Sat.Apr 29, 2023 - Fri.May 05, 2023

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ECG Blog #377 — Is the 1st ECG Normal?

Ken Grauer, MD

The patient whose initial ECG is shown in Figure-1 — is a middle-aged man who presented to the ED ( E mergency D epartment ) for new-onset CP ( C hest P ain ). He was hemodynamically stable at the time this tracing was done. The patient was still having CP at the time ECG #1 was obtained — although the severity of his CP was unclear ( ie, It is not known IF this patient’s CP was increasing — the same — or decreasing — at the time the ECG in Figure-1 was recorded ).

Blog 78
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How Templates Can Improve Efficiency in Cardiology Clinics

GEMMS

Templates are pre-designed forms or protocols that can be customized to meet the specific needs of a clinic or provider. They can improve the speed and accuracy of patient care and billing, leading to better diagnoses, more effective treatment plans, and ultimately better patient health outcomes. It’s no secret that healthcare continues to evolve.

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An Unusual Bradycardia

Dr. Smith's ECG Blog

= Case Presentation by K EN G RAUER, MD ( 5/5 /2023 ): — Edits by Drs. Meyers & Smith. = Dr. Smith was reading ECGs — and he sent myself and Dr. Meyers the tracing shown in Figure-1. At the time we did not yet know the history. What do YOU think? Figure-1: The initial ECG in today's case. No history yet. Our Initial Thoughts on the ECG in Figure-1: Dr.

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Felicia Vasser Receives the Bob Cassling Service Excellence Award

Cassling

Cassling employee and Executive Assistant, Felicia Vasser, was recently recognized as the recipient of the company’s most esteemed honor, the Bob Cassling Service Excellence Award. Named for the company’s founder, Bob Cassling, the award is presented to an individual who goes above and beyond in exemplifying the organization’s culture and values.

Blog 52
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Environmental impact of cardiovascular healthcare

Open Heart

Importance The healthcare sector is essential to human health and well-being, yet its significant carbon footprint contributes to climate change-related threats to health. Objective To review systematically published studies on environmental impacts, including carbon dioxide equivalent (CO 2 e) emissions, of contemporary cardiovascular healthcare of all types, from prevention through to treatment.

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Reaching the Underserved in Rural America

The Beat Blog

A closer look at how cardiovascular care is changing across the country. Throughout my career, I’ve witnessed a lot of changes in healthcare. One constant over my thirty years of experience is that things do not stay the same. I’ve worked with hospitals, provider groups and payers – trying to help drive the right type of access, care, and value across the healthcare continuum.

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A woman in her 60s with large T-waves. Are they hyperacute, hyperkalemic, or something else?

Dr. Smith's ECG Blog

Case written by Brandon Friedman M.D., edits by Meyers A woman in her 60s with a history of chronic atrial fibrillation on Eliquis, ESRD on hemodialysis, type-II diabetes mellitus, prior CVA, hypertension, and hyperlipidemia presented to the emergency department with multiple complaints after missing dialysis. She described a feeling of general unwellness, diarrhea, right-sided abdominal pain, bilateral leg pain, bilateral leg swelling, and diffuse itching.

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Systematic coronary physiology improves level of agreement in diagnostic coronary angiography

Open Heart

Objective The training of interventional cardiologists (ICs), non-interventional cardiologists (NICs) and cardiac surgeons (CSs) differs, and this may be reflected in their interpretation of invasive coronary angiography (ICA) and management plan. Availability of systematic coronary physiology might result in more homogeneous interpretation and management strategy compared with ICA alone.

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ABMS Maintenance of Certification – Its Origins, Realities, and Implications for Medicine – Part II

Dr. Wes

This piece first appeared on Sensible Med on 5/3/2023. The Legal Challenges to ABMS Maintenance of Certification ABMS board certification is not voluntary (despite ABMS member board claims), especially as specialization in medicine is the norm today.

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A 50-something with acute chest pain, a computer "Normal" ECG, and a HEART score of 3 (low risk)

Dr. Smith's ECG Blog

A 50-something with no previous cardiac history and no risk factors presented to the ED with acute chest pain (pressure) that radiated to the left arm. An ECG was immediately recorded: Computer read: Normal ECG What do you think? There is ST depression in V1-V3. We showed that this is diagnostic of OMI (of the posterior wall). Moreover, there is ST elevation in V6 (which is getting close to the location of posterior lead V7).

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Annals Short Reports

Society of Thoracic Surgeons - Research

Annals Short Reports dkaczmarek Fri, 05/05/2023 - 13:15 Scroll to top Current Issue Image Read the current issue. Submit a manuscript. Follow Annals Short Reports on Twitter Customized Content Subscribe to any of 12 specially curated topic collections from Annals of Thoracic Surgery Short Reports and receive the content that matters most to you, delivered straight to your inbox.

Article 52
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Randomised trial of stable chest pain investigation: 3-year clinical and quality of life results from CE-MARC 2

Open Heart

Aims Guidelines for suspected cardiac chest pain have used historical risk stratification tools, advocating invasive coronary angiography (ICA) first-line in those at highest risk. We aimed to determine whether different strategies to manage suspected stable angina affected medium-term cardiovascular event rates and patient-reported quality of life (QoL) measures.

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High burden of rheumatic heart disease confirmed by echocardiography among Pacific adults living in New Zealand

Open Heart

Background Despite numerous echocardiographic screening studies of children in high incidence acute rheumatic fever (ARF)/rheumatic heart disease (RHD) communities, little is known about the prevalence of RHD in adults in these populations. We sought to determine the prevalence of RHD in an urban area of South Auckland, New Zealand, where previous studies had shown the prevalence of RHD in children to be around 2%.

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Identification of an increased lifetime risk of major adverse cardiovascular events in UK Biobank participants with scoliosis

Open Heart

Background Structural changes caused by spinal curvature may impact the organs within the thoracic cage, including the heart. Cardiac abnormalities in patients with idiopathic scoliosis are often studied post-corrective surgery or secondary to diseases. To investigate cardiac structure, function and outcomes in participants with scoliosis, phenotype and imaging data of the UK Biobank (UKB) adult population cohort were analysed.

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Long-term stress conditions and out-of-hospital cardiac arrest risk: a nested case-control study

Open Heart

Objective Patients with stress-related disorders and anxiety are at increased risk of developing cardiovascular disease. However, the risk of out-of-hospital cardiac arrest (OHCA) is scarcely investigated. We aimed to establish whether long-term stress (post-traumatic stress disorder, adjustment disorder) or anxiety is associated with OHCA in the general population.