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Written by Jesse McLaren, with a very few edits by Smith A 60-year-old presented with chestpain. Inferior hyperacute T waves, which have been added to the 2022 ACC consensus on chestpain as a “STEMI equivalent”[3] 3. Ann Noninvasive Electrocardiol 2010 7. But are there any other signs of Occlusion MI?
Aims Guidelines for suspected cardiac chestpain have used historical risk stratification tools, advocating invasive coronary angiography (ICA) first-line in those at highest risk. QoL scores did not significantly differ across domains. Trial registration number ClinicalTrials.gov Registry ( NCT01664858 ).
TheNational Institute for Health and Care Excellence(NICE) recommends CCTA as the first-line investigation for patients with chestpain due to suspected CAD, highlighting its importance in improving diagnostic certainty. Eur J Radiol. 2008;66(1):3741. doi:10.1016/j.ejrad.2007.05.006. 2007.05.006. 2012) 380:2095128. link] iv IMV.2023
Written by Pendell Meyers, edits by Smith and Grauer A man in his late 20s with history of asthma presented to the ED with a transient episode of chestpain and shortness of breath after finishing a 4-mile run. His symptoms of chestpain and shortness of breath were attributed to an asthma exacerbation during exercise.
All patients aged between 25 and 84 years were recorded by the population-based Myocardial Infarction Registry in Augsburg, Germany, between 2010 and 2017. Results Patients with diabetes had significantly less frequent typical pain symptoms, including typical chestpain.
Adults who underwent AF ablation between 2010 and 2020 were included. We identified six symptom clusters: generally symptomatic, dyspnoea and oedema, chestpain, anxiety, fatigue and palpitations, and asymptomatic (reference). Methods We conducted a cross-sectional retrospective analysis using electronic health records data.
It reported the rate of CCTA exams by radiologists in hospital outpatient departments increased markedly from 2010 to 2019. Data was pulled from 2010–2019 Physician/Supplier Procedure Summary (PSPS) files obtained from the Centers for Medicare and Medicaid Services (CMS) website. Reeves, MD, Ethan J. Halpern, MD, and Vijay M.
This is a letter to the Editor I wrote in 2010 that was not accepted for publication: It Is Not Surprising that Beta Blockade is not Dangerous in the Setting of Cocaine. The data in the paper by Rangel et al. is intuitive, and not surprising. style='mso-element:field-begin'> ADDIN EN.CITE Rangel 1853 1853 17 Rangel, C. Marcus, G. Gibler, W.
With more than 500 peer-reviewed publications, the HeartFlow FFR CT Analysis remains unparalleled in precision coronary care, as supported by the ACC/AHA ChestPain Guidelines, to improve treatment plans and outcomes. NEJM 2010. 2021 ACC/AHA ChestPain Guidelines. Arbab-Zadeh, Heart Int 2012. Yokota, et al.
This large registry in Circulation 2010 reported that at least 1 significant coronary artery lesion was found in 128 (96%) of 134 patients with ST-segment elevation on the ECG performed after the return of spontaneous circulation, and in 176 (58%) of 301 patients without ST-segment elevation. 5% vs. 58%!!
The combination of absence of chestpain and history of LV aneurysm made it easy to assess that this patient does not have acute OMI. At this point — I learned a bit more about today's patient: The patient is a man who had an inferior STEMI in 2010. We know today's patient had a documented inferior STEMI in 2010.
He did not state he had chestpain, but, then again, he couldn't remember anything. This 80 year old with a history of CABG had a cardiac arrest. He was resuscitated after fairly prolonged down time, but regained consciousness, though he was confused. There is concordant ST elevation in all inferior leads.
Written by Pendell Meyers I received this prehospital ECG (we receive prehospital ECGs by telemetry from EMS in a large area around our hospital) and was told that there was a patient in her 50s with chestpain who was headed to an outside hospital (which happens to be a catheterization center).
We knew only that the ECG belonged to a man in his 50s with chestpain and normal vitals. The day prior to presentation (about 12 hours prior to presentation) he described sudden onset chestpain and shortness of breath while gardening in his back yard. He had no further pain and went to bed that night with no complaints.
Please N OTE: I divided my comments into 2 "parts" regarding the use of comparison tracings: i ) Comparison of one 12-lead ECG with another ( ie, including use of serial ECGs in a patient with chestpain — and how BEST to use a prior "baseline" tracing ) ; — and — ii ) Optimal use of comparison tracing with cardiac arrhythmias!
No chestpain. Figure-1: The initial ECG in today's case — obtained from an 86-year old man with presyncope, but no chestpain. ( Riera ARP, et al: AIVR: Chronology and Main Discoveries : Indian Pacing and EP Journal 10: 40-48, 2010. Th e patient was hemodynamically stable in association with this rhythm.
She denied chestpain and denied feeling any palpitations, even during her triage ECG: What do you think? Her symptoms started suddenly about 48 hours ago, but had continued to worsen, including epigastric discomfort, nausea, cough, and dyspnea and lightheadedness on exertion. The diagnosis is not easy (see below).
12:15 — Regarding my experience from the 1980s until ~2010: How I went from hating computer interpretations to loving them ( after I finally understood what the computer can and can not do ). 11:35 — My views on: Will the computer ever be able to interpret complex arrhythmias? 2:50 — Let’s start with comparison of 12-Lead ECGs.
the optimum QT correction formula for patients with chestpain was found to be unique for each individual ; it is a correction factor that can be calculated real-time for each patient by taking multiple measurements over a range of heart rates. JACC 55(9):934-947; 2010 ]. In this study by Hasanien et al. ,
Background Long-term prognosis associated with low–high-sensitivity cardiac troponin T (hs-cTnT) concentrations in patients with chestpain is unknown. Conclusion Patients with chestpain and undetectable hs-cTnT have an overall lower risk of death compared with the general population, with risks being highly age dependent.
Check : [vitals, SOB, ChestPain, Ultrasound] If the patient has Abdominal Pain, ChestPain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). J Am Coll Cardiol, 2010; 55:713-721, doi:10.1016/j.jacc.2009.09.049
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