Sat.Sep 24, 2022 - Fri.Sep 30, 2022

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A meta-analysis of extended ECG monitoring in detection of atrial fibrillation in patients with cryptogenic stroke

Open Heart

Objective The aim of this systematic review is to evaluate the various modalities available for extended ECG monitoring in the detection of atrial fibrillation (AF) following a cryptogenic stroke. Methods MEDLINE (Ovid), EMBASE (Ovid), Cochrane Central Register of Controlled Trials (CENTRAL) were searched from January 2011 to November 2021. All randomised controlled trials and prospective cohort studies including the use of extended ECG monitoring >24 hours with a minimum duration of AF of 3

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Ep 174 Is Less More? Saving EM and Traumatic Pneumothorax – Highlights from CAEP 2022

ECG Cases

Emergency Medicine has undergone many changes over the last couple of decades and especially during the COVID pandemic. Most of these changes have been very positive, but increasing volumes, staff shortages, aging populations, increasing breadth of responsibilities and better access to more imaging have made some of us question how we should define the scope of our practices.

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Cardiac psychology and ectopic heartbeats

Dr. Sanjay Gupta

Written by Matthew Beadman Patients experiencing ectopic heartbeats are sometimes referred to a clinical psychologist. Patients often wonder what this means about their symptoms; could the cardiologist believe my ectopic beats are purely psychological or ‘all in my head?’ This brief article aims to address this common misconception and explains how cardiac specialist clinical psychologists aim to help people who are living with ectopic heartbeats.

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The latest CDC paper on vaccine myocarditis is NOT reassuring

Dr. Anish Koka

Today’s post on the latest COVID vaccine myocarditis paper gets a big assist from the wicked smart data visualization expert Josh Stevenson ( subscribe to his substack !) In August 2021, the CDC began a study to follow-up cases of myocarditis in the age group at highest risk for myocarditis after mRNA COVID-19 vaccination. The survey based study is deserving of a deeper dive, but the date of the publication of these studies is particularly galling because it means the CDC had this data whe

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Prevalence and clinical significance of arrhythmias during labour in women with structurally normal hearts

Open Heart

Objectives Examine the association between arrhythmias and adverse maternal outcomes in women with structurally normal hearts. Methods This was a case–control study of women admitted in labour to one of eight hospitals of Northwell Health from January 2015 to June 2021. After excluding women with structurally abnormal hearts, we identified women with an arrhythmic event and randomly subsampled the rest of the cohort to create a control group of 1025 patients.

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A Simple Score to Identify Increased Risk of Transthyretin Amyloid Cardiomyopathy in HF With Preserved EF

JAMA Cardiology

This retrospective cohort study attempts to derive and validate a simple transthyretin amyloid cardiomyopathy score to predict increased risk of transthyretin amyloid cardiomyopathy in patients with heart failure and preserved ejection fraction.

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Is the association of QTc with atrial fibrillation and stroke in cohort studies a matter of time?

Open Heart

Objectives To investigate the association of the heart rate-corrected QT interval (QTc) with the risk of atrial fibrillation (AF) and ischaemic stroke. Methods We estimated the risk of AF and ischaemic stroke associated with QTc duration (ms) by Cox regression in study participants from the cohort of 60-year-old men and women from Stockholm (60YO) (n=4232).

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Coronary Artery Calcium Test for Heart Disease Risk Assessment

JAMA Cardiology

This Patient Page describes what it means to have coronary heart calcium, why a clinician may recommend testing for it, and the benefits and risks of knowing your coronary heart calcium score.

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Why Glenn Kessler is completely wrong about ultrasounds and fetal heart beats

Dr. Anish Koka

There appears to be some confusion about ultrasounds and fetal heart beats. Stacy Abrams, a Georgia Democrat politician kicked off the recent festivities by stating : There is no such thing as a heartbeat at six weeks. It is a manufactured sound designed to convince people that men have the right to take control of a woman's body Conservatives “pounced” on the statement, spurring an editor of the Washington Post, (and resident fact checker!