Dr. Smith's ECG Blog

OCTOBER 30, 2023

A 60 yo with 2 previous inferior (RCA) STEMIs, stented, called 911 for one hour of chest pain. He had no h/o heart failure. Here is the first prehospital ECG (time 0, after one hour of pain): I do not see evidence of OMI, and neither did the Queen of Hearts Here is the 2nd prehospital ECG (time 10 minutes, after 70 minutes of pain): No change On arrival, the first ED ECG was recorded 20 minutes after the last one (90 minutes after pain onset): What do you think?

STEMI 112

STEMI Heart Failure Stent Stents 112

Cassling

NOVEMBER 2, 2023

It’s one of the best weeks of the year – National Radiologic Technologist Week! Cassling’s annual commemoration of Rad Tech Week has taken place for 14 years, and for good reason, this week is an opportunity to stop and appreciate the hard work technologists, physicians, support teams and other healthcare workers put forth to ensure a compassionate, high-quality patient experience.

Radiologic Technologist 96

Radiologic Technologist Blog 96

Ken Grauer, MD

OCTOBER 29, 2023

= NOTE: These are my "slides" for November 2, 2023 — for my M edALL p resentation. The talk will be recorded and posted on-line. Based on ECG Blog #351 ( www.tinyurl.com/KG-Blog-351 ) LINK to this Page — www. tinyurl.com/KG-MedAll-351 — = = ECG Blog #205 = The Systematic Approach I favor. The "formula" = [link] LINK for Blog #205 = [link] - = Figure: The Systematic Approach that I favor.

Blog 78

Blog Chest Pain STEMI 78

Society of Thoracic Surgeons - Surgeon

NOVEMBER 3, 2023

Webinar Sublobar Resection Versus Lobectomy for Early-Stage Lung Cancer: A Debate dkaczmarek Fri, 11/03/2023 - 10:43 November 16, 2023 Part 1 of a 2-part webinar series, supported by AstraZeneca During this webinar, the expert panel will discuss two recently published clinical trials (CALGB 140503 and JCOG 0802) that demonstrate equivalent survival for sublobar resection versus lobectomy for clinical stage IA cancer, peripheral <2cm.

Cancer 52

Cancer Webinar Biomarkers Hospital 52

Dr. Smith's ECG Blog

NOVEMBER 3, 2023

Written by Nathanael Franks MD, reviewed by Meyers, Smith, Grauer, etc. A man in his 70s with past medical history of hypertension, dyslipidemia, CAD s/p left circumflex stent 2 years prior presented to the ED with worsening intermittent exertional chest pain relieved by rest. This episode of chest pain began 3 hours ago and was persistent even at rest.

Chest Pain 82

Chest Pain Cardiogenic Shock Ischemia Myocardial Infarction 82

Physiologically Speaking

NOVEMBER 3, 2023

Greetings! Welcome to the Physiology Friday newsletter. This newsletter is brought to you by Examine.com and my new eBook, “VO2 Max Essentials”, details for which can be found at the end of this newsletter. Physiologically Speaking is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.

Physiology 52

Physiology 52

Society of Thoracic Surgeons - Early Career

NOVEMBER 2, 2023

Blog What Surgeons Need to Know About Engaging Consultants KCummings Thu, 11/02/2023 - 14:43 All Members Image Dr. Melanie Edwards In the increasingly complex world of medicine, it is difficult to maintain a high level of expertise in every disease process. Engaging consultants who have expertise in other areas, both in the ambulatory and inpatient settings, is a common practice that is often taken for granted.

Patient Care 52

Patient Care Blog Inpatient Outcomes 52

iRythm Technologies

NOVEMBER 1, 2023

Research indicates that healthcare quality varies across racial and ethnic groups. This article offers examples of inequity in atrial fibrillation detection and management. Raising awareness could help advance the path toward health equity.

Atrial Fibrillation 52

Atrial Fibrillation Arrhythmia Article Research 52

Physiologically Speaking

NOVEMBER 1, 2023

Greetings. In this week's post, we take a deep dive into the latest study showing that red meat intake is associated with type 2 diabetes…one that caused quite a stir in the media. Whether you’re plant-based or full-on-carnivore, you’ll be interested in what this study does (and doesn’t) say about dietary intake and disease risk.

Diabetes 52

Diabetes BMI Nursing Diet 52

Dr. Paddy Barrett

OCTOBER 31, 2023

An elevated Lp(a) is a common genetic factor that is independently and causally related to premature coronary artery disease. But we must always remember that most genetic risk factors are probabilistic rather than deterministic in terms of risk. Subscribe now The distinction here is crucial, as most of the early work on genetics and risk has led us astray.

Coronary Artery Disease 52

Coronary Artery Disease Heart Disease Atherosclerosis Cardiovascular Disease 52

Coronary Artery Disease Journal

OCTOBER 31, 2023

Background It is unclear how COVID-19 pandemic affected care and outcomes among patients who are diagnosed with ST-elevation myocardial infarction (STEMI) in the USA. Methods We analyzed the data from National Inpatient Sample from 2016 to 2020 and assessed the impact of COVID-19 infection and the COVID-19 pandemic (year 2020) on in-hospital mortality, length of stay (LOS) and hospitalization costs.P Results There were 1 050 905 hospitalizations with STEMI, and there was an 8.2% reduction in adm

COVID-19 52

COVID-19 STEMI Inpatient Hospital 52

Medical Xpress - ECG

OCTOBER 31, 2023

Nearly 200 million people around the globe have coronary heart disease, which accounts for about one in every six deaths, according to the British Heart Foundation. That's why the recent and rapid rise in wearable electronic health-monitoring devices with heart rate-measuring electrocardiograms (ECG) represents a significant step forward. By detecting cardiovascular ailments and helping assess overall cardiac health, wearable ECGs save lives, not to mention exorbitant hospital care costs.

Electrocardiogram 52

Electrocardiogram Heart Disease Hospital 52

MIBHS

OCTOBER 31, 2023

Your heart is the engine that powers your body, which means making heart healthy choices should be a top priority. Heart disease remains one of the leading causes of death worldwide, but the good news is that many of the risk factors are controllable. Heart Healthy Tips Here at Minimally Invasive and Bloodless Heart Surgery with Dr. Ciuffo , we will explore some By making simple lifestyle changes and adopting heart healthy habits, you can significantly reduce your risk of heart disease and enjo

Blood Pressure 52

Blood Pressure Heart Disease Risk Factors Diet 52

Open Heart

OCTOBER 30, 2023

Objective Animal data suggest that exercise during chemotherapy is cardioprotective, but clinical evidence to support this is limited. This study evaluated the effect of exercise during chemotherapy for breast cancer on long-term cardiovascular toxicity. Methods This is a follow-up study of two previously performed randomised trials in patients with breast cancer allocated to exercise during chemotherapy or non-exercise controls.

Exercise 52

Exercise Cancer Research 52

Coronary Artery Disease Journal

OCTOBER 30, 2023

Introduction Elevated peak cardiac troponin levels have been linked with increased morbidity and mortality in patients with acute myocardial infarction (AMI). Immature Platelets are young and relatively large platelets that are hyper-reactive and pro-thrombotic compared to regular platelets. Increased immature platelet fraction (IPF) has been associated with an elevated risk of thrombotic events.

Myocardial Infarction 52

Myocardial Infarction STEMI 52

NOVARAD

OCTOBER 30, 2023

In our fast-paced digital age, instant access to information is not a luxury but a necessity. For years, the medical imaging sector clung to outdated practices, such as distributing crucial images via CDs —a time-consuming method often fraught with challenges.

Technology 52

Technology 52

American Heart News - Stroke News

OCTOBER 30, 2023

Research Highlights: Cardiovascular deaths from extreme heat in the United States are projected to increase by 162% by the middle of the century, based on a hypothetical scenario where currently proposed U.S. policies to reduce greenhouse gas.

Research 52

Research 52

Conquering CHD

OCTOBER 30, 2023

Medical imaging plays an essential role in CHD care. However, for parents, the thought of their child undergoing medical imaging can be a source of stress and anxiety. It’s not uncommon for children to feel scared or uneasy about the process, making it difficult for them to sit still and cooperate with the medical team. Tips and Tricks for Kids and Medical Imaging Here are some strategies you can use to help your child cope and sit still during medical imaging from other CHD parents. 1.

Outcomes 52

Outcomes Education Blog 52

Coronary Artery Disease Journal

OCTOBER 30, 2023

Introduction Several blood inflammatory markers, such as high-sensitivity C-reactive protein (hs-CRP), neutrophil-to-lymphocyte ratio (NLR), and platelet-to-lymphocyte ratio (PLR), are linked to increased risk for cardiovascular diseases. This study aimed to evaluate these inflammatory markers after cardiac rehabilitation (CR) in patients with unstable ischemic heart disease (UIHD) who underwent successful percutaneous coronary intervention (PCI).

Cardiac Rehabilitation 52

Cardiac Rehabilitation Heart Disease Biomarkers Cardiovascular Disease 52

Open Heart

OCTOBER 29, 2023

Introduction In Nepal, one-fourth of the adult population has hypertension. Despite provision of comprehensive hypertension services through the primary healthcare system, huge gaps in treatment and control of hypertension exist. Our study explored the individual, interpersonal, health system and community-level barriers and facilitators affecting hypertension management in urban Nepal.

Hypertension 52

Hypertension Blood Pressure 52

Dr. Smith's ECG Blog

OCTOBER 28, 2023

A young man presented with continuous prolonged generalized weakness, lightheadedness, and presyncope. There was some dyspnea but no chest pain. Here is his ECG. This shows LVH, with high voltage. LVH can have very thick-walled ventricles and a correspondingly small LV cavity. LVH is a common etiology of heart failure with preserved ejection fraction, as it may results in a stiff ventricle with poor diastolic relaxation.

Preserved Ejection Fraction 74

Preserved Ejection Fraction Sudden Cardiac Death Heart Failure Chest Pain 74

Society of Thoracic Surgeons - Surgeon

NOVEMBER 2, 2023

The STS, ASTRO and ASCO have co-authored the first comprehensive guideline on the management of patients with thoracic esophageal cancer.

Cancer 52

Cancer 52

Journal of Cardiovascular Pharmacology

NOVEMBER 3, 2023

Abstract: Cardiovascular disease continues to be the leading cause of mortality globally. Modifiable risk factors, such as hypertension and dyslipidemia can be managed through lifestyle and pharmacotherapy treatments to reduce the risk of primary and secondary major cardiovascular events in patients with elevated risk. Despite effective and available medications to manage and mitigate cardiovascular risk factors, control rates of hypertension and dyslipidemia are suboptimal and greater efforts a

Risk Factors 40

Risk Factors Cardiovascular Disease Article Hypertension 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 2, 2023

Stroke: Vascular and Interventional Neurology, Ahead of Print. BACKGROUNDThe introduction of soft, large‐profile microwires has improved aspiration catheter delivery for intracranial large‐vessel occlusions. The Aristotle‐only direct aspiration first‐pass technique (AO‐ADAPT) uses the Aristotle 24 microwire to deliver a large‐bore aspiration catheter to the target occlusion without a microcatheter.

Thrombolysis 40

Thrombolysis Academic Hemorrhage Strokes 40

The New England Journal of Medicine

NOVEMBER 2, 2023

Focal segmental glomerulosclerosis (FSGS), a diagnosis based on glomerular histology,1 carries an ominous prognosis, although its downward slide to end-stage kidney disease is variable. FSGS is a syndrome, and, ultimately, identifying the pathogenesis in each patient might enable the effective individualization of treatment. FSGS is categorized as primary.

Kidney Disease 40

Kidney Disease 40

Journal of Cardiovascular Electrophysiology

NOVEMBER 3, 2023

Graphical abstract depicting cardiac arrest mortality disparities in the young, temporal trends, and its correlation with the social vulnerability index. Abstract Background Cardiac arrest (CA) is a leading cause of death in the United States (US). Social determinants of health may impact CA outcomes. We aimed to assess mortality trends, disparities, and the influence of the social vulnerability index (SVI) on CA outcomes in the young.

Cardiac Arrest 40

Cardiac Arrest Certification Outcomes Article 40

Journal of Cardiovascular Pharmacology

NOVEMBER 3, 2023

Abstract: The current work was aimed at exploring the association between single nucleotide polymorphisms(SNPs) in the ICAM-1 gene, along with the identification of additional haplotypes and their potential role in susceptibility to ischemic cardiomyopathy(ICM). The control group underwent a Hardy-Weinberg equilibrium test. The associations of genotypes and alleles with susceptibility to ICM were then analyzed using logistic regression analysis.

Cardiomyopathy 40

Cardiomyopathy Article 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 2, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue 6 , November 1, 2023. BackgroundIdiopathic intracranial hypertension (IIH) is prevalent among the US population, with exacerbation of symptoms during pregnancy. Transverse sinus stenting is a new effective treatment for IIH. Stenting is avoided in pregnancy largely due to the requirement of dual antiplatelet therapy.MethodsWe present a case of a pregnant patient in her first trimester with signs and symptoms of fulminant IIH, includi

Stent 40

Stent Stents Hypertension Stroke 40

European Journal of Heart Failure

NOVEMBER 3, 2023

Among 475 patients with cardiac sarcoidosis, 119 (25.1%) were isolated cardiac sarcoidosis (iCS) based on the 2016 Japanese Circulation Society criteria. Patients with iCS were more likely to have a history of atrial fibrillation (AF) or hospitalization for heart failure (HF), or lower left ventricular ejection fraction (LVEF) than those with systemic cardiac sarcoidosis.

Atrial Fibrillation 40

Atrial Fibrillation Heart Failure Tachycardia Arrhythmia 40

Circulation: Cardiovascular Quality & Outcomes

NOVEMBER 3, 2023

Circulation: Cardiovascular Quality and Outcomes, Volume 16, Issue 11 , Page e010086, November 1, 2023. BACKGROUND:In January 2014, the American College of Cardiology/American Heart Association released a policy statement arguing for the inclusion of cost-effectiveness analysis (CEA) and value assessments in clinical practice guidelines. It is unclear whether subsequent guidelines changed how they incorporated such concepts.METHODS:We analyzed guidelines of cardiovascular disease subconditions w

Article 40

Article Cardiovascular Disease Circulation Outcomes 40

Circulation: Arrhythmia and Electrophysiology

NOVEMBER 3, 2023

Circulation: Arrhythmia and Electrophysiology, Volume 16, Issue 11 , Page e012043, November 1, 2023. BACKGROUND:In patients with persistent atrial fibrillation (PersAF), catheter ablation aiming for pulmonary vein isolation (PVI) is associated with moderate clinical effectiveness. We investigated the benefit of continuing previously ineffective class 1C or 3 antiarrhythmic drug therapy (ADT) in the setting of a standardized PVI-only ablation strategy.METHODS:In this multicenter, randomized contr

Atrial Fibrillation 40

Atrial Fibrillation Pulmonary Quality of Life Ablation 40

Stroke Journal

NOVEMBER 2, 2023

Stroke, Volume 54, Issue 12 , Page 3107-3116, December 1, 2023. BACKGROUND:Poststroke pain remains underdiagnosed and inadequately managed. To inform the optimum time to initiate interventions, we examined prevalence, trajectory, and participant factors associated with poststroke pain.METHODS:Eligible studies from the VISTA (Virtual International Stroke Trials Archives) included an assessment of pain.

Quality of Life 40

Quality of Life Stroke Strokes 40

Science Daily - Heart Disease

NOVEMBER 2, 2023

A study found that participants in a mindfulness-based blood pressure reduction program improved health behaviors that lower blood pressure. When people who had elevated blood pressure participated in an eight-week mindfulness-based blood pressure reduction program, they significantly improved their scores on measures of self-awareness and adherence to a heart-healthy diet compared to a control group.

Blood Pressure 40

Blood Pressure Diet 40

Circulation: Cardiovascular Imaging

NOVEMBER 2, 2023

Circulation: Cardiovascular Imaging, Volume 16, Issue 11 , Page e000081, November 1, 2023. Infiltrative cardiomyopathies comprise a broad spectrum of inherited or acquired conditions caused by deposition of abnormal substances within the myocardium. Increased wall thickness, inflammation, microvascular dysfunction, and fibrosis are the common pathological processes that lead to abnormal myocardial filling, chamber dilation, and disruption of conduction system.

Cardiomyopathy 40

Cardiomyopathy Cardiovascular Imaging Heart Failure Arrhythmia 40

JAMA Cardiology

OCTOBER 31, 2023

This narrative review describes the potential for artificial intelligence applications to reduce technical burden and improve efficiency in cardiovascular imaging and explains the challenges in the development and implementation of deep learning systems.

Cardiovascular Imaging 40

Cardiovascular Imaging 40

Stroke Journal

NOVEMBER 1, 2023

Stroke, Volume 54, Issue 12 , Page 3012-3020, December 1, 2023. BACKGROUND:Smoking is a well-established risk factor for subarachnoid hemorrhage (SAH), and current smokers have an increased risk of SAH. However, there are insufficient data on whether smoking cessation in current smokers reduces the risk of SAH.METHODS:A nested case-control study was conducted based on the National Health Insurance Service-National Health Screening Cohort, which comprises nationwide health claims data and a natio

Hemorrhage 40

Hemorrhage Blood Pressure Risk Factors Stroke 40

Science Daily - Heart Disease

NOVEMBER 1, 2023

Researchers have for the first time identified the genetic pathway between the heart and brain tied to fainting. They found that vagal sensory neurons trigger fainting, laying a foundation for addressing fainting-related disorders.

Research 40

Research 40