Sat.May 06, 2023 - Fri.May 12, 2023

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New Cassling Team to Drive Growth and Innovation in Healthcare

Cassling

(May 10, 2023) Omaha, Nebraska – Cassling, an imaging and therapeutic technology, services and solutions vendor, is launching a new team to expand its industry partnerships and make its vision a reality. The business unit, Growth & Innovation, is tasked with bringing new services and solutions to market to help healthcare organizations solve their imaging pain points, remain viable and keep providers local.

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ECG Blog #378 — Wenckebach with PVCs?

Ken Grauer, MD

The ECG in Figure-1 — was obtained from an older woman with chest pain. How would YOU interpret this tracing? What kind of AV block is present? — OR — Is there no clear evidence of any AV block? Figure-1: The initial ECG in today’s case. ( To improve visualization — I've digitized the original ECG using PMcardio ). MY Thoughts on the ECG in Figure-1: This tracing is challenging to interpret because of the changing QRS morphology — and because of the uncertainty regarding atrial activity.

Blog 78
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Impact of aortic valve replacement in symptomatic low-risk patients with less than severe aortic stenosis

Open Heart

Objective To evaluate whether transcatheter or surgical aortic valve replacement (TAVR or SAVR) affects clinical and haemodynamic outcomes in symptomatic patients with moderately-severe aortic stenosis (AS). Methods Echocardiographic evidence of severe AS for enrolment in the Evolut Low Risk trial was based on site-reported measurements. For this post hoc analysis, core laboratory measurements identified patients with symptomatic moderately-severe AS (1.0<aortic valve area (AVA)<1.5 cm 2

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ECG Cases 42 – Approach to ECG Interpretation in Patients with Chest Pain: OMI, False Positive & Negative STEMI & Other Causes

ECG Cases

In this ECG Cases blog we look at 10 cases of patients with chest pain, including false positive STEMI, false negative STEMI, and other causes to help hone your ECG interpretation skills in time-sensitive cases where those very ECG skills might save a life. The post ECG Cases 42 – Approach to ECG Interpretation in Patients with Chest Pain: OMI, False Positive & Negative STEMI & Other Causes appeared first on Emergency Medicine Cases.

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Remote Patient Monitoring Workflow

Vector Remote

How to Incorporate Remote Patient Monitoring Into Existing Workflows Remote patient monitoring (RPM) is a service under the telemedicine umbrella that uses specialized technology to track patient health data in real time, integrating care updates into clinic workflows as needed. RPM plays an important role in cardiac clinics. The technology allows clinicians and staff to respond to rhythm changes, hypertension or more critical alerts as soon as they happen in order to improve outcomes and stream

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2023 STS Coronary Conference, June 3-4

Society of Thoracic Surgeons - Congenital

Video 2023 STS Coronary Conference, June 3-4 kchalko Tue, 05/09/2023 - 11:09 The 2023 STS Coronary Conference returns for a second year of innovative, international, and groundbreaking science taking place June 3-4 at the Loews Miami Beach Hotel. Conference attendees will learn how to take their coronary surgery programs to the next level from a basic to an advanced program.

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Determinants and clinical outcomes of patients who refused anticoagulation: findings from the global GARFIELD-AF registry

Open Heart

Objective There is a substantial incidence of stroke in patients with atrial fibrillation (AF) not receiving anticoagulation. The reasons for not receiving anticoagulation are generally attributed to clinician’s choice, however, a proportion of AF patients refuse anticoagulation. The aim of our study was to investigate factors associated with patient refusal of anticoagulation and the clinical outcomes in these patients.

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Holter Monitors vs. Loop Recorders: A Comparison

Vector Remote

Holter Monitors vs. Loop Recorders: A Comparison Remote cardiac monitoring is an essential tool for diagnosing and managing a variety of heart conditions. It enables healthcare professionals to remotely monitor a patient’s cardiac activity over an extended period, providing valuable data for accurate diagnosis and treatment. Two devices commonly used for monitoring are Holter monitors and loop recorders.

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A man in his 70s with acute chest pain and paced rhythm.

Dr. Smith's ECG Blog

Sent by Pete McKenna M.D. Edits by Meyers and Smith A man in his 70s with PMH of hypertension, hyperlipidemia, type 2 diabetes, CVA, dual-chamber Medtronic pacemaker, presented to the ED for evaluation of acute chest pain. Triage ECG: What do you think? This is diagnostic of proximal LAD occlusion. This is a huge anterolateral OMI. Deadly. I cannot be anything else.

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Clinical consequences of off-label reduced dosing of non-vitamin K antagonist oral anticoagulants in patients with atrial fibrillation: a systematic review and meta-analysis

Open Heart

Objective Postmarketing observational studies report that a substantial percentage of patients with atrial fibrillation (AF) receive a reduced non-vitamin K antagonist oral anticoagulant (NOAC) dose without a clear indication. Recently, increasing evidence has become available to explore the clinical consequences of such off-label reduced dosing (OLRD).

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Interleukin-1 blockers for the treatment of recurrent pericarditis: pathophysiology, patient reported outcomes and perspectives

Journal of Cardiovascular Pharmacology

Recurrent pericarditis (RP) is the most troublesome complication of acute pericarditis reflecting an unresolving inflammation of the pericardial sac around the heart and associated with significant morbidity. Recent studies have shown interleukin-1 (IL-1) signaling to be central to the pathophysiology of cases of RP with evidence of activation of systemic inflammation.

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Physical activity crucial for poststroke recovery

Science Daily - Stroke

After a stroke, physical activity can be pivotal to successful recovery. People who spend four hours a week exercising after their stroke achieve better functional recovery within six months than those who do not, a new study shows.

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ECG Blog #379 — Why Tachy on Telemetry?

Ken Grauer, MD

I was sent the rhythm strip shown in Figure-1 — obtained from telemetry monitoring. I did not know the history. Can YOU explain what happens after beat #4? Figure-1: Multi-lead rhythm strip obtained from telemetry monitoring. MY Thoughts on the Rhythm Strip in Figure-1: The first 4 beats in this 11-beat rhythm strip are sinus — as determined by the presence of regular upright P waves , with a constant PR interval in lead II ( RED arrows in Figure-2 ).

Blog 78
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A 30-something woman with intermittent CP, a HEART score of 2 and a Negative CT Coronary Angiogram on the same day

Dr. Smith's ECG Blog

This was sent by a colleague. A 34 yo woman with a history of HTN, h/o SVT s/p ablation 2006, and 5 months post-partum presented with intermittent central chest pain and SOB. She had one episode of pain the previous night and two additional episodes early on morning the morning she presented. Deep breaths are painful and symptoms come and go. She had one BP that was measured at 160/120, uncertain when and what the BP was at other moments.

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Aortic valve intervention rates in patients of different ethnicity with severe aortic stenosis in Leicestershire, UK

Open Heart

Objectives To explore the ethnic differences in patients undergoing aortic valve (AV) intervention for severe aortic stenosis (AS) in Leicestershire, UK. Methods Retrospective cohort study of all surgical aortic valve replacement (SAVR) and transcatheter aortic valve implantation (TAVI) at a single tertiary centre between April 2017 and March 2022, using local registry data.

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Risk prediction score for clinical outcome in atrial fibrillation and stable coronary artery disease

Open Heart

Objective Antithrombotic therapy is essential for patients with atrial fibrillation (AF) and stable coronary artery disease (CAD) because of the high risk of thrombosis, whereas a combination of antiplatelets and anticoagulants is associated with a high risk of bleeding. We sought to develop and validate a machine-learning-based model to predict future adverse events.