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Introduction Heart failure patients with difficult to manage volume status and recurrent heart failure exacerbation benefit from CardioMemsTM placement. This helps in remote monitoring of pulmonary artery (PA) pressure and diuretic dosing can be changed on the basis of these readings preventing hospitalizations. During the COVID-19 pandemic, a stay-at-home order was issued by the state government, which may have led to heart failure deterioration secondary to poor follow up and change in dietary habits. Hypothesis We aim to evaluate changes in the mean PA pressure during stay-at-home order during COVID-19 pandemic as patients are not seen in clinic and there are presumed changes in dietary habits. Methods We identified 26 patients with a history of CardioMemsTM implant using our heart failure clinic database. We extracted their daily available PA pressure reading before the COVID-19 pandemic and during pandemic. Results The characteristics of the patients are described in Table 1. 26 cases with were identified with sufficient CardioMemsTM readings. Average age was 69.7 years with 38.5% females. There were 54% patients with systolic heart failure. Number of COVID-19 cases rose to almost 700 in 1 month. With regression analysis, we observed a trend towards increase in the mean PA pressure readings during the pandemic (R2 = 0.09, P-value

Introduction: Pancreatitis is a very rare adverse effect of metronidazole with only eight cases of metronidazole-induced pancreatitis reported so far. Case Report: A 23-year-old African-American female developed acute pancreatitis following treatment with metronidazole for vaginal trichomoniasis. She took metronidazole at two different times and experienced the severe epigastric pain and vomiting one hour after each dose. These episodes were unrelated to alcohol ingestion, gallbladder disease or other known causes of pancreatitis. Laboratory studies revealed elevated amylase and lipase concentrations and CT scan confirmed the findings consistent with acute pancreatitis. After discontinuation of metronidazole, the patient's abdominal pain improved, and both amylase and lipase concentrations immediately declined and were within normal limits after one day. Conclusion: High degree of suspicion is warranted on the part of physicians to diagnose metronidazole induced pancreatitis in patients presenting with gastrointestinal symptoms after metronidazole exposure. We suggest that metronidazole be discontinued when clinical or biochemical features of acute pancreatitis occur, once other known causes of pancreatitis have been excluded and rechallenge should be avoided.