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ERS pattern in ECG : New-onset “ Iatrogenic panic ” is unwarranted !
This is an ECG of a 25-year-old, recorded in master health check-up.
It was reported as ERS pattern of concern. When he went for an expert opinion, he was suggested to understand, there is a small risk of SCD. That’s it, the panic has set in already, which got amplified in the following conversation..
How small is the risk,? he wanted to know.
Yours’ is possibly an intermediate risk.
Intermediate means what? Do I have any genetic or EP studies to predict the risk accurately?
Sorry, we have some gene mapping but all primitive. We aren’t sure. But keep calm, nothing will happen.
Do I nee...
Source: Dr.S.Venkatesan MD - March 23, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized ers pattern in ecg ERS syndrome Source Type: blogs
ERS pattern in ECG : “ Iatrogenic panic ” is unwarranted !
This is an ECG of a 25-year-old, recorded in master health check-up.
It would be mind-boggling to know the prevalence of such ERS patterns in the general population. One estimate suggests it could be anywhere between 3 to 13 % depending upon the criteria used. Let us assume the mean as 5 %. Then, it would be 30 crores of human beings in our habitat show this ECG pattern. If applied, in my city Chennai alone 5 lakh people could carry this tag.
While it is true, some forms of ERS and J wave syndrome can be markers of serious ventricular arrhythmias, either spontaneous or at times of Ischemia. Curr...
Source: Dr.S.Venkatesan MD - March 23, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized ers pattern in ecg ERS syndrome Source Type: blogs
Watch what happens when you teach others how to find OMI
Submitted by Dr. Caio Aguiar from Brazil, written by Pendell MeyersIt is immensely rewarding to receive these emails, like I received from Dr. Aguiar last week:" Last year I had a couple of lessons with you while on my internship.I finished my residency of Emergency Medicine and I ’m working at a great Emergency Department here in Brazil.Since then, I started looking for OMI EKG findings and not just STEMI.So, I ' m a follower of your blog, and I think I have a interesting case that I attended yesterday. "Case" Male, 43yo, come to ED with Epigastric Pain started 3 hours ago. Risk Factors: High Cholesterol. Vitals S...
Source: Dr. Smith's ECG Blog - March 21, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
Fight Aging! Newsletter, March 20th 2023
This study also provides the potential for de novo generation of complex organs in vivo.
T Cells May Play a Role in the Brain Inflammation Characteristic of Neurodegenerative Conditions
https://www.fightaging.org/archives/2023/03/t-cells-may-play-a-role-in-the-brain-inflammation-characteristic-of-neurodegenerative-conditions/
Alzheimer's disease, and other forms of neurodegenerative condition, are characterized by chronic inflammation in brain tissue. Unresolved inflammatory signaling is disruptive of tissue structure and function. Here, researchers provide evidence for T cells to become involved in this...
Source: Fight Aging! - March 19, 2023 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
A 50-Something Male with 2 hours of Chest discomfort
This ECG was texted to me in real time, but I did not notice the message until about an hour after it came. " 50 + yo. Concerning history, known CAD "Recorded 2 hours after pain onset:What do you think?This was my response:" This looks like a worrisome EKG. It looks like an Occlusion MI (OMI), but I am not 100% certain. But by now you must have a repeat ECG. Can I see it? "Pendell Meyers had an identical response when I sent it to him.PM Cardio AI algorithm said " OMI with high confidence "Explanation: There is subtle ST Elevation in inferior leads, with a hyperacute T-wave in III, reciprocal STD in aVL with an ...
Source: Dr. Smith's ECG Blog - March 19, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
Scientists Grow Electrodes Inside The Body
Researchers at Linköping University in Sweden have developed a method whereby the body can ‘grow its own’ electrodes. The minimally invasive technique involves injecting a hydrogel that is laden with enzymes into target tissues. The enzymes inte...
Source: Medgadget - March 17, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Cardiac Surgery Cardiology Materials Neurology Neurosurgery bci bci brain computer interface Source Type: blogs
A big data COVID train wreck
BY ANISH KOKA
If there was any doubt the academic research enterprise is completely broken, we have an absolute train wreck of a study in one of the many specialty journals of the Journal of the American Medical Association — JAMA Health.
I had no idea the journal even existed until today, but I now know to approach the words printed in this journal to the words printed in supermarket tabloids. You should too!
The paper that was brought to my attention is one that purports to examine the deleterious health effects of Long COVID. A sizable group of intellectuals who are still socially distancing and wearing n95s ...
Source: The Health Care Blog - March 13, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Health Policy Anish Koka Covid research COVID-19 Long Covid Source Type: blogs
Illustrating that Inflammation is Important in the Progression of Atherosclerosis
Atherosclerosis is a condition of macrophage dysfunction. Macrophages are responsible for clearing the excess and oxidized cholesterol that finds its way into blood vessel walls, but they falter at this task with advancing age. In part this is due to the inflammatory environment, which induces changes in the behavior of macrophages, tipping the balance of activities away from repair and towards further amplication of inflammatory signaling. The research noted here demonstrates the relevance of chronic inflammation to the progression of atherosclerosis in a population of patients on statins, looking at risk of subsequent ca...
Source: Fight Aging! - March 13, 2023 Category: Research Authors: Reason Tags: Daily News Source Type: blogs
Learning targeted IAS puncture in 20 minutes
The main reason for all those jitters, we cardiologists, get every time we puncture the IAS is not due to a lack of expertise and experience perse. There are two more reasons. First and foremost, it is still largely a blind* procedure. (Even in this era, where drones with HD vision shoot one-meter targets from a 1000 KM range ) *TEE and ICE are there, but they rarely give enough confidence.
The second reason is more important and is rectifiable. It is the perception error in our anatomical cognition, that is fed to us from first-year medical school. We are made to believe (at least to people like me ) The right atrium...
Source: Dr.S.Venkatesan MD - March 10, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Anatomy of heart Uncategorized ias puncture right vs left atrial anatomy Source Type: blogs
Ultrasound Catheter to Treat Hypertension
Researchers at Columbia University Irving Medical Center and the Université de Paris, France, have tested an ultrasound denervation catheter in its potential to treat hypertension. The technology is called the Paradise ultrasound denervation device ...
Source: Medgadget - March 9, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Medicine Radiology Source Type: blogs
A man in his 50s with chest pain
Sent by anonymous, written by Pendell MeyersA man in his 50s with no prior known medical history presented to the Emergency Department with severe intermittent chest pain. He had episodes of chest pain off and on all night, until about 1 hour prior to arrival when the pain became constant, crushing, 10/10 chest pain that radiated to both arms. He denied any lightheadedness, shortness of breath, vomiting, or abdominal pain. Vitals were within normal limits.Here is his triage ECG at 0343:What do you think?Meyers interpretation: Diagnostic of LAD OMI, with hyperacute T waves in a large LAD distribution including precord...
Source: Dr. Smith's ECG Blog - March 9, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
P wave spotting in AF is not forbidden
Fibrillation is a continuous, chaotic muscular activity. In AF, atrial muscle is expected to lose all coordinated contractions with fibrillatory waves replacing P waves. Have you ever spotted a suspicious P wave in a strip of otherwise explicit AF? If not, this write-up is not for you.
An evolving rare theme in Atrial fibrillation
Have a look at this ECG
Here is an ECG, that was reported as AF, multiple APDs, or Possible AF, Pre AF. I suggested the term AF in transition. While few agreed, many said it is a straightforward SR with APDs, making it appear irregular RR.
But, the fact of ...
Source: Dr.S.Venkatesan MD - March 8, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized cardiology research topics for fellows causes of absent p wabes p vs f waves in af p waves in atrial fibrillation research topics in atrial fibrillation Source Type: blogs
Using Telehealth to Serve Disparate Populations
The following is a guest article by Josh Wilda, CIO at University of Michigan Health-West.
Armando Ruiz is like many who walk through the doors of Exalta Health: an elderly man greeted in his native Spanish by a bilingual marquee outside the small purple clinic on Grand Rapids’ main thoroughfare. He’s also one of many Exalta patients who took advantage of a partnership with a local hospital to receive needed specialty care through a unique hybrid remote/in-person model.
The partnership between Exalta and University of Michigan Health-West serves a variety of business objectives for both providers. As ...
Source: EMR and HIPAA - March 6, 2023 Category: Information Technology Authors: Guest Author Tags: Ambulatory Clinical Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System Telemedicine and Remote Monitoring Armando Ruiz Exalta Exalta Health Grand Rapids Hybrid Care Josh Wilda Laura Kass Source Type: blogs
What do you think of this ECG?? Is this during pain, or after pain resolution? Also, see the CT image of the heart.
If you saw this ECG only knowing that it is an acute chest pain patient, what would be your interpretation?This is a trick question, as you will see below. But you can make a diagnosis here, and Pendell and I do this all the time when reading ECGs from databases. I sent this to Pendell without any information at all, and he replied " Postero-lateral Reperfusion. "The T-waves in V2-V4appear hyperacute, suggesting LAD occlusion,BUT there is also T-wave inversion that is typical morphology forreperfusion in V5 and V6.Thus, one must think of reperfusion. When there is reperfusion and there are large T-waves in...
Source: Dr. Smith's ECG Blog - March 6, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
Our OMI Toolbox Application is out now !
We are happy to announce that our " OMI Toolbox " application has just released and ready for your use. As myocardial infarction (MI) and many other diagnoses (for example left ventricular hypertrophy, prior MI etc.) can cause ST-segment elevation (STE) on electrocardiogram (ECG), the distinction between them may be hard and complicated. Furthermore, some ECGs may not meet the STEMI criteria but may still be diagnostic for acute coronary occlusion (ACO). For this purpose, only one set of diagnostic or differentiating criteria (STEMI criteria) is not enough, therefore a bunch of different tools are needed to make a&nbs...
Source: Dr. Smith's ECG Blog - March 3, 2023 Category: Cardiology Authors: Emre Aslanger Source Type: blogs
