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Elevated preprocedural CRP is not associated with increased risk for CI-AKI in patients undergoing PCI
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2D Echo
Case Title: A 36 year old female presented with a history of exertional angina since three years.
Case History: A 36 year old female presented with a history of exertional angina since three years. She was known to have cyanotic congenital heart disease since childhood. This was found to correspond to sustained ventricular tachycardia on exercise testing. Because of first and second-degree heart block, antiarrhythmics medication was contraindicated until a pacemaker had been inserted. An epicardial AV sequential pacemaker was used. And the patient was placed on amiodarone. Exertional VT was controlled, but she suffered side effects from the amiodarone. She is apparently well and is not on any medications

On examination she was mildly cyanotic and clubbed. Her oxygen saturation was 90%, Pulse 76/minute and regular, BP 100/70 mmHg. JVP normal. Cardiac apex displaced laterally. On auscultation there was a Loud single second heart sound. Grade 4 ejection systolic murmur at the base not varying with respiration. Grade 2 high-pitched decrescendo murmur down the left sternal border.

Click on the image to view movie/enlarged image
Apical 4 chamber view there is discarded atrio ventricular connection . Left atrium gives rise to right ventricle which is visible on right side of the screen. Of node 2 is the off-siding of the atrio ventricular valves with the more apically inserted tricuspid valve. The right ventricle appears to be small and hypertrophied. A ventricular septal defect is seen. Left ventricular function is reduced. Click here to view movie
Parasternal short axis zoom view - at the level of aotric valve a tri leaflet aortic valve is seen. However there is a failure of collapsation of valve leaflets. Click here to view movie