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We present the case of a young male presenting with a wide complex tachycardia. The diagnostic approach based on the electrocardiogram findings is discussed. The final diagnosis could be made following an adenosine challenge at baseline, underlying the use of this drug for diagnostic purposes even in the absence of ongoing tachycardia.
Takotsubo cardiomyopathy is a type of stress cardiomyopathy that is usually seen in postmenopausal patients and can be triggered by emotional stress, hypoglycemia, hypothyroidism, and surgery. A patient post cardiac surgery can present with multiple complications causing hemodynamic compromise. Hence, takotsubo cardiomyopathy remains a diagnostic dilemma. Here, we present an interesting electrocardiogram (ECG) of the same condition in a patient after mitral valve replacement with normal patent coronaries but presenting with anterolateral massive infarction with shark fin pattern in the ECG.
In the Age of Enlightenment, the availability of chocolate was expanding across European societies, eliciting criticism and even moral panic reminiscent of coffee and tobacco. These dialogues encompassed religious ideologies with divergent Protestant and Catholic standpoints on whether drinking chocolate was permissible during fast. Further, certain physicians highlighted negative health outcomes from the stimulant properties of chocolate.
The evolving attitude towards chocolate resemble the alternating societal trajectories of other substances. For example, alcohol has been consumed for different purposes throughout history but its moral, social and health perceptions have fluctuated.
Settings offering services by liaison psychiatry (LP) and associated human resources have increased over the last decades. While the psychiatric consultation activity has grown, the psychiatric liaison (LI) activity, aiming to build a bridge between psychiatric and medical expertise and to transfer knowledge to support clinicians who care for the medically ill, is still doomed to a shadowy and stagnant existence. In this commentary, we focus on the challenges LP, and especially LI are facing and call for a change in perspective to tackle those.
