Ken Grauer, MD

MAY 12, 2023

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

Blog Tachycardia Atrial Flutter Arrhythmia 78

Cassling

MAY 10, 2023

(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.

Innovation 84

Innovation Technology Blog 84

Open Heart

MAY 12, 2023

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

Aortic valve 52

Aortic valve Aortic Stenosis TAVR 52

ECG Cases

MAY 10, 2023

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.

Chest Pain 52

Chest Pain STEMI Blog Pericarditis 52

Ken Grauer, MD

MAY 6, 2023

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.

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Blog Chest Pain Arrhythmia 78

Dr. Smith's ECG Blog

MAY 10, 2023

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.

Coronary Angiogram 52

Coronary Angiogram Chest Pain Stenosis STEMI 52

Open Heart

MAY 11, 2023

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.

Outcomes 52

Outcomes Blood Pressure Atrial Fibrillation Embolism 52

ECG Cases

MAY 9, 2023

In this Part 1 or our two-part podcast series on STIs we discuss a general approach to cervicitis, vulvovaginitis and urethritis, elucidate some key historical features, debate who needs a pelvic exam in the ED, understand who needs what testing, debate self swabs vs physician taken swabs, dig into some specific under-recognized organisms like Mycoplasma Genitalium, figure out who needs what kind of empiric treatment, sexual partner treatment and which discharge instructions are key.

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Dr. Smith's ECG Blog

MAY 8, 2023

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.

Chest Pain 52

Chest Pain Myocardial Infarction STEMI Pacemaker 52

Open Heart

MAY 11, 2023

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).

Atrial Fibrillation 52

Atrial Fibrillation Stroke Strokes Outcomes 52

Vector Remote

MAY 9, 2023

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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Download Arrhythmia Electrocardiogram Heart Rhythm 52

Journal of Cardiovascular Pharmacology

MAY 9, 2023

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.

Pericarditis 40

Pericarditis Quality of Life Outcomes Article 40

Science Daily - Stroke

MAY 8, 2023

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.

Exercise 40

Exercise Stroke Strokes 40

Open Heart

MAY 8, 2023

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.

Aortic valve 52

Aortic valve Aortic Stenosis Research 52

Society of Thoracic Surgeons - Congenital

MAY 9, 2023

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.

Innovation 52

Innovation Outcomes 52

Open Heart

MAY 12, 2023

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.

Coronary Artery Disease 52

Coronary Artery Disease Atrial Fibrillation Myocardial Infarction Blood Pressure 52