Filtered By:
Procedure: Electrocardiogram

This page shows you your search results in order of date.

Order by Relevance | Date

Total 35 results found since Jan 2013.

7 Types of Jargon Overuse
PHM Session: Say What? Diagnosing and Treating the 7 types of Jargon Overuse Presenters: Mike Pitt, MD, and Jordan Marmet, MD, University of Minnesota Masonic Children’s Hospital, Minneapolis, Minn. Effective communication between clinicians and patients is essential to good care and has been shown to improve patient outcomes. Plain language is essential to good communication, and yet physicians and health care professionals regularly use jargon—technical terminology of a given group—in discussions with patients and their caregivers. Drs. Pitt and Marmet presented their work in classifying and quantifying the use of ...
Source: The Hospitalist - September 23, 2022 Category: Hospital Management Authors: Lisa Casinger Tags: Business of Medicine Education Pediatrics Source Type: research

Association of Echocardiographic Measures of Left Atrial Function and Size With Incident Dementia
CONCLUSIONS AND RELEVANCE: In this exploratory analysis of a US community-based cohort, several echocardiographic measures of lower LA function were significantly associated with an increased risk of subsequent dementia. Measures of LA size were not significantly associated with dementia risk. These findings suggest that impaired LA function may be a risk factor associated with dementia.PMID:35315884 | DOI:10.1001/jama.2022.2518
Source: Atherosclerosis - March 22, 2022 Category: Cardiology Authors: Wendy Wang Michael J Zhang Riccardo M Inciardi Faye L Norby Michelle C Johansen Romil Parikh Jeremy R Van't Hof Alvaro Alonso Elsayed Z Soliman Thomas H Mosley Rebecca F Gottesman Amil M Shah Scott D Solomon Lin Yee Chen Source Type: research

What does LBBB look like in severe hypothermia? Is there a long QT? Is the QT appropriate for the temperature?
This patient was found down in a Minneapolis winter.  He was very cold with frostbitten fingers and toes.  He was alert but encephalopathic and delirious and very agitated and could not be adequately calmed with olanzapine and lorazepam, so we intubated him.  The first reliable temperature could only be obtained with a Foley thermistor, and it was 26.5 degrees C (79.7 F).His BP was 76/60.  K was 2.8 mEq/L.Here was his first ECG:There is sinus bradycardia with left bundle branch block (LBBB), with proportional ST-T, and VERY long QT and a PVC.  I measure the QT at 800 ms. Notice that there are ...
Source: Dr. Smith's ECG Blog - January 6, 2022 Category: Cardiology Authors: Steve Smith Source Type: blogs

Electrophysiological ventricular substrate of stroke: a prospective cohort study in the Atherosclerosis Risk in Communities (ARIC) study
Conclusions PVC burden (reflected by cardiac memory) is associated with ischaemic stroke. Transient cardiac memory (likely through TD-IBBB) precedes ICH.
Source: BMJ Open - September 3, 2021 Category: General Medicine Authors: Johnson, J. A., Haq, K. T., Lutz, K. J., Peters, K. K., Paternostro, K. A., Craig, N. E., Stencel, N. W. L., Hawkinson, L. F., Khayyat-Kholghi, M., Tereshchenko, L. G. Tags: Open access, Cardiovascular medicine Source Type: research

Cardiologists need to keep an open mind and be capable of listening to, and learning from, the Emergency Physician
Conclusion: This represents the largest study of patients with VPR and angiographically-proven ACO. The MSC were highly sensitive and specific for the diagnosis of ACO in patients presenting to the ED with VPR and symptoms of acute coronary syndrome.===================================MY Comment by KEN GRAUER, MD (10/4/2020):===================================Today ’s case provides a superb example of how acute OMI can sometimes be definitively recognized even in the presence ofpacing. Unfortunately, this was not recognized by the cardiology team despite&nbs...
Source: Dr. Smith's ECG Blog - October 4, 2020 Category: Cardiology Authors: Steve Smith Source Type: blogs

Can Medtech Learn to Coexist with the Big Bad Apple?
The invasion of consumer tech giants like Apple in healthcare was one of the hottest conversation topics at MD&M Minneapolis 2019 and opinions were widely split over what this encroachment ultimately means for traditional medical device companies and the healthcare industry in general. Let's rewind for a moment to 2018 when Apple dropped a bombshell on the industry with news of FDA clearance to include an electrocardiogram (ECG) sensor in its Apple Watch. Industry critics were quick to point out that the ECG clearance was only marginally different from what AliveCor had already been ...
Source: MDDI - October 28, 2019 Category: Medical Devices Authors: Amanda Pedersen Tags: MD & M Minneapolis Digital Health Source Type: news

Detection of atrial fibrillation using an implantable loop recorder following cryptogenic stroke: implications for post-stroke electrocardiographic monitoring
ConclusionThe likelihood of AF detection by an ILR in the first month post-CS is low. Thus, the diagnostic yield of 30  days of AECG monitoring is likely to be limited. These data suggest a rationale for proceeding directly to ILR implantation prior to hospital discharge in CS patients, as many have AF detected during longer follow-up.
Source: Journal of Interventional Cardiac Electrophysiology - October 13, 2019 Category: Cardiology Source Type: research

A case of successful cryoballoon ablation of paroxysmal atrial fibrillation originating from a persistent left superior vena cava
We present a paroxysmal atrial fibrillation (AF) patient who had frequent AF events originating from a persistent left superior vena cava (PLSVC) with an unsuccessful catheter ablation using a non-irrigated radiofrequency catheter and was successfully cured by a successful PLSVC isolation using a second-generation cryoballoon catheter (28-mm, second-generation cryoballoon, Arctic Front Advance, Medtronic, Minneapolis, MN, USA).<Learning objective: This is the first case report illustrating a successful ablation of a persistent left superior vena cava in a patient with drug-resistant atrial fibrillation (AF) using a ...
Source: Journal of Cardiology Cases - May 24, 2019 Category: Cardiology Source Type: research

Effects of Sweet Cherry Polyphenols on Enhanced Osteoclastogenesis Associated With Childhood Obesity
Conclusions Our study, to our knowledge, is the first demonstrating in obese children a spontaneous osteoclastogenesis inhibited by polyphenols from sweet cherry extracts, through the reduction of TNFα, without affecting cell viability. We also demonstrated that the spontaneous osteoclastogenesis observed in PBMCs from obese children is supported by the high percentage of circulating CD14+/CD16+ cells and the elevated levels of RANKL and TNFα. Our study opens future perspectives for the use of cherry extracts, appropriately formulated as nutraceuticals as preventive in healthy children and therapeu...
Source: Frontiers in Immunology - May 2, 2019 Category: Allergy & Immunology Source Type: research

Noonan Syndrome in South Africa: Clinical and Molecular Profiles
Conclusion This first application of targeted NGS for the molecular diagnosis of NS in South Africans suggests that clinical characteristics and genotype-phenotype correlations found in affected individuals are generally similar to those reported in other populations. Therefore, careful phenotyping based on existing diagnostic criteria can effectively enable the diagnosis of most NS-affected individuals in South Africa. The use of targeted NGS in the present study have allowed for detection of novel variants in genes infrequently associated with NS in other populations. Further studies of a larger African cohort with NS, ...
Source: Frontiers in Genetics - April 15, 2019 Category: Genetics & Stem Cells Source Type: research

Implementing Practice Standards for Inpatient Electrocardiographic Monitoring.
CONCLUSIONS: Implementation of the practice standards via an electronic order set was associated with a statistically significant increase in appropriate monitoring, with no increase in adverse events. Use of electronic order sets is an effective and safe way to enhance appropriate electrocardiographic monitoring. PMID: 30824514 [PubMed - in process]
Source: American Journal of Critical Care - February 28, 2019 Category: Nursing Authors: Sendelbach S, Sandau KE, Smith L, Kreiger R, Hanovich S, Funk M Tags: Am J Crit Care Source Type: research

Anterior MI in paced rhythm, dismissed by cardiologist, patient died.
Conclusion: This represents the largest study of patients with VPR and angiographically-proven ACO.The MSC were highly sensitive and specific for the diagnosis of ACO in patients presenting to the ED with VPR and symptoms of acute coronary syndrome.-----------------------------------------------------------Comment by KEN GRAUER, MD (10/3/2018):-----------------------------------------------------------How good are paced tracings for detecting ACO (Acute Coronary Occlusion)? The answer is, much better than has previously been appreciated by still all-too-many clinicians. The goal...
Source: Dr. Smith's ECG Blog - October 3, 2018 Category: Cardiology Authors: Steve Smith Source Type: blogs

New Lecture on High Sensitivity Troponin Protocols in the ED
It is my task to educate our residents on chest pain, ECGs, and troponin.  So for years I have been lecturing on the topic of chest pain and troponin.I put the last one online in 2015, and has had 25,000 views.  It is embedded at the bottom of this post, and is called:Approach to Potential Ischemic Chest Pain in the Emergency DepartmentThe first 25 minutes are all about the data on worrisome characteristics of chest pain.  Most of the rest would now be slightly out of date.Below is the new one: High Sensitivity Troponin; Considerations for Implementing ED protocols.There is a huge amount of new dat...
Source: Dr. Smith's ECG Blog - September 21, 2018 Category: Cardiology Authors: Steve Smith Source Type: blogs

An athletic 30-something woman with acute substernal chest pressure
Post by Smith, with short article by Angie Lobo (https://twitter.com/ALoboMD), a third year intermal medicine resident at Abbott Northwestern Hospital CaseA 30-something woman with no past history, who is very fit and athletic, presented with 1.5 hours of substernal chest pressure.  It was non-radiating and without other associated symptoms except for nausea.  She had zero CAD risk factors.Here was her ECG at time zero:What do you think?There is ST elevation in V2 with large fat T-wave.  There is ST depression in II, III, and aVF, and V3 to V6.I saw this before any other information and k...
Source: Dr. Smith's ECG Blog - July 31, 2018 Category: Cardiology Authors: Steve Smith Source Type: blogs

Chest Pain and Inferior ST Elevation.
Conclusion:In hemodynamically stable patients with chest pain, sinus tachycardia aids in the identification of patients unlikely to have type I MI, especially in those with HR> 120 bpm.
Source: Dr. Smith's ECG Blog - June 17, 2018 Category: Cardiology Authors: Steve Smith Source Type: blogs