Ken Grauer, MD
SEPTEMBER 22, 2023
The ECG in Figure-1 — was obtained from a middle-aged man with palpitations and shortness of breath. He was hemodynamically stable at the time this tracing was recorded. How would YOU interpret the ECG in Figure-1 ? Is there evidence of a recent or ongoing acute MI? What might you do first? Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ).
American Heart News - Stroke News
SEPTEMBER 11, 2023
American Heart Association Hypertension Scientific Sessions – Abstract 452. An analysis of data from a long-running study of more than 11,000 adults from four diverse communities in the United States has found that adults who had high blood pressure while both seated upright and lying supine (flat on their backs) had a higher risk of heart disease, stroke, heart failure or premature death compared to adults without high blood pressure while upright and supine.
Dr. Smith's ECG Blog
SEPTEMBER 19, 2023
Case submitted by anonymous. Written by Smith. Ken's piece at the bottom is excellent. A 50-something presented with s udden onset palpitations 8 hrs prior while sitting at desk at work. He had concurrent sharp substernal chest pain that resolved, but palpitations continued. Over past 3 months, he has had similar intermittent episodes of sharp chest pain while running, but none at rest.
ECG Cases
SEPTEMBER 12, 2023
In this ECG Cases blog Dr. Jesse MacLaren guides us through 10 cases of patients who present with generalized weakness or acute neurologic symptoms and discusses how to look for ECG signs of dysrhythmias, electrolyte emergencies, acute coronary occlusion, and demand ischemia in patients with generalized weakness and in patients with neurologic symptoms, to consider predisposing factors like LVH; seizure-like activity from cardiac syncope; TIA/CVA embolic sources like atrial fibrillation or LV th
ECG Guru
SEPTEMBER 27, 2023
The patient: 4 week old female infant with past medical history of meconium aspiration at birth with APGAR scores of 2,4,6. Intubated and given nitric oxide for pulmonary hypertension. Weaned in NICU over 10 days. Echocardiogram during that time showed stiff pulmonic valve. This ECG was obtained at follow up appointment. Infant is eating well, no cyanotic spells.
Cassling
SEPTEMBER 25, 2023
The new solution offers added visibility to support day-to-day operational excellence. Omaha, Neb. (September 25, 2023) — Cassling customers will have the option to access key analytics to ensure optimal performance of imaging equipment thanks to Clinsights™ Utilization Analytics from Glassbeam, a fleet-wide solution that tracks imaging system use, productivity and performance from the convenience of a single dashboard.
Ken Grauer, MD
SEPTEMBER 8, 2023
The ECG in Figure-1 — was obtained from an older man with a history of prior infarction and coronary bypass surgery. How would you interpret this tracing? Clinical implications? Figure-1: The ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ). MY Thoughts on the ECG in Figure-1: The rhythm in ECG #1 is sinus at ~65/minute — with an upright P wave in lead II, and a constant and normal PR interval (ie, not more than 0.21 second in duration ).
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Dr. Smith's ECG Blog
SEPTEMBER 3, 2023
This was sent by anonymous The patient is a 55-year-old male who presented to the emergency department after approximately 3 to 4 days of intermittent central boring chest pain initially responsive to nitroglycerin, but is now more constant and not responsive to nitroglycerin. It is unknown when this pain recurred and became constant. More past history: hypertension, tobacco use, coronary artery disease with two vessel PCI to the right coronary artery and circumflex artery several years prior.
ECG Cases
SEPTEMBER 26, 2023
I had the enormous honour of interviewing Dr. Ben McKenzie, EM physician and a PhD candidate at the University of Melbourne studying the topic of resuscitation algorithms in anaphylaxis and asthma. The tragic death of his son Ben McKenzie at the age 15 from hypoxic respiratory arrest as a result of anaphylaxis and asthma in 2021 has led Dr. McKenzie on a mission to prevent deaths from anaphylaxis and asthma by educating emergency providers around the world using his AMAX4 algorithm as a framewor
Dr. Paddy Barrett
SEPTEMBER 30, 2023
This July, thousands of you said that you wanted me to produce a course that would synthesise best practices for: Understanding heart disease. Assessing your risk. Maximally reducing that risk. Thousands of you completed a questionnaire addressing your objectives and obstacles in addressing cardiovascular risk. Although there were many and varied responses, the primary message was that most of you: Are concerned about your future risk of heart disease because of a risk factor or family history o
Open Heart
SEPTEMBER 30, 2023
Introduction Atrial fibrillation (AF) is associated with a fivefold increased risk of stroke. Oral anticoagulation reduces the risk of stroke, but AF is elusive. A machine learning algorithm (Future Innovations in Novel Detection of Atrial Fibrillation (FIND-AF)) developed to predict incident AF within 6 months using data in primary care electronic health records (EHRs) could be used to guide AF screening.
Ken Grauer, MD
SEPTEMBER 1, 2023
The interesting rhythm shown in Figure-1 was obtained after Adenosine was given for a regular SVT ( S upra V entricular T achycardia ). How would YOU interpret this rhythm in Figure-1 ? Why are there so many shapes for the QRS complex in the long lead II rhythm strip? Figure-1: 12-lead ECG and long lead II rhythm strip obtained after Adenosine was given for a regular SVT rhythm.
MIBHS
SEPTEMBER 29, 2023
Heart surgery, also known as cardiac surgery, is a medical procedure that has saved countless lives by treating various heart conditions. Traditionally, heart surgery involves the use of blood transfusions to replace lost blood during the procedure. However, in recent years, there has been a growing interest in bloodless heart surgery, a technique that eliminates or significantly reduces the need for blood transfusions.
Dr. Smith's ECG Blog
SEPTEMBER 15, 2023
I came to work one day and one of my partners said, "Hey, Steve, we had a STEMI this afternoon!" I said, "Cool, can I see the ECG?' Of course he said: "Yes, it was a 60 year old diabetic with Chest pain." So he showed me the ECG recorded in triage: What did I say? "That is not a STEMI. That is Arterial Pulse Tapping Artifact (APTA)." He said: "What?
ECG Cases
SEPTEMBER 12, 2023
On this month's EM Quick Hits podcast: Anand Swaminathan on the role of methylene blue in septic shock, Nour Khatib on jaw dislocation reduction techniques, Hans Rosenberg on a phenotypic approach to Crohn's disease emergencies, Gil Yehudaiff on evidence based analgesics in renal colic, Brit Long on the importance of inhaled steroids for asthma, and Andrew Petrosoniak on the "lethal diamond" in polytrauma patients and the current state of hypocalcemia in bleeding trauma patients.
Cardiometabolic Health Congress
SEPTEMBER 29, 2023
Cardiometabolic Health Congress faculty member, Fátima Rodriguez, MD, MPH, has committed much of her clinical and research efforts to reducing health disparities in Hispanic-American communities. Cardiometabolic conditions – specifically obesity, diabetes and heart disease – disproportionately affect the 60 million people in the U.S. with Hispanic heritage.
All About Cardiovascular System and Disorders
SEPTEMBER 29, 2023
Climbing More Than Five Flights of Stairs Daily Reduces Risk of Heart Disease! World Heart Day greetings to all. Climbing more than five flights of stairs every day can reduce the risk of atherosclerotic cardiovascular disease by over 20% according to a study using data from the UK Biobank, published in the journal Atherosclerosis [1]. But beware, those who stop climbing has a higher risk than those who never did it!
Ken Grauer, MD
SEPTEMBER 29, 2023
You are asked to interpret the ECG in Figure-1. What is the rhythm in ECG #1 ? Figure-1: You are asked to interpret this tracing. What is the rhythm? MY Thoughts on the ECG in Figure-1: I routinely begin assessment of each 12-lead ECG I encounter — with interpretation of the rhythm. To do this — I apply the P s, Q s, 3 R Approach ( See ECG Blog #185 — for review of my system ).
Cassling
SEPTEMBER 29, 2023
Lung cancer is a pervasive public health issue in the United States. To date, it remains the leading cause of cancer death among Americans — more than breast, prostate, and colorectal cancers combined. The American Cancer Society estimates 2023 will bring: About 238,340 new cases of lung cancer (117,550 in men and 120,790 in women) About 127,070 deaths from lung cancer (67,160 in men and 59,910 in women) While these statistics paint a stark reality, advances in medical science, screening guideli
Dr. Smith's ECG Blog
SEPTEMBER 27, 2023
This was written by Magnus Nossen, from Norway, with comments and additions by Smith A 50 something smoker with no previous medical hx contacted EMS due to acute onset chest pain. Upon EMS arrival the patient appeared acutely ill and complained of chest pain. An ECG was recorded immediately and is shown below. How do you interpret the ECG? ECG#1 There is a regular tachycardia with a ventricular rate of about 180 bpm.
ADN Center of Excellence
SEPTEMBER 28, 2023
Every year, on September 29th, the world unites to celebrate World Heart Day. This day serves as a reminder of the vital role our hearts play in keeping us alive and healthy. For cardiologists, it's a moment to reflect on their dedication to heart health and share valuable insights with the world. World Heart Day World Heart Day was established by the World Heart Federation to raise awareness about cardiovascular diseases (CVD) and promote heart-healthy lifestyles.
Society of Thoracic Surgeons - Adult Cardiac
SEPTEMBER 27, 2023
Webinar Latin Heart Round Series: Rounds on Patient with Tetralogy of Fallot Undergoing Surgical Palliation dkaczmarek Wed, 09/27/2023 - 13:24 October 20, 2023 Image Experts provide up-to-date insight on the management of patients born with Tetralogy of Fallot. The discussion is based on a real patient and presented by an early career surgeon. Controversial topics such as neonatal management and different surgical approaches were covered, as well as emerging strategies for improved outcomes.
Dr. Paddy Barrett
SEPTEMBER 26, 2023
When a patient joins my practice, I always ask about sleep. I do this for three reasons: There is a relationship between short sleep and worse cardiovascular outcomes. Poor sleep generally impacts cognitive well-being, nutrition and exercise routines, all of which are key pillars of cardiovascular health. To assess if they have a sleep condition called obstructive sleep apnea, which is also tightly linked to cardiovascular disease and can be treated.
Ken Grauer, MD
SEPTEMBER 15, 2023
The tracing in Figure-1 was sent to me for my interpretation. As per the title of today's Blog post — There is no simple explanation for all that is happening in this challenging tracing. Are YOU up for the challenge? I found that the most challenging part of today's tracing is determining the etiology of beat "X". As I explain below — I think it unlikely that beat "X" represents a single, slightly accelerated junctional beat.
CTVS
SEPTEMBER 27, 2023
A swimmer, hiker, and martial artist, you’d never guess 64-year-old Trisha McLaughlin struggled with an irregular heartbeat, congestive heart failure, and has undergone a number of heart procedures. She credits the Convergent Procedure performed by CTVS cardiothoracic surgeon Dr. Faraz Kerendi for helping her get back to her healthy and active life.
Dr. Smith's ECG Blog
SEPTEMBER 8, 2023
Submitted by anonymous, edited by Jesse McLaren The first person "I" and "me" is this anonymous sender. A 50 year old presented to the emergency department of a remote rural community (where the nearest cath lab is a plane ride away) with one hour of mild chest pain radiating to the back and jaw, and an ECG labeled ‘normal’ by the computer interpretation.
ADN Center of Excellence
SEPTEMBER 27, 2023
In the rapidly changing field of cardiology, IVUS (Intravascular Ultrasound) and OCT (Optical Coherence Tomography) have seen significant growth. Keeping up with the times isn't a choice anymore – it's a must. Discover how these essential tools are transforming the sector and the significance of continuous learning in these procedures through medical education.
Society of Thoracic Surgeons - Early Career
SEPTEMBER 26, 2023
Podcast #156: The Power of Saying No Do you find it difficult to say no to people? Do you tend to put others' needs before your own? Image Dr. Vanessa Patrick-Ralhan Dr. Vanessa Patrick-Ralhan, author of The Power of Saying No: The New Science of How to Say No that Puts You in Charge of Your Life, talks about empowered refusal and strategies of people who are adept at giving a clear “no” while still honoring personal relationships and keep their reputation intact.
ECG Cases
SEPTEMBER 26, 2023
The EM Cases Quiz Vault is now on Anki flashcards to help you solidify knowledge of Emergency Medicine Cases podcasts. Herein lies a guide to optimize EM Cases Anki decks, download links and more. The post EM Cases Quiz Vault on Anki appeared first on Emergency Medicine Cases.
Open Heart
SEPTEMBER 20, 2023
Background Computer-assisted interpretation of single-lead ECG is the preliminary method for clinicians to flag and further evaluate an arrhythmia of clinical importance for acutely ill patients. Critical scrutiny of novel detection algorithms is lacking, particularly in external real-world data sets. This study’s objective was to evaluate a hybrid machine learning model’s ability to classify eight arrhythmias from a single-lead ECG signal from acutely ill patients.
International Journal of Cardiovascular Sciences
SEPTEMBER 21, 2023
Access below the articles from the thematic collection on Cardiometablism. Responsible editor: Ricardo Mourilhe Rocha Original Articles: One Size Does Not Fit All: The Need to Rethink the Metabolic Syndrome in Women Association of Dietary Inflammatory Potential in Metabolically Healthy and Metabolically Unhealthy Obese Individuals High Cardiorespiratory Optimal Point Values Are Related to Cardiovascular Mortality in Men Aged 46 to 70 Years: a Prospective Cohort Study The Relationship between Bas
Dr. Smith's ECG Blog
SEPTEMBER 22, 2023
This ECG was texted to me with no other information. I assumed the presentation was consistent with acute MI. What did I say? "OMI. Activate the cath lab." The T-waves in V2-V6 are diagnostic. It does, in fact, the STE meets STEMI criteria since there is 1 mm of in V4 and V5. There is also some non-diagnostic STE in inferior leads. There is zero reciprocal ST depression. 50% of LAD OMI have zero reciprocal ST depression!
ADN Center of Excellence
SEPTEMBER 24, 2023
In today's ever-evolving medical landscape, physicians across diverse specialities seek to enhance their expertise and make a meaningful impact in the field. The cornerstone of this journey towards excellence often lies in fellowship programs. Why Fellowship Programs? Fellowship programs, renowned for their transformative capabilities, offer a profound avenue for physicians to expand their horizons, deepen their knowledge, and fine-tune their clinical skills.
American Heart News - Stroke News
SEPTEMBER 21, 2023
DALLAS and MINNEAPOLIS, Sept. 21, 2023 – In an effort to increase understanding, prevention and treatment of brain disease, the American Heart Association (the Association) and the American Academy of Neurology (AAN) today launched a scholarship.
Dr. Paddy Barrett
SEPTEMBER 19, 2023
I am going to start with the answer to the question of whether statins cause dementia and then provide the details backing up my answer. The answer is: No. Statins do not cause dementia. Share If you do not read any further, you will have come away with the main takeaway of this article. But if you are someone who thinks that statins do cause dementia and you need to see the evidence to refute that claim, then read on.
CTVS
SEPTEMBER 20, 2023
In September, we raise awareness about serious issues that affect the aorta, the body’s largest artery and essential component of the heart. September 19th is Aortic Dissection Awareness Day, calling attention to the condition that famously took the life of popular actor John Ritter. Aortic dissections and aortic aneurysms lead to nearly 10,000 deaths each year.
MIBHS
SEPTEMBER 15, 2023
Cardiovascular disease remains a leading cause of mortality worldwide. In fact, The American Heart Association (AHA) reports that approximately 82.6 million people in the United States currently have one or more forms of cardiovascular disease (CVD). Due to the prevalence of cardiovascular disease, there are continuous advancements in cardiac surgery techniques.
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