-year-old male with a history of secundum type atrial septal defect (ASD) closure in childhood presented to our outpatient clinic complaining of palpitation for six months. Interestingly, transthoracic and transesophageal echocardiography exams showed an undiagnosed partially unroofed coronary sinus associated with persistent left superior vena cava (LSVC) and Cor triatriatum.

Received/Geliş tarihi : December 15, 2012 Accepted/Kabul tarihi : April 30, 2013 To the Editor, The hepatitis virus may play an important role in autoimmune hemolytic anemia (AIHA). We herein report the case of a patient presented to our hospital with hepatitis B virus (HBV) and hepatitis C virus (HCV) coinfection who developed warm-type AIHA. The anemia improved, followed by declined viral lev...

The patient was a 32-year-old woman referred to a neurologist in 2008 for walking difficulty and easy fatigue. Physical examination revealed spastic paraparesis. The patient had history of some neurological symptoms since 2003 which were neglected because of little functional impairment and self-limitation. Brain and cervical magnetic resonance imaging (MRI) fulfilled Barkhof criteria for multi...

A 64-year-old Japanese man was referred to our hospital because of palpitation. An electrocardiogram revealed firstdegree atrioventricular block without ST-T change. An echocardiography showed structural abnormality into the left ventricular outflow tract (LVOT), mitral valve leaflet cleft without mitral regurgitation, and single papillary muscle (loss of posterior papillary muscle) (Figs. 1, 2...