Ken Grauer, MD

MAY 20, 2023

The ECG in Figure-1 — was obtained from an older woman with persistent CP ( C hest P ain ) over the previous day. Her symptoms lessened after Nitroglycerin — so the decision was made not to activate the cath lab. Do YOU agree with this decision? Figure-1: The initial ECG in today's case. MY Thoughts on the ECG in Figure-1: In a patient with CP that had been persistent over the previous day ( until Nitroglycerin was given ) — the initial ECG shown in Figure-1 is extremely worrisome.

Blog 145

Blog Chest Pain Ischemia STEMI 145

Dr. Smith's ECG Blog

MAY 23, 2023

Written by Pendell Meyers A man in his early 40s experienced acute onset chest pain. The chest pain started about 24 hours ago, but there was no detailed information available about whether his pain had come and gone, or what prompted him to be evaluated 24 hours after onset. EMS arrived and recorded this ECG: What do you think? See same ECG below with computer automated interpretation, using the Glasgow ECG algorithm which apparently is used by many different providers and devices Amazing that

Chest Pain 90

Chest Pain STEMI Blog Stent 90

ECG Guru

MAY 24, 2023

Welcome to Dr. Andreas Roeschl, who is a cardiologist and ECG instructor in Germany. He will have a recurring blog on the Guru, contributing his knowledge about ECG and teaching, along with ECGs from his collection. His ECGs are digitized and beautiful quality for reproduction, and his contributions will be a great asset to any student or teacher of ECG.

Blog 64

Blog 64

ECG Cases

MAY 23, 2023

In this part 2 of our 2-part series on STIs with Dr. Catherine Varner and Dr. Robyn Shafer we answer such questions as: Why should we care about making the diagnosis of pelvic inflammatory disease (PID) in the ED? What combination of clinical features and lab tests should trigger a presumptive diagnosis and empiric treatment of PID? Which patients with PID require admission to hospital?

Ultrasound 52

Ultrasound Hospital 52

Ken Grauer, MD

MAY 26, 2023

The ECG in Figure-1 was obtained from a 60-ish year old man with a history of coronary disease ( including prior CABG ) — who presented to the ED ( E mergency D epartment ) with new CP ( C hest P ain ) of 3 hours duration , diaphoresis and nausea/vomiting. The patient was hypotensive at the time his initial ECG in Figure-1 was obtained. The decision was made not to immediately perform cardiac cath — because there is no ST elevation in Figure-1 — and because the initial troponin was negative.

Blog 78

Blog Ischemia STEMI Cardiac Arrest 78

Dr. Smith's ECG Blog

MAY 26, 2023

A 20-something presented after a huge verapamil overdose in cardiogenic shock. He had been seen at an outside institution and been given 6 g calcium gluconate, KCl, and a norepinephrine drip. The initial K was 3.0 mEq/L and ionized calcium was 5.5 mg/dL (sorry, Europeans, for the weird units) Here was the initial ED ECG: There is a junctional rhythm with retrograde P-waves (see the dip in the T-wave in lead II across the bottom; you can follow that up to all the other leads and see the retrograd

Cardiogenic Shock 88

Cardiogenic Shock Arrhythmia Blog Education 88

CineECG

MAY 26, 2023

Improving CRT response in heart failure patients is another CineECG feature. Next to the HRS 2023 presentation regarding the added value of CineECG in identifying the origin of atrial ectopic activity ( see our previous blog ) last week’s conference in New Orleans also became a platform for presenting another clinical added value option of CineECG.

Heart Failure 52

Heart Failure Blog Anatomy Research 52

Cassling

MAY 25, 2023

The Midwest company will begin offering EchoSolv, an artificial intelligence clinical decision support platform designed to help detect severe aortic stenosis, to providers throughout the country. Omaha, Neb. – May 25, 2023 – Cassling has announced a partnership with the goal of benefitting cardiovascular practices throughout the United States.

Stenosis 52

Stenosis Aortic Innovation Blog 52

Dr. Smith's ECG Blog

MAY 21, 2023

An elderly patient had a fall from probable syncope, and could not get up. He complained of weakness and shortness of breath, but no CP. Vital signs were normal. Here is the first ED ECG: COMPUTER INTERPRETATION: Electronic Atrial Pacemaker. Marked ST Elevation, ACUTE MI What do you think? First, the QRS is incredibly wide! You should ask for more history.

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Chest Pain Pacemaker Atrial Fibrillation Blog 75

CineECG

MAY 22, 2023

Exiting news regarding the use of CineECG in localizing the origin of atrial ectopic activity. HRS 2023 is a wrap! Over the past 3 days cardiologists from all over the world met in New Orleans to learn and discuss the developments in technology and patient care. As ECG Excellence we are proud our CineECG technology was part of this innovation festival.

Technology 52

Technology Atrial Fibrillation Anatomy Innovation 52

Science Daily - Stroke

MAY 25, 2023

New data from the phase III INTERACT3 study demonstrates that a new combination of treatments for stroke due to intracerebral haemorrhage (ICH) significantly improves the chances of surviving without major disability.

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Hemorrhage Stroke Strokes 40

The Beat Blog

MAY 23, 2023

In this ongoing interview series, we’ll be talking to leading clinicians, tech leaders, and entrepreneurs about their life, careers and professional experiences in the fields of heart care, cardiology and heart health as a whole. Heartbeat in Conversation interviews are conducted by Heartbeat’s Chief Growth Officer, Brett Jansen. This past month, we spoke to Heartbeat’s Director of Operations, Kristie Servais.

Technology 52

Technology Gerontology Medicare Nursing 52

Science Daily - Stroke

MAY 22, 2023

Regular physical activity and exercise may reduce bleeding in individuals with intracerebral hemorrhage, a new study shows. The researchers emphasize the importance of physical activity to protect the brain.

Hemorrhage 40

Hemorrhage Exercise Research 40