DAIC

JANUARY 15, 2024

The algorithm uses deep learning to analyse routine ultrasound scans of the heart ( echocardiograms ) to detect disease that often goes undetected during standard assessments.

Ultrasound 119

Ultrasound Coronary Artery Disease Innovation Heart Failure 119

Dr. Smith's ECG Blog

SEPTEMBER 9, 2024

The patient was thought to have low likelihood of ACS, and cardiology recommended repeat troponin, urine drug testing, and echocardiogram. Bedside echocardiogram showed hypokinesis of the mid to distal anterior wall and apex. Fortunately, this operator used intravascular ultrasound (IVUS). Initial hscTnI was 10 ng/L (ref. <14).

Plaque 66

Plaque Stents Stent Chest Pain 66

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. Reference on Troponins: Xenogiannis I, Vemmou E, Nikolakopoulos I, et al.

Plaque 52

Plaque Chest Pain Thrombosis Stenosis 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

See this case: what do you think the echocardiogram shows in this case? Routine STEMI activation in STE-aVR for emergent revascularization is not warranted, although urgent, rather than emergent, catheterization appears to be important. == MY Comment, by K EN G RAUER, MD ( 11/4 /2022 ): == Our thanks to Drs.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Anish Koka

SEPTEMBER 24, 2022

This latest data dump did not arrive soon enough to affect the ACIP committee’s recommendations but should serve to chill the ambition of exuberant, overconfident bureaucrats still seeking to mandate vaccines in the fall of 2022. That work is far from complete. Anish Koka is a cardiologist.

COVID-19 52

COVID-19 Hospital Chest Pain Quality of Life 52

Dr. Smith's ECG Blog

JANUARY 15, 2024

A bedside ultrasound should be done to assess volume and other etiologies of tachycardia, but if no cause of type 2 MI is found, the cath lab should be activated NOW. While awaiting transfer to the cath lab, STAT echocardiogram was performed and showed LVEF 30-35%, as well as anterior, inferior, and apical hypokinesis, and apical thrombus.

Chest Pain 64

Chest Pain Blog Arrhythmia Critical Care 64

Dr. Smith's ECG Blog

MARCH 3, 2025

I suspect pulmonary edema, but we are not given information on presence of B-lines on bedside ultrasound, or CXR findings. Severe AS markedly complicates management and portends poorer longterm outcome when associated with acute MI ( Abraham et al Cath Cardiovasc Interv 102(1): 159-165, 2023 Paquin et al Open Heart 9(1):e002046, 2022 ).

Tachycardia 74

Tachycardia Pulmonary Chest Pain Stenosis 74