Society of Thoracic Surgeons - Critical Care

JULY 27, 2022

Video 8 in 8 Series: Hypoxemia During Veno-Venous ECMO dkaczmarek Wed, 07/27/2022 - 17:11 Hypoxemia during veno-venous (VV) extracorporeal membrane oxygenation (ECMO) mandates recognition and therapeutic management. This STS 8 in 8 video identifies the basis of hypoxemia during VV-ECMO support, such as cannula recirculation and shunted blood. Viewers will also learn remediation management strategies.

Allied Health 52

Allied Health Critical Care 52

BoardVitals - Cardiovascular

JULY 26, 2022

Your Cardiology MOC exam is coming up, have you started preparing? This certification is known to be one of the harder ones, with a pass rate of 88% in 2021 , so don’t procrastinate studying. It may take some time to get back into the swing of studying but here are some quick tips to help you out: Start studying early, make a study schedule, get plenty of sleep, and use practice tests to quiz yourself.

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Congenital Heart Disease Certification Coronary Artery Disease Congenital 52

Open Heart

JULY 25, 2022

Introduction Recurrent tricuspid regurgitation (TR) is frequently observed after cardiac surgery; however, the correct approach remains controversial. We developed an algorithm for action on the tricuspid valve (TV) and conducted a 1-year follow-up study. The aim was to assess the efficacy of the algorithm to minimise residual TR after TV surgery. The hypothesis was that the TR rate at 1 year would be reduced by selecting the surgical approach in accordance with a set of preoperative clinical an

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Tricuspid 52

EMS 12-Lead

JULY 21, 2022

Original publication date July, 2009. Concept Review How do you identify right bundle branch block (RBBB) on the 12 lead ECG? Most of us were told to look for “bunny ears” or to use the “turn signal” method, but all you really need for the ECG diagnosis of RBBB are the following: Supraventricular rhythm QRS duration equal or greater than 120 ms (0.12 s) Terminal R wave in lead V1 Slurred S wave in lead I Let’s look at an example.

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Bradycardia Tachycardia STEMI Chest Pain 52

ECG Cases

JULY 19, 2022

Jesse McLaren guides us through 7 cases and explains his 3-step approach to diagnosing and managing Brugada syndrome in this month's ECG Cases blog. The post ECG Cases 33 Brugada Syndrome: 3-Step Approach to Diagnosis and Management appeared first on Emergency Medicine Cases.

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Blog Sudden Cardiac Death 52

Dr. Smith's ECG Blog

JULY 16, 2022

This middle aged male with h/o GERD but also h/o stents presented to the ED with chest pain. He had been at a clinic that day where he had complained of worsening GERD. An EKG was reco rded and interpreted as normal by the computer, the clinician, and by the overreading cardiologist. He received a workup by an NP with a diagnosis of GERD, in spite of the fact that 8-10 TUMS daily were not working.

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Chest Pain Bradycardia Blog Critical Care 52

Cardiomatics

JULY 14, 2022

Cardiac complications frequently follow acute stroke. These complications include new-onset arrhythmias, which are also common in stroke patients who have not experienced heart disease before. For post-stroke patients, arrhythmias represent a key risk factor for complications and a worse prognosis. A recent study published in Nature / Scientific Reports aimed to detect the rate of atrial fibrillation (AF) and further cardiac arrhythmias after acute ischemic stroke.

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Arrhythmia Stroke Strokes Reimbursement 52

Open Heart

JULY 25, 2022

Objectives Many studies suggest that infective endocarditis (IE) in people who inject drugs is predominantly right sided, while other studies suggest left sided disease; few have differentiated by class of drug used. We hypothesised that based on differing physiological mechanisms, opioids but not stimulants would be associated with right sided IE. Methods A retrospective case series of 290 adult (age ≥18) patients with self-reported recent injection drug use, admitted for a first episode

Physiology 52

Physiology Hospital Outcomes 52

Society of Thoracic Surgeons - Adult Cardiac

JULY 7, 2022

News Thoracic Surgery Foundation Enabled Mission to Save Hearts in Peru jbagley Thu, 07/07/2022 - 11:24 5 min read

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ECG Cases

JULY 19, 2022

In this month's EM Quick Hits podcast: Anand Swaminathan on GI balloon tamponade preparation and indications, Jesse McLaren on why troponin is rarely useful in SVT, Christina Shenvi on why we should not use the term "mechanical fall" in older patients, Nour Khatib & Jonathan Wallace on rural vertical vertigo case and Reuben Strayer on VAFEI - Video-Assisted Flexible Endoscopic Intubation for the anatomically challenging airway.

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Open Heart

JULY 20, 2022

Aims Heart failure (HF) is associated with comorbidities which independently influence treatment response and outcomes. This retrospective observational study (January 2020–June 2021) analysed the impact of monthly HF multispecialty multidisciplinary team (MDT) meetings to address management of HF comorbidities and thereby on provision, cost of care and HF outcomes.

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Heart Failure Kidney Disease Outpatient Nursing 52

Open Heart

JULY 15, 2022

Background Cardiopulmonary exercise testing (CPET) has shown to be useful for preoperative risk stratification in various types of intra-abdominal and thoracic surgery. However, data about the predictive value of CPET for cardiovascular outcome after gastric or oesophageal cancer surgery are inconclusive. The aim of this study was to evaluate the prognostic value of CPET parameters for the prediction of cardiovascular complications in patients with this type of surgery.

Cancer 52

Cancer Exercise Myocardial Infarction Atrial Fibrillation 52

Open Heart

JULY 11, 2022

Background Electrical muscle stimulation (EMS) is being evaluated as a possible alternative to exercise training to improve functional capacity in severely deconditioned patients with heart failure (HF). However, there is insufficient data on delayed effects of EMS starting early after decompensation. The aim of this study was to determine the impact of a short inpatient EMS intervention in severely deconditioned patients with HF on functional capacity and quality of life (QoL) over a follow-up

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Heart Failure Hospital Quality of Life Exercise 52

Open Heart

JULY 5, 2022

Objectives This study evaluates predictors of conduction abnormalities (CA) following transcatheter aortic valve implantation (TAVI) in patients with bicuspid aortic valves (BAV). Background TAVI is associated with CA that commonly necessitate a permanent pacemaker. Predictors of CA are well established among patients with tricuspid aortic valves but not in those with BAV.

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Aortic valve Bicuspid/Mitral Aortic Tricuspid 52

Open Heart

JULY 5, 2022

Automated external defibrillators (AEDs) and implantable cardioverter defibrillators (ICDs) are used to treat life-threatening arrhythmias. AEDs and ICDs use shock advice algorithms to classify ECG tracings as shockable or non-shockable rhythms in clinical practice. Machine learning algorithms have recently been assessed for shock decision classification with increasing accuracy.

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Defibrillator Cardiac Arrest Technology Arrhythmia 52

ECG Cases

JULY 5, 2022

In this special edition main EM Cases podcast episode we feature the highlights from live podcasts recorded at Calgary EM during their annual Hodsman Lecture Day, covering a variety of current EM topics: The challenges of posterior circulation stroke (PCIS); Emergency Physician Lead to improve ED overcrowding, access block and job satisfaction; When not to order a troponin - The HEAR Score; Ketamine to relieve suicidal ideation and reduce acute risk; Peer Support Workers for ED patients with men

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Stroke Strokes Circulation Chest Pain 52

Society of Thoracic Surgeons - Adult Cardiac

JULY 5, 2022

News Undaunted and Determined, Surgeon Saves Lives in Ukraine jbagley Tue, 07/05/2022 - 15:08 5 min read

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Open Heart

JULY 6, 2022

Objective To examine workforce attachment among patients with congenital long QT syndrome (cLQTS) following diagnosis and identify factors associated with workforce attachment. Methods and results In this nationwide cohort study, all patients diagnosed with cLQTS in Denmark between 1996 and 2016 aged 18–60 years at diagnosis were identified using nationwide registries.

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Congenital Cardiac Arrest Tachycardia 52