The most important hemodynamic consequence of hypertrophic cardiomyopathy (HCM) is left  ventricular outflow tract (LVOT) obstruction. Its primary management is surgical myectomy, but  an alternative treatment is alcohol septal ablation (ASA). However, in patients with unfavorable  coronary anatomy that precludes ASA (i.e., absent major septal perforator artery), another option  is dual-chamber pacemaker implantation to relieve the LVOT obstruction.  

Chest pain is one of the most common complaints of patients seeking consult in the emergency room (ER). The HEART score is a novel scoring system that utilizes the patient’s history, electrocardiogram, age, risk factors, and troponin level (HEART) to aid clinicians in the stratification of patients with chest pain in the ER. This study aims to determine the validity of the HEART score in predicting outcome in patients with chest pain seen in our ER. 

We present the case of a 17-year-old male with gelatinous masses in the right atrium, left atrium and right ventricle. The patient consulted a neurologist due to recurrent episodes of syncope with a prodrome of blurring, palpitations and light headedness which usually occurred after exertion.

Cardiopulmonary resuscitation (CPR) saves lives, but proper techniques must be taught and practiced. Outcomes have to be assessed to improve patient survival. 

Spontaneous echo contrast (SEC) is a swirling smoke-like image seen inside the heart chambers or in the aorta on two-dimensional echocardiogram. It is theorized to be due to reduced blood flow, or stasis, and is considered a pre-thrombotic lesion. However, its association with cardioembolic (CE) events is not yet established. We aim to determine the association of SEC with CE events such as stroke and peripheral embolism. 

The neutrophil to lymphocyte ratio (NLR) is a recently described biomarker of inflammation that is an independent predictor of death and myocardial infarction. It integrates two leukocyte subtype counts with opposing actions in terms of vascular inflammation. This can be readily derived from a simple routine complete blood count taken during admission. We conducted a meta-analysis on the usefulness of a high NLR value in predicting mortality among patients with acute coronary syndrome (ACS). 

Hyperuricemia has recently been linked to cardiovascular diseases, such as coronary artery disease and heart failure, as a marker of disease activity for prognostication. However, there are no studies correlating uric acid levels with heart failure among patients with rheumatic heart disease (RHD).