Dr. Smith's ECG Blog
JUNE 26, 2023
== MY Comment , by K EN G RAUER, MD ( 6/26 /2023 ): == The tracing in Figure-1 was sent to me — without the benefit of any history. How would YOU interpret this tracing? Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ). MY Initial Thoughts: My attention was immediately drawn to the long lead rhythm strip in Figure-1.
ECG Cases
JUNE 27, 2023
We miss potentially dangerous and even lethal drug interactions in EM more often than we realize. In this main episode EM Cases podcast with Dr. David Juurlink and Dr. Walter Himmel we review the common categories of drugs, the high risk patients and the key drug interactions that we need to know about in Emergency Medicine. The post Ep 184 Must Know Drug Interactions in Emergency Medicine appeared first on Emergency Medicine Cases.
Vector Remote
JUNE 30, 2023
Implementing the 2023 Expert Consensus Statement: A Strategic Roadmap for Device Manufacturer Sales Representatives In the ever-evolving landscape of cardiac device care, keeping pace with guidelines and policies can often seem daunting. To help you navigate this shifting terrain, we’re focusing on the 2023 expert consensus statement by the Heart Rhythm Society, European Heart Rhythm Association, Asia Pacific Heart Rhythm Society, and Latin American Heart Rhythm Society, and its implicatio
Cassling
JUNE 30, 2023
Hospital staffing shortages are a real problem. In fact, last March the American Hospital Association submitted a letter to the U.S. House of Representatives Energy and Commerce Committee that deemed them a "national emergency." The impact of these shortages has affected the gamut of healthcare worker roles -- from physicians and nurses to medical technicians and yes, radiologic technologists.
Open Heart
JUNE 29, 2023
Introduction Extensive cross-sectional evidence has demonstrated an association between psychological distress (PD) and hypertension. However, evidence on the temporal relationship is limited, especially in low-income and middle-income countries. The role of health risk behaviours including smoking and alcohol consumption in this relationship is also largely unknown.
ECG Cases
JUNE 26, 2023
With increasing forest fires, heat waves, floods, storms, vector-borne illnesses and heat waves, the emergency department is uniquely positioned to declare sentinel events, advocate on behalf of vulnerable populations and lead by example. Dr. Matt Douglas-Vail explains the need for Increased education on climate change and planetary health, Increased resource allocation in emergency departments for climate-related pathologies and increased disaster planning for climate-related emergencies on thi
GEMMS
JUNE 28, 2023
Electronic Health Record (EHR) software has an essential technology tool for cardiology clinics in meeting the ever-changing demands of the healthcare industry. EHRs offer a wide range of benefits, from improving patient care to streamlining administrative tasks and ensuring payment. The reporting features found in a comprehensive cardiology EHR platform can truly improve workflow and increase practice efficiency.
Cardiovascular Update brings together the best content for cardiovascular medicine professionals from the widest variety of industry thought leaders.
Open Heart
JUNE 29, 2023
Objective Current multimodal risk assessment for pulmonary hypertension (PH) has been redefined with a simplified assessment for follow-up in the new European Society of Cardiology/European Respiratory Society (ESC/ERS) guidelines. Follow-up risk assessment parameters include WHO functional class, 6 min walk test and N-terminal pro-brain natriuretic peptide.
Wellnest
JUNE 26, 2023
Introduction AI, Artificial Intelligence, Deep Learning Algorithms, cognitive computing- these techniques and terms have been the focus of the scientific community and laymen on the internet, respectively. With its ability to mimic the human’s cognitive process and vast storage capacity, AI has been revolutionizing entire industrial and service sectors.
JAMA Cardiology
JUNE 30, 2023
This post hoc analysis of a randomized clinical trial evaluates the safety and efficacy of empagliflozin in patients with heart failure and preserved ejection fraction who are taking diuretics.
Conquering CHD
JUNE 26, 2023
Every parent wants to take their child on an adventure that creates lasting memories. But when your child has CHD, planning a trip requires extra preparation to ensure their safety and well-being. Before you explore destinations near and far, here are 7 tips to help you navigate the challenges of traveling with kids with CHD, plus 3 tricks from parents like you. 1.
Open Heart
JUNE 29, 2023
Background Patients who experience acute myocardial infarction (AMI) are at risk of recurrent AMI. Contemporary data on recurrent AMI and its association with return emergency department (ED) visits for chest pain are needed. Methods This Swedish retrospective cohort study linked patient-level data from six participating hospitals to four national registers to construct the Stockholm Area Chest Pain Cohort (SACPC).
Medical Xpress - ECG
JUNE 29, 2023
A new machine learning model uses electrocardiogram (ECG) readings to diagnose and classify heart attacks faster and more accurately than current approaches, according to a study led by University of Pittsburgh researchers that is published in Nature Medicine.
HeartRhythm
JUNE 27, 2023
Ventricular pacing can cause myocardial dysfunction, but how lead anchoring to the myocardium affects function has not been studied.
Circulation: Genomic and Precision Medicine
JUNE 30, 2023
Circulation: Genomic and Precision Medicine, Volume 16, Issue 5 , Page 483-485, October 1, 2023.
Open Heart
JUNE 30, 2023
Introduction Anxiety and pain associated with cardiac procedures can lead to worse outcomes and poor satisfaction. Virtual reality (VR) can offer an innovative approach to a more informative experience that may enhance procedural understanding and reduce anxiety. It may also provide a more enjoyable experience by controlling procedure-related pain and improving satisfaction.
Stroke: Vascular and Interventional Neurology
JUNE 27, 2023
Stroke: Vascular and Interventional Neurology, Volume 3, Issue 6 , November 1, 2023.
Becker's Hospital Review - Cardiology
JUNE 29, 2023
here are cardiologists stepping into new roles at heart centers in 2023
Ken Grauer, MD
JUNE 26, 2023
The ECG in Figure-1 was obtained from a young man with a history of rheumatic heart disease — who presented with “palpitations”. He was hemodynamically stable at the time this tracing was recorded. How would YOU interpret the ECG in Figure-1 ? How would you treat the patient? Figure-1: The initial ECG in today’s case. What is the rhythm? How would you treat the patient?
Dr. Smith's ECG Blog
JUNE 28, 2023
EMS was dispatched for a 30-something male who feels his heart is racing. Sudden onset. The patient had no previous medical history. Vitals were normal except for a heart rate of 226. A prehospital 12-lead was recorded: There is a regular wide complex tachycardia. The computer diagnosed this as Ventricular Tachycardia. Is it definitely VT?? The patient was given 6mg, then 12 mg, of adenosine, without a change in the rhythm.
Open Heart
JUNE 29, 2023
Background Atrial fibrillation (AF) represents a growing healthcare challenge, mainly driven by acute hospitalisations. Virtual wards could be the way forward to manage acute AF patients through remote monitoring, especially with the rise in global access to digital telecommunication and the growing acceptance of telemedicine post-COVID-19. Methods An AF virtual ward was implemented as a proof-of-concept care model.
Heart 2023 Conference
JUNE 24, 2023
According to the conclusion of a study published in EP Europace, nearly one-third of patients who had a device implanted to prevent sudden death suffered from anxiety within the first year while depression affected one in five. Study author Hannah Keage (University of South Australia, Adelaide, Australia) said: "The implantable defibrillator (ICD) is very good at prolonging a patient's life, but we need to make sure it is a good quality of life”.
Cardiometabolic Health Congress
JUNE 29, 2023
In August 2023, Cardiometabolic Health Congress will host the annual Women’s Cardiometabolic Health and Wellness Masterclass at the Laguna Cliffs Marriott Resort & Spa Informed by topics most relevant to cardiometabolic health providers, medical education leader Cardiometabolic Health Congress (CMHC) has announced another iteration of its Women’s Cardiometabolic Health and Wellness Masterclass.
Dr. Smith's ECG Blog
JUNE 30, 2023
These were texted to me only with "chest pain." First: 2nd: What was my response? Smith: Young thin black male. No OMI. Texter: Can't fool you. It was indeed. Queen: #1: NOT OMI, HIGH CONFIDENCE Queen: #2: NOT OMI, HIGH CONFIDENCE ECG 1 Interpretation: there is terminal T-wave in V3-V6. Is this Wellens' pattern A? No. this is classic Benign T-wave Inversion.
Open Heart
JUNE 29, 2023
Objective As thoracic aortic disease (TAD) is generally asymptomatic, biomarkers are needed to provide insight into early progression. We aimed to examine the association between circulating blood biomarkers and the maximal thoracic aortic diameter (TADmax). Methods In this cross-sectional study, consecutive adult patients with a thoracic aortic diameter ≥40 mm and/or genetically proven hereditary TAD (HTAD) visiting our specialised outpatient clinic between 2017 and 2020 were prospectivel
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