A Rare Complication of a Common Disease

​BY ANUMEHA SINGH, MD, &ANDREJ KIELTYKA, PASymptomatic bradycardia is usually reserved for the over-the-hill crowd, but it is not entirely unheard of in the young and healthy. A 21-year-old African American man was sent to the emergency department by his primary care provider. The patient had no previous medical issues, normal vital signs, and was fine until about a week prior. He had quickly worsening shortness of breath while climbing the stairs to get to his dorm bedroom. The young man denied having been out in the woods or noting tick bites. He had no family history of cardiomyopathy or early cardiac events.​The patient had negative toxicology and social history screens. When pressed further, he recalled malaise, stiff neck, low-grade temperature, and muscle aches for about two weeks prior to exertional dyspnea onset. As it turned out, he went to a bonfire party for his graduating college class about three weeks before presentation. He thought the malaise was just a cold, and only the exertional component brought him and his mom to his doctor for evaluation.A heart block with a heart rate of 36 bpm was noted on an ECG in the office, which was then compared with the normal sinus rhythm from previous ECGs. The patient was directed to the emergency department for further testing. The patient appeared well, had no advantageous heart sounds, and had an essentially normal exam with no skin rash besides a heart rate of 44 bpm and a third-degree heart block on ECG.The cli...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research

Related Links:

Companies that develop AI-driven medical imaging systems collectively received nearly $580 million in funding in 2018, according to a recent  reportfrom healthcare research firm Signify Research.AI has become a popular focus in medical imaging innovation, with over 120 start-ups adamantly working to create advancements in the field. Since 2014, investors have contributed more than $1.2 billion to these companies, and funding levels are double what was reported in 2017.According to the  report, the number of early-stage (i.e. Angel Seed and Series A) investments has dropped since 2015-2016 after the “peak of...
Source: radRounds - Category: Radiology Authors: Source Type: blogs
RadNet Inc., a large medical imaging practice with over 340 locations in six states, has recently acquired  Kern Radiology Medical Group Inc., a radiology center with five facilities throughout theSouthern San Joaquin Valley in California. The transaction was made on January 30, according to the Bakersfield ’s The Record.Called one of the biggest outpatient medical imaging companies in the United States, Los Angeles-based RadNet Inc provides an array of imaging services. A publicly traded company, they employ 500 radiologists and have centers in New York, New Jersey, Maryland, Delaware, Florida, and Califor...
Source: radRounds - Category: Radiology Authors: Source Type: blogs
President Donald Trump on Friday said that China does not have a drug problem, and suggested that the U.S. should emulate its harsh drug-regulation tactics — but data from China tells a different story. Trump spoke in the White House Rose Garden Friday to announce that he would declare a national emergency to secure funding for a border wall without Congressional approval. During the address, Trump also spoke about the ongoing substance abuse epidemic in the U.S., and referred to conversations he had with Chinese leader Xi Jinping, who Trump said told him that China did not have a drug problem because it could use th...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized China Fentanyl healthytime onetime Source Type: news
ConclusionsElectrocardiographic abnormalities are very common in the general population aged 40 years or older. Only about half of the population had a completely normal electrocardiogram.ResumenIntroducción y objetivosLas anomalías electrocardiográficas son muy comunes. El propósito de este estudio es analizar la prevalencia de hallazgos electrocardiográficos anormales y su significado clínico en la población general española de 40 o más años.MétodosSubanálisis del estudio OFRECE; se seleccionó una muestra representativa de la pobla...
Source: Revista Espanola de Cardiologia - Category: Cardiology Source Type: research
ConclusionResults suggest lack of improvement in treatment and control since 2003 among children with asthma in the U.S. There is significant room for improvement in asthma control and disease management among children.
Source: The Journal of Allergy and Clinical Immunology: In Practice - Category: Allergy & Immunology Source Type: research
So-called conservative management can ease symptoms without dialysis in some people with kidney disease. But many of them are never given the option.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Kidneys Transplants Dialysis Organ Donation Death and Dying Elderly JAMA Internal Medicine (Journal) United States Renal Data System Veterans Affairs Department Source Type: news
The House Oversight chairman objects to an ‘unconventional and nontransparent’ review process.
Source: Washington Post: To Your Health - Category: Consumer Health News Authors: Source Type: news
Our Constitution divides federal power into three branches of government: the legislative, the executive, and the judicial. One of the powers given exclusively to the legislative branch (Congress) is to spend money, or to appropriate money for the executive branch to spend, in enforcing the law (which is the president ’s power and indeed duty). Specifically, Article I, Section 9 (the Appropriations Clause) says that “No Money shall be drawn from the Treasury, but in Consequence of Appropriations made by Law.” And of course, the purposes for which Congress can exercise this “power of the purse”...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
Publication date: Available online 14 February 2019Source: Journal of Clinical NeuroscienceAuthor(s): Alexander von Glinski, Emre Yilmaz, Silvia Mrotzek, Eike Marek, Birger Jettkant, Alexis Brinkemper, Christian Fisahn, Thomas A. Schildhauer, Jan GeßmannAbstractThe Hybrid Assistive Limb Lumbar Type (HAL) is an active exoskeleton that provides motion according to the wearer’s voluntary drive. It was developed to support back muscles during repetitive lifting tasks. The purpose of this paper was to determine if the myoelectric activity of the back muscles is reduced or altered when using the HAL and to investigat...
Source: Journal of Clinical Neuroscience - Category: Neuroscience Source Type: research
The cost of cardiac care, statin adherence and mortality, syncope, ultra-processed food, and heart failure survival are discussed in this week's podcast.theheart.org on Medscape
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Cardiology Commentary Source Type: news
More News: Amoxicillin | Bell's Palsy | Blogging | Borrelia | Brain | Cardiology | Cardiomyopathy | Ceftriaxone | Congestive Heart Failure | Doxycycline | Electrocardiogram | Emergency Medicine | Epidemiology | Graduation | Heart | Heart Failure | Hospitals | Intensive Care | Lyme Disease | Neurology | Parasitic Diseases | Parasitology | Primary Care | Rocephin | Skin | Toxicology | USA Health