Sat.Mar 25, 2023 - Fri.Mar 31, 2023

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ECG Blog #371 — Palpitations Since Childhood.

Ken Grauer, MD

The ECG in Figure-1 is from a man in his 30s — who overall has been healthy, except for a history of "intermittent palpitations" that he has had since childhood. Episodes typically last less than 2 minutes — but this time, he presented to the ED ( E mergency D epartment ) because of ongoing symptoms lasting a number of hours. The patient consumed alcohol at a party the night before.

Blog 78
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Consensus statement on aortic valve replacement via an anterior right minithoracotomy in the UK healthcare setting

Open Heart

The wide uptake of anterior right thoracotomy (ART) as an approach for aortic valve replacement (AVR) has been limited despite initial reports of its use in 1993. Compared with median sternotomy, and even ministernotomy, ART is considered to be less traumatic to the chest wall and to help facilitate quicker patient recovery. In this statement, a consensus agreement is outlined that describes the potential benefits of the ART AVR.

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Six-Year Research Reveals Intermittent Fasting's Benefits

Heart 2023 Conference

We hear a lot about the benefits of intermittent fasting, but a six- time study in JAHA set up that the length of time between the first and last mess had no effect on weight loss. rather, the number and size of refections may be the more important factor. Although intermittent fasting has come a popular weight- loss strategy, strictly designed studies have yet to determine whether confining the mess window can effectively control body weight over the long term.

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A 50-something with chest pain. what to do? And get the PM Cardio app for your own use here!

Dr. Smith's ECG Blog

This was sent to me by a friend. It is from a 50-something with chest pain: What do you think? This was marked as "Not a STEMI" by the physicians. It is not a STEMI, but it is diagnostic of an LAD OMI (Occlusion MI). There is subtle ST Elevation in V1-V4 and hyperacute T-waves in V2-V6. There is also subtle but diagnostic INFERIOR ST Elevation, with reciprocal ST Depression in aVL.

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One of the GOATs: Jason Schmitt Celebrates 20 Years at Cassling

Cassling

Goats are naturally curious and highly sociable creatures. Perhaps that’s why Jason Schmitt, whose colleagues consider him one of the Greatest of All Time (GOAT), has found so much success as a Cassling Field Service Engineer over the past 20 years. It’s not a bad combination when your career success thrives on troubleshooting and trust.

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Impact of COVID-19 pandemic on cardiovascular diseases hospitalisation, management and mortality in Switzerland

Open Heart

Background COVID-19 pandemic led to a reduction in hospital admissions and intervention for other diseases in many countries. We aimed to assess the effect of COVID-19 pandemic on cardiovascular disease (CVD) hospitalisations, management and mortality in Switzerland. Methods Swiss hospital discharge and mortality data for period 2017–2020. CVD hospitalisations, CVD interventions and CVD mortality were assessed before (2017–2019) and during (2020) the pandemic.

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Cutting Through the Noise: Strategies for Effective Loop Recorder Alert Management

Vector Remote

Cutting Through the Noise: Effective Strategies for Loop Recorder Monitoring Management Are you a cardiology device clinic nurse struggling with the overwhelming amount of data coming from implantable loop recorders (ILRs or “loops”)? You’re not alone. Many of the alerts generated by these devices are not clinically significant and can distract you from focusing on alerts and patients that need your attention.

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8 Crucial Features Your Cardiology EHR Software Should Have

GEMMS

An EHR system is more than just a platform to store patient information digitally. It can convert that data into valuable insights, which helps medical practitioners provide better patient care. Highly rated EHR systems remarkably impact operations, patient care, and profits. They provide an essential workflow structure and can be employed to streamline processes, ensure patients get the best care, and bolster your bottom line.

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Global EM 3 So you want to be a humanitarian doctor?

ECG Cases

Dr. Nav Sahsi gives us a quick primer on Doctors Without Borders, explains the difference between humanitarian work and development work and describes the motivation, personal skills, education, time commitment and flexibility required for humanitarian work for all those with an interest in Global EM. The post Global EM 3 So you want to be a humanitarian doctor?

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Effect of Sacubitril/Valsartan vs Valsartan on Left Atrial Volume in Patients With Pre-HFpEF

JAMA Cardiology

This randomized clinical trial evaluates the efficacy of sacubitril/valsartan vs valsartan in the treatment of left ventricular diastolic function in patients with pre–heart failure with preserved ejection fraction.

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10 systems hiring cardiology leaders

Becker's Hospital Review - Cardiology

Here are 10 hospitals and health systems hiring cardiology leaders.

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A 40-something with 100 minutes of chest pain

Dr. Smith's ECG Blog

I was reading ECGs on the system, and saw this one: What do you think? I knew that, if the patient had presented with chest discomfort, that this ECG is diagnostic of inferior posterior OMI, even though it is not a STEMI. However, it is difficult to recognize for an interpreter who is does not have special expertise in OMI ECG diagnosis. We taught an AI system from PM Cardio to recognize patterns of subtle OMI (beware: this version of the app is not available to the public yet).

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EM Quick Hits 47 HFNC, Dissection Drugs, ADJUST-UNLIKELY for PE, Antibiotic Course Duration, Skin Glue Hacks, ESP Block, Learner Oversight

ECG Cases

In this month's EM Quick Hits podcast: Anand Swaminathan on 3-pronged approach to aortic dissection management, Jonathan Wallace on rural practice tips for glue removal and ESP block for renal colic, Sara Gray on everything you need to know about High Flow Nasal Cannula but were afraid to ask, Maria Ivankovic on reducing the duration of antibiotic therapy for uncomplicated common bacterial infections, Tahara Bhate on handover and learner oversight on QI corner and Kerstin De Wit on the ADJUST-UN

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Genetic tests unexpectedly find genes linked to heart disease -- now what?

Science Daily - Stroke

As health care professionals, researchers and consumers increasingly use genetic testing, they are uncovering incidental genetic abnormalities, or variants, that are associated with cardiovascular diseases. The statement writing committee cautions that incidentally identified single gene variants may or may not be risk factors for disease, so it is important to interpret them correctly and cautiously.