Sat.Nov 05, 2022 - Fri.Nov 11, 2022

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An elderly woman with acute vomiting, presyncope, and hypotension, and a wide QRS complex

Dr. Smith's ECG Blog

Written by Pendell Meyers Family of an elderly woman with many comorbidities called EMS when she suddenly experienced shortness of breath, nausea, vomiting, and near syncope. She was alert and oriented and hypotensive with initial BP 70/50. A 12 lead ECG was obtained by EMS and is shown below: What do you think? There is sinus tachycardia (do not be fooled into thinking this is VT or another wide complex tachycardia!

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New FDA-Approved Aortic Technologies

Society of Thoracic Surgeons - Technology

Webinar New FDA-Approved Aortic Technologies kchalko Thu, 11/10/2022 - 12:30 November 3, 2022 Recent approvals by the U.S. Food and Drug Administration (FDA) have made available two new technologies for treating aortic disease. The GORE® TAG® Thoracic Branch Endoprosthesis (TBE) is single-branch aortic stent graft that provides an off-the-shelf solution for patients that need zone II aortic coverage and obviates the need for prior left subclavian revascularization.

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How Much Does an MRI Scanner Cost?

Cassling

Purchasing a new MRI scanner can be a lengthy, daunting process. Making the right decision means considering multiple options, features, and capabilities, then choosing the one system that is just right for your needs. You’ll likely consider a number of MRI vendors, each of whom claim to have the best technology, service and support. No pressure at all, right?

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ECG Cases 37 ECG interpretation in electrolyte emergencies

ECG Cases

While most of us have a clear algorithm in our minds for the management of life-threatening hyperkalemia, the same may not be said about the other life-threatening electrolyte abnormalities. In this ECG Cases blog Dr. Jesse MacLaren gives us an approach to potassium, calcium and magnesium abnormalities including risk factor assessment, ECG interpretation and management pearls.

Blog 52
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I was shown this ECG without any information. What do you think?

Dr. Smith's ECG Blog

I was shown this ECG; "Steve, what do you think of this?": What is going on? I said: "This is pulse tapping artifact and a long QT" Why did I say that? Whenever you see a very bizarre EKG, you should think about pulse tapping artifact. This is when one of the limb lead electrodes is placed over an artery, especially when placed over a dialysis fistula.

Article 52
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Changes in platelet function and coagulation after transcatheter aortic valve implantation evaluated with thromboelastography

Open Heart

Introduction The possibility of hypercoagulability during the perioperative period of transcatheter aortic valve implantation (TAVI) has been noted; however, there is still a controversy regarding the appropriate perioperative antithrombotic therapy. The study investigated coagulation and platelet functions during the TAVI perioperative period using thromboelastography (TEG) 6s platelet mapping.

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We Love Our Heart

Dr. Malcolm Kendrick

6th November 2022 Ivor Cummins and me, and our part in Big Pharma’s downfall… Ivor Cummins and Mark Felsted are running another conference looking at the causes of cardiovascular disease. I shall be speaking and presenting a few more thoughts. For example, why has the rate of CVD shot up in the last eighteen months? Possibly explanations? I hope you can attend, and you will all hopefully learn something new, and help us in our endless quest to derail the big pharma leviathan – or perhaps scratch

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America, the intolerant

Dr. Anish Koka

Historically, the great tension between liberty and authority was between government as embodied by the ruling class and its subjects. Marauding barbarians and warring city-states meant that society endowed a particular class within society with great powers to protect the weaker members of society. It was quickly recognized that the ruling class could use these powers for its own benefit on the very people it was meant to protect, and so society moved to preserve individual liberties first by r

Article 52
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Design and rationale of the inferior vena CAVA and Lung UltraSound-guided therapy in Acute Heart Failure (CAVAL US-AHF Study): a randomised controlled trial

Open Heart

Background Between 25% and 30% of patients hospitalised for acute heart failure (AHF) are readmitted within 90 days after discharge, mostly due to persistent congestion on discharge. However, as the optimal evaluation of decongestion is not clearly defined, it is necessary to implement new tools to identify subclinical congestion to guide treatment.

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Impact of virtual reality on cardiac rehabilitation-related anxiety: a protocol for systematic review and meta-analysis

Open Heart

Introduction Cardiac rehabilitation has proven beneficial in cardiovascular patients and is strongly recommended for secondary prevention after a coronary event. However, overall utilisation of cardiac rehabilitation is often low. The addition of novel methods of rehabilitation may increase overall compliance with cardiac rehabilitation. The use of virtual reality (VR) has been adopted in a variety of therapeutic ways such as physical rehabilitation in neurological diseases, rehabilitation for v