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How to know if chest pain is due to heart disease or not? Cardiology Basics
It is not always possible to be certain about the origin of chest pain just by its characteristics as the variation between individuals is quite a bit. There can be a lot of overlap between symptoms due to heart disease and disease of other nearby organs. Still some general observations are possible regarding chest pain originating from the heart. The typical pain of cardiac origin is a central chest pain which occurs on walking or other forms of exercise, known as effort angina. This pain is caused by insufficient blood supply to a region of the myocardium. Effort angina is commonly due to significant obstruction to a co...
Source: Cardiophile MD - October 4, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Interatrial septal device therapy in  HFpEF
Interatrial septal device therapy in HFpEF Effective therapeutic modalities for heart failure with preserved ejection fraction (HFpEF) are lesser than those available for heart failure with reduced ejection fraction (HFrEF). All the same, prevalence, morbidity and mortality for HFpEF are not lower than that of HFrEF. Ongoing search for therapeutic options has led to the development of interatrial septal devices to decompress the left atrium, which are still in investigational phase [1]. A unidirectional left-to-right interatrial shunting device was initially tested in patients with HFrEF as a safety and proof-of-principle...
Source: Cardiophile MD - October 3, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Weekly Overseas Health IT Links –1st October, 2022.
This article details information required for integration into EHRs to build personalized treatment plans and develop successful SDOH programs that provide resources and support for patients in need. In addition, successful SDOH programs implemented by Kaiser Permanente and Boston Medical Center showcase how supporting clinicians with real-time SDOH data can lead to patient-centric care. Create a 360-Degree Patient View Through TechnologyThe Office of the National Coordinator for Health Information Technology (ONC)indicatesthat the “collection, documentation, reporting, access, and use of SDOH data … can be used t...
Source: Australian Health Information Technology - October 1, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Atrial functional mitral regurgitation
Atrial functional mitral regurgitation occurs secondary to left atrial disease, without left ventricular dilatation and intrinsic mitral valve disease. Atrial functional MR typically occurs in the setting of long-standing atrial fibrillation. It is associated with increased mortality risk and hospitalization for heart failure [1]. Reported prevalence of atrial functional MR in patients with AF vary between 3 to 15%. These patients have worse clinical outcome [2]. Dilatation of the mitral annulus, atriogenic tethering of mitral leaflets and insufficient mitral leaflet remodeling are thought to be important pathogenic mecha...
Source: Cardiophile MD - September 28, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Intravenous acetazolamide for acute decompensated heart failure – ADVOR Study
Intravenous acetazolamide for acute decompensated heart failure – ADVOR Study Acetazolamide in Decompensated Heart Failure With Volume OveRload (ADVOR) study assessed whether intravenous acetazolamide can improve the efficacy of loop diuretics in acute decompensated heart failure with volume overload. Acetazolamide is a carbonic anhydrase inhibitor that reduces proximal tubular sodium reabsorption. It was a multicenter, double blind randomized, placebo controlled trial. Edema, pleural effusion and ascites were the important features of volume overload [1]. Ascites was confirmed by abdominal ultrasound and pleural eff...
Source: Cardiophile MD - September 24, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Spontaneous coronary artery dissection (SCAD)
Spontaneous coronary artery dissection (SCAD) is an important, though rare cause of acute coronary syndrome. Management of SCAD is different from that of acute coronary syndrome due to atherosclerosis [1]. High index of suspicion is required for the diagnosis of SCAD in young patients with acute coronary syndrome. Unlike atherosclerotic coronary artery disease, management of SCAD is mostly medical, in stable patients. Revascularization is considered only in high risk patients with left main dissection, ongoing ischemia, severely limited flow, hemodynamic compromise or refractory cardiac arrhythmia [2]. It has been mentio...
Source: Cardiophile MD - September 23, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

5 Scenarios Of How Your Health Data Can Be (Or Was Already) Stolen
I really don’t want to sound like Aunt Karen, suspecting a culprit hiding behind every bush, but chances are your health data was or will be stolen. This is a strong statement and might sound paranoid. But, as the old joke goes: being paranoid doesn’t mean someone is not after you.  Here we will introduce five general scenarios of how unknown third-party actors can access your health data without your knowledge (and consent). We introduce these to paint a clearer picture of how medical data can change hands and help you prepare to avoid it – as much as possible. You had a genetic test done You o...
Source: The Medical Futurist - September 15, 2022 Category: Information Technology Authors: Andrea Koncz Tags: TMF Forecast Artificial Intelligence in Medicine Digital Health Research Future of Food Healthcare Policy Security & Privacy Source Type: blogs

The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
September 15, 2022 Edition-----The death of QE2 has rather dominated the news for the last week or so and will probably pass after the funeral today.Otherwise the war in Ukraine seems to be in a turning phase. I hope that continues into the eventual getting rid of the Russians from Ukrainian territory!In OZ life goes on much as usual just awaiting the mourning period to pass,-----Major Issues.-----https://www.afr.com/policy/foreign-affairs/what-australia-should-do-about-taiwan-20220904-p5bf7iWhat Australia should do about TaiwanCanberra cannot be silent if US policy on Taiwanese independence changes. Quiet diplomacy is cal...
Source: Australian Health Information Technology - September 15, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Why mandating boosters for college kids is a no good, very bad, dumb idea 
This study reinforced prior research that measured these responses up to 12 months. The stimulation of an immune response after a mild infection can even be demonstrated in the absence of actual seroconversion (detectable prior infection by antibodies) at the level of T-cells. The presence of effective immune memory, both humoral (antibody) and cellular components, after even a mild SARS-CoV-2 infection is no longer a matter of debate. One might be tempted to argue that repeated boosting can permanently suppress infection. Unfortunately, all available evidence suggests that this increased protection from infection is ...
Source: The Health Care Blog - September 14, 2022 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Health Policy Anish Koka COVID-19 vaccine Viral Myalgia Source Type: blogs

Weekly Overseas Health IT Links –10th September, 2022.
This article is adapted fromVoices in the Code: A Story About People, Their Values, and the Algorithm They Made,out Sept. 8 from Russell Sage Foundation Press.In May 2021, I got a call I never expected. I was working on abook about A.I. ethics, focused on the algorithm that gives out kidneys to transplant patients in the United States. Darren Stewart —a data scientist from UNOS, the nonprofit that runs the kidney allocation process—was calling to get my take: How many decimal places should they include when calculating each patient’s allocation score? The score is an incredibly important number, given it determines w...
Source: Australian Health Information Technology - September 10, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Vaccine Myocarditis Update
BY ANISH KOKA The European Medicines Agency decided on July 19, 2021 that myocarditis and pericarditis be added to the list of adverse effects of both messenger RNA (mRNA) based vaccines (BNT162b2 [Pfizer-BioNTech] and mrna-1273 [Moderna]) against COVID-19. This advice was based on numerous reports of myocarditis that followed a clinical pattern that strongly suggested a causal link between these particular vaccines and myocarditis/pericarditis. The adverse events that appeared to be predominantly in young men typically occurred within a week after injection, and were clustered after the second dose of the vaccine serie...
Source: The Health Care Blog - September 7, 2022 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: COVID-19 Health Policy Uncategorized Anish Koka cardiology Source Type: blogs

SOC Telemed Expands Behavioral Health Offering with Acquisition of Forefront Telecare
Company Renamed Access TeleCare SOC Telemed, the largest national provider of specialty acute care telemedicine, announced its acquisition of Forefront Telecare, a leading virtual behavioral health company serving vulnerable adults nationwide across the care continuum. The acquisition significantly expands SOC Telemed’s existing behavioral health offering, provider network, and clinical capabilities. In conjunction with the acquisition, SOC Telemed is being renamed Access TeleCare to reflect the critical role the company plays in providing access to patient care across a wide spectrum of medical specialties in hospit...
Source: EMR and HIPAA - September 7, 2022 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT Telemedicine and Remote Monitoring Access TeleCare behavioral health Dr. Chris Gallagher Forefront Forefront Telecare Health IT Acquisitions Healthcare M&A Kirkland & Ellis LLP MTS Health Partners L.P Source Type: blogs

Abridge Secures $12.5M in Funding and Launches Enterprise Solution to Combat Physician Burnout in Healthcare and Help Patients Stay on Top of Their Health
Following Successful Pilots with Leading Healthcare Organizations, Abridge’s Ambient AI Technology is Positioned to Transform Medical Documentation Workflows and Revolutionize the Care Delivery Experience for Providers and Patients Abridge, the leader in medical conversation AI, today announced an oversubscribed $12.5M Series A-1. Led by Wittington Ventures, the round also had participation from all existing investors including Union Square Ventures, Bessemer Venture Partners, Pillar Venture Capital, and UPMC Enterprises, and new investors including Turing Award winner Yoshua Bengio, and Whistler Capital. Abridge’s ent...
Source: EMR and HIPAA - August 22, 2022 Category: Information Technology Authors: Healthcare IT News Tags: AI/Machine Learning Health IT Company Healthcare IT Hospital - Health System Abridge Bessemer Venture Partners Care Delivery Dr. Robert Bart Dr. Shivdev Rao Health IT Funding Health IT Fundings Health IT Investment Megh Gupta Phy Source Type: blogs

60 year old with vomiting, diarrhea, and syncope: is this Wellens? Is this type 2 MI?
 Written by Jesse McLaren, with edits/comments by Smith and Grauer A 60 year-old patient with diabetes and ESRD presented with 24 hours of vomiting, diarrhea, weakness and then a syncopal episode. Vitals: RR 18, sat 98%, HR 103, BP 124/71 and temp 38.0. Here ’s their ECG: is this Wellens?  There ’s borderline sinus tach, normal conduction, normal axis, and low voltages in the limb leads. The anterior leads have loss of R waves, mild convex ST segments and primary T wave inversion. In the context of QS waves, T wave inversion indicates old or subacute infarct, or reperfusion after signif icant infarc...
Source: Dr. Smith's ECG Blog - August 19, 2022 Category: Cardiology Authors: Jesse McLaren Source Type: blogs

An experience of shame in training
Early one morning in 1996, after a sleepless night on call, I stood with my team in the VA hospital, outside room 102. I was a 28-year-old intern in the general medicine service. We were making rounds on twelve patients that my intern partner, myself, and our supervising resident had admitted overnight. We would walk Read more… An experience of shame in training originally appeared in KevinMD.com.
Source: Kevin, M.D. - Medical Weblog - August 17, 2022 Category: General Medicine Authors: Tags: Physician Cardiology Hospital-Based Medicine Source Type: blogs