Welcome to our latest slideshow! Click through the slides to learn about conditions relating to cardiometabolic disease. Each slide links to the full case report for more details.
Reversible Posterior Leukoencephalopathy Syndrome With Hypertensive Emergency
A 71-year-old woman presented to the emergency department with nausea, diarrhea, altered mental status, and loss of vision in both eyes. She had a history of type 2 diabetes mellitus, chronic obstructive pulmonary disease, coronary artery disease, deep vein thrombosis with pulmonary embolism, and uncontrolled hypertension.
A computed tomography (CT) scan of the head without contrast was ordered in an attempt to rule out acute intracranial pathologies, and the results showed no significant findings such as intracerebral hemorrhage or ischemia. The CT scan was followed quickly with magnetic resonance imaging of the head with and without contrast, the results of which showed diffuse signals in the occipital temporal regions bilaterally and patchy areas in the frontoparietal regions consistent with reversible posterior leukoencephalopathy syndrome.
A 78-year-old woman presented with a sudden onset of numerous blisters of various sizes on both feet that had developed earlier that morning. She had uncontrolled type 2 diabetes mellitus complicated by neuropathy, along with multiple comorbidities including hyperlipidemia, hypertension, and osteoarthritis.
Multiple painful cystic bullae ranging from 4 to 8 cm in diameter were present on the dorsal and plantar surfaces of the patient’s feet bilaterally. The skin on the floors of the bullae appeared normal. No signs of infection were present.
A 59-year-old man was referred to a hospital for evaluation after a fall and loss of consciousness. His past medical history included hypertension and atrial fibrillation. He was a heavy alcohol drinker (3 glasses of liquor daily); his last drink had been 2 days prior to presentation. After his fall, he had been found sitting on the ground, confused, without recollection of what had happened.
Results of left ventriculography revealed depressed left ventricular (LV) systolic function with apical akinesis and a LV ejection fraction of 35%, findings suggestive of Takotsubo cardiomyopathy triggered by alcohol withdrawal.
Slideshow: Cases Involving Cardiometabolic Disease-Related Conditions