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Young Man with Very Fast Regular Wide Complex Tachycardia
EMS was dispatched for a 30-something male who feels his heart is racing.  Sudden onset.The patient had no previous medical history.Vitals were normal except for a heart rate of 226.A prehospital 12-lead was recorded:There is a regular wide complex tachycardia.  The computer diagnosed this as Ventricular Tachycardia.Is it definitely VT??The patient was given 6mg, then 12 mg, of adenosine, without a change in the rhythm.He arrived in the ED and had an immediate bedside cardiac ultrasound while this ECG was being recorded.The bedside ultrasound (video not available) reportedly showed only a slightly reduced LV func...
Source: Dr. Smith's ECG Blog - June 28, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

Bonus Features – June 25, 2023 – 77% of healthcare workers think burnout will cause a healthcare crisis, 62% of patients want digital communication to match the in-person experience, and more
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job. Surveys More than 75% of healthcare leaders and workers have experienced burnout in the last year, according to a Holon Solutions survey. A similar percentage believe addressing burnout should be a top priority for their organiz...
Source: EMR and HIPAA - June 25, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Health IT Company Healthcare IT 4medica Alpha Nodus Andrew Slutsky Atropos Health AvaSure AVIA Marketplace Banyan Medical Systems Carol Boston-Fleischhauer CentralReach CliniComp Datavant Dexcom DrFirst Eldermark Engage Tec Source Type: blogs

Can You Drink Licorice With Hypertension?
Conclusion It’s clear that licorice, with its potent compound glycyrrhizin, can potentially raise blood pressure. This makes it a food item to approach with caution for those living with hypertension. But, remember, not all “licorice” you see on shelves contains real licorice root or extract. Checking labels can help identify those sneaky substitutes. Moderation and informed choices are your allies. While occasional licorice consumption might be fine for some, it’s always best to consult your healthcare provider to ensure you’re not jeopardizing your well-being. Delicious alternatives...
Source: The EMT Spot - June 24, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: Blood Pressure Source Type: blogs

High-Frequency Low-Tidal-Volume Ventilation During Atrial Fibrillation Ablation Improves Long Term Outcome
Catheter ablation for pulmonary vein isolation is an important modality of treatment for paroxysmal atrial fibrillation. It is also useful for persistent atrial fibrillation, though a little less. Importance of maintaining a stable contact force of the catheter during radiofrequency ablation cannot overstressed as it contributes to lesion size and achieving transmural lesion. Both these are important in reducing re-connection of pulmonary veins, an important cause for recurrent atrial fibrillation after catheter ablation. General anaesthesia during procedure reduces the rate of pulmonary vein reconnection and hence recurr...
Source: Cardiophile MD - June 24, 2023 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

8 Risk Factors Of Low Blood Pressure
Conclusion In a nutshell, understanding the risk factors associated with low blood pressure is essential for maintaining good health. Individuals with certain risk factors, such as age, medication usage, underlying medical conditions, dehydration, prolonged bed rest, nutritional deficiencies, pregnancy, and inherited factors, should be particularly aware of the potential for low blood pressure. Regular monitoring of blood pressure, communication with healthcare providers, and appropriate management strategies are important for individuals with these risk factors to ensure their well-being. Furthermore, diet pla...
Source: The EMT Spot - June 23, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: Blood Pressure Source Type: blogs

Can You Drink A Juice Cleanse With Hypertension?
Conclusion Navigating the crossroads of popular health trends and chronic conditions can be challenging. So, can you drink a juice cleanse with hypertension? Yes, but with an asterisk. The nature of the cleanse, your individual health, and the involvement of healthcare professionals all play a pivotal role. The answer lies in striking the right balance – not too much sodium or sugar, an eye on potassium levels, and regular monitoring of blood pressure. As the experiences of Mark, Sarah, and John demonstrated, the journey is unique for everyone. In the words of Dr. Naomi Fisher at Harvard Medical School: ...
Source: The EMT Spot - June 23, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: Blood Pressure Source Type: blogs

Wide complex tachycardia and hypotension in a 50-something with h/o cardiomyopathy -- what is it?
A 50-something male with unspecified history of cardiomyopathy presented in diabetic ketoacidosis (without significant hyperkalemia) with a wide complex tachycardia and hypotension.Bedside echo showed " mildly reduced " LV EF.Here is the ED ECG:What do you think?Analysis: there is a wide complex tachycardia. It is regular.  There are no P-waves.  The morphology is of RBBB and LAFB.  The initial part of the QRS is very fast, suggesting that it starts in conducting fibers and not in myocardium.  Thus, it is probably SVT with aberrancy (RBBB + LAFB) or it is posterior fascicular VT (which starts in the pos...
Source: Dr. Smith's ECG Blog - June 23, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

Ultrahigh-Resolution Photon-counting CT Useful Prior to Transcatheter Aortic Valve Replacement
Assessment of coronary anatomy prior to Transcatheter Aortic Valve Replacement has great prognostic significance. Invasive coronary angiography is done prior to TAVR though CT coronary angiography has a role in ruling out coronary artery disease in those with low or intermediate pretest probabilities. Accurate interpretation of coronary arteries in those planned for TAVR has challenges because of high occurrence of abnormal heart rhythm, contraindications for beta blockers and nitroglycerine administraton. Still important is the blooming artifacts on CT coronary angiography in those with coronary stents or severe calcific...
Source: Cardiophile MD - June 21, 2023 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

What to do about problematic medication taking?
Welcome to another episode of BDI Briefs! Our aim with BDI Briefs is to take a brief look at important issues about the emotional side of diabetes.In this short discussion, Scott, Bill, and Susan explore problematic medication taking and what you can do about it. You may be surprised by some insights – I know I was! Enjoy! And please let us know what you think and what you’d like to hear more about. And remember to subscribe to BDI’s YouTube channel! Detailed show notes and transcript ...
Source: Scott's Diabetes Blog - June 21, 2023 Category: Endocrinology Authors: Scott K. Johnson Tags: Blog Posts Source Type: blogs

A man in his 50s with acute chest pain who is lucky to still be alive.
 Sent by Magnus Nossen MD, written by Pendell MeyersA man in his 50s, previously healthy, developed acute chest pain. EMS was called, and they recorded the following ECG on scene at 13:16:What do you think?Below is the version standardized by PM Cardio appMeyers interpretation:Findings are specific for posterior (and also likely inferior) wall transmural acute infarction, most likely due to acute coronary occlusion (OMI). There is a relatively normal QRS yet there is STD maximal in V2-V4, which resolves from V4 to V6. The inferior leads may have a slightly full T wave (possibly hyperacute if compared to baseline which...
Source: Dr. Smith's ECG Blog - June 21, 2023 Category: Cardiology Authors: Pendell Source Type: blogs

Can You Use Compression Stockings With Hypertension?
Conclusion Well, folks, we’ve covered quite a lot of ground. To sum it all up: yes, compression stockings and hypertension can go together. But it’s a careful dance, not a free-for-all. The benefits? Improved circulation, reduced symptoms, and potentially a better quality of life. The risks? They’re there, but with proper precautions and professional guidance, they can be managed. Remember, it’s not just about wearing stockings. It’s about doing it right. Getting the right fit, listening to your body, following a routine, and having regular check-ins with your healthcare provider...
Source: The EMT Spot - June 20, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: Blood Pressure Source Type: blogs

Can You Try Cryotherapy With Hypertension?
Conclusion Returning to our original query: Can you try cryotherapy with hypertension? The answer is nuanced—it’s a cautious ‘maybe.’ While some research suggests a transient increase in blood pressure, it’s paramount to consult your healthcare provider and closely monitor your response to the treatment. After all, when it comes to managing health conditions, no stone should be left unturned. Read also: Can You Practice Tai Chi With Hypertension? Reference Cardiovascular and autonomic responses to whole-body cryostimulation in essential hypertension. https://pubmed.ncbi.nlm.nih.gov/25108050/
Source: The EMT Spot - June 19, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: Blood Pressure Source Type: blogs

A man with chest pain off and on for two days, and " No STEMI " at triage.
 Written by Kaley El-Arab MD, edits by Pendell Meyers and Stephen SmithA 61-year-old male with hypertension and hyperlipidemia presented to the emergency department for chest tightness radiating to the back of his neck that has been intermittent for the past day or two. Here is his triage ECG which was obtained at 20:34 during active pain.What do you think?This ECG was read as “No STEMI” with no prior available for comparison. It is true this ECG does not meet STEMI criteria (there is 1.0 mm STE in III, and possibly 0.5 mm in aVF), but there is clear evidence of OMI findings on this ECG. Leads II, III, and aVF hav...
Source: Dr. Smith's ECG Blog - June 19, 2023 Category: Cardiology Authors: Pendell Source Type: blogs

10 Methods To Prevent Low Blood Pressure: Steps Toward Optimal Health
Conclusion To sum things up, preventing low blood pressure is crucial for maintaining overall well-being and avoiding potential health complications. By adopting preventive measures, individuals can take control of their health and make informed choices to promote stable blood pressure levels. Incorporating practices such as staying hydrated, maintaining a balanced diet, engaging in regular physical activity, managing stress effectively, and monitoring medications can significantly reduce the likelihood of experiencing low blood pressure episodes and associated symptoms. Prevention not only reduces immediate he...
Source: The EMT Spot - June 18, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: Blood Pressure Source Type: blogs

Bonus Features – June 18, 2023 – 68% of health systems lack the staff to handle another health crisis, 46% of Americans are using consumer health tech, and more
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job. Reports More than two-thirds of health systems lack the nursing staff to handle a large-scale health crisis, according to an Incredible Health survey. A staggering 94% of executives said the nurse shortage at their organization ...
Source: EMR and HIPAA - June 18, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT Alivia Analytics AnalyticsIQ Barbara Greising Bill Lucia Brightside Health Carenet Health Clarify Advance Clarify Health Clayton Duncan Damyon Smith eClinicalWorks eCW Electronic Caregiver Formlabs Healthcare IT Source Type: blogs