CardiacWire
APRIL 9, 2025
Casting doubt on value based cardiac care, a JAMA study found that outpatient cardiology practices enrolled in an accountable care organization (ACO) through the Medicare Shared Savings Program (MSSP) dont offer better care than non-ACO practices. No changes in CVD drug prescriptions, LDL profiles, or smoking cessation.
Dr. Smith's ECG Blog
JULY 5, 2024
At the time, it seemed that virtually all cardiac patients with chronic AFib or heart failure were on this medication. IV Digoxin may begin to slow the ventricular response of AFib or AFlutter sooner than many clinicians realize. Smith — the choice of IV Digoxin was appropriate and effective in today's case.
AMS Cardiology
JANUARY 16, 2024
Electrical cardioversion may be recommended for you if you have certain types of arrhythmias, such as: Atrial fibrillation (AFib): This is the most common type of arrhythmia, and it can cause symptoms like dizziness, fatigue, and difficulty breathing. Atrial flutter: This is a rapid but regular heart rhythm often progressing to AFib.
Dr. Smith's ECG Blog
APRIL 24, 2022
Case sent by Magnus Nossen MD, edits by Meyers A previously healthy woman in her 60s presented to an outpatient clinic for palpitations. 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.
Dr. Smith's ECG Blog
FEBRUARY 6, 2024
Hopefully a repeat echocardiogram will be performed outpatient. Other Arrhythmias ( PACs, PVCs, AFib, Bradycardia and AV conduction disorders — potentially lethal VT/VFib ). Systolic function normal by visual assessment only, unable to visualize well for further characterization. 1900: RBBB and LAFB are almost fully resolved.
Dr. Smith's ECG Blog
OCTOBER 10, 2022
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.
Dr. Smith's ECG Blog
APRIL 6, 2023
If the patient does not present with syncope, then outpatient management is probably OK, with referral to cardiology. That said — I strongly suspect that instead of AFib — that this patient was in the same 2nd-Degree, Mobitz I AV Block on the pre-operative ECG , that was done 2 months earlier ( = ECG #2 in Figure-4 ).
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