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In a study published in Communications Medicine , David Ouyang, MD, assistant professor of Cardiology and Medicine at Cedars-Sinai, along with Chugh and fellow investigators trained a deep learning algorithm to study patterns in electrocardiograms, also known as ECGs, which are recordings of the heart’s electrical activity.
Submitted by anonymous, written by Pendell Meyers A woman in her 50s presented to the Emergency Department with chestpain and shortness of breath that woke her from sleep, with diaphoresis. See these other cases of arterial pulse tapping artifact: A 60 year old with chestpain Are these Hyperacute T-waves?
He denied chestpain or shortness of breath. In the clinical context of weakness and fever, without chestpain or shortness of breath, the likelihood of Brugada pattern is obviously much higher. She has not yet been seen by electrophysiology or had further genetic testing for Brugada syndrome.
It was from a patient with chestpain: Note the obvious Brugada pattern. She has not yet been seen by electrophysiology or had further genetic testing for Brugada syndrome. Induced Brugada-type electrocardiogram, a sign for imminent malignant arrhythmias. There is no further workup at this time.
Check : [vitals, SOB, ChestPain, Ultrasound] If the patient has Abdominal Pain, ChestPain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). Aortic Dissection, Valvular (especially Aortic Stenosis), Tamponade.
The patient denied any chestpain whatsoever, and a troponin at zero and 2 hours were both undetectable. A score including ECG pattern, early familial SCD antecedents, inducible electrophysiological study, presentation as syncope or as aborted SCD and SND had a predictive performance of 0.82. and proband status (HR 2.1).
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