Ken Grauer, MD

AUGUST 26, 2023

The ECG in Figure-1 was obtained from a man in his 60s — who described the sudden onset of "chest tightness" that began 20 minutes earlier, but who now ( at the time this ECG was recorded ) — was no longer having symptoms. In view of this history — How would YOU interpret this ECG? Should the cath lab be activated? Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ).

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Blog Chest Pain STEMI Ischemia 145

Dr. Smith's ECG Blog

SEPTEMBER 1, 2023

A 50-something male had onset of chest pain 1 hour prior to ED arrival. It is constant, 9/10, left-sided CP that radiates into left arm and jaw. Endorses some associated SOB, but denies back pain, fever, cough, chills, leg swelling, or other new symptoms. Has never had this before. Takes metoprolol for HTN. Here is the triage ECG: What do you think?

Chest Pain 123

Chest Pain STEMI Stenosis Myocardial Infarction 123

ECG Guru

AUGUST 26, 2023

Does something about this ECG look "different" to you? This ECG shows a “classic” presentation of inferior-posterior M.I. when it is caused by a lesion in the right coronary artery (RCA). There are ST elevations in leads II, III, and aVF. Reciprocal ST depression is seen in Leads I and aVL. There is also reciprocal ST depression in Leads V1 – V3.

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Open Heart

SEPTEMBER 1, 2023

Objective A substantial proportion of patients with rheumatic heart disease (RHD) have tricuspid regurgitation (TR). This study aimed to identify the impact of functional TR on clinical outcomes and predictors of progression in a large population of patients with RHD. Methods A total of 645 patients with RHD were enrolled, mean age of 47±12 years, 85% female.

Tricuspid 52

Tricuspid Bicuspid/Mitral Outcomes Echocardiogram 52

Ken Grauer, MD

SEPTEMBER 1, 2023

The interesting rhythm shown in Figure-1 was obtained after Adenosine was given for a regular SVT ( S upra V entricular T achycardia ). How would YOU interpret this rhythm in Figure-1 ? Why are there so many shapes for the QRS complex in the long lead II rhythm strip? Figure-1: 12-lead ECG and long lead II rhythm strip obtained after Adenosine was given for a regular SVT rhythm.

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Blog Arrhythmia Heart Disease 115

Dr. Smith's ECG Blog

AUGUST 30, 2023

Case sent by Logan Stark MD, written by Pendell Meyers A woman in her 70s presented with acute chest pain. It started 10 hours prior to arrival, then had improved, then recently returned. No prior ECG was available. Here is her triage ECG: What do you think? The ECG was sent to me with no information, and I replied "OMI". I sent this ECG to the Queen of Hearts (PMcardio OMI), and here is the verdict: V1 and V2 have abnormal STE, and V2 has a hyperacute T wave.

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Chest Pain Blog Arrhythmia STEMI 71

Society of Thoracic Surgeons - Early Career

SEPTEMBER 1, 2023

Podcast #155: The Microstress Effect: Building Resilience thru Purpose In this episode, Dr. Michael Maddaus talks with Rob Cross, professor of global leadership, Babson College, cofounder and director of the Connected Commons, and author of Beyond Collaboration Overload and The Microstress Effect , about the microstresses we experience every day that are impacting our work, relationships and ability to live well.

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Wellnest

AUGUST 31, 2023

Introduction Personalized medicine has emerged as a favorable healthcare approach in the last few years. The ultimate aim of personalized medicine is to provide specialized treatment to patients based on unique lifestyles, genetics, and specific health needs. To succeed in personalized medicine, we have seen medical professionals use devices like ECG machines and IVD play as they help in early diagnosis, real-time monitoring, and targeted therapies.

Technology 52

Technology Blood Pressure Electrocardiogram Blog 52

All About Cardiovascular System and Disorders

AUGUST 31, 2023

Dip and plateau pattern of ventricular pressure tracing in constrictive pericarditis Thickened and stiff pericardium in chronic constrictive pericarditis has poor compliance reducing the distension of cardiac chambers to a limited fixed total volume. Transmission of intrathoracic pressure to the pericardial cavity is also prevented by thickening of the pericardium [1].

Pericarditis 52

Pericarditis Bradycardia Pulmonary Cardiomyopathy 52

Open Heart

AUGUST 30, 2023

Introduction The independent and causal cardiovascular disease risk factor lipoprotein(a) (Lp(a)) is elevated in >1.5 billion individuals worldwide, but studies have prioritised European populations. Methods Here, we examined how ancestrally diverse studies could clarify Lp(a)’s genetic architecture, inform efforts examining application of Lp(a) polygenic risk scores (PRS), enable causal inference and identify unexpected Lp(a) phenotypic effects using data from African (n=25 208), East

Atherosclerosis 52

Atherosclerosis Risk Factors Cardiovascular Disease Heart Disease 52

International Journal of Cardiovascular Sciences

AUGUST 30, 2023

It is with great pleasure that we announce the list of selected reviewers to contribute to the International Journal of Cardiovascular Science (IJCS). These experts will play a fundamental role in ensuring the quality and scientific rigor of the research published in our journal. The selected names will receive an email with instructions for their registration in the system.

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Research 52

Dr. Paddy Barrett

AUGUST 29, 2023

Life would be so much easier if there were binary, yes and no answers to every question that was important to us. But there isn’t. And even for so many of the questions you ‘ think ’ that have clear-cut answers, there actually aren’t. You just think there are. Let me explain. Subscribe now Does speeding cause car crashes? Most of you would agree that the answer here is a clear ‘ yes ’ But it’s not.

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Diabetes Risk Factors Heart attacks Heart Attack 52

GEMMS

AUGUST 29, 2023

Healthcare technology is an important asset for any clinic or specialty practice. Selecting the proper Electronic Health Record (EHR) software is crucial for specialty clinics, such as Cardiology Clinics. It can significantly impact the efficiency and effectiveness of patient care, making it essential to choose wisely to provide exceptional services and stay ahead in this dynamic industry.

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Patient Care Document Technology Innovation 52

ECG Guru

AUGUST 28, 2023

This EKG shows the classic features of sick sinus syndrome. Initially, there is an accelerated atrial rhythm/atrial tachycardia. After a pre-automatic pause of 2609 ms, a ventricular premature beat occurs, followed by a junctional escape rhythm. Pre-automatic pause is a pause after a tachycardia and before an automatic rhythm, like sinus rhythm or, in this case, junctional escape rhythm.

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Tachycardia Bradycardia 52

Open Heart

AUGUST 27, 2023

Aim To create and validate a simple scoring system for predicting 30-day mortality in patients presenting with acute coronary syndromes (ACS) at their moment of admission. Methods and results 2407 consecutive patients presenting to Harefield Hospital with measured arterial blood gases, from January 2011 to December 2020, were studied to build the training set. 30-day mortality in this group was 17.2%.

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Cardiac Arrest Hospital 52

Heart Sisters

AUGUST 27, 2023

I'd taken my heart for granted my whole life. But after my heart attack, how could I learn to trust an organ that had so suddenly stopped working as it should?

Heart attacks 52

Heart attacks Heart Attack Heart Disease 52

JAMA Cardiology

AUGUST 31, 2023

This post hoc analysis of the Randomized Comparison of Efficacy and Safety of Lipid Lowering With Statin Monotherapy vs Statin/Ezetimibe Combination for High-Risk Cardiovascular Disease (RACING) randomized clinical trial investigates if a moderate-intensity statin plus ezetimibe combination therapy is a feasible therapeutic option for patients with very high-risk atherosclerotic cardiovascular disease.

Cardiovascular Disease 40

Cardiovascular Disease 40

ECG Guru

AUGUST 28, 2023

Here we see the EKG of a 63-year-old man with CAD without relevant coronary stenosis. He complains of slightly reduced performance, but no other symptoms.

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Stenosis 52

Open Heart

SEPTEMBER 1, 2023

Objective Advances in management of congenital heart disease (CHD) have led to an increasing population of adults with CHD, many of whom require non-cardiac procedures. The objectives of this study were to describe the characteristics of these patients, their distribution among different hospital categories and the characteristics determining this distribution, and mortality rates following noncardiac procedures.

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Congenital Heart Disease Congenital Hospital Heart Disease 40

Science Daily - Heart Disease

SEPTEMBER 1, 2023

Red blood cells exposed to oxygen deficiency protect against myocardial infarction, according to a new study. The study also shows that the protective effect is enhanced by a nitrate-rich vegetable diet.

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Myocardial Infarction Diet 40

Science Daily - Stroke

AUGUST 31, 2023

A research team has found that more than four percent of all hospital admissions in southern Sweden are associated with sepsis. It is a significantly under-diagnosed condition that can be likened to an epidemic.

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Heart attacks Heart Attack Cancer Hospital 40

HeartRhythm

AUGUST 30, 2023

Recurrent ventricular tachycardia (VT) after prior endocardial catheter ablation(s) presents challenges in the setting of prior cardiac surgery where percutaneous epicardial access may not be feasible.

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Ablation Tachycardia 40

Circulation

AUGUST 26, 2023

Circulation, Ahead of Print. Background:There is ambiguity whether frail patients with atrial fibrillation (AF) managed with vitamin K antagonists (VKAs) should be switched to a non-vitamin K oral anticoagulant (NOAC).Methods:We conducted a pragmatic, multicenter, open-label, randomized controlled superiority trial. Older AF patients living with frailty (age ≥75 years plus a Groningen Frailty Indicator (GFI) score ≥3) were randomized to switch from INR-guided VKA treatment to a NOAC or to contin

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Atrial Fibrillation Outcomes Circulation 40

Science Daily - Heart Disease

AUGUST 30, 2023

The use of active mechanical circulatory support is growing rapidly around the world. The hope is that these systems will improve survival after the most severe form of acute heart failure, cardiogenic shock. A recent clinical trial has shown that extracorporeal life support (ECLS) does not reduce 30-day mortality after cardiogenic shock. The finding is likely to influence future guidelines.

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Cardiogenic Shock Heart Failure 40

Science Daily - Stroke

AUGUST 28, 2023

Researchers have developed a new way of identifying patients at risk of an irregular heartbeat, known as 'atrial fibrillation'. While not life threatening, the condition increases people's risk of having a transient ischaemic attack (TIA) or stroke by up to five times. A new study reveals four specific factors that can predict which patients will have atrial fibrillation.

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Atrial Fibrillation Stroke Strokes Blood Pressure 40

HeartRhythm

AUGUST 29, 2023

The diagnosis of arrhythmogenic right ventricular cardiomyopathy (ARVC) is challenging because of nonspecific clinical findings and lack of conclusive answers from genetic testing (ie, an ARVC-related variant is neither necessary nor sufficient for diagnosis). Despite the revised 2010 Task Force Criteria, patients are still misdiagnosed with ARVC.

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Cardiomyopathy 40

Hypertension Journal

AUGUST 29, 2023

Hypertension, Ahead of Print.

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Blood Pressure Hypertension 40

Science Daily - Heart Disease

AUGUST 30, 2023

A study of more than 83,000 questionnaires by women ages 50-79, found more than 25% developed irregular heart rhythms, known as atrial fibrillation, which may increase their risk for stroke and heart failure.

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Heart Rhythm Atrial Fibrillation Heart Failure Stroke 40

Science Daily - Heart Disease

AUGUST 30, 2023

People who have had a stroke called an intracerebral hemorrhage who take cholesterol-lowering drugs called statins may have a lower risk of having another stroke, especially ischemic stroke, compared to people who also had an intracerebral hemorrhage but were not taking statins.

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Stroke Strokes Hemorrhage Cholesterol 40

Science Daily - Heart Disease

AUGUST 29, 2023

Adults at risk for heart disease who participated in produce prescription programs for an average of six months increased their consumption of fruits and vegetables and had reduced blood pressure, body mass index and blood sugar levels.

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Blood Pressure Heart Disease 40

Science Daily - Heart Disease

AUGUST 28, 2023

New research details the first oral drug for the treatment of a type of high cholesterol -- called Lp(a) -- that is a potentially more dangerous version of the so called 'bad' cholesterol, LDL, because it is stickier and may be more likely to cause blockages and blood clots in your arteries. It is estimated that up to 20% of people worldwide have high levels of Lp(a), which is associated with a person's risk of experiencing a heart attack, strokes or other serious cardiac event.

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Cholesterol Blood Clot Heart attacks Heart Attack 40

HeartRhythm

AUGUST 27, 2023

Guidelines addressing magnetic resonance imaging (MRI) in patients with cardiac implantable electronic devices (CIEDs) provide algorithms for imaging pediatric and congenital heart disease (CHD) patients. Guideline acceptance varies by institution. Guidelines also do not support routine MRI scans in patients with epicardial or abandoned leads, common in pediatric and CHD patients.

Congenital Heart Disease 40

Congenital Heart Disease Pediatrics Congenital Heart Disease 40

Hypertension Journal

AUGUST 29, 2023

Hypertension, Ahead of Print.

Blood Pressure 40

Blood Pressure Hypertension 40