Test yourself: Which of the following 6 ECGs of patients with chest pain represent inferior OMI?
Which of the following 6 ECGs of patients with chest pain represent inferior OMI?The answer could be 1 or more than 188.8.131.52.4.https://hqmeded-ecg.blogspot.com/2011/10/inferior-st-elevation-what-is-diagnosis.html5.https://hqmeded-ecg.blogspot.com/2018/05/is-there-delayed-activation-wave.html6.https://hqmeded-ecg.blogspot.com/2013/04/a-40-year-old-male-with-several-chronic.htmlAnswer:3. and 5. are inferior OMI1., 2., 4., and 6. are limb lead early repolarizationIs it really possible to differentiate these?Yes. Pendell did it easily getting 6/6 correct.I put this post up because I just received number 3 from a former graduate. It is from an otherwise healthy middle-aged male with 2 episodes of brief stuttering epigastric and chest pain on the day before, then presented with 2 hours of constant pain.Let's look at it again:Here is another from the same patient, slightly later, with arrows pointing out the hyperacute T-waves:There is minimal inferior STE, but T-waves are massive in proportion to the QRS, there is ST depression, minimal, in aVL, and also some minimal ST depression in V4-V6.The former resident activated the cath lab based on this ECG and, although the interventionalist was skeptical, he had experience with this ex-resident making some very good calls in the past and so he agreed.There was a 95% thrombotic RCA lesion that was stented.Finally, this is an extra one that I put on Twitter and Facebook to promote the post:The answer, with Ken's comments too, ar...
We describe the most highly recommended generic and disease-specific PRO tools in SCD and discuss the challenges of incorporating them in clinical practice. EXPERT OPINION: PRO measures are essential to incorporate into SCD clinical trials either as primary or secondary outcomes. The use of PRO measures in SCD facilitates a patient-centered approach, which is likely to lead to improved outcomes. Significant challenges remain in adapting PRO tools to routine clinical use and in developing countries. PMID: 33034214 [PubMed - as supplied by publisher]
Currently in fellowship doing bread/butter procedures (MBB, epidurals, PNB, few SCS/PNS trials, etc.) and just interviewed at a private practice spot where they do a lot of procedures that I will have not done any training in prior to graduating (e.g. IT pump, SI fusion, Vertiflex, Kypho, MILD, Discectomy, lots of SCS/PNS trials etc) and significant amount of "OR pain procedures" at a very busy practice seeing 30-40 pts/day - how many of you are commonly performing these procedures and are... private practice concern
Publication date: October 2020Source: Brain, Behavior, and Immunity, Volume 89Author(s): Mario Gennaro Mazza, Rebecca De Lorenzo, Caterina Conte, Sara Poletti, Benedetta Vai, Irene Bollettini, Elisa Maria Teresa Melloni, Roberto Furlan, Fabio Ciceri, Patrizia Rovere-Querini, COVID-19 BioB Outpatient Clinic Study group, Francesco Benedetti
Publication date: October 2020Source: Brain, Behavior, and Immunity, Volume 89Author(s): Xiaoqin Liu, Trine Munk-Olsen, Clara Albiñana, Bjarni J. Vilhjálmsson, Emil M. Pedersen, Vivi Schlünssen, Marie Bækvad-Hansen, Jonas Bybjerg-Grauholm, Merete Nordentoft, Anders D. Børglum, Thomas Werge, David M. Hougaard, Preben B. Mortensen, Esben Agerbo
Publication date: October 2020Source: Brain, Behavior, and Immunity, Volume 89Author(s): Fernando Lopes, Fernando A. Vicentini, Nina L. Cluny, Alexander J. Mathews, Benjamin H. Lee, Wagdi A. Almishri, Lateece Griffin, William Gonçalves, Vanessa Pinho, Derek M. McKay, Simon A. Hirota, Mark G. Swain, Quentin J. Pittman, Keith A. Sharkey
BEST supplements to relieve joint pain: Is your arthritis playing up? The wetter and colder months could partially be to blame. These two pills may help.
Authors: Kim H, Lim YM, Lee EJ, Kim HW, Ahn HS, Kim KK PMID: 33029979 [PubMed]
CONCLUSIONS: More than half of the iIONP patients had an enhanced oculomotor nerve in MRI. A few of them also had elevated CSF IgG synthesis rate, but no further evidence for inflammation was found. The administration of steroids seemed to have no benefit other than increasing the blood glucose level. PMID: 33029972 [PubMed]
CONCLUSIONS: Individually customized, multicomponent exercise programs lead to improved levels of cognitive function, depression, and quality of life, especially among those who are more frail. PMID: 33029968 [PubMed]