A
69 year-old male Jehovah’s Witness with a past medical history of non-ischemic
cardiomyopathy, coronary artery disease (CAD), obesity, gout, and
nephrolithiasis presented to a large academic medical center for evaluation for
advanced options.
 |
| Ventricular hematoma |
He had a myocardial infarction in 2004, requiring a single
stent to the left anterior descending artery. He was found to have an ejection
fraction of 10% that was thought to be out-of-proportion to his CAD. His
cardiac function did not improve with guideline-directed medical therapy,
including a biventricular implantable cardioverter-defibrillator, and on
presentation he was no longer able to tolerate significant neurohormonal
blockade. Of note, family history was notable for a mother with a “large
heart,” but the rest of his history was non-contributory. Read More>>>>>>>>
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