ECG Guru

JULY 24, 2023

This is a "classic" ECG of very good quality for you to use in a classroom setting. The Patient: A 57-year-old man who complains of a sudden onset of "sharp" chest pain while on a long bike ride. The pain does not radiate, and nothing makes it worse or better. He is pale, cool, and diaphoretic. His medical history is unknown. The ECG: This ECG could be considered "classic" for an inferior wall ST elevation M.I. caused by occlusion of the right coronary artery.

Chest Pain 98

Chest Pain STEMI Ischemia Outcomes 98

Ken Grauer, MD

JULY 22, 2023

The ECG in Figure-1 was obtained from an elderly man with a history of coronary disease — who contacted EMS for "burning" chest discomfort that woke him at 3am. Unlike his "usual" anginal episodes — this chest discomfort was not relieved by NTG. Some amount of time passed at home — during which his chest discomfort persisted The patient was hemodynamically stable at the time he was seen by EMS, when ECG #1 was recorded.

Blog 78

Blog Chest Pain STEMI AFIB 78

Dr. Smith's ECG Blog

JULY 22, 2023

Written by Pendell Meyers A man in his 70s with no cardiac history presented with acute weakness, syncope, and fever. He denied chest pain or shortness of breath. An ECG was performed in the ED at 1554: Original image unavailable, this is the only recorded scanned ECG available. See below for PM Cardio digitized version of this. PM Cardio digitized version.

Chest Pain 70

Chest Pain Heart Rhythm Sudden Cardiac Death Dysrhythmia 70

Learning + Leading

JULY 27, 2023

The pharmacy technician shortage is a significant challenge facing the healthcare industry. It is putting a strain on pharmacists, pharmacy operations and patient care delivery.

Patient Care 52

Patient Care 52

Open Heart

JULY 28, 2023

Purpose The purpose of this meta-analysis is to compare the magnitude of the changes in left ventricular ejection fraction (LVEF) and cardiac magnetic resonance (CMR) relaxometry techniques soon after the completion of anthracycline therapy. Anthracyclines are associated with myocardial functional and morphological changes. LVEF is currently used to identify the functional changes.

52

52

Medical Xpress - ECG

JULY 26, 2023

A new deep learning application provides an automated screening method for left ventricular (LV) systolic dysfunction. The condition substantially reduces the pumping capacity of the heart and is associated with frequent hospitalizations and a twofold risk of premature death. LV dysfunction is preventable with timely detection and initiation of medications.

Innovation 52

Innovation Hospital 52

Dr. Smith's ECG Blog

JULY 27, 2023

This 29 year old African American patient was found down, unconscious, not breathing and was given 2 mg of intranasal naloxone by a bystander. He then received bag-valve-mask ventilations for several minutes until he became responsive. He had a prehospital ECG that was worrisome to the medics, so they called me to see him at the door. On arrival to the ED, the patient was diaphoretic, tachycardic. and had dilated pupils.

Tachycardia 52

Tachycardia Ischemia Cardiac Arrest Echocardiogram 52

ECG Guru

JULY 26, 2023

This is the ECG of an 81-year-old man with hypertension. Currently, he has no complaints: no palpitations, no shortness of breath, no syncope, no chest pain. The rhythm is irregular, but all P-waves have the same shape. There is a non-respiratory sinus arrhythmia present, which is essentially the minimal variant of a sick sinus syndrome. There are no consequences for the patient resulting from this diagnosis.

Arrhythmia 52

Arrhythmia Chest Pain Hypertension 52

GEMMS

JULY 25, 2023

Cardiology is an evolving field, and staying ahead with the latest technological advancements is paramount in delivering efficient, top-notch care. Embracing and implementing cutting-edge technologies allows cardiologists to provide the highest quality care and stay at the forefront of medical advancements. Electronic Health Record (EHR) software has revolutionized the way cardiology clinics and healthcare facilities manage patient data, streamline workflows, and improve overall practice efficie

Cardiovascular Imaging 52

Cardiovascular Imaging Technology Innovation Patient Care 52

Dr. Smith's ECG Blog

JULY 26, 2023

This patient presented with vertigo and had an ECG recorded What do you think? I saw this and was worried about inferior OMI due to some subtle STE in III with very worrisome reciprocal findings in aVL. But the well-formed Q-wave and the presence of a normal T-wave in inferior leads led me to believe this was Old Inferior MI with persistent ST Elevation, otherwise known as inferior LV aneurysm.

Aneurysm 52

Aneurysm Chest Pain STEMI Bradycardia 52

Learning + Leading

JULY 25, 2023

As a health sciences educator, you know how important it is to align your program with the latest industry trends and developments. By keeping up with industry advancements, you can provide the most relevant and up-to-date information to best prepare your students for their future as medical assistants.

Education 52

Education 52

ECG Guru

JULY 26, 2023

ST-elevation V2/V3, why? The patient never had chest pain, echocardiography inconspicious. History of several syncopal episodes. But, there is something wrong with the ECG. We observe a sinus rhythm ECG, at first glance, there are ST-elevations in leads V2-V4. No ST-depressions are visible. Upon closer examination, a prominent T-wave is noted, starting immediately after the QRS complex.

Chest Pain 52

Chest Pain 52

Cardiometabolic Health Congress

JULY 25, 2023

Dr. Salvatore Carbone is professor in the Department of Kinesiology & Health Sciences, College of Humanities & Sciences at the Virginia Commonwealth University. Can you please explain the concept of an obesity paradox? Salvatore Carbone, PhD: First, I’d like to point out that obesity is a major risk factor for cardiometabolic disease. There are significant data that show that if you have obesity, you have a high risk of developing coronary heart disease, heart failure, type 2 diabetes (T

Obesity 52

Obesity BMI Heart Failure Cardiovascular Disease 52

EMS 12-Lead

JULY 24, 2023

David Didlake Acute Care Nurse Practitioner Firefighter / Paramedic (ret) @DidlakeDW Expert commentary and peer review by Dr. Steve Smith [link] @smithECGBlog A 57 y/o Female with PMHx HTN, HLD, DM, and current use of tobacco products, presented to the ED with chest discomfort. She described it as tightness, centralized, and associated with both dyspnea and diaphoresis.

Angina 52

Angina Ischemia Coronary Angiogram Stenosis 52

CTVS

JULY 25, 2023

It’s been more than five years since CTVS was the first practice in Central Texas to pioneer use of the GORE® TAG® Thoracic Branch Endoprosthesis (TBE) in a pivotal research study for treating aortic disease. More recently, our own board-certified cardiothoracic and vascular surgeons Dr. Mark Felger and Dr.

Aortic 52

Aortic Innovation Cardiothoracic Research 52

ECG Guru

JULY 26, 2023

This is the ECG of an 81-year-old man with hypertension. Currently, he has no complaints: no palpitations, no shortness of breath, no syncope, no chest pain. The rhythm is irregular, but all P-waves have the same shape. There is a non-respiratory sinus arrhythmia present, which is essentially the minimal variant of a sick sinus syndrome. There are no consequences for the patient resulting from this diagnosis.

Chest Pain 52

Chest Pain Arrhythmia Hypertension 52

Open Heart

JULY 24, 2023

Introduction Current guideline recommend functional imaging for myocardial ischaemia if coronary CT angiography (CTA) has shown coronary artery disease (CAD) of uncertain functional significance. However, diagnostic accuracy of selective myocardial perfusion imaging after coronary CTA is currently unclear. The Danish study of Non-Invasive testing in Coronary Artery Disease 3 trial is designed to evaluate head to head the diagnostic accuracy of myocardial perfusion imaging with positron emission

Coronary Artery Disease 52

Coronary Artery Disease Angina Article Research 52

Dr. Anish Koka

JULY 23, 2023

Most have gotten used to egregiously bad coverage of current events that fills the pages of today’s New York Times, but even by their now very low standards a recent telling of a story about peripheral artery disease was very bad. The scintillating allegation by Katie Thomas, Jessica Silver-Greenberg and Robert Gebeloff is that “medical device makers are bankrolling doctors to perform artery clearing procedures that can lead to amputations” The reporters go on to tell a story a

Vascular Care 52

Vascular Care Outpatient Peripheral Arterial Disease Stent 52

HeartRhythm

JULY 26, 2023

Biventricular endocardial pacing (BiV-endo) and left bundle branch area pacing (LBBAP) are novel methods of delivering cardiac resynchronization therapy. These techniques are associated with improved activation times and acute hemodynamic response compared with conventional biventricular epicardial pacing (BiV-epi); however, the effects on repolarization and arrhythmic risk are unknown.

40

40

ECG Guru

JULY 26, 2023

76-year-old man, with a history of inferior wall myocardial infarction. He experiences recurrent episodes of brief palpitations, often lasting only 5-15 seconds. In this ECG, at the beginning, the last part of a wide-complex tachycardia is visible. After 2 sinus beats, another wide-complex tachycardia begins (with the same QRS configuration).

Myocardial Infarction 52

Myocardial Infarction Tachycardia 52

Open Heart

JULY 28, 2023

Introduction The incidence of arrhythmia in heart failure with non-reduced ejection fraction (HFnon-rEF) in patients who have a history of hospitalisation is unclear. The aim of this study is to investigate the usefulness of an implantable loop recorder (ILR) for arrhythmia detection including atrial fibrillation (AF) in HFnon-rEF patients after discharge.

Atrial Fibrillation 40

Atrial Fibrillation Arrhythmia Heart Failure Tachycardia 40

Society of Thoracic Surgeons - Research

JULY 25, 2023

Press Release STS Launches Next-Generation Adult Cardiac Surgery Risk Calculator July 25, 2023 KCummings Tue, 07/25/2023 - 07:39 July 25, 2023, Chicago, Ill… The Society of Thoracic Surgeons has launched its next-generation Operative Risk Calculator to assess the risk of adult cardiac surgery operations. The STS Adult Cardiac Surgery Database represents 97% of all cardiac operations performed in the United States and the new calculator is based on precise statistical models from the experience o

Cardiothoracic 40

Cardiothoracic Innovation Technology Outcomes 40

Circulation: Heart Failure

JULY 27, 2023

Circulation: Heart Failure, Volume 16, Issue 11 , Page e010938, November 1, 2023.

Heart Failure 40

Heart Failure Circulation 40

ECG Guru

JULY 26, 2023

ST-elevation V2/V3, why? The patient never had chest pain, echocardiography inconspicious. History of several syncopal episodes. But, there is something wrong with the ECG.

Chest Pain 52

Chest Pain 52

Open Heart

JULY 26, 2023

Objectives Cardiac rehabilitation following a cardiovascular disease (CVD)-related illness has been shown to reduce the risk of heart attack and hospital admission. The American College of Sports Medicine recommends 3–5 days per week of moderate to vigorous exercise. Despite this, only 38% of those eligible complete rehabilitation programmes. Parkrun organises free, weekly, timed, 5 km running or walking events.

Cardiac Rehabilitation 52

Cardiac Rehabilitation Heart attacks Heart Attack Exercise 52

Stroke: Vascular and Interventional Neurology

JULY 23, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue 6 , November 1, 2023. BackgroundAmerican Heart Association guidelines specify infarct core volume as 1 determinant of eligibility for endovascular thrombectomy. Therefore, it is important to understand how time‐dependent infarct core growth translates to a patient's declining probability of thrombectomy eligibility.

Strokes 40

Strokes Stroke Physiology Outcomes 40

Open Heart

JULY 25, 2023

Objective We developed an artificial intelligence decision support algorithm (AI-DSA) that uses routine echocardiographic measurements to identify severe aortic stenosis (AS) phenotypes associated with high mortality. Methods 631 824 individuals with 1.08 million echocardiograms were randomly spilt into two groups. Data from 442 276 individuals (70%) entered a Mixture Density Network (MDN) model to train an AI-DSA to predict an aortic valve area <1 cm 2 , excluding all left ventricular outfl

Stenosis 52

Stenosis Aortic Aortic valve Echocardiogram 52