Unveiling Amyloid Cardiomyopathy: The Power of Multimodal Imaging for Early Diagnosis

Unveiling Amyloid Cardiomyopathy: The Power of Multimodal Imaging for Early Diagnosis

A 67-year-old hypertensive diabetic with hyperlipidemia who presented with chest pain, progressive exertional dyspnea, orthopnea, and swelling in both the lower extremities. Initial investigation such as an electrocardiogram and cardiac catheterization excluded acute ischemia but documented nonobstructive coronary disease. Transthoracic echocardiography demonstrated left ventricular hypertrophy, severe systolic dysfunction, and increased filling pressures, suspicious for cardiac amyloidosis.

Enhanced Pain Management Following Rotator Cuff Repair: Interscalene Block with Intravenous Dexamethasone

Enhanced Pain Management Following Rotator Cuff Repair: Interscalene Block with Intravenous Dexamethasone

This research investigated whether intravenous dexamethasone added to an interscalene block (a standard method of pain control for shoulder surgery) would be better than the block alone for controlling pain after rotator cuff repair surgery. Rotator cuff surgery is likely to produce intense postoperative pain, and good methods of alleviating this pain are needed. Interscalene blocks are good for the relief of pain for a limited time, but they have rebound pain, and their action is not prolonged and needs to be supplemented.