Dr. Smith's ECG Blog

AUGUST 17, 2022

I saw this EKG when reading through the system: What do you think? This is what I wrote: ATRIAL FIBRILLATION WITH RAPID VENTRICULAR RESPONSE RIGHT AXIS DEVIATION [QRS AXIS > 100] RIGHT BUNDLE BRANCH BLOCK MARKED ST DEPRESSION, CONSIDER SUBENDOCARDIAL INJURY "Severe ischemia (STE in I and aVL with reciprocal STD in inferior leads; precordial STD precordial maximal in V3): subendocardial ischemia vs. acute coronary occlusion.

Atrial Fibrillation 52

Atrial Fibrillation Ischemia AFIB Tachycardia 52

ECG Cases

AUGUST 16, 2022

Which patients with ECG evidence of coronary occlusion require a CT scan to rule out aortic dissection? What are the range of ECG findings in acute aortic dissection and how do they change management? Dr. Jesse McLaren guides us through 9 cases to answer these and other questions on ECG interpretation in aortic dissection. The post ECG Cases 34 – ECG Interpretation in Aortic Dissection appeared first on Emergency Medicine Cases.

Aortic 52

Aortic STEMI 52

EMS 12-Lead

AUGUST 14, 2022

David Didlake Acute Care Nurse Practitioner Firefighter / Paramedic @DidlakeDW A 50 y/o Male was taking his dog for a leisurely stroll through the park when he suddenly experienced new onset chest discomfort. He waited for it to subside, but after 30 minutes of persistence he called 911. EMS personnel found him seated on a bench, uncomfortable, but without gross distress.

STEMI 52

STEMI Sudden Cardiac Death Thrombosis Thrombolysis 52

Journal of Cardiovascular Pharmacology

AUGUST 18, 2022

Diabetic nephropathy (DN) is the most common complication of diabetes mellitus. Although G protein subunit beta 4 (GNB4)-derived circular RNA (circ-GNB4; hsa_circ_0068087) is a promising candidate biomarker in diabetes mellitus, whether circ-GNB4 participates in DN occurrence and development remains unknown. Herein, we focused on DN-associated human renal mesangial cells (HRMCs) injury, and HRMCs were exposed in high glucose (HG) condition.

Diabetes 40

Diabetes Biomarkers Article 40

HCM Beat

AUGUST 16, 2022

An expert panel comprised of many of the world's top HCM experts recently published a retrospective analysis which looked at septal myectomy over the last 60 years of practice. It concludes that myectomy remains the best treatment for patients with obstructive hypertrophic cardiomyopathy.

Cardiomyopathy 40

Cardiomyopathy Blog 40

ECG Cases

AUGUST 16, 2022

In this EM Quick Hits podcast: Anand Swaminathan on limitations and practical tips on intraosseus access,Tahara Bhate QI corner on missed ectopic pregnancy, Sarah Reid from EM Cases Summit on oxygen saturation monitoring in bronchiolitis and management of infant gastro-esophageal reflux, Brit Long on the value of rectal exam in diagnosis of cauda equina syndrome, Hans Rosenberg & Ariel Hendin on withdrawal of life-sustaining care in the ED.

Pediatrics 52

Pediatrics 52

Open Heart

AUGUST 19, 2022

Objective Area-level socioeconomic factors are known to associate with chances to survive out-of-hospital cardiac arrest (OHCA survival). However, the relationship between individual-level socioeconomic factors and OHCA survival in men and women is less established. This study investigated the association between individual-level income and OHCA survival in men and women, as well as its contribution to outcome variability and mediation by resuscitation characteristics.

Cardiac Arrest 52

Cardiac Arrest Hospital Outcomes 52