Chadi Alraies - Academia.edu (original) (raw)

Papers by Chadi Alraies

Research paper thumbnail of Loeffler's endocarditis with biventricular mural thrombi

BMJ case reports, Jan 30, 2013

A 42-year-old man presented to clinic with 1-week history of cough, malaise, loss of appetite and... more A 42-year-old man presented to clinic with 1-week history of cough, malaise, loss of appetite and fever. Symptoms started acutely with cough and generalised weakness followed by fever, chills, nausea, vomiting and diarrhoea. He has been healthy before with no chronic illnesses. Further workup disclosed, leucocytosis with 87% eosinophilia, bilateral lung infiltrate, deep venous thrombosis, pulmonary embolism and both right and left biventricular mural thrombi. Extensive workup was done and was consistent with hypereosinophilic syndrome, which explained all his clinical findings. The patient was started on high-dose steroids and responded very well with a complete resolution of symptoms over the course of a few weeks.

Research paper thumbnail of Usefulness of cardiac magnetic resonance-guided management in patients with recurrent pericarditis

The American journal of cardiology, Jan 15, 2015

Recurrent pericarditis (RP) affects 10% to 50% of patients with acute pericarditis. The use of st... more Recurrent pericarditis (RP) affects 10% to 50% of patients with acute pericarditis. The use of steroids has been associated with increased recurrence rate of pericarditis, along with known major side effects. Cardiac magnetic resonance imaging (CMR) is more frequently used to assess pericardial inflammation and less commonly to guide therapy. The aim of this study was to assess the utility of CMR in the management of RP compared with standard therapy. A total of 507 consecutive patients with RP after the first attack, all of whom were treated with colchicine and nonsteroidal anti-inflammatory drugs as first-line therapy, were retrospectively evaluated. There were 257 patients who were treated with medications and received CMR-guided therapy (group 1) and 250 patients who were treated with medications without CMR (group 2). The 2 groups had similar baseline characteristics and follow-up periods (17 ± 7.9 vs 16.3 ± 16.2 months, respectively, p = 0.97). CMR was used to assess the prese...

Research paper thumbnail of Hyperpigmentation and hypotension

Cleveland Clinic journal of medicine, 2012

Research paper thumbnail of Brugada Pattern Electrocardiogram Unmasked with Cocaine Ingestion

Case Reports in Cardiology, 2013

Cocaine is considered a leading cause of drug-related deaths. This is usually sudden, unwitnessed... more Cocaine is considered a leading cause of drug-related deaths. This is usually sudden, unwitnessed, and without prodromal features. It has been reported that in-hospital mortality is close to 2%. Cocaine has powerful central nervous system effects 1 and acute cocaine overdose has been associated with hyperthermia, agitation, paranoid ideation, status epilepticus, ventricular fibrillation, ventricular tachycardia, and myocardial infarction (MI). The mechanisms of cocaine-related death remain poorly understood. We report a patient who survived massive cocaine ingestion with psychomotor agitation and generalized seizures followed by asystolic cardiac arrest and transient Brugada pattern on electrocardiogram (ECG).

Research paper thumbnail of Abdominal Pain and Heart Failure: A Grim Diagnosis

The American Journal of Medicine, 2012

In this unique case, a previously healthy middle-aged man presented with symptoms of right-sided ... more In this unique case, a previously healthy middle-aged man presented with symptoms of right-sided heart failure, abdominal pain, and abdominal/lower extremity edema. A workup for the abdominal pain revealed an unexpected and grim diagnosis.

Research paper thumbnail of Role of Positron Emission Tomography in the Diagnostic Workup of Solitary Pulmonary Nodule

Southern Medical Journal, 2013

Research paper thumbnail of A 47-year-old man with chest and neck pain

Cleveland Clinic journal of medicine, 2013

Research paper thumbnail of Loeffler's endocarditis with biventricular mural thrombi

BMJ case reports, Jan 30, 2013

A 42-year-old man presented to clinic with 1-week history of cough, malaise, loss of appetite and... more A 42-year-old man presented to clinic with 1-week history of cough, malaise, loss of appetite and fever. Symptoms started acutely with cough and generalised weakness followed by fever, chills, nausea, vomiting and diarrhoea. He has been healthy before with no chronic illnesses. Further workup disclosed, leucocytosis with 87% eosinophilia, bilateral lung infiltrate, deep venous thrombosis, pulmonary embolism and both right and left biventricular mural thrombi. Extensive workup was done and was consistent with hypereosinophilic syndrome, which explained all his clinical findings. The patient was started on high-dose steroids and responded very well with a complete resolution of symptoms over the course of a few weeks.

Research paper thumbnail of Usefulness of cardiac magnetic resonance-guided management in patients with recurrent pericarditis

The American journal of cardiology, Jan 15, 2015

Recurrent pericarditis (RP) affects 10% to 50% of patients with acute pericarditis. The use of st... more Recurrent pericarditis (RP) affects 10% to 50% of patients with acute pericarditis. The use of steroids has been associated with increased recurrence rate of pericarditis, along with known major side effects. Cardiac magnetic resonance imaging (CMR) is more frequently used to assess pericardial inflammation and less commonly to guide therapy. The aim of this study was to assess the utility of CMR in the management of RP compared with standard therapy. A total of 507 consecutive patients with RP after the first attack, all of whom were treated with colchicine and nonsteroidal anti-inflammatory drugs as first-line therapy, were retrospectively evaluated. There were 257 patients who were treated with medications and received CMR-guided therapy (group 1) and 250 patients who were treated with medications without CMR (group 2). The 2 groups had similar baseline characteristics and follow-up periods (17 ± 7.9 vs 16.3 ± 16.2 months, respectively, p = 0.97). CMR was used to assess the prese...

Research paper thumbnail of Hyperpigmentation and hypotension

Cleveland Clinic journal of medicine, 2012

Research paper thumbnail of Brugada Pattern Electrocardiogram Unmasked with Cocaine Ingestion

Case Reports in Cardiology, 2013

Cocaine is considered a leading cause of drug-related deaths. This is usually sudden, unwitnessed... more Cocaine is considered a leading cause of drug-related deaths. This is usually sudden, unwitnessed, and without prodromal features. It has been reported that in-hospital mortality is close to 2%. Cocaine has powerful central nervous system effects 1 and acute cocaine overdose has been associated with hyperthermia, agitation, paranoid ideation, status epilepticus, ventricular fibrillation, ventricular tachycardia, and myocardial infarction (MI). The mechanisms of cocaine-related death remain poorly understood. We report a patient who survived massive cocaine ingestion with psychomotor agitation and generalized seizures followed by asystolic cardiac arrest and transient Brugada pattern on electrocardiogram (ECG).

Research paper thumbnail of Abdominal Pain and Heart Failure: A Grim Diagnosis

The American Journal of Medicine, 2012

In this unique case, a previously healthy middle-aged man presented with symptoms of right-sided ... more In this unique case, a previously healthy middle-aged man presented with symptoms of right-sided heart failure, abdominal pain, and abdominal/lower extremity edema. A workup for the abdominal pain revealed an unexpected and grim diagnosis.

Research paper thumbnail of Role of Positron Emission Tomography in the Diagnostic Workup of Solitary Pulmonary Nodule

Southern Medical Journal, 2013

Research paper thumbnail of A 47-year-old man with chest and neck pain

Cleveland Clinic journal of medicine, 2013