Dr. Smith's ECG Blog

DECEMBER 23, 2022

I was working in triage very late when a 30 yo previously completely healthy woman walked in with 30 minutes of central chest pressure. This ECG was recorded: The computer called it "Normal" except for "Possible right ventricular conduction delay" What do you think? I immediately recognized an inferior-posterior-lateral OMI. There are hyperacute T-waves in II, III, and aVF.

Chest Pain 52

Chest Pain Critical Care STEMI Plaque 52

Cassling

DECEMBER 22, 2022

In 2022, a few key trends stuck out when reviewing Cassling's most popular articles. The latest technology advances were top of mind, as was patient experience, staffing, and more. In this recap, check out the Top 10 articles of the year to discover what had the imaging world abuzz in 2022.

Article 52

Article Technology Blog 52

Open Heart

DECEMBER 21, 2022

Aims We investigated the incremental advantage in terms of N-terminal pro-B-type natriuretic peptide (NT-proBNP) reduction in patients affected by heart failure with reduced ejection fraction (HFrEF) treated with sacubitril/valsartan (S/V) and mineralocorticoid receptor antagonists (MRA) versus patients treated with S/V only. Methods Consecutive adult patients with a left ventricular ejection fraction (LVEF) of ≤40% who were followed in our outpatient clinic from January 2016 to December 2

Heart Failure 52

Heart Failure Outpatient 52

Wellnest

DECEMBER 21, 2022

ECG machine use Most of us have been recommended an ECG test at least once. Any symptoms related to abnormal heart activity require an ECG test to rule out the cause. ECG and EKG refer to the same thing. However, an echocardiogram is a different test, also conducted for heart activity. An electrocardiogram is a machine used to record the heart's electrical activity.

Cardiac Arrest 52

Cardiac Arrest Heart attacks Heart Attack Atrial Fibrillation 52

Dr. Smith's ECG Blog

DECEMBER 22, 2022

by Emre Aslanger Dr. Aslanger is our newest editorial member. He is an interventional cardiologist in Turkey. Dr. Aslanger is also the author of the DIFFOCULT study: Emre K. Aslanger , a, ⁎ Özlem Yıldırımtürk , b Barış Şimşek , c Emrah Bozbeyoğlu , c Mustafa Aytek Şimşek , a Can Yücel Karabay , b Stephen W. Smith , d and Muzaffer Değertekin a DIFOCCULT: DIagnostic accuracy oF electrocardiogram for acute coronary OCClUsion resuLTing in myocardial infarction.

STEMI 52

STEMI Chest Pain Myocardial Infarction Electrocardiogram 52

ECG Cases

DECEMBER 20, 2022

In this month's Waiting to Be Seen blog Dr. Howard Ovens outlines challenges, innovations and coping strategies in the EM Crisis. The post WTBS 28 I’m OK, How Are You? How can we innovate our way out of this crisis in EM and cope until we do? appeared first on Emergency Medicine Cases.

Innovation 52

Innovation Blog 52

Dr. Sanjay Gupta

DECEMBER 19, 2022

Today’s video is on the subject of stroke and in particular cryptogenic strokes. A stroke is often a devastating occurrence for several reasons: A stroke can be life threatening and stroke is widely recognised as a leading cause of death worldwide A stroke can be disabling and can destroy a person’s quality of life A stroke can recur and cause more damage/death the next time.

Stroke 52

Stroke Strokes Blood Clot AFIB 52

Dr. Smith's ECG Blog

DECEMBER 18, 2022

Submitted and written by Quinton Nannet, MD, peer reviewed by Meyers, Grauer, Smith A woman in her 70s recently diagnosed with COVID was brought in by EMS after she experienced acute onset sharp midsternal chest pain without radiation or dyspnea. She felt nauseous and lightheaded with no neurologic deficits. EMS noted prehospital vitals for heart rates in the 60s, SPO2 of 98% on room air, initially hypotensive to 66/34 with improvement to 100/70 after 800 mL of IV fluids by EMS.

Chest Pain 52

Chest Pain Ischemia Aortic Aortic valve 52

ECG Cases

DECEMBER 20, 2022

Dr. Jesse McLaren discusses some key aspects of cocaine chest pain ECG interpretation in this month's blog including: Patients with cocaine-associated chest pain require benzodiazepines +/- nitroglycerine for symptom relief, aspirin and ECG to look for signs of occlusion and reperfusion. In patients with chest pain + ST elevation, consider false positive STEMI including early repolarization, LVH and Brugada-pattern.

Chest Pain 52

Chest Pain STEMI Blog Ischemia 52

Dr. Sanjay Gupta

DECEMBER 19, 2022

The term MINOCA stands for Myocardial infarction with non-obstructive coronary arteries. I’ll try and explain this a bit better by using a case study. A 50-year-old lady was admitted to my hospital with crushing chest tightness. She had an ECG which suggested changes in keeping with a lack of blood getting to the heart. She had a blood test to measure Troponin.

Heart attacks 40

Heart attacks Heart Attack Blood Clot Chest Pain 40

Open Heart

DECEMBER 21, 2022

Objectives The primary aim was to gain insight into the growth of the aortic root in children and young adults with Marfan syndrome (MFS). Furthermore, we aimed to identify a clinical profile of patients with MFS who require an aortic root replacement at a young age with specific interest in age, sex, height and fibrillin-1 ( FBN1 ) genotype. Methods Aortic root dimensions of 97 patients with MFS between 0 year and 20 years and 30 controls were serially assessed with echocardiography.

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Aortic 52

Dr. Smith's ECG Blog

DECEMBER 18, 2022

Written by Emre Aslanger (Emre is our newest editor. He is an interventionalist in Turkey and one of 3 originators of the OMI/NOMI paradigm, along with Pendell and Smith. Here are his publications.) Case A 39-year-old male without prior medical history presents with chest pain that started 2 hours prior to presentation. He says that the pain intensity was 10/10 at home but now about 4/10.

Myocardial Infarction 52

Myocardial Infarction Chest Pain Blog Echocardiogram 52

ECG Cases

DECEMBER 20, 2022

In this main episode podcast Anton discusses with world expert and bronchiolitis researcher Dr. Suzanne Schuh, the challenges of the diagnosis and management of bronchiolitis during a time of crisis in pediatric emergency medicine and offers some evidence-based solutions to improving outcomes while minimizing valuable resources, as part of our 'Best of University of Toronto EM' series.

Pediatrics 52

Pediatrics Research Outcomes 52

Dr. Sanjay Gupta

DECEMBER 19, 2022

A lady in her 60s recently consulted me. She was extremely concerned because she was facing a dilemma and she did not know what to do. Basically she had been to see her GP and because her cholesterol was found to be a little on the higher side, she was being strongly advised by her GP to take a Statin. My patient did not want to take Statins. Her argument was that she had never had a problem with her heart, did not have a family history of heart disease and therefore did not want to take medicat

Heart attacks 40

Heart attacks Heart Attack Quality of Life Cholesterol 40

Dr. Sanjay Gupta

DECEMBER 19, 2022

At first glance, the subject of heart disease can seem exceptionally complex – consisting of several different conditions, medical jargon and very scary sounding terminology. However when we really examine heart disease closely there are in general mainly 3 things that can go wrong with the heart and cause harm and if we know this then we are able to firstly understand the different conditions better but also get our head around why certain tests are done and what they tell us.

Heart Rhythm 40

Heart Rhythm Plaque Heart attacks Heart Attack 40

Dr. Sanjay Gupta

DECEMBER 19, 2022

Pericarditis refers to inflammation of the pericardium The pericardium is a sac within which the heart sits. This sac has 2 layers- known as the visceral and parietal layers separated by a potential space which contains about 10-50mls of fluid. Acute inflammation of this sac is known as acute pericarditis. If the inflammation spreads to the surface of the heart itself, it is termed myopericarditis.

Pericarditis 40

Pericarditis Heart attacks Heart Attack Chest Pain 40