CII protocols targeting 110-140 mg/dL were effective in achieving revised targets with low hypoglycemia. Despite differences in mean BG level and time to target, each hospital continued using its existing protocols and identified areas for improvement.
Cardiac sarcoidosis is an uncommon cause of cardiac arrhythmias and cardiomyopathy. We describe a case of cardiac sarcoidosis presenting as an accelerated junctional rhythm and complete atrioventricular (AV) block, without severe left ventricular (LV) dysfunction or pulmonary symptoms. Computer tomography (CT) of the chest and mediastinal lymph node biopsy confirmed the diagnosis. Dual-chamber implantable cardioverter-defibrillator was implanted due to reported risk of sudden cardiac death due to ventricular tachyarrhythmia despite negative programmed ventricular stimulation.
Introduction: Noncompaction cardiomyopathy is a rare, primary, genetic cardiomyopathy that results from intrauterine arrest of the compaction process. It commonly involves the apical area of the left ventricle, and uncommonly involves the right ventricle. Case Report: A 45yearold male presented to the hospital for heart failure. He was started on anticoagulation for the apical thrombus and later he suffered cerebrovascular accident. On careful evaluation he was found to have ventricular noncompaction both in right and left ventricles. Conclusion: Noncompaction cardiomyopathy should be considered in all refractory cases of heart failure. Anticoagulation is crucial in patients with decreased systolic function and atrial fibrillation.
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