Atrial fibrillation is a common arrhythmia in the general population, and is expected to significantly increase in prevalence in the near future. This case illustrates a 50-year-old male who developed atrial fibrillation after starting amphetaminedextroamphetamine for attention deficit hyperactivity disorder (ADHD), with no previous history of structural heart disease. Central nervous system stimulant medications have significant cardiovascular implications and at risk patients should be monitored closely. Additionally, identifying causative agents for atrial fibrillation and other arrhythmias is imperative, as there is a significant association with morbidity and mortality.

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This case report describes a rare case of ventricular septal defect due to non-penetrating trauma in a 43 year old male involved in a motor vehicle collision. The diagnosis was made by echocardiogram and the patient was taken immediately to the operating room for emergent surgical repair of the ventricular septal defect and survived.

A 47-year-old man with a history of ischemic cardiomyopathy and chronic systolic heart failure presented after he inadvertently shot himself in the left upper chest with a pneumatic nail gun, penetrating his implantable cardioverter defibrillator (ICD) generator. The device was noninterrogable, consistent with device failure. A new ICD was attached to the existing right ventricular lead, which showed no evidence of traumatic damage and normal lead parameters on interrogation. Aggressive debridement and antibiotic irrigation of the ICD pocket was performed and an antibacterial envelope was used. Bacterial culture of the ICD pocket grew Bacillus species. The patient completed a course of at least 14 days of oral clindamycin. At follow-up, there were no signs or symptoms of systemic or local wound infection.

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