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Edwards Acquires JenaValve and Endotronix, Expands into Aortic Regurgitation and Heart Failure

CardiacWire

These two acquisitions could impact Edwards’ structural heart and heart failure portfolios in unique and meaningful ways… JenaValve’s Trilogy TAVR system doesn’t yet have FDA approval, but is CE Marked for both aortic regurgitation and aortic stenosis, which is notable given that all other TAVR systems only address aortic stenosis.

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AISAP’s CARDIO AI-powered Diagnostic Assessment Software Receives FDA Clearance

DAIC

The software generates accurate reports in minutes using inexpensive devices, enabling emergency medicine, critical care, internal medicine, hospitalists and primary care physicians to make informed care decisions at the bedside.

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Epigastric and Right Upper Quadrant pain after eating spicy food

Dr. Smith's ECG Blog

It turns out that the conventional algorithm was also worried, and because of that, the patient was brought to the critical care area. The STE in V1 is out of proportion to the S-wave, so V1 is also very worrisome (something I did not see on my phone). So we don't have a good idea how large the final infarct size was.

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A middle-aged man with acute chest pain.

Dr. Smith's ECG Blog

The patient was moved to the critical care area (stabilization room). Angiogram Culprit Lesion (s): ST elevation myocardial infarction due to 99% stenosis of the distal LAD Formal echo: Normal estimated left ventricular ejection fraction, 63%. Cath lab was activated. A 2nd ECG recorded 50 minutes after the first.

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An elderly male with shortness of breath

Dr. Smith's ECG Blog

Angiogram --LAD is a large-caliber vessel that wraps around the apex --There is a tubular 80% in the ostial LAD that was relatively smooth but did not resolve with repeated doses of IC nitroglycerin --There is a tiny D1, medium D2, and small D3 Lesion on Prox LAD: Ostial 80% stenosis. Pre- procedure TIMI III flow was noted.

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What do you think of this ECG?? Is this during pain, or after pain resolution? Also, see the CT image of the heart.

Dr. Smith's ECG Blog

There was high suspicion of OMI, so patient was brought to critical care area and another ECG was recorded just 7 minutes later as the pain had diminished to 4/10. Left main: no significant stenosis. LAD: proximal 60% eccentric stenosis the hemodynamic significance of which is indeterminate.

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A Middle Aged Male diagnosed with Gastroesophageal Reflux

Dr. Smith's ECG Blog

A 3rd troponin returned before the angiogram was done and was 2956 ng/L Here is the angiogram description: The distal RCA has mild diffuse disease and bifurcates to give a large RPDA which is without significant stenosis. Plus he did a 2 year combined EM Cardiology and Critical Care Fellowship.