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A BMJ study out of Denmark provided alarming new insights into atrial fibrillation’s impact on patients’ future cardiovascular health, while highlighting the need to improve post-AFib heart failure and stroke prevention. The researchers analyzed 2000-2022 data from 3.5M in 2011-2022. overall, increasing from 24.2%
Anthos subsequently kicked off three phase 3 trials in 2022, and wrapping up these studies by 2026 will now be Novartis responsibility. Anthos LILAC trial is focused on preventing stroke and systemic embolism in AFib patients, while ASTER and MAGNOLIA aim to use abelacimab to address VTE and GI cancer.
Affecting 60 million people worldwide 1 , the prevalence of atrial fibrillation (AFib) is expected to increase by 60% by 2050 due to an aging population and rising cardiometabolic risk factors 2. In addition, the Centers for Disease Control and Prevention (CDC) estimates that more than 12 million Americans will have AFib by 2030 3.
This new document builds off of the previously published Best Practices for Consumer Cardiovascular Technology Solutions in January 2022. The framework outlines opportunities for the broader integration of the technology into the workflow for screening and diagnosing cardiovascular disease, using AFib and Hypertension as examples.
We've periodically reviewed cases regarding Pacemaker Troubleshooting ( See the February 18, 2024 post — the January 13, 2024 post — the October 19, 2022 post — the August 3, 2022 post — the May 21, 2023 post — the June 19, 2024 post — and the November 9, 2018 post , to name a number of them ).
1] Within the complex umbrella of cardiology care and cardiovascular disease, atrial fibrillation ( AFib ) is the most common arrhythmia diagnosed in clinical practice with projections indicating that the prevalence of AFib could reach 15.9 2022 May, 79 (19) 1932–1948. million people in the United States by 2050 and 17.9
The rhythm is irregularly irregular, and appears to be AFib with a fairly slow ventricular response ( overall rate <70/minute ) — although marked baseline artifact renders the search for atrial activity futile. Baseline artifact is no longer present.
Another vendor to watch in this space is Israeli start-up CardiaCare, currently developing a ‘world-first’ closed-loop, neuromodulation wearable for the non-invasive treatment for AFib. In April 2022 BMS had received FDA approval for Camzyos, the first drug developed specifically for targeting HCM. How Has Funding Progressed?
Meyers — this initial tracing is diagnostic of acute LAD OMI with the precordial "Swirl" pattern ( I summarize "My Take" on recognizing Precordial "Swirl" at the bottom of the page in the October 15, 2022 post). The rhythm in both tracings in Case #2 shows AFib with a controlled ventricular response ( with a PVC in the 2nd tracing ).
The April 6, 2023 post — excessive baseline artifact misdiagnosed as AFib ( instead of sinus rhythm with AV Wenckebach — as in Figure-4 in this post ). The October 21, 2022 post — for " artifactual VT". The September 15, 2023 post — for PTA. The March 17, 2023 post — for PTA. The January 17, 2023 post — for PTA.
The Low EF AI will be added to Eko’s SENSORA Cardiac Early Detection Platform , the latest advancement to the platform which already features FDA-cleared algorithms to identify AFib and structural heart murmurs, often an indicator of valvular heart disease. doi: 10.1136/bmjhci-2022-100718 FDA 510(k) Summary, K233409 Bachtiger, P.,
Is longterm endurance-training a risk factor for AFib and AFlutter? == Why is Today's Initial Rhythm AFlutter? Moderate" exercise seems to have a protective effect with reduced risk of AFib — whereas "excessive" exercise has been shown to significantly increase the risk of developing AFib, especially as adults age.
. = My Comment by K EN G RAUER, MD ( 3/15 /2023 ): = I found today’s case highly instructive in highlighting a number of important aspects regarding the presentation and initial treatment of a patient who presents to the ED with new AFib. I focus my comment on a few additional aspects regarding new AFib.
Retrieved July 2, 2022, from [link] Moyé, D. Retrieved July 2, 2022, from [link] Sybrandy, K. Retrieved July 2, 2022, from [link] == MY Comment , by K EN G RAUER, MD ( 2/4 /2024 ): == Today's case by Dr. The ST-T wave in leads V5,V6 looks to be disproportionately large ( ie, hyperacute ) given QRS amplitude in these leads.
This is in contrast to sinus rhythm with a heart rate below 100. == MY Comment, by K EN G RAUER, MD ( 8/17 /2022 ): == I was shown today's ECG without the benefit of any history. The rhythm is rapid AFib. These are the "Take-Home" Lessons from today's tracing: As per Dr. Smith — Rapid AFib may sometimes simulate acute posterior OMI.
The April 6, 2023 post — excessive baseline artifact misdiagnosed as AFib ( instead of sinus rhythm with AV Wenckebach — as in Figure-4 in this post ). The October 21, 2022 post — for " artifactual VT". Figure-1: I've labeled the artifact in today's initial ECG. The September 15, 2023 post — for PTA ( Pulse-Tap Artifact ).
For more on Giant T waves — See My Comment at the bottom of the page in the June 22, 2020 and September 19, 2022 posts in Dr. Smith's ECG Blog ). WPW Cardiac arrhythmias ( including AFib ). Depth of the inverted T waves in leads V4 and V5 in Figure-1 attains this range. ( PEARL #1: Truly “giant” T waves are not overly common.
The April 6, 2023 post — excessive baseline artifact misdiagnosed as AFib ( instead of sinus rhythm with AV Wenckebach — as in Figure-4 in this post ). The October 21, 2022 post — for " artifactual VT". The September 15, 2023 post — for PTA ( Pulse-Tap Artifact ). The March 17, 2023 post — for PTA. The January 17, 2023 post — for PTA.
Patient was referred to electrophysiologic testing due to suspicion of afib and WPW. During electrophysiologic testing AVRT was induced, which degenerated to afib with ortho and antidromic conduction. Despite the near regularity in places — the reasons I immediately thought of WPW with very rapid AFib were i ) As per per Drs.
I sent it to 2 of my ECG nerd colleagues with no clinical information whatsoever, who instantly said: "Looks like afib with subendocardial ischemia and right heart strain pattern." "I The rhythm is rapid AFib. As noted above — it is not uncommon to see transient ST elevation with rapid AFib that resolves once the rate slows.
The patient also has a history of AFib and HFmrEF ( = H eart F ailure with M inimally- R educed E jection F raction ). As I discussed in My Comment at the bottom of the page in the April 2, 2022 post in Dr. Smith's ECG Blog — I am aware of many cases of sustained VT in which the patient remained awake and alert for hours.
MY Thoughts on Today's ECG: As per Dr. Smith — the rhythm in ECG #1 appears to be AFib with a controlled ventricular response ( ie, irregularly irregular without clear sign of P waves ). Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ). What else?
I see the following: Although there is no long lead rhythm strip — we can see that the rhythm is AFib with a controlled ventricular response ( ie, irregularly irregular rhythm without P waves — and with a heart rate between ~70-110/minute ). Regarding Intervals: There is no PR interval ( since the rhythm is AFib ).
PEARL # 2: The ECG may provide clues to the underlying severity of the ASD in a given patient — especially in the adult patient who is not overtly symptomatic. NOTE: For more on ECG recognition of RVH and/or pulmonary hypertension ( re the qR pattern in lead V1 ) — See ECG Blog #234 and Blog #248.
Blunt Trauma in a Child 40-something male in a head-on Motor Vehicle Collision and Splenic Injury == MY Comment, by K EN G RAUER, MD ( 10/10 /2022 ): == Highly interesting post by Dr. Smith regarding a 30-something male with multiple injuries from a motor vehicle accident. What are the ECG Findings of Cardiac Contusion?
With the history of Afib, CTA abdomen was ordered to r/o mesenteric ischemia vs ischemic colitis vs small bowel obstruction. For more on “My Take” for a systematic approach to ECG interpretation — Please check out My Comment at the bottom of the page in the October 17, 2022 post in Dr. Smith’s ECG Blog.
The April 6, 2023 post — excessive baseline artifact misdiagnosed as AFib ( instead of sinus rhythm with AV Wenckebach — as in Figure-4 in this post ). The October 21, 2022 post — for " artifactual VT". The September 15, 2023 post — for PTA ( Pulse-Tap Artifact ). The March 17, 2023 post — for PTA. The January 17, 2023 post — for PTA.
Published on November 30, 2023, in the Journal of the American College of Cardiology, these new guidelines are based on a comprehensive literature review from May 2022 to November 2022, and provide important recommendations to clinicians caring for patients with or at risk of developing cardiovascular disease (CVD).
Smith — the fact that artifact in ECG #1 is maximal in leads I and II ( with lead III undistorted ) — points to the RA extremity as the "culprit" ( See My Comment in the December 5, 2022 post of Dr. Smith's ECG Blog for review on how to determine the "culprit" extremity within seconds ). The October 21, 2022 post — for " artifactual VT".
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