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Raval M, Trivedi J, Curry I, Sanghvi L, Patel S, Alexandrov P, Saber W, Aumentado D, Al-Yacoub M, Elgabry I. Transient Cortical Blindness After Cardiac Catheterization: A Case Report and Review of Possible Neurological Etiologies. J Community Hosp Intern Med Perspect 2023; 13:24-28. [PMID: 38596558 PMCID: PMC11000839 DOI: 10.55729/2000-9666.1249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2023] [Revised: 07/28/2023] [Accepted: 08/03/2023] [Indexed: 04/11/2024] Open
Abstract
Cardiac catheterization is a standard procedure performed approximately 1 million times per year. Transient cortical blindness is a rare complication of this procedure. Herein we report a case of complete bilateral vision loss after cardiac catheterization through right radial access, which, to our knowledge, has only been reported once before. Prompt identification of this complication is crucial for patient care. This report provides insight into the diagnostic difficulties, differential diagnosis, imaging findings, and management of transient cortical blindness.
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Affiliation(s)
- Maharshi Raval
- Department of Internal Medicine, New York Medical College/Landmark Medical Center, Woonsocket, RI,
USA
| | - Jaahnavee Trivedi
- Department of Internal Medicine, New York Medical College/Landmark Medical Center, Woonsocket, RI,
USA
| | - Ishbel Curry
- Department of Internal Medicine, New York Medical College/Landmark Medical Center, Woonsocket, RI,
USA
| | - Labdhi Sanghvi
- Department of Pediatrics, Ahmedabad Municipal Corporation Medical Education Trust Medical College, Ahmedabad,
India
| | - Sagar Patel
- Department of Internal Medicine, New York Medical College/Landmark Medical Center, Woonsocket, RI,
USA
| | - Paul Alexandrov
- Department of Internal Medicine, New York Medical College/Landmark Medical Center, Woonsocket, RI,
USA
| | - Walid Saber
- Department of Cardiology, New York Medical College/Landmark Medical Center, Woonsocket, RI,
USA
| | - Dennis Aumentado
- Department of Neurology, New York Medical College/Landmark Medical Center, Woonsocket, RI,
USA
| | - Motasem Al-Yacoub
- Department of Neurology, New York Medical College/Landmark Medical Center, Woonsocket, RI,
USA
| | - Ibrahim Elgabry
- Department of Cardiology, New York Medical College/Landmark Medical Center, Woonsocket, RI,
USA
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Raval M, Siddiq S, Sharma K, Sanghvi L, Jain A, Patel S, Trivedi J, Uttam Chandani K, Patel D, Desai R. A review of recent advances in the diagnosis of cardiac amyloidosis, treatment of its cardiac complications, and disease-modifying therapies. F1000Res 2023; 12:192. [PMID: 36911240 PMCID: PMC9995736 DOI: 10.12688/f1000research.130285.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/07/2023] [Indexed: 02/22/2023] Open
Abstract
Cardiac amyloidosis (CA), a significant condition resulting in infiltrative cardiomyopathy and heart failure with preserved ejection fraction (HFpEF), is caused by extracellular deposition of amyloid fibrils in the heart. Even though this has been known for an extended period, its prevalence in elderly patients with heart failure is increasingly being recognized. Recent advances in diagnosis with non-invasive methods like technetium pyrophosphate-labeled cardiac scintigraphy (i.e., Tc-PYP scan) and treatment options with tafamidis have played a pivotal role in awareness of the burden of this disease. Management of cardiac complications like heart failure, atrial arrhythmias, conduction block, ventricular arrhythmias, coronary artery disease, and aortic stenosis is now more critical than ever. We aim to review and outline the recent advances in diagnoses of CA. We also review management strategies for cardiac complications of CA with a brief summary of disease-modifying therapies.
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Affiliation(s)
- Maharshi Raval
- Department of Internal Medicine, New York Medical College, Valhalla, New York, USA.,Department of Internal Medicine, Landmark Medical Center, Woonsocket, Rhode Island, USA
| | - Sajid Siddiq
- Department of Cardiology, New York Medical College, Valhalla, New York, USA.,Department of Cardiology, Landmark Medical Center, Woonsocket, Rhode Island, USA
| | - Kamal Sharma
- Department of Cardiology, B.J. Medical College and Civil Hospital, Ahmedabad, Gujarat, India
| | - Labdhi Sanghvi
- Department of Pediatrics, Ahmedabad Municipal Corporation Medical Education Trust Medical College, Ahmedabad, Gujarat, India
| | - Akhil Jain
- Department of Internal Medicine, Mercy Fitzgerald Hospital, Darby, Pennsylvania, USA
| | - Sagar Patel
- Department of Internal Medicine, New York Medical College, Valhalla, New York, USA.,Department of Internal Medicine, Landmark Medical Center, Woonsocket, Rhode Island, USA
| | - Jaahnavee Trivedi
- Department of Internal Medicine, New York Medical College, Valhalla, New York, USA.,Department of Internal Medicine, Landmark Medical Center, Woonsocket, Rhode Island, USA
| | - Kanishka Uttam Chandani
- Department of Internal Medicine, New York Medical College, Valhalla, New York, USA.,Department of Internal Medicine, Landmark Medical Center, Woonsocket, Rhode Island, USA
| | - Dhriti Patel
- Department of Medicine, B.J. Medical College and Civil Hospital, Ahmedabad, Gujarat, USA
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