A 56 years old gentleman with staphylococcal septicemia with metastatic abscesses in spleen and heart. Real time 3D trans thoracic echocardiography could not only confirm the diagnosis of myocardial abscess but also well delineate it and identify adjacent structures.

The goal of this study is to portray an initial experience with the efficacy, safety, and, acceptance of ARNI in ambulatory cardiology practices in India. The research is a retrospective review of single-centre data who began therapy with ARNI in HFrEF between 2019 and 2020. The analysis included data for 454 symptomatic patients, aged 57 ± 20.8 years in NYHA class II-III. During follow-up, patients experienced significant improvement in HF symptoms determined by using Kansas City Cardiomyopathy Questionnaire (KCCQ) and a considerable reduction in NT-proBNP levels. ARNI is associated with substantial clinical benefit in an outpatient setting in HFrEF.

No abstract

Renal-artery stenosis/occlusion is the cause of ischemic nephropathy, which is associated with hypertension due to renovascular system involvement. Acute renal failure in patients with bilateral renal artery stenosis can occur for a variety of reasons, including administration of an angiotensin-converting enzyme inhibitor or spontaneous progression of renal-artery stenosis leading to bilateral total occlusion or high-grade stenosis. Rapid diagnosis and prompt treatment are the basis of kidney survival. The root cause of renal-artery occlusion must be elucidated in younger age patients after revascularization, such as Takayasu’s arteritis (TA) or fibromuscular dysplasia. We discuss the case of a preadolescent girl who had bilateral complete renal artery occlusion due to TA and acute kidney injury, needing renal replacement therapy. She had a bailout percutaneous renal intervention to the left renal artery, which resulted in remarkable clinical improvement.

The association of acute coronary syndrome with any immunological mediated polyradiculopathy like GuillaineBarr e syndrome is very rare. We report such a rare association of acute myocardial infarction and GuillaineBarr e syndrome. Our patient underwent primary angioplasty successfully, but developed respiratory failure while in hospital. While the difficulty in weaning off from ventilator a suspicion of neuromuscular disease was made. The further investigations, including nerve conduction study confirmed a diagnosis of GuillaineBarr e syndrome. Despite treatment, the patient died secondary to multi-organ dysfunction. Our case is 4th reported in the literature without use of any thrombolytic agent for such association.