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Happy new year & memories of 2022 !
Wishing every one of you an Enlightening New year. As we begin a new journey around the sun, yet another time, let us re-dedicate ourself, to use science, for the welfare of our planet & people. Thank you , for visiting this site and make all its worth. Just one memory of 2022, lingers ! Retired and left Madras medical college,Chennai after 3 decades, which grew me up as a Cardiologist.
Source: Dr.S.Venkatesan MD - January 1, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs

An ECG which is obviously diagnostic of OMI can appear wholly non-specific to most interpreters. A comment on AI.
 This was texted to me by a former resident, with no information:What do you think?Here Ken Grauer has used the PM Cardio app to improve the image:This was my immediate response:" Acute proximal LAD OMI "  To me it is obvious and diagnostic.There are hyperacute T-waves in I, aVL, V2-V6.  These are wide, bulky, with large area under the curve relative to the QRS size.Furthermore, there is a QS-wave in V3 and qrS in V4, both diagnostic of MI at some time (past or present).  We have shownhere and validatedhere that old MI has relatively small T-wave (by amplitude).  In this situation (QS-waves), ...
Source: Dr. Smith's ECG Blog - January 1, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

Intraoperative Imaging for Porcelain Aorta
Diffuse calcification of ascending aorta which may extend down is known as “Porcelain aorta”. Intraoperative epiaortic  echocardiography along with manual palpation during surgery has been described as the most sensitive technique for detecting ascending aortic atheroma and calcification [1]. A prospective study evaluated this in hundred consecutive patients undergoing coronary bypass or valve surgery [2]. Ascending aorta was assessed by manual palpation by the operating surgeon, intraoperative transesophageal echocardiography and epiaortic ultrasound using linear and phased-array imaging. No difference was noted...
Source: Cardiophile MD - December 28, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology 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

Belt Monitors Heart Failure Patients
Researchers at Florida Atlantic University have developed a belt that can monitor heart failure patients for signs of disease progression. The wearable device measures heart rate, thoracic impedance, electrocardiogram, and motion, all of which can pr...
Source: Medgadget - December 21, 2022 Category: Medical Devices Authors: Conn Hastings Tags: Cardiology Diagnostics Telemedicine FloridaAtlantic heart failure Source Type: blogs

Who can answer this unusual query in mitral stenosis?
I will go with the last response. As for as I understand, we have never quantified Atrial muscle mass properly even in normality. One may be tempted to think there is no purpose to measure it, other than academic reasons. The fact that the incidence of atrial fibrillation in mitral stenosis is not linearly correlating with LA size makes us think, LA mass (Virtual LAH) may have a say in triggering AF. This post is meant for cardiology fellows. Maybe someone can do a study on this by measuring LA mass pre and post-PTMC, we might get an idea about regression as well. Meanwhile, we are well versed with infiltrative disease...
Source: Dr.S.Venkatesan MD - December 20, 2022 Category: Cardiology Authors: dr s venkatesan Tags: Atrial fibrillation Mitral stenosis Uncategorized Atrial mass in mg LAH in mitral stenosis left atrial hypertrophy left atrial mass thickness of left atrium Source Type: blogs

A young patient with diminishing pain with a subtle but diagnostic ECG.
Written by Emre Aslanger(Emre is our newest editor.  He is an interventionalist in Turkey and one of 3 originators of the OMI/NOMI paradigm, along with Pendell and Smith. Here are his publications.)CaseA 39-year-old male without prior medical history presents with chest pain that started 2 hours prior to presentation. He says that the pain intensity was 10/10 at home but now about 4/10. His medical exam is unremarkable. He has no cardiovascular risk factors except smoking for 10 pack-years. He denies any illicit drug use. His ECG is shown below. What do you think ?Although not striking, this is clearly a dia...
Source: Dr. Smith's ECG Blog - December 18, 2022 Category: Cardiology Authors: Emre Aslanger Source Type: blogs

Thrombus, tumor or vegetation?
This question is often faced by the echocardiographer while evaluating a mass detected on the heart valves or cardiac chambers. Usual method is to take it in the clinical context. There could also be non-infective vegetations of marantic endocarditis which are almost impossible to differentiate from infective vegetations. Marantic vegetations can be suspected in the presence of small and multiple vegetations changing from one examination to another, without associated abscess or valve destruction [1]. It may be noted that echocardiography is neither 100% specific nor 100% sensitive for the diagnosis of infective endocardi...
Source: Cardiophile MD - December 15, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Department of artifact : Normal “ wall motion defect ” in echocardiography
(This post is about some basics in echocardiography meant for fellows, and echocardiographers. Others can skip please )  This is a 27-year-old woman who was referred for routine* cardiac evaluation. What do you see? What is the diagnosis? This echo clip is from a woman who is 8 months pregnant. What you are seeing is perfectly physiologically and normal. On lying down there is a mechanical push of the diaphragm altering the LV shape and contraction. In the short axis, the left ventricle is contracting well, but the shape is not spherical in systole implying some desynchrony. Further, the  IVS arena is contract...
Source: Dr.S.Venkatesan MD - December 14, 2022 Category: Cardiology Authors: dr s venkatesan Tags: Cardiology -Hemodynamics Echocardiography -Normal measurement Echocardiography-hemodynamics Teaching points cardiology research topic non ischemic wall motion defect in echocardiography wall motion defect in ers wall motion defect in lbbb Source Type: blogs

The duality of being a female physician
I am a female cardiologist that graduated from medical school almost 20 years ago. Although my core personality has remained constant, I have been viewed through multiple different optics. What I find most interesting is that while most of my patients would unanimously agree that I am a smart, talented, and dedicated professional, I have Read more… The duality of being a female physician originally appeared in KevinMD.com.
Source: Kevin, M.D. - Medical Weblog - December 10, 2022 Category: General Medicine Authors: Tags: Physician Cardiology Source Type: blogs

Deep vein thrombosis of upper limbs vs lower limbs
The chance of pulmonary embolism is 6% for upper extremities, while it ranges from 15 – 30% with lower limbs. Recurrence at one year is 2-5% for upper extremities while it is 10% for lower extremities. The incidence of post thrombotic syndrome is much higher for lower extremities than upper extremities.
Source: Cardiophile MD - December 10, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

NextGen Healthcare Announces Agreement to Acquire TSI Healthcare
NextGen Healthcare, Inc. (Nasdaq: NXGN), a leading provider of innovative cloud-based healthcare technology solutions, today announced it has signed a definitive agreement to acquire TSI Healthcare, a privately held value-added reseller located in Chapel Hill, NC. The acquisition shall be deemed effective 11:59 p.m. on November 30, 2022. The consideration is comprised of an upfront amount of $68 million, which will be paid in cash with contingent consideration of up to $22 million in cash in the form of an earnout, subject to achieving certain financial targets through March 31, 2025. The acquisition is expected to contri...
Source: EMR and HIPAA - December 9, 2022 Category: Information Technology Authors: Healthcare IT News Tags: EMR-EHR Health IT Company Healthcare IT Ambulatory Healthcare Cardiology David Dickson Jr. David Sides Health IT Acquisitions Healthcare M&A Nasdaq: NXGN NextGen Healthcare NextGen Healthcare Inc. Pulmonology Rheumatology TSI H Source Type: blogs

Types of LAD
Left anterior descending coronary artery, known in short as LAD has been classified into four types depending on the length: Type 1: Does not supply the left ventricular apex. Type 2: Supplies part of the apex, the rest being supplied by the right coronary artery. Type 3: Supplies the entire apex. Type 4: Supplies the apex and more than 25% of the inferior wall (wrap around LAD). Reference Rehman I, Kerndt CC, Rehman A. Anatomy, Thorax, Heart Left Anterior Descending (LAD) Artery. [Updated 2022 Jul 25]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncb...
Source: Cardiophile MD - December 9, 2022 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Camera Measures Blood Pressure with Quick Look
At the University of South Australia, researchers designed a system that allows them to measure a patient’s blood pressure with a camera. The camera visualizes the patient’s forehead and focuses on two regions in particular to optically determine...
Source: Medgadget - December 7, 2022 Category: Medical Devices Authors: Conn Hastings Tags: Cardiology Medicine Telemedicine UniversitySA Source Type: blogs