Ken Grauer, MD

AUGUST 16, 2024

On occasion — such anterior lead ST elevation ( instead of T wave inversion ) can be seen with acute PE ( Zhan et al — Ann Noninvasive Electrocardiol 19(6):543-551, 2014 — and — Omar HR — Eur Heart J: Acute Cardiovascu Care (5(8): 579-586, 2016 ). Right-sided leads such as leads III , aVR and V1 — face the anterior region of the RV.

Blog 156

Blog Tachycardia Cardiogenic Shock Pulmonary 156

Stroke Journal

JANUARY 30, 2025

AC was defined as diagnosis of cancer within 6 months of stroke onset, any treatment for cancer within the previous 6 months, or recurrent or metastatic cancer.Results:IHS was identified most frequently by a nurse in both groups (67% in the IHS-AC group and 71% in the IHS-nonAC group).

Cancer 40

Cancer Hospital Outcomes Stroke 40

Stroke Journal

JANUARY 30, 2025

Separate multivariable logistic regression models were fit to determine factors associated with discharge to IR vs. home (model 1) and IR vs. unfavorable discharge (UD; long-term acute care, skilled nursing facility, hospice, expired, other; model 2). Readmission (RA) to acute care during IR may compromise this favorable recovery trajectory.

Inpatient 40

Inpatient Stroke Strokes Atrial Fibrillation 40

Stroke Journal

JANUARY 30, 2025

Introduction:There has been an ongoing debate regarding the effectiveness of inpatient rehabilitation facility (IRF) and skilled nursing facility (SNF) in promoting functional recovery. Stroke, Volume 56, Issue Suppl_1 , Page AWMP45-AWMP45, February 1, 2025. IRF, SNF, and long-term care) from the number of days alive.

Stroke 40

Stroke Strokes Inpatient Outcomes 40

Stroke Journal

JANUARY 30, 2025

vs. 8.9%) hemorrhage; discharged to a skilled nursing facility (19.8% Our primary outcome was post-discharge LTFU, defined as having zero post-discharge encounters within 12 months. Patients who were LTFU were significantly more likely to be male (52.9% vs. 47.4%); have an intracerebral (12.1% vs. 40.7%).

Academic 40

Academic Stroke Strokes Risk Factors 40

Global Cardiac Surgery

AUGUST 14, 2018

Frimpong-Boateng trained 7 cardiothoracic surgeons to serve as the permanent cardiac team, supported by cardiac anaesthesiologists, cardiologists, perfusionists, cardiac nurses, technicians, and other staff. Read more: Tettey M, Tamatey M, Edwin F. Cardiothoracic surgical experience in Ghana. Cardiovasc Diagn Ther. Open Access article.

Cardiothoracic 52

Cardiothoracic Open-Heart Surgery Bicuspid/Mitral Congenital Heart Disease 52

Dr. Smith's ECG Blog

OCTOBER 24, 2019

It had started just after nursing her newborn, about an hour prior, and she described it as a severe non-pleuritic “pressure” radiating to the back. Many of these issues were described in a prior post by Dr. Angie Lobo ( @aloboMD ) (For open-access reviews of this literature, see Saw 2016 , Saw 2017 , or Hayes 2018.)

Chest Pain 52

Chest Pain SCAD STEMI Cardiogenic Shock 52

EMS 12-Lead

APRIL 2, 2022

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Expert commentary provided by Dr. Ken Grauer CASE 1 An 82 y/o Male called 911 for sudden onset dizziness while at rest. Upon arrival he was found alert and oriented, and without gross distress. He denied difficulty breathing, epigastric pain, or chest discomfort.

Myocardial Infarction 52

Myocardial Infarction Stent Stents STEMI 52

Journal of the American Heart Association

JANUARY 9, 2024

BackgroundOver 20% of patients are discharged to a skilled nursing facility (SNF) after coronary artery bypass graft surgery, but little is known about specific drivers for postdischarge SNF use. Journal of the American Heart Association, Ahead of Print.

Coronary Artery Bypass Graft 40

Coronary Artery Bypass Graft Nursing Hospital Medicare 40

Stroke Journal

JANUARY 30, 2025

Between 2016 and 2019, the overall proportion of IRF discharges did not change significantly (21.8% in 2016; 22.1% Utilizing multivariable logistic regression multivariable logistic regression with patient-level cluster-robust standard errors, we evaluate the correlates of discharge to IRF (vs. female) were included. Among these, 21.8%

Inpatient 40

Inpatient Stroke Strokes Hemorrhage 40

Dr. Smith's ECG Blog

DECEMBER 11, 2023

She contacted her neighbor, a nurse, for help. She eventually fell back asleep, and woke up feeling normal the next day (the day of presentation). After dinner the day of presentation, she had left neck and elbow pain which she described as dull, achy, and worse with exertion. The patient presented to triage at around 10 PM. Worrall, C.,

Myocardial Infarction 123

Myocardial Infarction Chest Pain STEMI Blood Pressure 123

Stroke Journal

FEBRUARY 1, 2024

Analytical sample included all Medicare enrollees with a primary discharge diagnosis (AIS or ICH) from 2016 to 2020. Episodes of care within 1 year of discharge were collated and categorized “Discharged”, “Inpatient Rehab”, “Skilled Nursing”, “Hospice”, “Readmission”, or “Death”. and 82.3% (Panel D).Conclusion:Post

Medicare 40

Medicare Hemorrhage Inpatient Nursing 40

Stroke Journal

JANUARY 30, 2025

Objectives:We evaluate the potential link between post-acute care, particularly care provided at inpatient rehabilitation facilities (IRF) (vs.

Inpatient 40

Inpatient Hemorrhage Myocardial Infarction Nursing 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

The National Inpatient Sample (NIS) database from 2016‐2019 for patients with a principal diagnosis of AIS using the ICD‐10 code I63 was queried. Outcome measures studied included prolonged length of stay (LOS), discharge disposition, and inpatient mortality.ResultsWe identified 2,939,160 patients with AIS between 2016 and 2019.

Heart Failure 40

Heart Failure Cardiomyopathy Inpatient Stroke 40

Stroke Journal

JANUARY 30, 2025

We evaluated the influence of early (30-day) post-acute care (PAC) pathways on 1-year HT.Methods:We analyzed a cohort of Medicare AIS patients at a 7-hospital stroke certified health system (2016 to 2020). One-year HT (i.e., number of days at home across 1-year period) was calculated utilizing discharge dates from various healthcare settings.

Stroke 40

Stroke Strokes Medicare CMS 40

Cardiometabolic Health Congress

JULY 25, 2023

Dr. Carbone: Frequently, clinical providers, including primary care physicians, cardiologists, endocrinologists, physician assistants, nurse practitioners and pharmacists tend to dedicate very little time to addressing lifestyle factors. Circulation Research 118.11 (2016): 1752-1770. 2016): 443 – 455. 2016): 311-322.

Obesity 52

Obesity BMI Heart Failure Cardiovascular Disease 52

Stroke Journal

APRIL 3, 2024

We compared outcomes of Black and White patients with PSD in the United States to assess whether race is independently associated with the risk of recurrent stroke and mortality.METHODS:We used deidentified Medicare data from inpatient, outpatient, and subacute nursing facilities for Black and White US patients from January 1, 2016, to December 31, (..)

Stroke 40

Stroke Strokes Medicare Outpatient 40

EMS 12-Lead

JUNE 1, 2022

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review provided by Dr. Steve Smith [link] @SmithECGblog A 72 y/o Male experiences a syncopal episode while seated. American Journal of Emergency Medicine, 35 , 938(e5)-938(e7). [3] 3] Meyers, H. The Journal of Emergency Medicine, 51 (3), 229-237. [4]

Heart Failure 52

Heart Failure Myocardial Infarction Bradycardia Chest Pain 52

Journal of the American Heart Association

JANUARY 16, 2025

days,P=0.13) and were similarly likely to be discharged to a skilled nursing facility (15.6% The study included 167 Medicare patients with suspected acute stroke transported by MSU and 2518 propensity scorematched controls. versus 9.4%; difference, 37.5 percentage points [95% CI, 30.245.6];P<0.001) versus 15.1%,P=0.86). P=0.058).

Stroke 40

Stroke Strokes Medicare Blood Pressure 40

EMS 12-Lead

APRIL 8, 2022

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review by Dr. Stephen Smith @smithECGblog I was reviewing ECG’s in our LifeNet database and happened upon this one without any knowledge of clinical circumstances. 1] Driver, B. Posterior wall reperfusion T-waves: Wellens’ syndrome of the posterior wall.

Myocardial Infarction 52

Myocardial Infarction Coronary Angiogram STEMI Ischemia 52