…early complications include pericardial effusion or tamponade and can occur due to trauma to the thin-walled left atrial or appendage tissue during transseptal access and device manipulation…
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The patient is a 61 year old male with a past medical history notable for hypertension, who presented for evaluation after a syncopal episode. The patient reported ongoing headaches for the past two days that persisted despite over the counter medications. The headache was not sudden onset or thunderclap. He denied numbness, weakness or visual changes. He also had a poor appetite. The patient denied trauma or head injury and was not on anticoagulation medication.
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In the foreground, a person is seated on the edge of a low, green-painted concrete or plastic structure, possibly a curb, planter border, or playground feature…
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The patient is a 33-year-old female with a medical history of ADHD and depression presenting with altered mental status. Per emergency medical services (EMS), the patient’s friend called for an episode of unresponsiveness. The patient’s ability to provide history is limited, but the friend reported that shortly prior to this event, the patient ingested a “pill” which he believed to be alprazolam (a medication she is prescribed). While awaiting evaluation, the patient had witnessed seizure-like activity in the waiting room, lasting approximately 30 seconds and was brought to a critical care room.
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