Sat.Dec 31, 2022 - Fri.Jan 06, 2023

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A Beginner’s Guide to the Heart’s Structure

MIBHS

The heart is the symbol of love, affection, and intimacy for many. However, not everyone knows much about the actual the heart’s structure. What is the difference between a valve and a chamber? What are the major arteries and veins? If you don’t know the answers to these questions, then this is blog is going to answer all of your questions about the heart’s structure.

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The 3 biggest challenges in analyzing Holter ECG signals – see if you are also struggling with them. (Part 1).

Cardiomatics

An increasing workload, stress, and a huge feeling of responsibility for patients’ lives. Sound familiar? Manual ECG analysis is a traditional and widely used method for Holter ECG examination. The results of such analysis mainly depend on the knowledge, skills, and vigilance of the doctor carrying it out. However, cardiologists and other healthcare professionals are exposed to a lot of stress and time pressure, which can sometimes lead to unintentional mistakes.

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Deep learning-based prediction of future myocardial infarction using invasive coronary angiography: a feasibility study

Open Heart

Background Angiographic parameters can facilitate the risk stratification of coronary lesions but remain insufficient in the prediction of future myocardial infarction (MI). AIMS We compared the ability of humans, angiographic parameters and deep learning (DL) to predict the lesion that would be responsible for a future MI in a population of patients with non-significant CAD at baseline.

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EM Quick Hits 45 ETCO2 in Cardiac Arrest, Organ Donation, Paraphimosis, Medicolegal Myths, QI Corner

ECG Cases

Understanding why ETCO2 is recommended in cardiac arrest with Swami, practical steps to organ donation in the ED with Dr. Andrew Healy, using your hospital food court to treat paraphimosis, rectal prolapse and food bolus obstruction with Dr. Sarah Foohey, QI Corner with Dr. Tahara Bhate, 4 Medicolegal Myths with Dr. Jennifer C. Tang on this month's EM Quick Hits podcast.

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Cardiology update: Should mRNA vaccine myocarditis be a contraindication to future COVID-19 vaccinations ?

Dr. Anish Koka

Myopericarditis is a now a well reported complication associated with Sars-Cov-2 (COVID-19) vaccinations. This has been particularly common with the messenger RNA (mRNA) vaccines (BNT162b2 and mrna-1273), with a particular predilection for young males. Current guidance by the Australian government “technical advisory groups” as well as the Australian Cardiology Society suggest patients who have experienced myocarditis after an mRNA vaccine may consider a non-mRNA vaccine once “

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Drug regulation – How does it work?

Dr. Malcolm Kendrick

31st December 2022 Before laying into the drug regulators, and their inexorable move towards the dark side, I thought I should try to explain a bit more about who decides what drugs should be used, and for what conditions. Yes, I know, for most people this appears simple. The Federal Drugs Administration (FDA), in the US, or the European Medicines Agency (EMA), for the European Union, approve drugs for use in human beings, and that’s pretty much that.

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A woman in her 50s with acute chest pain

Dr. Smith's ECG Blog

Submitted and written by Anonymous, edits by Meyers and Smith A 50s-year-old patient with no known cardiac history presented at 0045 with three hours of unrelenting central chest pain. The pain was heavy, radiated to her jaw with an associated headache. Triage VS: 135/65 mmHg, 95 bpm, 94% on room air, 16/min, 98.6 F Triage ECG: ECG Interpretation: Sinus rhythm with normal QRS.

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Young athletes growing heart: sex differences in cardiac adaptation to exercise training during adolescence

Open Heart

Background Athlete’s heart is a condition of exercise-induced cardiac remodelling. Adult male endurance athletes more often remodel beyond reference values. The impact of sex on remodelling through adolescence remains unclear. Paediatric reference values do not account for patient sex or exercise history. We aimed to study the effect of sex on cardiac remodelling throughout adolescence.

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An ECG which is obviously diagnostic of OMI can appear wholly non-specific to most interpreters. A comment on AI.

Dr. Smith's ECG Blog

This was texted to me by a former resident, with no information: What do you think? Here Ken Grauer has used the PM Cardio app to improve the image: This was my immediate response: "Acute proximal LAD OMI" To me it is obvious and diagnostic. There are hyperacute T-waves in I, aVL, V2-V6. These are wide, bulky, with large area under the curve relative to the QRS size.

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