Utility of ECGs in the Pediatric Emergency Department for Patients Presenting with a Seizure

Seizure is a common presenting complaint in the pediatric emergency department (ED). Initial diagnostic investigation beyond a thorough history and physical examination typically focuses on searching for reversible causes of a seizure, predisposing factors which may have precipitated a seizure, and diagnoses which could mimic seizures. Initial evaluation is variable based on the clinical scenario and available resourced in the ED, but is generally minimal, sometimes involving neuroimaging or biochemical evaluation [1,2].
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research

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The Feinstein Institutes for Medical Research at Northwell Health presented data showing the effective use of a long-term vagus nerve implant in mice at the North American Neuromodulation Society (NANS) 2020 Conference in Las Vegas. Previous preclinical vagus nerve stimulation (VNS) studies have been limited to short-term stimulation - a timeframe of minutes to hours - due to the surgical and technological challenges of implanting a stimulator small enough to fit a mouse nerve. In order to conduct mouse studies lasting weeks or even months, Feinstein Institutes researchers, led by Stavros Zanos, PhD, MD, assistant professo...
Source: MDDI - Category: Medical Devices Authors: Tags: Implants R & D Source Type: news
Condition:   Indication for ElectroCardioGram Intervention:   Diagnostic Test: ElectroCardioGram (ECG) Sponsors:   Centre Hospitalier Universitaire de Saint Etienne;   Association CNGE IRMG Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
This cohort study examines the outcomes of patients who have positive exercise electrocardiographic results but normal stress echocardiographic imaging findings.
Source: JAMA Internal Medicine - Category: Internal Medicine Source Type: research
Ingestion of cylindrical batteries is uncommon. Management can include removal via upper endoscopy, surgical excision, or observation. This case demonstrates the rare phenomenon of cylindrical battery ingestion causing an electrocardiogram (ECG) artifact that mimics ST segment myocardial infarction (STEMI).
Source: The Journal of Emergency Medicine - Category: Emergency Medicine Authors: Tags: Clinical Communications: Adult Source Type: research
ABSTRACTBackgroundAtrial fibrillation (AF) is associated with heart failure (HF) rehospitalization in patients with heart failure with preserved ejection fraction (HFpEF).ObjectiveWe tested the hypothesis that catheter ablation of AF could reduce HF rehospitalization compared with conventional pharmacotherapy in patients with HFpEF.MethodsEighty ‐five consecutive HFpEF (EF≥50% and a history of HF hospitalization) patients diagnosed as AF by 12‐lead electrocardiogram were retrospectively analyzed. Thirty‐five patients who received catheter ablation (ABL group) were compared with 50 patients treated by anti‐arrhyt...
Source: Journal of Cardiovascular Electrophysiology - Category: Cardiology Authors: Tags: ORIGINAL ARTICLE Source Type: research
Many patients present to emergency departments (ED) in U.S. for evaluation of acute coronary syndrome, and a rapid electrocardiogram (ECG) and interpretation are imperative for initial triage. A growing number of advanced practice practitioners (APP) (e.g. physician assistants, nurse practitioners) are assisting patient care in the ED.
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research
In conclusion, although young and non-smoking volunteers considered themselves healthy by questionnaire, 20% showed signs of a heart, liver, or airway disease, and additional 24% were classified as atopics. This suggests that more detailed clinical testing may be necessary to safely exclude those who may adversely react to controlled exposure with sensory irritants. PMID: 31974924 [PubMed - as supplied by publisher]
Source: Advances in Experimental Medicine and Biology - Category: Research Tags: Adv Exp Med Biol Source Type: research
This article presents a new wearable platform, SeisMote, for the monitoring of cardiovascular function in controlled conditions and daily life. It consists of a wireless network of sensorized nodes providing simultaneous multiple measures of electrocardiogram (ECG), acceleration, rotational velocity, and photoplethysmogram (PPG) from different body areas. A custom low-power transmission protocol was developed to allow the concomitant real-time monitoring of 32 signals (16 bit @200 Hz) from up to 12 nodes with a jitter in the among-node time synchronization lower than 0.2 ms. The BluetoothLE protocol may be used when only a...
Source: Sensors - Category: Biotechnology Authors: Tags: Article Source Type: research
CONCLUSION: As reimbursement for emergency medicine in Germany was recently rearranged, quality benchmarking has gained incremental importance. Mandatory joint quality measurement in both concepts ensuring gap analysis and process improvement is encouraged. PMID: 31970463 [PubMed - as supplied by publisher]
Source: Herz - Category: Cardiology Tags: Herz Source Type: research
Publication date: Available online 24 January 2020Source: IRBMAuthor(s): X. Gu, J. Hu, L. Zhang, J. Ding, F. YanAbstractThe rapid development of the wearable electrocardiogram monitoring equipment increases the requirements for R peak detection in wearable devices. An improved method called ISC algorithm is proposed with high anti-interference ability for R peak detection in wearable devices based on a simple basic algorithm called SC algorithm. The proposed method is characterized by using the updated amplitude selection threshold, updated slope comparison threshold and RR interval judgement to reduce false positives and ...
Source: IRBM - Category: Biomedical Engineering Source Type: research
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