Cardiologists discuss a challenging case of bacterial myocarditis in a young woman with history of drug use. Detailed analysis of differential diagnosis, cardiac involvement, and management of cardiogenic shock. Emphasis on avoiding cognitive bias and multidisciplinary approaches in diagnosis.

CardioNerds co-founder Dan Ambinder joins a group from the University of Rochester for a day on Lake Ontario. They discuss a case involving a patient with papillary muscle rupture presenting with acute dyspnea. Details include an echo revealing a flail anterior mitral valve leaflet, cardiac cath revealing an occluded distal RCA, and subsequent management with an IABP. The case delves into the challenges of managing severe mitral regurgitation due to papillary muscle rupture.