Vijaiganesh Nagarajan, MD, MRCP, FACP

Article

Heart on the right may sometimes be ‘right’

Author:: Vijaiganesh Nagarajan, MD, MRCP, FACP

Publish date: April 1, 2015

When a 76-year-old man presented with right-sided chest pain, his ECG suggested dextrocardia.

Article

Can an ARB be given to patients who have had angioedema on an ACE inhibitor?

Author:: Vijaiganesh Nagarajan, MD, MRCP, FACP

Publish date: December 1, 2013

Proceed with caution. ARBs can also cause angioedema, but the benefit may outweigh the risk if the patient truly needs the drug.

Article

Implications of a prominent R wave in V1

Author:: Vijaiganesh Nagarajan, MD, MRCP, FACP

Publish date: April 1, 2013

A 19-year old woman presents with exertional dyspnea. What can her electrocardiogram tell us?

Article

Giant inverted T waves

Author:: Vijaiganesh Nagarajan, MD, MRCP, FACP

Publish date: March 1, 2013

A 48-year-old man has large, inverted T waves in the lateral and midprecordial leads. What is the cause?

Article

V1: The most important lead in inferior STEMI

Author:: Vijaiganesh Nagarajan, MD, MRCP, FACP

Publish date: October 1, 2012

A 63-year-old woman with diabetes and hypertension developed chest tightness. Her electrocardiogram showed ST-segment elevation in leads II, III, a...

Article

The role of aldosterone receptor antagonists in the management of heart failure: An update

Author:: Vijaiganesh Nagarajan, MD, MRCP, FACP

Publish date: September 1, 2012

Spironolactone (Aldactone) and eplerenone (Inspra) are now part of standard therapy. Still, they must be used cautiously, as they can cause hyperka...