Cardiology
Every heartbeat tells a story, and cardiologists listen carefully to diagnose, treat, and protect the rhythm of life.
Mrs. Fernandes was 76, sharp and cheerful—except her family had noticed she was becoming impulsive and inappropriate. She made offhand comments she never used to, became irritable, and spent money compulsively.
A cognitive screen showed mild executive dysfunction. MRI revealed multiple tiny infarcts in the frontal subcortical white matter—vascular cognitive impairment. We managed her hypertension and added a low-dose antiplatelet.
Over the next year, her behavior stabilized, though her family had to adjust.
The Lesson Learned
Not all strokes come with hemiparesis or aphasia. Subcortical strokes can quietly steal judgment, empathy, and inhibition.
