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1.
JRSM Open ; 14(1): 20542704221132142, 2023 Jan.
Article in English | MEDLINE | ID: mdl-36636708

ABSTRACT

Use of antipsychotic drugs has been associated with increased risk of venous thromboembolism in several observational studies with unclear mechanism. We present a case of a patient who experienced a significant event of venous thromboembolism after a few months exposure to atypical antipsychotic drug for his bipolar mood disorders.

2.
Clin Case Rep ; 10(8): e6287, 2022 Aug.
Article in English | MEDLINE | ID: mdl-36052024

ABSTRACT

Bradyarrhymias can result in low cardiac output state despite having a normal left ventricular ejection fraction and stroke volume. Because cardiac output is defined as the product of heart rate and stroke volume, a low cardiac output state caused by bradyarrhythmias may result in type I cardiorenal syndrome.

3.
Eur J Case Rep Intern Med ; 8(10): 002839, 2021.
Article in English | MEDLINE | ID: mdl-34790627

ABSTRACT

Drugs that inhibit voltage-dependent sodium channels are commonly used to treat epilepsy. Old and novel antiepileptic drugs are used either as monotherapy or in combination to control epilepsy. For a long time, carbamazepine has been used as the first choice for the treatment of simple and complex partial seizures. In the USA, lacosamide was approved in October 2008 as an adjunctive treatment for partial-onset seizures. We describe the effect of two sodium channel blockers on the heart of a patient with epilepsy. LEARNING POINTS: Approximately 30% of patients with epilepsy require combination therapy with antiepileptic drugs for seizure reduction.Lacosamide and carbamazepine are both sodium channel blockers but exert their effects through different mechanisms.Electrocardiogram monitoring is necessary when lacosamide and carbamazepine are used together as this combination may predispose to seizures, conduction abnormalities and dysrhythmia.

4.
JRSM Open ; 12(8): 20542704211025259, 2021 Aug.
Article in English | MEDLINE | ID: mdl-34394944

ABSTRACT

A case of ST elevation myocardial infarction reported post Coronavirus disease 2019 (COVID-19) vaccine. Probably premature to draw a link between COVID-19 vaccine and myocardial infarction.

5.
JRSM Open ; 12(7): 20542704211025258, 2021 Jul.
Article in English | MEDLINE | ID: mdl-34290875

ABSTRACT

Myocardial infarction is considered the most common cause of left ventricular pseudoaneurysm. Large missed pseudoaneurysm of the left ventricle incidentally diagnosed and treated conservatively.

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