One heart disorder is so hard to spot you can't even see it on an angiogram 

Doctors initially dismissed Sarah Brown's pain in her chest, shoulders and upper back as muscular. But she was later diagnosed with microvascular angina which has various triggers.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news

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ConclusionsSome rare pathophysiological relationships between intracranial hypotension and cervical myelopathy, can be difficult for diagnosis. Our findings indicate that proper diagnosis of such relationships after CSF shunt placement can provide relief of myelopathic symptoms.
Source: Interdisciplinary Neurosurgery - Category: Neurosurgery Source Type: research
An elderly woman presented with chest pain that radiated to the back for several hours.Here is here initial ECG:There is only a nonspecific flat T-wave in aVL.  It is essentially normal.The first troponin returned at 0.099 ng/mL (elevated, consistent with Non-Occlusion MI)Providers were concerned with aortic dissection, so they order a chest aorta CT.This showed no dissection but did show the following:Notice the area of the lateral wall (lower right) that has no contrast enhancement (It is dark, where areas of enhancement are light-colored). This transmural ischemia, but not necessarily completed infarction...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs
Case submitted by Alexis Cates, written by Pendell MeyersA middle aged man with history of HTN, DM, and VSD repair at age 6, presented to the ED with chest pain and diaphoresis while exercising.Here is his initial ECG:What do you think?Hopefully this is too easy for most readers, but it it shows a massive, obvious inferoposterior OMI, in the setting of sinus tachycardia with RBBB and LPFB. It may be too easy for you, but there is a very valuable teaching point for you as you spread ECG knowledge to your group, your residents, your learners.Over the past 3 years I have shown this ECG and many similar ones to many residents ...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs
Rationale: Penetrating aorta ulcer (PAU) with isolated left vertebral artery (ILVA) is a rare condition, accounting for no more than 1% of all kinds of aorta diseases. And traditional treatment was open surgery with total arch replacement by elephant trunk. Here, we report a case of PAU combined with ILVA managed by thoracic endovascular aortic repair (TEVAR) technique. Patient concerns: A 65-year-old male with chronic hypertension and Nicotine abuse underwent intermittent back pain for 2 years and aggravated a bit for 1 week. Diagnoses: Preoperative computed tomography angiogram (CTA) indicated PAU combined with I...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Abstract Vertebral artery injury (VAI) is a potential catastrophic complication of Goel and Harms C1-C2 posterior arthrodesis. Meticulous study of preoperative spinal CT angiography together with neuronavigation plays a fundamental role in avoiding VAI. Doppler ultrasonography may be an additional intraoperative tool, providing real-time identification of the vertebral artery (VA) and thus helping its preservation.Thirty-three consecutive patients with unstable odontoid fractures underwent Goel and Harms C1-C2 posterior arthrodesis. Surgery was performed with the aid of lateral fluoroscopic control in 16 cases (co...
Source: Journal of Neurosurgery.Spine - Category: Neurosurgery Authors: Tags: J Neurosurg Spine Source Type: research
This article originally appeared on Medium here.
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Health Technology Medical Practice Physicians AI Alex Logsdon Artificial intelligence Radiology Source Type: blogs
We report here a case of successful treatment for abdominal aortic pseudoaneurysm (AAP) and SMA occlusion in a complicated vasculo-BD using two-stage procedure, including endovascular intervention for AAP and hy brid approach with laparotomy and retrograde canalization and revascularization for SMA occlusion.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Case Report Source Type: research
These 2 serial ECGs were texted to me recently.  They were recorded 12 minutes apart:" Hey Steve, 30-something with one week of chest pain, mostly right-sided, better with sitting up. " :What do you think?QTc's were 330 ms and 373 msThis is what I texted back:These look like they are a very pronounced case ofBenign T-wave Inversion.  I do not think this is acute occlusion myocardial infarction (OMI).  Get an emergent contrast echocardiogram.p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica}These are reasons why it does not look like OMI: 1. flat ST segment in V42. huge R-wave ...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs
Conclusion: Significant (90%) pain relief achieved within 24 to 48 hours in eighteen (81.81%) patients. Cath lab-PVP increases safety, early mobility without analgesics. Small volume PMMA is optimal and less prone for complication. Cath lab PVP fluoroscopy with its increased PMMA radio opacity monitors bone filling well. It has less procedural time and better psychological impact on the minds of geriatric. PMID: 31309795 [PubMed - in process]
Source: Journal of the Association of Physicians of India - Category: General Medicine Tags: J Assoc Physicians India Source Type: research
Case submitted by Dr. James AlvaA middle aged male called EMS for chest pain. EMS arrived and confirmed that the patient was complaining of chest pain and shortness of breath.They recorded this prehospital ECG:What do you think?Normal QRS complex rhythm with hyperacute T-waves in V2-V6, I and aVL. Slight STE in V2 only, with significant STD and thus de-Winter pattern in V4-V6. Leads II and III show reciprocal depression of the ST segment (II) and T-wave (III). This is diagnostic of acute myocardial infarction of the anterolateral walls, with the most likely etiology being Occlusion of the LAD. In other words, this ECG show...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs
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