Remove AFIB Remove Echocardiogram Remove Hospital
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InterAtrial Block

EMS 12-Lead

In the pre-hospital setting the varying modalities needed to rule-in/rule-out these causative factors are not available (eg, Chest X-ray, Echocardiogram, etc). And since common things are common, the statistical probability favors Atrial Fibrillation (AFib) as the culprit. AFib can come and go. But the ECG is Sinus!

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FDA Clears First AI to Aid Heart Failure Detection During Routine Check-ups

DAIC

As a result, many heart failure cases go undiagnosed until symptoms force a specialist or emergency hospital visit, leading to worse patient outcomes and exacerbated healthcare costs.2 Survival and health economic outcomes in heart failure diagnosed at hospital admission versus community settings: a propensity-matched analysis.

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News from EHRA 2024: International Experts Agree on Standards for Catheter Ablation of Atrial Fibrillation

DAIC

AFib Facts and Impacts Atrial fibrillation is the most common cardiac arrhythmia, affecting 2% of individuals worldwide. Before the procedure, patients should have an electrocardiogram (ECG) and echocardiogram (ultrasound of the heart) to check the heart’s rhythm and function.

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A teenager involved in a motor vehicle collision with abnormal ECG

Dr. Smith's ECG Blog

Hopefully a repeat echocardiogram will be performed outpatient. Between 81-95% of life-threatening ventricular dysrhythmias and acute cardiac failure occur within 24-48 hours of hospitalization. Other Arrhythmias ( PACs, PVCs, AFib, Bradycardia and AV conduction disorders — potentially lethal VT/VFib ). No cardiac MRI was done.

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Cryptogenic Stroke

Dr. Sanjay Gupta

Conditions such as AFib are often said to be associated with stroke as a consequence of cardioembolism. All patients should have a 12 lead ECG and be put on a 24 hour heart monitor whilst in hospital. Another way of imaging the heart is via a transesophageal echocardiogram. This is called cardioembolism.

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90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

Dr. Smith's ECG Blog

See this case: what do you think the echocardiogram shows in this case? With the history of Afib, CTA abdomen was ordered to r/o mesenteric ischemia vs ischemic colitis vs small bowel obstruction. However, STE-aVR with multilead ST depression was associated with 31% in-hospital mortality compared with only 6.2%

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ECG Blog #412 — Is Cardiac Cath Indicated?

Ken Grauer, MD

That said — distinction between "classic" HCM vs the apical HCM for m may be useful because: i ) ECG findings tend to be different ( Lyon et al — Europace 20:102-112iii, 2018 ) ; — ii ) Echo appearance is different when hypertrophy localizes to the apex; and , iii ) There is a significantly greater incidence of AFib with apical HCM.

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