James Fang, MD

All posts by James Fang, MD

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December 11th, 2014

Triple-Vessel Disease in an Asymptomatic Man: CABG, PCI, or Medical Management?

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Amit Shah presents the case of a 66-year-old, physically active, nondiabetic man with no symptoms who was tested for coronary artery calcium and received an unexpectedly high score.


October 27th, 2014

Case: When an “Inappropriate” Stress Test Might Be Appropriate

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Jean-Pierre Usdin presents the case of a 58-year-old man with well-treated hypertension who experiences an ST-segment-elevation MI shortly after a stress test he had requested to clear him for exercise.


October 1st, 2014

Case: Testosterone Replacement Therapy and CV Risk

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A 47-year-old man presents to the hospital reporting 4 days of chest pain that occurs during treadmill exercise, left-arm and jaw discomfort, and shortness of breath with diaphoresis. His medical history is noteworthy only for orthopedic surgeries and use of testosterone replacement therapy for reportedly low testosterone syndrome. He does not smoke and drinks alcohol only occasionally. He […]


September 8th, 2014

Anteroseptal MI and Left-Main Dissection in a Pregnant Woman

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Harsh Golwala presents our latest case: A 25-year-old woman, 32 weeks pregnant, presents with sudden-onset chest pain. How do you proceed?


August 25th, 2014

An Electrophysiology Service Diagnostic Conundrum

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A 57-year-old woman with paroxysmal atrial fibrillation, long-QT syndrome after ICD implantation, and severe anxiety presents a unique diagnostic challenge.


June 16th, 2014

Case: Smoking-Related CV Risk and the Need for Statin Therapy in a Former Smoker Who Quit Long Ago

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Jay Shah presents the case of a 66-year-old woman who quit smoking 15 years ago and is seen for a cardiovascular risk assessment.


May 19th, 2014

Case: A Young Pregnant Woman with Prior Valvular Disease and Increasing Dyspnea on Exertion

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Reva Balakrishnan presents the case of a 22-year-old pregnant woman with a history of valvular disease who is experiencing an increase in dyspnea on exertion.


April 15th, 2014

Case: Assessment of Cardiac Risk and Need for Preventive Medications

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A 68-year-old white woman with a history of obesity and depression is seen for cardiac risk assessment. The quality of her diet varies greatly, and she admits to many dietary indiscretions. She has tried several different diets, including low-carbohydrate/high-fat diets. She does not use the treadmill or stationary bicycle in her house or routinely exercise […]


March 20th, 2014

Pulmonary Embolism in a Patient with Acute Decompensated Systolic Heart Failure

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Ian Neeland presents our latest case: A 42-year-old man with heart failure is found to have a large pulmonary embolus. Tell us how you’d manage his treatment.


March 3rd, 2014

Case: Palpitations in a Young Runner with Lamin A/C Deficiency

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Anna Catino presents our latest case: A young, male, long-distance runner experiencing palpitations, who has lamin A/C deficiency and a family history of cardiac disease. How would you manage this patient?