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Elevated preprocedural CRP is not associated with increased risk for CI-AKI in patients undergoing PCI
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INTERESTING CASES
X-Rays
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.


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X-Ray finding 1
There is minimal scoleosis. There is cardiomegaly with cardiothorasic ratio of 56percentage. Both left and right pulmonary arteries are enlarged with evidence of platheura. An epicardial pacemaker is present.
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X-Ray finding 2
Lateral View of xray showing minimal scoleosis. There is cardiomegaly with cardiothorasic ratio of 56percentage. Both left and right pulmonary arteries are enlarged with evidence of platheura. An epicardial pacemaker is present.
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