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male with pertinent past medical history including Atrialfibrillation, atrial flutter, cardiomyopathy, Pulmonary Embolism, and hypertension presented to the Emergency Department via ambulance for respiratory distress and tachycardia. Of course, this is NOT atrial fib, but rather PSVT, and so adenosine should work.
Although atrialfibrillation/atrial flutter (AFib/AFL) are common manifestations of transthyretin amyloid cardiomyopathy (ATTR-CM), a post hoc analysis of the ATTR-ACT study, published April 30 in JACC: CardioOncology, found they do not predict all-cause mortality.
ABSTRACT Background Atrialfibrillation and atrial flutter are relatively rare in young people and the incidence of thromboembolic complications is unknown. Results There were 311 episodes of AFib/AFl among 210 patients with a median age of 17 (IQR 14, 20) years.
In this week’s View, Dr. Eagle looks at anticoagulation for post-operative atrialfibrillation after isolated coronary artery bypass grafting. He then examines a meta-analysis of invasive vs. conservative management of non-ST-elevation acute coronary syndromes with previous coronary artery bypass grafting.
Examples of cardio embolic stroke etiology include: 1. AtrialFibrillation 2. Cardiomyopathy with mural thrombus 3. Patent Foramen Ovale 4. Severe calcific Aortic (valve) Stenosis 5. Mechanical prosthetic valve Severe carotid artery stenosis is also implicated in embolic stroke. AFib can come and go.
Within the last six months, separate AI-ECG algorithms for detecting Low Ejection Fraction (Anumana), Hypertrophic cardiomyopathy (Viz.ai), and Occlusion Myocardial infarction (Powerful Medical) have all been granted regulatory clearance (the latter under the EU MDR) and are in the early stages of deployment.
(Harvard University Heart Letter) A clinical polygenic risk score test for diseases ranging from atrialfibrillation (AFib) to breast cancer was piloted by scientists. Patients with obstructive hypertrophic cardiomyopathy who underwent surgical myectomy reported improved quality of life.
Note: Due to the limited number of normally conducted beats — it is hard to be sure whether the underlying rhythm is sinus with baseline artefact or atrialfibrillation. Note: The patient while on telemetry had alternating atrialfibrillation, sinus rhythm with 1st degree AV block and also periods of Wenckebach conduction.
He had a h/o ischemic cardiomyopathy and right MCA stroke. He was brought to the critical care area where these rhythms were seen on the monitor: Wide complex tachycardia with no apparent P-waves, and very irregular Consistent with atrialfibrillation with aberrancy A Regular wide complex tachycardia.
They had a history of non-ischemic cardiomyopathy (EF 30%), as well as PCI with one stent. Detail of Flutter waves The rate of the flutter waves matches the rate of the WCT (about 200/m), proving that the presenting WCT had been 1:1 atrial flutter. The subsequent EP study could not induce VT, only atrialfibrillation.
She also has a hx of paroxysmal atrialfibrillation and is on oral anticoagulant treatment. The patient also has a history of AFib and HFmrEF ( = H eart F ailure with M inimally- R educed E jection F raction ). The patient is female in her 80s with a medical hx of previous MI with PCI and stent placement.
The absence of any wall motion abnormality makes ischemic cardiomyopathy very unlikely. The new onset cardiomyopathy was thought to be due to both drug/alcohol use and to Tachycardia-Induced Cardiomyopathy. after atrial surgery • Not stopped by adenosine (0/13 pts, incl. Mild to moderate mitral regurgitation.
New science presented at AHA 2024 and simultaneously published in JACC: Advances provide insights on emerging topics such as the use of artificial intelligence (AI)-enabled left atrial (LA) volumetry in coronary artery calcium (CAC) scans to predict atrialfibrillation (AFib); the role of treating hospitals in facilitating cardiac rehabilitation (CR); (..)
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