Dr. Jast Arnaldo Tejada III - Adult Cardiologist Online Consult

09/06/2026

Case: A 48-year-old female who was initially admitted and evaluated for a possible neurological and brain-tumor condition after experiencing dizziness and recurrent seizure-like episodes. Further cardiac assessment revealed the true cause — Complete Heart Block, a life-threatening condition causing severe bradycardia.

She underwent an emergency dual-chamber permanent pacemaker implantation, restoring her heart rhythm. Following the procedure, the patient made a remarkable recovery with resolution of her symptoms.

This case highlights the importance of considering cardiac causes in patients presenting with unexplained syncope or seizure-like episodes. Sometimes, the heart—not the brain—is the culprit.

07/06/2026

Case: A 37-year-old male with End-Stage Renal Disease (ESRD) secondary to hypertensive nephropathy presented with failure of his arteriovenous (AV) fistula only two months after its creation, compromising his access for life-sustaining hemodialysis.

To ensure uninterrupted renal replacement therapy, a permanent dialysis catheter was successfully implanted, providing a reliable long-term alternative access.

Despite the setback, the procedure was completed successfully, allowing the patient to continue receiving the dialysis treatments essential to his survival.

Every access restored means another chance at life.

31/05/2026

Case: An 80-year-old male came to us suffering from recurrent episodes of severe dizziness and sudden loss of consciousness. His heart rate had dropped to dangerously low levels, leaving him at risk of life-threatening complications.

Further evaluation revealed Complete Heart Block, a condition where the heart's electrical system fails to properly transmit signals, causing the heart to beat far too slowly.

A permanent pacemaker implantation was urgently performed to restore a normal and reliable heart rhythm.

Today, the patient has made an excellent recovery. His dizziness has completely resolved, there have been no further episodes of loss of consciousness, and he has returned to his daily activities symptom-free.

This case highlights the life-saving impact of early diagnosis and timely cardiac intervention. Sometimes, restoring a heartbeat means restoring a life.

❤️ Every beat matters.

20/05/2026

Case: A 53-year-old diabetic female arrived in extreme distress, complaining of crushing chest pain and rapidly worsening shortness of breath. ECG revealed a devastating posterior wall STEMI, already in Killip class III — a heart attack on the verge of collapse.

She was rushed immediately to the catheterization laboratory for emergency coronary angioplasty but the patient went into cardiac arrest.

As resuscitation efforts continued, the team pressed on. While CPR was ongoing, the wire crossed the completely blocked vessel, and blood flow was finally restored. Moments later, signs of life returned. The heart that had nearly stopped fighting began to beat again.

From the edge of death to recovery — a powerful reminder that in cardiac emergencies, every second matters, and persistence can bring a patient back from the brink.

13/05/2026

Case: A 67-year-old male referred for cardiac tamponade suddenly went into cardiac arrest. An emergency bedside pericardiocentesis was immediately performed, extracting approximately 700 cc of sanguinous fluid compressing the heart.

Following aggressive resuscitation efforts and rapid intervention, the patient was successfully revived.

07/05/2026

Case: An 83-year-old male, non-smoker, presented with sudden onset of severe shortness of breath and chest pain. He was initially managed as a pulmonary case, but despite treatment, his condition continued to worsen. Further evaluation and repeat testing eventually revealed an acute myocardial infarction.

An emergency coronary angioplasty of the LAD was successfully performed, resulting in rapid clinical improvement. The patient recovered well and was eventually discharged in stable condition.

Early recognition and timely intervention remain crucial in saving lives during cardiac emergencies.

18/04/2026

Case: A 60-year-old male with Diabetes Mellitus and a history of Coronary Artery Disease presented with acute onset shortness of breath, chest pain, and cold clammy sweats.
ECG findings were non specific but the troponin levels were markedly elevated—pointing to an evolving Acute Coronary Syndrome. Coronary angiography revealed CRITICAL LEFT MAIN LESION.
An emergency coronary angioplasty was successfully performed, restoring perfusion and stabilizing the patient.

13/04/2026

12/04/2026

Case: A 44-year-old male with Rheumatic Heart Disease who underwent complex double valve open-heart surgery involving both the mitral and aortic valves.
A challenging case that highlights the importance of timely intervention, surgical precision, and comprehensive cardiac care. ❤️🫀👨‍⚕️

29/03/2026

Case: 44-year-old male presented with cardiac tamponade and suddenly went into cardiac arrest. In a race against time, an emergency bedside pericardiocentesis was performed during active resuscitation.

Through quick decision-making, skill, and teamwork, the procedure successfully relieved the pressure on the heart. The patient responded to resuscitation efforts and ultimately made a full recovery.

A powerful reminder that in critical moments, every second—and every action—counts