Background: Supraventricular tachycardia (SVT) is a relatively common dysrhythmia among the general population and a common dysrhythmia presenting to the emergency department. Generally speaking, it is assumed the provider should attempt a vagal maneuver as first-line treatment for SVT, and the most common vagal maneuver used is the Valsalva. Current resources describing the method to perform t...

a ruptured sinus of valsalva aneurysm rarely accompanies the aortic and tricuspid valve endocarditis. a 36-year-old woman presented with low-threshold dyspnea on exertion and fever. transthoracic and transesophageal echocardiography showed a ruptured noncoronary sinus of valsalva aneurysm with large vegetations on the tricuspid and aortic valves, resulting in moderately severe tricuspid regurgi...

To cite: Holla A, Gonsalves SRJ. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013200922 DESCRIPTION A 28-year-old man presented with painless defective vision in the left eye of 4-day duration. He gave a history of performing yoga in the form of breathing exercises prior to this. There were no other ocular/systemic problems. On examination, vision in the right...

PURPOSE To report a case of Purtscher-like retinopathy after weightlifting. METHODS A 17-year-old man presented with a sudden visual loss in his left eye after weightlifting two weeks ago. Fundus examination of the left eye showed cotton-wool spots and scattered retinal hemorrhages in the posterior pole. Fluorescein angiography and indocyanine green angiography with a scanning laser ophthalmo...

PURPOSE To evaluate a technique for contrast agent preparation as mixing the patients' blood with agitated saline and to compare it with agitated saline alone in diagnosis of cardiac right-to-left shunt in regard to their sensitivity, time window, and distribution of artificially induced microembolic signals. METHODS Fifty-two patients with stroke who had Transesophageal echocardiography prov...