Sat.Jan 21, 2023 - Fri.Jan 27, 2023

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ECG Blog #359 — How Many Beats in the 12-Lead?

Ken Grauer, MD

The ECG in Figure-1 was obtained from a previously healthy older man — who complained of chest pain and “lightheadedness” while this tracing was recorded. He was not hypotensive. His chest pain had begun the night before. In view of this history — How would YOU interpret the ECG in Figure-1 ? A total of 12 beats are seen in the long lead II rhythm strip.

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What is this Rhythm?

Dr. Smith's ECG Blog

= My Comment by K EN G RAUER, MD ( 1/26 /2023 ): = While reading ECGs — Dr. Smith came across the intriguing tracing shown in Figure-1. No history was available. However, the rhythm is indeed challenging — and illustrates a number of important principles in rhythm interpretation of interest to all emergency care providers. How would YOU interpret the ECG in Figure-1 ?

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The 3 biggest challenges in analyzing ECG signals – see if you are also struggling with them. (Part 3).

Cardiomatics

Holter ECG analysis available anytime and anywhere, in just 4 clicks. Is it possible? In this series of articles, we have already revealed two major challenges that cardiologists are struggling with in their daily practice. These are the inaccuracy and the time-consuming nature of manual Holter ECG analysis. Now it’s time to uncover the last challenge that we discovered cooperating with hundreds of cardiologists and practitioners from more than 15 countries.

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“This Should Never Be an Arranged Marriage” — Surgeon + Intensivist

Society of Thoracic Surgeons - Critical Care

News “This Should Never Be an Arranged Marriage” — Surgeon + Intensivist eacevedo Sat, 01/21/2023 - 23:47 3 min read

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'My people perish for lack of knowledge: barriers and facilitators to integrated HIV and hypertension screening at the Kenyatta National Hospital, Nairobi, Kenya

Open Heart

Introduction HIV and cardiovascular disease (CVD) are the two main causes of death in Kenya with hypertension as CVD’s leading risk factor and HIV infection a risk factor for hypertension. We qualitatively evaluated the feasibility of integrated HIV and hypertension screening at Kenyatta National Hospital. Methods We conducted two focus group discussions (FGDs) in November 2020 (female FGD: n=7; male FGD: n=8) to elicit facilitators, barriers and viability of integrated diagnosis and manag

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Chest pain, and Cardiology didn't take the hint from the ICD

Dr. Smith's ECG Blog

Submitted and written by Megan Lieb, DO with edits by Bracey, Smith, Meyers, and Grauer A 50-ish year old man with ICD presented to the emergency department with substernal chest pain for 3 hours prior to arrival. The screening physician ordered an EKG and noted his ashen appearance and moderate distress. Triage EKG: What do you think? Triage physician interpretation: -sinus bradycardia -lateral ST depressions While there are lateral ST depressions (V5, V6) the deepest ST depressions are in V4.

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Tips to Help Improve Your Cholesterol

AMS Cardiology

We all want to be heart-healthy and ensuring our cholesterol levels are in the normal range is one of the most critical steps. High cholesterol can increase your risk of severe conditions like heart disease and heart attacks. Medications can improve your cholesterol but if you’re already on them, several simple lifestyle changes can be incorporated into your routine to help lower your levels.

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Localising culprit artery in inferior STEMI

Open Heart

Background ST elevation myocardial infarction (STEMI) represents a cardiac emergency. Time to diagnosis, identification of culprit lesion, and intervention are important. Inferior STEMI represents a dilemma for cardiologists. The territory can be supplied by the right coronary artery (RCA) or the left circumflex coronary artery (LCx). Diagnostic algorithms have been proposed to predict the culprit artery.

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Unconscious + STEMI criteria: activate the cath lab?

Dr. Smith's ECG Blog

Case submitted and written by Dr. Mazen El-Baba and Dr. Evelyn Dell, with edits from Jesse McLaren EMS brought a John Doe, in his 30s, who was found in an urban forest near a homeless encampment on a cool fall day. There were no signs of trauma on scene or on the patient. EMS reported an initial GCS of 8 with pupils equal and reactive. The patient had a witnessed generalized tonic-clonic seizure leading to GCS 4.

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