Ken Grauer, MD

MARCH 12, 2023

I start today’s case with the ECG shown in Figure-1 — obtained from a 30-something year old man, who presented with palpitations. How would YOU interpret the ECG in Figure-1 ? Treatment? What is unusual about this arrhythmia? = NOTE: The ECG in Figure-1 has been recorded at the usual 25mm/second speed — but with the Cabrera format ( Please see my Editorial Note near the top of the page in ECG Blog #365 for review of the basics of this recording system ). = Figure-1: The initial ECG in today’s ca

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Blog Atrial Flutter Arrhythmia AFIB 78

Open Heart

MARCH 17, 2023

Background Women’s pregnancy history is associated with incident risk of coronary artery disease with some evidence also suggesting a relevance for prognosis following treatment. Objectives To study the associations between maternal history of preterm delivery, a history of small for gestational age infant, parity and age at first delivery with clinical restenosis after percutaneous coronary intervention (PCI).

Coronary Artery Disease 52

Coronary Artery Disease 52

Heart 2023 Conference

MARCH 17, 2023

Atherosclerosis, also called " hardening of the arteries, " occurs when fat, cholesterol and other substances are deposited in the walls of the arteries. These deposits are called plaques. Over time, these plaques can narrow or completely block arteries and cause problems throughout the body. Atherosclerosis is a common disease. Exercise training and physical exertion are effective styles for lowering the threat of cardiovascular events, still, multitudinous studies have shown that aged and midd

Atherosclerosis 52

Atherosclerosis Exercise Plaque Cholesterol 52

Dr. Malcolm Kendrick

MARCH 17, 2023

17th March 2023 Recently, I was in Phoenix Arizona for a few days to attend the Broken Science Initiative Conference. This organisation was set up by Greg Glassman, who founded CrossFit, and Emily Kaplan, a media expert. The title of the organisation may give you a clue as to its purpose. For my part I gave a presentation on medical research, and where I believe it has gone wrong.

Research 52

Research Article COVID-19 Hospital 52

Dr. Smith's ECG Blog

MARCH 17, 2023

Submitted by anonymous, written by Pendell Meyers A woman in her 50s presented to the Emergency Department with chest pain and shortness of breath that woke her from sleep, with diaphoresis. She had a prior history of "NSTEMI" one month ago, during which she had a coronary angiogram reportedly showing no stenosis in any coronary artery. Her vitals were within normal limits.

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Chest Pain Coronary Angiogram Circulation Electrocardiogram 52

Cassling

MARCH 17, 2023

The words “collaborative” and “dedicated” are often used when describing Cassling’s Field Service Engineers, and FSE Dave Evans is no exception. Dave joined Cassling 20 years ago and is known for his commitment to teamwork and knack for getting things done.

Blog 52

Blog 52

Open Heart

MARCH 16, 2023

Objectives Worldwide, an estimated 10 million adults annually experience significant myocardial injury after non-cardiac surgery. Our aim is to assess whether preoperative and postoperative serum B-type natriuretic peptides levels (BNP) could be used as a predictor of postoperative complications in hypertensive and diabetic patients post non-cardiac surgery.

Hypertension 52

Hypertension Diabetes Outcomes 52

Dr. Smith's ECG Blog

MARCH 15, 2023

This middle-aged patient has a remote history of cardiac surgery as a young child for a "heart murmur". Her Apple Watch suddenly told her that she is in atrial fibrillation. She did notice something slightly wrong subjectively, but had no palpitations, chest pain, or SOB, or any other symptom. Exam was completely normal except for an irregular heart rate.

Atrial Fibrillation 52

Atrial Fibrillation AFIB Arrhythmia Exercise 52

International Journal of Cardiovascular Sciences

MARCH 13, 2023

The International Journal of Cardiovascular Science (IJCS) is accepting articles for a special thematic issue focusing on cardiometabolic diseases, to be published in September 2023. The term cardiometabolic risk describes the chances that a person has of damaging the cardiovascular system when one or more risk factors appear together. These factors include obesity, dyslipidemia, hypertension, and insulin resistance — also known as metabolic syndrome.

Pharmacology 52

Pharmacology Article Obesity Risk Factors 52

Open Heart

MARCH 16, 2023

Objective To present phenotypic characteristics and biomarkers of a family with the rare mutation Thr410Ala of the α-galactosidase A gene (T410A/ GLA ) causing Fabry disease (FD). Methods and results In a woman in her 60s with hypertrophic cardiomyopathy, T410A/ GLA was found in screening for variants in 59 cardiomyopathy-related genes. Her son in his 40s, two granddaughters and two great grandsons carried T410A/ GLA.

Sudden Cardiac Death 52

Sudden Cardiac Death Cardiomyopathy Biomarkers Hypertension 52

Wellnest

MARCH 12, 2023

A human's health and well-being may suffer significantly after a heart attack. It occurs when blood flow to the coronary arteries is restricted, frequently by a blood clot, which can harm the heart muscle and result in consequences like heart disease or sudden cardiac arrest. However, early intervention and taking precautions to avoid future cardiac issues can improve results and lower the likelihood of complications.

Heart Disease 52

Heart Disease Heart attacks Heart Attack Blood Pressure 52

Dr. Smith's ECG Blog

MARCH 13, 2023

A 40-something woman called 911 in the middle of the night for Chest pain that was intermittent. On arrival, she complained of severe pain. The medics had recorded this ECG and were uncertain whether it was recorded during chest pain: Let's get a better image with use of the PM Cardio app : What do you think? There is deep T-wave inversion in proximal LAD territory (V2-V4, I, aVL) that is all but diagnostic of Wellens'.

Chest Pain 52

Chest Pain Myocardial Infarction Angioplasty Thrombosis 52

Heart 2023 Conference

MARCH 11, 2023

Health experts proved that LAUGHTER is good medicine. A good laugh can get 20% more blood flowing through your body. One study found that people's blood flow increased when they watched a funny movie. That's why laughter could be the perfect antidote to stress. When you laugh, the lining of your blood vessel walls relaxes and stretches, says Krasuski.

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Open Heart

MARCH 16, 2023

Background The COVID-19 pandemic accelerated the uptake of digital health interventions for the delivery of cardiac rehabilitation (CR). However, there is a need to evaluate these interventions. Methods We examined the impact of an evidence-based, digital CR programme on medical, lifestyle and psychosocial outcomes. Delivered by an interdisciplinary team of healthcare professionals, the core components of this 12-week programme included lifestyle modification, medical risk factor management, psy

COVID-19 52

COVID-19 Cardiac Rehabilitation Blood Pressure Diet 52

Science Daily - Stroke

MARCH 14, 2023

Scientists have found that inhibiting a gene essential to making DNA can significantly reduce the destructive cell proliferation and disease progression in pulmonary hypertension.

Pulmonary 40

Pulmonary Hypertension 40

Stroke: Vascular and Interventional Neurology

MARCH 16, 2023

Stroke: Vascular and Interventional Neurology, Ahead of Print. Recurrent stroke risk in intracranial atherosclerotic disease remains high despite aggressive medical therapy. While hemodynamic insufficiency appears to be a strong marker of stroke recurrence, natural history studies using various unimodal imaging modalities have shown mixed results, as they likely do not adequately capture the complex local hemodynamic environment generated by a focal stenosis.

Stenosis 40

Stenosis Stroke Strokes 40

Open Heart

MARCH 14, 2023

Introduction Interventional closure of the left atrial appendage (LAAC) has been established as an alternative treatment for patients with atrial fibrillation (AF) and an elevated risk of stroke. The WATCHMAN FLX (WM FLX) as the newest WATCHMAN LAAC device differs in several technical characteristics from its precursor, the WATCHMAN V.2.5 (WM V.2.5).

Atrial Fibrillation 52

Atrial Fibrillation Thrombosis Stroke Strokes 52

Open Heart

MARCH 16, 2023

Introduction Several studies have demonstrated that combining left ventricular ejection fraction and New York Heart Association functional class is insufficient for predicting risk of appropriate implantable cardioverter-defibrillator (ICD) shock in primary prevention candidates. Hence, our aim was to assess the relationship between N-terminal pro-B type natriuretic peptide (NT-pro BNP) along with appropriate ICD shock and all-cause mortality in order to improve the stratification process of pat

Defibrillator 40

Defibrillator Heart Failure Outcomes 40

Open Heart

MARCH 13, 2023

Objective The lifelong risks of cardiovascular disease following hypertensive disorders of pregnancy are well described. Awareness of these risks and associated health-seeking behaviours among affected individuals remains unclear. We aimed to assess participants’ knowledge of their cardiovascular disease risk and relevant health-seeking behaviours following a pregnancy affected by preeclampsia or gestational hypertension.

Cardiovascular Disease 40

Cardiovascular Disease Hypertension Blood Pressure Diet 40

Science Daily - Stroke

MARCH 16, 2023

Sleeping less than five hours a night is associated with a 74% raised likelihood of developing peripheral artery disease (PAD) compared with seven to eight hours.

Peripheral Arterial Disease 40

Peripheral Arterial Disease 40