Sat.Jul 08, 2023 - Fri.Jul 14, 2023

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Sudden Shortness of Breath - Pulmonary Embolism

ECG Guru

ECG 1 is from a 57-year-old male with no prior cardiac disease. He reports acute shortness of breath for 2 days. We see a sinus rhythm with left anterior fascicular block (LAFB) and conspicuous T-wave inversions in the inferior leads and in V1-V6. These are typical ECG changes that may indicate a pulmonary embolism. ECG 2 was taken from the same patient 1 year earlier.

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ECG Blog #385 — This Patient Arrested Soon After

Ken Grauer, MD

The ECG in Figure-1 was obtained from a 60-year old woman — who presented to the ED ( E mergency D epartment ) for “palpitations”. Her vital signs were normal at the time this triage ECG was recorded. Blood was drawn , and the patient was promptly placed in a room to be seen — but on entering, the ED physician found her unresponsive in cardiac arrest.

Blog 78
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A 40-something presented after attempted prehospital resuscitation with persistent Ventricular Fibrillation

Dr. Smith's ECG Blog

A 40-something with persistent Ventricular Fibrillation presented after attempted prehospital resuscitation A 40-something with no previous cardiac history presented to the ED in persistent Ventricular Fibrillation after attempted prehospital resuscitation. He underwent further standard resuscitation EXCEPT that we applied the Inspiratory Threshold Device ( ResQPod ) AND applied Dual Sequential Defibrillation (this simply means we applied 2 sets of pads, had 2 defib machines, and defibrillated w

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ASRT Awards Bob Cassling Memorial Scholarships to Rad Techs, Empowering Education & Community Impact

Cassling

The ASRT Foundation, the philanthropic arm of the American Society of Radiologic Technologists, has announced the recipients of the two $4,000 scholarships, awarded to healthcare professionals continuing their medical imaging and radiation therapy education and expanding their credentials.

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Hayden’s Legacy: A Safe Space for Grieving Families

Conquering CHD

Our son Hayden was born on March 12, 2012. His delivery was perfect, born 5 hours from the time I was admitted to the hospital. Right after he was born, he was placed in my arms and I finally got to lock eyes with this amazing little boy who I already loved more than I knew my heart could handle. Getting to Know Hayden We spent the next few weeks at the Children’s Hospital of Philadelphia (CHOP) because he was born with a very rare birth defect called Hypoplastic Left Heart Syndrome and wo

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Sudden SOB - Pulmonary embolism

ECG Guru

ECG 1 is from a 57-year-old male with no prior cardiac disease. He reports acute shortness of breath for 2 days. Wee see a SR with LAFB and conspicuous T-wave inversions in the inferior leads and in V1-V6. These are typical ECG changes that may indicate a pulmonary embolism. ECG 2 was taken from the same patient 1 year earlier. The patient has an acute pulmonary embolism.

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I was reading ECGs on the system when I came across this one, called "normal" by the conventional computer algorithm

Dr. Smith's ECG Blog

I come in early for every shift to read the ECGs on the system that have not yet been "confirmed". I came across this one: The computer calls is: "SINUS RHYTHM. NORMAL ECG" What do you think? Be VERY careful when the computer calls the ECG "Normal". I saw the inferior ST depression (which is reciprocal to subtle STE in aVL) and the subtle ST depression in precordial leads and thought: "If this patient came in with chest pain, then it is an acute OMI.

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Early Career Journey: Growing and Learning from Bad Outcomes

Society of Thoracic Surgeons - Early Career

Webinar Early Career Journey: Growing and Learning from Bad Outcomes kchalko Thu, 07/13/2023 - 06:59 September 7, 2023 This webinar aims to help early career surgeons navigate their way through challenging procedures that do not yield the optimum outcome for the patient, support their OR team during these difficult experiences, and process the death of a patient.

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Pediatric Specialists May Receive $100,000 in Student Loan Forgiveness

Society of Thoracic Surgeons - Adult Cardiac

Blog Pediatric Specialists May Receive $100,000 in Student Loan Forgiveness KCummings Wed, 07/12/2023 - 08:56 Congenital Medical Student Resident / Fellow Image Derek Brandt, JD On June 9, the United States Department of Health and Human Services launched the new Pediatric Specialty Loan Repayment Program (PSLRP), a $15M investment to recruit and retain pediatric medical specialists.

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ECG interpretation should and can improve

CineECG

After reading the results of recent revealing study regarding the expertise in ECG Interpretation by a Mayo clinic team, the conclusion is again clear: ECG interpretation should and can improve. In this study which was conducted and evaluated by leading ECG experts such as Anthony Kashou, Steven Smith, David Albert (and many other)s the level of competence for reading and interpreting 12 lead ECG data was analysed.

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Volunteer responder systems significantly increase the proportion of bystander CPR and defibrillation.

Heart 2023 Conference

Using automated external defibrillators (AEDs) and cardiopulmonary resuscitation (CPR) as soon as possible increases a person's chance of surviving a cardiac arrest. Nonetheless, in an out-of-emergency clinic setting endurance rates are low because of postpones in care and low take-up of onlooker CPR and AED use. According to a study that was recently published in the Journal of the American College of Cardiology , when a person in the community experiences a cardiac arrest , alerting nearby vol

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9 Things to Monitor When Taking Medication for Congenital Heart Disease (CHD)

Conquering CHD

When it comes to managing CHD, medication plays a crucial role in ensuring optimal heart function and preventing potentially life-threatening complications. However, it’s essential to monitor certain aspects of your health while taking these medications to ensure their effectiveness and avoid potential side effects. Some types of monitoring can be done right at home; other times, you may need to go to your doctor’s office.

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Incident cardiovascular, renal, metabolic diseases and death in individuals identified for risk-guided atrial fibrillation screening: a nationwide cohort study

Open Heart

Objective Risk-guided atrial fibrillation (AF) screening may be an opportunity to prevent adverse events in addition to stroke. We compared events rates for new diagnoses of cardio-renal-metabolic diseases and death in individuals identified at higher versus lower-predicted AF risk. Methods From the UK Clinical Practice Research Datalink-GOLD dataset, 2 January 1998–30 November 2018, we identified individuals aged ≥30 years without known AF.

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Gut bacteria linked to fatty deposits in heart arteries

Science Daily - Stroke

In a major study, researchers have discovered a link between the levels of certain bacteria living in the gut and coronary atherosclerotic plaques. Such atherosclerotic plaques, which are formed by the build-up of fatty and cholesterol deposits, constitute a major cause of heart attacks.

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Insights Into the Role of Angiotensin-II AT1 Receptor-Dependent ?-Arrestin Signaling in Cardiovascular Disease

Hypertension Journal

Hypertension, Ahead of Print. β-arrestins are a family of intracellular signaling proteins that play a key role in regulating the activity of G protein-coupled receptors. The angiotensin-II type 1 receptor is an important G protein-coupled receptor involved in the regulation of cardiovascular function and has been implicated in the progression of cardiovascular diseases.

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AI can accurately predict potentially fatal cardiac events in firefighters

Medical Xpress - ECG

Firefighters regularly risk their lives in dangerous situations, but most deaths on duty are not directly caused by fire or smoke inhalation. Instead, approximately 40% of on-duty fatalities come from sudden cardiac death.

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Cardiometabolic Health Congress (CMHC) Launches Focused Digital Education Hubs

Cardiometabolic Health Congress

Cardiometabolic health education leader CMHC announced that its digital education has been streamlined into 12 hubs organized by therapeutic or clinical topics for focused learning The digital education from worldwide cardiometabolic event leader CMHC has undergone a reorganization. A vast collection of webinars, CME activities, expert interviews, on-demand event recordings, news articles, drug pipelines, and many other resources are now grouped into areas of specialty focus.

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Home blood pressure monitoring saves lives, cuts costs, and reduces healthcare disparities

Science Daily - Stroke

Expanding home blood pressure monitoring among US adults with hypertension could substantially reduce the burden of cardiovascular disease and save healthcare costs in the long term, according to a new study. The results of the study show that expanding home monitoring has the potential to address pervasive health disparities facing racial and ethnic minorities and rural residents because it would reduce cardiovascular events among US adults.

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A 60 year old with chest pain

Dr. Smith's ECG Blog

A 60 year old with chest pain: what do you think? The medics came to me worried about hyperacute T-waves. But these are not HATW and I immediately said so. Why? The ST segment is too flat, resulting in a narrow base for the T-wave even though the QT interval is quite long (QTc Hodges = 464 and a lot longer by Bazett). T-wave hyperacuteness is due to area under the curve, which is height + width + straightness of the ST segment.