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Interplay between mitochondrial dysfunction and lysosomal storage: challenges in genetic metabolic muscle diseases with a focus on infantile onset Pompe disease

Frontiers in Cardiovascular Medicine

This comprehensive evaluation included the use of ultrasound echocardiograms, computed tomography (CT) scans, electrocardiograms, mutagenesis analysis, and structural analysis to gain insights into the patient's condition and the underlying mechanisms of PD.

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Four patients with chest pain and ‘normal’ ECG: can you trust the computer interpretation?

Dr. Smith's ECG Blog

4,5] We have now formally studied this question: Emergency department Code STEMI patients with initial electrocardiogram labeled ‘normal’ by computer interpretation: a 7-year retrospective review.[6] Safety of computer interpretation of normal triage electrocardiograms. Hughes KE , Lewis SM , Katz L , Jones J. Acad Emerg Med.

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Abstract 4140682: Clinical Case: Flipping the Script: Tackling CAD in Dextrocardia During Cardiac Catheterization

Circulation

Electrocardiogram (ECG) showed a prominent S wave in the left-sided leads and a prominent R wave in the right-sided chest leads, suggesting dextrocardia. An intravascular ultrasound was also performed, which was negative for vessel dissection. His vital signs were normal, and the physical examination was unremarkable.

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Chest pain and shock: Is there a right ventricular OMI on this ECG? And should he undergo trancutaneous pacing?

Dr. Smith's ECG Blog

Case continued A bedside ultrasound showed diminished LV EF and of course bradycardia. A 12-lead electrocardiogram, lead V4R , and leads V7-9 were recorded on admission. When narrow (above His bundle), it is likely to be atropine responsive. 1 mg of Atropine was given and the heart rate increased transiently to 60.

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90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

Dr. Smith's ECG Blog

New insights into the use of the 12-lead electrocardiogram for diagnosing acute myocardial infarction in the emergency department. All electrocardiograms (ECGs) and coronary angiograms were blindly analyzed by experienced cardiologists. A emergent cardiology consult can be helpful for equivocal cases. Am J Med 2019, 132(5):622-630.

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Syncope and Prehospital Cath Lab activation -- What do you think?

Dr. Smith's ECG Blog

ALL TROPS WERE UNDETECTABLE A formal ultrasound was done: Normal estimated left ventricular ejection fraction at rest. The stress electrocardiogram is non-diagnostic. Normal estimated left ventricular ejection fraction improved with stress. No wall motion abnormality at rest. No wall motion abnormality with stress.

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Delayed coronary obstruction leading to death following balloon dilation in self-expanding aortic valve for acute coronary occlusion: a case report

Frontiers in Cardiovascular Medicine

Intravascular ultrasound confirmed successful dilation of the coronary ostium. The patient experienced resolution of symptoms, and ventricular premature beats disappeared on electrocardiogram monitoring.