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Ultrasound-Equipped Bra Monitors for Breast Cancer
Researchers at MIT have developed a wearable ultrasound system that is intended to allow women at high risk of breast cancer to perform an ultrasound scan on themselves at home, and may also let patients with early-stage malignancy or suspicious lesi...
Source: Medgadget - August 22, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Cardiology Diagnostics Radiology Source Type: blogs

A man in his 70s with weakness and syncope
DiscussionBrugada Type 1 ECG changes are associated with sudden cardiac death (SCD) and the occurrence of ventricular dysrhythmias. Patients that develop a Type 1 pattern without any precipitating or provoking factors have a risk of SCD of 0.5-0.8% per year. In patients that only have this pattern induced by a sodium channel blocking agent have a lower rate of SCD (0 - 0.35% per year)[1]. Drugs that have been associated with Brugada ECG patterns include tricyclic antidepressants, anesthetics, cocaine, methadone, antihistamines, electrolyte derangements, and even tramadol. [2]. Our patient had a Brugada Type ...
Source: Dr. Smith's ECG Blog - July 22, 2023 Category: Cardiology Authors: Pendell Source Type: blogs

Reviewing the all-in-pod heart health segment
BY ANISH KOKA The All-in podcast is a fairly popular show that features successful silicon valley investors commenting about everything worth commenting on from politics to health. The group has good chemistry and interesting insights that breaks the mold of the usual tribal politics that controls legacy media analysis of current events. Last week, the podcast touched on a topic I spend a fair amount of time on: Cardiology. Brad Gerstner, who is actually a guest host for this particular episode starts off by referencing something called Heartflow to evaluate the heart that has been recommended by one of the o...
Source: The Health Care Blog - July 20, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Medical Practice All-in Podcast Anish Koka Brad Gerstner cardiology Source Type: blogs

Stress Cardiovascular Magnetic Resonance Imaging for Stable Chest Pain
Stress cardiovascular magnetic resonance imaging is not as commonly used for evaluation of persons with stable chest pain as other modalities of non-invasive evaluation. Ricci and colleageus have reported a systematic review and meta-analysis on this aspect in JAMA Cardiology [1]. They evaluated 33 diagnostic studies including 7814 persons and 31 prognostic studies including 67,080 persons. The included studies were between 2002 and 2021. The authors concluded that stress CMR had high diagnostic accuracy and had robust prognostication, especially when 3 Tesla MRI scanners were used. Myocardial ischemia and late gadoliniu...
Source: Cardiophile MD - June 12, 2023 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Myocardial Insulin Resistance
Myocardial insulin resistance is said to occur in about 60% of patients with type 2 diabestes mellitus and is associated with higher cardiovascular risk compared to those with insulin sensitive myocardium [1]. It is  known that systemic insulin resistance is an independent risk factor for heart failure and cardiovascular death [2]. Myocardial insulin resistance occuring along with systemic insulin resistance is characterized by ineffecient energy metabolism and contributes to post ischemic heart failure. Myocardial insulin resistance can also be caused by myocardial hypertrophy, independent of systemic insulin resist...
Source: Cardiophile MD - June 3, 2023 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

A 30-something woman with intermittent CP, a HEART score of 2 and a Negative CT Coronary Angiogram on the same day
This was sent by a colleague.A 34 yo woman with a history of HTN, h/o SVT s/p ablation 2006, and 5 months post-partum presented with intermittent central chest pain and SOB.  She had one episode of pain the previous night and two additional episodes early on morning the morning she presented.  Deep breaths are painful and symptoms come and go.  She had one BP that was measured at 160/120, uncertain when and what the BP was at other moments.  Home meds were labetalol and nifedipine.  There are T-wave inversions in precordial leads.  The patient is pain free, so it is qu...
Source: Dr. Smith's ECG Blog - May 10, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

AI ’s role in Healthcare: Exclusive Interview with Catherine Estrampes, President & CEO at GE Healthcare
AI is increasingly being used in healthcare to reduce clinician workloads and improve patient outcomes. AI-driven technologies are helping to automate mundane tasks, freeing up clinicians to focus on more complex clinical decisions. AI-powered tools ...
Source: Medgadget - May 3, 2023 Category: Medical Devices Authors: Alice Ferng Tags: Exclusive Informatics AI medicine GEHealthCare Source Type: blogs

Bainbridge Reflex
Bainbridge Reflex was described over a century back, in 1918 as the influence of venous filling on the heart rate [1]. It was noted as an increase in heart rate in response to a rise in central venous pressure. Mechanoreceptors for the Bainbridge reflex are located at the junction of the right atrium and the caval veins and at the junction of pulmonary veins and the left atrium [2]. It is also known as Bainbridge effect and sometimes called the atrial reflex. Efferent arm of the reflex could involve both parasympathetic withdrawal and sympathetic enhancement. Axial stretch has been shown to increase spontaneous pacemaker ...
Source: Cardiophile MD - April 23, 2023 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Patient-Specific Soft Robotic Heart Replicas for Treatment Planning
Researchers at MIT have developed soft robotic heart replicas that closely match the anatomy of real people. The researchers used medical images of patient hearts to construct computer models that are suitable for 3D printing. Once printed with a sof...
Source: Medgadget - March 1, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Cardiac Surgery Cardiology aortic stenosis mit Source Type: blogs

Myocarditis update from Sweden
BY ANISH KOKA The COVID19/vaccine myocarditis debate continues in large part because our public health institutions are grossly mischaracterizing the risks and benefits of vaccines to young people. A snapshot of what the establishment says as it relates to the particular area of concern: college vaccine mandates: Dr. Arthur Reingold, an epidemiology professor at UC-Berkeley, notes that UC also requires immunizations for measles and chickenpox, and people still are dying from COVID at rates that exceed those for influenza. As of Feb. 1, there were more than 400 COVID deaths a day across the U.S. “The arg...
Source: The Health Care Blog - February 27, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Medical Practice Anish Koka covid19 myocarditis Sweden Source Type: blogs

COVID-19 myocarditis illusions: A new cardiac MRI study raises questions about the diagnosis
BY ANISH KOKA One of the hallmarks of the last two years has been the distance that frequently exists between published research and reality. I’m a cardiologist, and the first disconnect that became glaringly obvious very quickly was the impact COVID was having on the heart. As I walked through COVID rooms in the Spring of 2020 trying to hold my breath, I waited for a COVID cardiac tsunami. After all social media had been full of videos from Wuhan and Iran of people suddenly dropping in the streets. My hyperventilating colleagues made me hyperventilate. Could it be that Sars-COV2 had some predilection for heart...
Source: The Health Care Blog - February 7, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Medical Practice Anish Koka COVID-19 Misinformation myocarditis Vaccine Source Type: blogs

Regional wall motion abnormalities in LAD territory on echocardiography.
Echocardiography is one of the simplest investigations to assess the myocardial regional wall motion abnormalities in coronary artery disease. Regional wall motion abnormalities can also be assessed by nuclear imaging and cine CT (computed tomography) scan / MRI (magnetic resonance imaging). The wall motion is scored from 1 to 4 depending on whether it is normal wall motion, hypokinesia, akinesia or dyskinesia. Hypokinesia means reduced contraction, akinesia means absence of contraction and dyskinesia means bulging out in systole. In order to standardize the reporting of wall motion abnormalities, American Society of Echo...
Source: Cardiophile MD - February 2, 2023 Category: Cardiology Authors: Johnson Francis Tags: Echocardiography General Cardiology Source Type: blogs

Return to McAllen: A Father-Son Interview
By IAN ROBERTSON KIBBE You are going to hear a little more about McAllen, TX on THCB Shortly. And before we dive into what’s happened there lately, I thought those of you who weren’t here back in the day might want to read an article on THCB from July 2009. Where then THCB editor Ian Kibbe interviewed his dad David Kibbe about what he was doing as a primary care doc in McAllen–Matthew Holt By now, Dr. Atul Gawande’s article on McAllen’s high cost of health care has been widely read.  The article spawned a number of responses and catalyzed a national discussion on cost controls and t...
Source: The Health Care Blog - January 27, 2023 Category: Consumer Health News Authors: matthew holt Tags: Uncategorized David Kibbe Ian Robertson Kibbe McAllen Physicians TX Source Type: blogs

Fujifilm Announces Asset Purchase Agreement with Inspirata, Inc. to Acquire the Company ’s Digital Pathology Business
Company to expand robust Enterprise Imaging offering with addition of Inspirata’s Digital Pathology technology and team FUJIFILM Corporation (President and CEO, Representative Director: Teiichi Goto) today announced the company has entered into an asset purchase agreement to acquire the global digital pathology business of Tampa, Florida-based Inspirata, Inc. Upon completion of this agreement, Inspirata’s Dynamyx® digital pathology technology, employees and customers will become part of Fujifilm. The addition of digital pathology will expand Fujifilm’s robust Synapse® Enterprise Imaging offering to enable th...
Source: EMR and HIPAA - December 27, 2022 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT Cardiology PACS digital pathology Dynamyx FUJIFILM FUJIFILM Corporation FUJIFILM Healthcare Americas Corporation FUJIFILM Healthcare Europe FUJIFILM Medical Systems Europe Fujifilm’s Robust Synapse® E Source Type: blogs

See OMI vs. STEMI philosophy in action
by Emre AslangerDr. Aslanger is our newest editorial member.  He is an interventional cardiologist in Turkey. Dr. Aslanger is also the author of the DIFFOCULT study:Emre K. Aslanger,a,⁎ Özlem Yıldırımtürk,b Bar ış Şimşek,c Emrah Bozbeyo ğlu,c Mustafa Aytek Şimşek,a Can Y ücel Karabay,b Stephen W. Smith,d and Muzaffer De ğertekina  DIFOCCULT: DIagnostic accuracy oF electrocardiogram for acute coronary OCClUsion resuLTing in myocardial infarction.  International Journal of Cardiology Heart& VasculatureCaseA 40-year-old man presents with...
Source: Dr. Smith's ECG Blog - December 22, 2022 Category: Cardiology Authors: Emre Aslanger Source Type: blogs