Ken Grauer, MD

MARCH 23, 2023

The 12-lead ECG and long lead II rhythm strip shown in Figure-1 — was obtained from a previously healthy, elderly woman who collapsed in the hospital parking lot. She underwent cardiopulmonary resuscitation for VT/VFib — with ROSC ( R eturn O f S pontaneous C irculation ) following defibrillation and treatment with Epinephrine and Amiodarone. A series of cardiac arrhythmias were seen during the course of her resuscitation — including the interesting arrhythmia shown in the long lead II of Figure

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Open Heart

MARCH 24, 2023

Our perspectives on aortic stenosis (AS) are changing. Evolving from the traditional thought of a passive degenerative disease, developing a greater understanding of the condition’s mechanistic underpinning has shifted the paradigm to an active disease process. This advancement from the ‘wear and tear’ model is a result of the growing economic and health burden of AS, particularly within industrialised countries, prompting further research.

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Cassling

MARCH 24, 2023

2023 marks the five-year anniversary of the Cassling Leadership Institute. It’s shocking to think about how much has changed in healthcare in that relatively short amount of time. Staffing challenges have only grown fiercer even as managers and directors have to figure out ways to do more with less (less time, less team, less budget). Meanwhile, technology continues to progress at a breakneck pace, and patients and providers alike place more of a premium on experience than ever before.

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GEMMS

MARCH 21, 2023

There are many ways to ensure growth in your cardiology practice without being overworked and increasing your patient load. By updating your inefficient EHR system to one with an integrated billing systems, you could easily increase your revenue. Look to EHR technologies to optimize and automate internal tasks, improving your business operations and management.

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Ken Grauer, MD

MARCH 18, 2023

The ECG in Figure-1 was obtained from a man in his mid-60s — who presented with new chest pain. Should the cath lab be activated? Figure-1: T he initial ECG in today’s case. Should the cath lab be activated? MY Thoughts on the Initial ECG: The rhythm in ECG #1 — is sinus at ~70/minute. All intervals ( PR, QRS, QTc ) are normal. There is no chamber enlargement.

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Dr. Smith's ECG Blog

MARCH 20, 2023

Submitted by Dr. Caio Aguiar from Brazil, written by Pendell Meyers It is immensely rewarding to receive these emails, like I received from Dr. Aguiar last week: "Last year I had a couple of lessons with you while on my internship. I finished my residency of Emergency Medicine and I’m working at a great Emergency Department here in Brazil. Since then, I started looking for OMI EKG findings and not just STEMI.

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EMS 12-Lead

MARCH 19, 2023

David Didlake Acute Care Nurse Practitioner Firefighter / Paramedic (Ret) @DidlakeDW Expert contribution by Dr Robert Herman @RobertHermanMD @PowerfulMedical (Chief Medical Officer) An adult male called 911 for new-onset epigastric burning. Fire/EMS crews found him clammy and uncomfortable. Vital signs were noted to be unremarkable with respect to any hypo-hypertensive crisis, hypoxia, etc.

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Myocardial Infarction STEMI Coronary Angiogram Coronary Artery Disease 52

Cardiomatics

MARCH 23, 2023

There is no product without customers What makes a product a perfect fit for its audience and a company a successful player in the market? That’s a key question being asked in most companies, especially those operating in a fast-paced IT startup environment. There are different ways to achieve success: the range of product functionalities/services ; the quality and accuracy of the product; gathering and implementing users’ needs.

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Dr. Smith's ECG Blog

MARCH 19, 2023

This ECG was texted to me in real time, but I did not notice the message until about an hour after it came. "50 + yo. Concerning history, known CAD" Recorded 2 hours after pain onset: What do you think? This was my response: "This looks like a worrisome EKG. It looks like an Occlusion MI (OMI), but I am not 100% certain. But by now you must have a repeat ECG.

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Open Heart

MARCH 20, 2023

Objective To identify factors that independently predict the risk of rehospitalisation and death after acute heart failure (AHF) hospital discharge in a real-world setting, considering death without rehospitalisation as a competing event. Methods Single-centre, retrospective, observational study enrolling 394 patients discharged from an index AHF hospitalisation.

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Dr. Smith's ECG Blog

MARCH 24, 2023

Written by Jesse McLaren, with comments from Smith An 85 year old with a history of CAD presented with 3 hours of chest pain that feels like heartburn but that radiates to the left arm. Below is the ECG. What do you think? There’s sinus bradycardia, first degree AV block, normal axis, delayed R wave progression, and normal voltages. There’s minimal concave ST elevation in III which does not meet STEMI criteria, so this ECG is "STEMI negative".

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