Cassling
AUGUST 11, 2023
With more than two decades of experience on the Cassling service team, Shawn stands ready to lead the organization in delivering unmatched OEM service and response times on Siemens Healthineers systems while expanding the company’s ability to provide vendor-agnostic service across the Midwest.
Dr. Smith's ECG Blog
AUGUST 6, 2023
This may be my best lecture yet. I gave it virtually to the Kaiser group. You can access it also on the "Lectures and Podcasts" link on the Banner above. [link] == MY Comment, by K EN G RAUER, MD ( 8/6 /2023 ): == Brilliant talk by Dr. Smith on the state of the art addressing the “need for OMI — and the fallacy of STEMI”. For skeptics ( including cardiologists ) — Any questions about “Who is Dr.
Ken Grauer, MD
AUGUST 11, 2023
I was sent the ECG in Figure-1 , with a request for my opinion — without the benefit of any history. How would YOU interpret the ECG in Figure-1 ? What might you suspect clinically? Figure-1: The initial ECG in today’s case. ( To improve visualization — I've digitized the original ECG using PMcardio ). MY Thoughts on the ECG in Figure-1: In these days of widespread smart phone availability — transmission of ECGs to request expert opinion is an increasingly used practice, that on many occasions o
ECG Cases
AUGUST 8, 2023
In this ECG Cases blog with Dr. Jesse McLaren we interpret 10 ECG cases and explore cardiac, metabolic and GI causes: We consider anginal equivalents, and look for ECG signs of Occlusion MI, including subacute occlusion from delayed presentations. We consider electrolyte disturbances and look for ECG signs of hyperkalemia or hypokalemia/hypomagnesemia, and we consider the differential of diffuse ST depression with reciprocal ST elevation in aVR, and false positive STEMI.
Open Heart
AUGUST 10, 2023
Background Atrial fibrillation (AF) is common in individuals with heart failure (HF). Individuals with HF and AF may have a reduced functional capacity and quality of life (QoL) which leads to hospital admission and burden on clinical services. Evidence supported the effect of exercise training in individuals with HF. However, there is no existing data on the effectiveness of comprehensive cardiac rehabilitation (CR) in individuals with coexisting HF and AF.
CineECG
AUGUST 10, 2023
In a recent podcast from Mayo Clinic Cardiovascular services the focus was on Artificial Intelligence and especially the challenges in AI based ECG interpretation. In this podcast (click on the link for the full podcast) Dr. Anthony Kashou MD talks with Doctors Gari Clifford and Reza Sameni. Both are AI and ECG experts and work at the Emori University (Atlanta, Georgia USA).
ECG Guru
AUGUST 10, 2023
Here we see the EKG of a 15-year-old girl. The rhythm is irregular, with the heart rate fluctuating between approximately 60 and 90 beats per minute. All P-waves are identical, and the PR interval is always constant. Therefore, a sinus arrhythmia is present. In this case, it is a respiratory sinus arrhythmia, which is commonly found in younger individuals.
Cardiovascular Update brings together the best content for cardiovascular medicine professionals from the widest variety of industry thought leaders.
Open Heart
AUGUST 10, 2023
Objectives Assessment of frailty prior to aortic valve intervention is recommended in European and North American valvular heart disease guidelines. However, there is a lack of consensus on how it is best measured. The Clinical Frailty Scale (CFS) is a well-validated measure of frailty that is relatively quick to calculate. This meta-analysis sought to examine whether the CFS predicts mortality and morbidity following either transcatheter aortic valve implantation (TAVI) or surgical aortic valve
Dr. Paddy Barrett
AUGUST 8, 2023
Albert Einstein famously referred to compound interest as the 8th wonder of the world. It is a powerful example of exponential growth. This is why investing in your financial pension from a young age, even in small amounts, is such a powerful retirement tool. Just $10,000 left to compound annually for 35 years at 5% interest will be worth $55,000. If you were to add $250 per month over the same 35 years to that same plan, it would be worth $326,000 1.
ECG Cases
AUGUST 8, 2023
In this Part 1 of our 2-part podcast series on dental emergencies, with the help of Dr. Chris Nash and Dr. Richard Ngo, we tackle these atraumatic dental emergencies: infections ranging from dental caries to pulpitis and gingivitis to dental abscess, cellulitis and deep space infection, as well as acute necrotizing gingivitis, pericoronitis and dry socket.
Society of Thoracic Surgeons - Early Career
AUGUST 8, 2023
Blog Accepting Speaking Engagements Outside of Your Niche: Should You Do It? KCummings Tue, 08/08/2023 - 10:43 Resident / Fellow Image Mara Antonoff, MD Image Olugbenga Okusanya, MD While establishing a niche gets us recognized across the healthcare field, many of us get asked to give talks on topics outside of our niche. The question is, how should you handle these requests?
Open Heart
AUGUST 10, 2023
Background Administrative data are frequently used to study cardiovascular disease (CVD) risk in women with hypertensive disorders of pregnancy (HDP). Little is known about the validity of case-finding definitions (CFDs, eg, disease classification codes/algorithms) designed to identify HDP in administrative databases. Methods A systematic review of the literature.
ECG Guru
AUGUST 5, 2023
We see the EKG of an 81-year-old patient with a pacemaker; the PM was briefly deactivated to assess the patient's intrinsic heart rhythm. At the beginning of the EKG, there is already a prolonged AV conduction time, which progressively lengthens from beat to beat. The last conducted P-wave has a PR interval of nearly 800 ms (!). The next P-wave is blocked, but the subsequent displayed P-waves are conducted again, with the PR interval increasing from beat to beat.
Heart Sisters
AUGUST 6, 2023
The freshly-diagnosed heart patient often staggers from the shock of being hospitalized to the shock of being discharged before feeling ready to return home.
Science Daily - Stroke
AUGUST 10, 2023
Nano-sized particles released by red blood cells reduce inflammation and fat deposition in immune cells, potentially paving the way for new methods of treating atherosclerosis.
Open Heart
AUGUST 11, 2023
Background: The heart failure (HF) virtual consultation (VC) is an eHealth tool for delivery of peer-to-peer specialist advice to general practitioners (GPs) to discuss HF diagnosis/management. We aim to investigate the impact of the VC service on onward referral rate and quality of assessment by GPs, as well as assess VC patient characteristics; Clinical Frailty Score (CSF), age and morbidity.
HeartRhythm
AUGUST 10, 2023
The subcutaneous implantable cardioverter-defibrillator (S-ICD) delivers 80 J shocks from an 8 cm left-parasternal coil to a 59 cm3 left lateral pulse generator (PG). A system that defibrillates with lower energy could significantly reduce PG size. Computer modeling and animal studies suggested that a second shock coil either parallel to the left-parasternal coil or transverse from the xiphoid to the PG pocket would significantly reduce the defibrillation threshold.
Journal of Cardiovascular Pharmacology
AUGUST 9, 2023
The Janus kinase (JAK)-signal transducer and activator of transcription (STAT) pathway plays a critical role in the pathogenesis of many immune-mediated inflammatory diseases (IMIDs). Although Janus kinase inhibitors (JAKi) are an effective treatment for several IMIDs, they have come under scrutiny as a class due to a potential risk of venous thromboembolism (VTE) and cardiovascular (CV) events, specifically noted with the oral JAKi, tofacitinib, as reported in the ORAL Surveillance Trial of a h
Science Daily - Stroke
AUGUST 10, 2023
Partial recovery after ischemic stroke is possible, but the mechanisms involved in this process remain unclear. Researchers identified a whole new pathway promoting brain repair. They discovered lipids secreted from neurons surrounding the area of cell death can trigger brain-autonomous neural repair after ischemic brain injury. These findings might contribute to developing new compounds to stimulate the brain's intrinsic repair mechanisms.
Stroke: Vascular and Interventional Neurology
AUGUST 8, 2023
Stroke: Vascular and Interventional Neurology, Volume 3, Issue 6 , November 1, 2023. BackgroundThe Rapid Arterial oCclusion Evaluation (RACE) score can identify patients with anterior circulation large‐vessel occlusion (aLVO) ischemic stroke for transportation to a comprehensive stroke center for endovascular thrombectomy. However, patients with intracranial hemorrhage (ICH) may also benefit from direct transportation to a comprehensive stroke center for neurosurgical treatment.
Open Heart
AUGUST 7, 2023
Objective Ebstein’s anomaly is a rare congenital cardiac condition and data regarding pregnancy outcomes in this patient group are scarce. We evaluated the maternal and perinatal risks of pregnancy in 81 women with Ebstein’s anomaly. Methods The Registry of Pregnancy and Cardiac disease is a prospective global registry of pregnancies in women with structural cardiac disease.
Journal of Cardiovascular Electrophysiology
AUGUST 7, 2023
Abstract A vast amount of now well-established clinical and epidemiological data indicates a close, interdependent, and symbiotic association between atrial fibrillation (AF) and heart failure (HF). Both AF and HF, when co-exist in a patient, have serious treatment and prognostic implications. Based on the prevailing knowledge of the topic, various societies have issued a number of guidelines regarding the management of patients with AF and HF.
Science Daily - Stroke
AUGUST 10, 2023
Scientists can finally hunt down a harmful kind of human T cell. Immune cells called ex-T regulatory cells (exTregs) tend to be rare in the body and, so far, impossible to detect in human samples. A new study gives scientists a reliable way to find human exTregs and provides a window into how exTregs contribute to inflammation and cardiovascular disease.
Stroke: Vascular and Interventional Neurology
AUGUST 8, 2023
Stroke: Vascular and Interventional Neurology, Ahead of Print. The burden of acute ischemic stroke varies among racial and ethnic groups. Black adults face a higher incidence of stroke as well as higher rates of mortality. Thrombolytic therapy is under‐utilized in Black adults, and recent data show that endovascular thrombectomy is also under‐utilized for Black and Hispanic adults in the United States.
Dr. Smith's ECG Blog
AUGUST 10, 2023
Case submitted and written by Dr. Mazen El-Baba and Dr. Emily Austin, with edits from Jesse McLaren A 50 year-old patient presented to the Emergency Department with sudden onset chest pain that began 14-hours ago. The nurse alerted the MD because the patient was still symptomatic, diaphoretic and “looking unwell”. What do you think? ECG interpretation: sinus rhythm, normal conduction (PR, QRS, and QTc), normal axis, delayed R-wave progression, and normal voltages.
Stroke: Vascular and Interventional Neurology
AUGUST 8, 2023
Stroke: Vascular and Interventional Neurology, Ahead of Print. BACKGROUNDIn 2019 and 2020, 2 randomized trials of basilar artery occlusion (BAO) thrombectomy reported no improvement in functional outcomes with thrombectomy, despite observational evidence and weak guidelines recommending thrombectomy. The objective of this study was to assess whether neutral clinical trials may have influenced BAO thrombectomy practice.METHODSThe National Inpatient Sample (2018–2020) was queried for US patients w
Science Daily - Stroke
AUGUST 8, 2023
The world of at-home stroke rehabilitation is growing near, after the development of an EEG headset that connects the brain of stroke patients to powered exoskeletons for rehabilitation purposes.
Science Daily - Stroke
AUGUST 7, 2023
Today in the U.S., a child with risk factors for heart disease (high blood pressure, overweight, etc.) can wait close to a year to see a cardiologist because of high demand and limited resources. This is precious time that could be spent managing their conditions to help them avoid having a heart attack or stroke at a young age. A new study from Northwestern University and the Ann & Robert H.
Science Daily - Stroke
AUGUST 7, 2023
Researchers have uncovered a potential route to developing the first ever drug treatments for vascular dementia that directly target a cause of the condition. The research has shed light on how high blood pressure causes changes to arteries in the brain, a process that leads to the devastating condition.
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