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An Urgent Call to Raise Awareness of Heart Disease in Women
By KELLY CARROLL There is a dire need to raise awareness about heart disease in women. It is the number one killer of American women, and key data points reveal a lack of cognizance among doctors and women. An assessment of primary care physicians published in 2019 revealed that only 22% felt extremely well prepared to evaluate cardiovascular disease risks in female patients. A 2019 survey of American women showed that just 44% recognized heart disease as the number one cause of death in women. Ten years earlier, in 2009, the same survey found that 65% of American women recognized heart disease as the leading cause o...
Source: The Health Care Blog - April 5, 2024 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Medical Practice heart disease Kelly Carroll Life Essential 8 prevention Womens health Source Type: blogs

Chest pain, ST Elevation, well-formed Q-waves, and infarction with peak hs troponin I over 1000 ng/L. Is it OMI?
A 60-something male presented stating that he had had chest pain that morning which awoke him from sleep but then resolved after several minutes. He has had similar pain in the past which he attributed to acid reflux. He has a history of untreated hypertension.He is pain free now.His systolic BP was 200.The patient is pain free at the time of this ECG:What do you think?The conventional algorithm said:SINUS RHYTHMANTERIOR MYOCARDIAL INFARCTION , PROBABLY RECENT [40+ ms Q WAVE AND/OR ST/T ABNORMALITY IN V3/V4]***ACUTE MI*** There are well-formed Q-waves in precordial leads. The T-waves are inverted.&nb...
Source: Dr. Smith's ECG Blog - January 31, 2024 Category: Cardiology Authors: Steve Smith Source Type: blogs

Three normal high sensitivity troponins over 4 hours with a " normal ECG "
Written byWilly FrickA 46 year old man with a history of type 2 diabetes mellitus presented to urgent care with complaint of " chest burning. " The documentation does not describe any additional details of the history. The following ECG was obtained.ECG 1What do you think?The ECG shows sinus bradycardia but is otherwise normal. There is TWI in lead III, but this can be seen in normal ECGs. No labs were obtained. The patient was given a prescription for albuterol and a referral to cardiology.Smith comment:No patient over 25 years of age with unexplained chest burning should be discharged without a troponin rule out, no matt...
Source: Dr. Smith's ECG Blog - January 5, 2024 Category: Cardiology Authors: Willy Frick Source Type: blogs

What ’ s a Problem, Technology, Opportunity, or Issue That Not Enough People are Talking About?
The world of healthcare IT is similar to the birth and expansion of our universe. It started out slowly until a big bang set it all off into motion. And now, just like the expansion of our universe, healthcare IT is only picking up speed and getting bigger and bigger. So with the world of healthcare IT only getting faster and expanding out into newer and bigger areas, how can we keep track of everything? Alone, the task is impossible, but together we just might manage it. In search of a status report, we reached out to our brave Healthcare IT Today community to see what problems, technologies, opportunities, or issues they...
Source: EMR and HIPAA - November 28, 2023 Category: Information Technology Authors: Grayson Miller Tags: C-Suite Leadership Clinical Health IT Company Healthcare IT Hospital - Health System LTPAC aidoc BJ Boyle Caregility Carta Healthcare Elad Walach Foley & Lardner Hlth HLTH 2023 HLTH2023 Isabel Hines Jeff Gartland Kedar Ga Source Type: blogs

MedEssist is Helping to Transform Pharmacies into Pharmacy Health Clinics
The healthcare system in many countries is stretched thin. To help relieve the pressure, governments are starting to allow pharmacists to treat a growing number of minor ailments. MedEssist’s technology platform is helping pharmacies transform into health clinics. Healthcare IT Today got a brief demonstration of the MedEssist platform from Joella Almeida, CEO and Co-Founder at the Collision Conference. We also asked her about the expanding role of pharmacists in healthcare. Pharmacies Are Already in the Community “We are focused on helping independent pharmacies,” explained Almeida. “There’s one on every bloc...
Source: EMR and HIPAA - August 16, 2023 Category: Information Technology Authors: Colin Hung Tags: Ambulatory Communication and Patient Experience Health IT Company Healthcare IT Collision 2023 Collision Conference Joella Almeida MedEssist minor ailments Pharmacies Pharmacists pharmacy health clinics 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

The surprising risks of long-term proton pump inhibitor use
A lot of my patients take proton pump inhibitors (PPIs). They generally work pretty well for their intended use. By limiting the secretion of gastric acid from the stomach, they can effectively blunt uncomfortable symptoms of erosive gastritis, gastroesophageal reflux disease, H. pylori infection, and peptic ulcers. However, without further evaluation, these medications are not Read more… The surprising risks of long-term proton pump inhibitor use originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - June 18, 2023 Category: General Medicine Authors: Christopher Medrano, MD Tags: Meds Gastroenterology Source Type: blogs

In Other Words: Not All Bases Are in the Ballpark
You might first think about sports when you hear the word base, but not all bases are on the baseball diamond. In chemistry, a base is a molecule that reacts with an acid, often by accepting a proton from the acid or from water. Baking soda and dish soap are common bases. Credit: NIGMS. A Building Block for Life Bases are found throughout biological systems and in many molecules critical to life. The pH scale measures how acidic or basic (“alkaline”) liquids, such as water or blood, are. Liquids with a pH less than 7 are acidic, while liquids with a pH greater than 7 are basic. Electrolytes, like sodium, ca...
Source: Biomedical Beat Blog - National Institute of General Medical Sciences - March 29, 2023 Category: Research Authors: Chrissa Chverchko Tags: Cells Chemistry, Biochemistry and Pharmacology Molecular Structures DNA In Other Words RNA Source Type: blogs

Ingestible Sensor Reveals Gastric Motility
Researchers at MIT have developed an ingestible sensor that can reveal gastrointestinal motility issues, such as gastroparesis and gastroesophageal reflux disease. The technology is intended for use as an easy at-home method to diagnose such issues, which typically require more invasive and inconvenient procedures, such as endoscopy or X-ray imaging. This new technology is based on the concept that a magnetic field produced by an electromagnetic coil becomes weaker the further away you move from the coil. This change in field signal is predictable, allowing researchers to calculate the distance accurately by measuring the ...
Source: Medgadget - February 16, 2023 Category: Medical Devices Authors: Conn Hastings Tags: GI mit Source Type: blogs

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said " Nothing too exciting. "
This article fails to specify whether it was troponin I or T, but I contacted the institution and they used exclusively troponin I during that time period.Reference on Troponins: Xenogiannis I, Vemmou E, Nikolakopoulos I, et al. The impact of ST-segment elevation on the prognosis of patients with Takotsubo cardiomyopathy. J Electrocardiol [Internet] 2022;Available from: http://dx.doi.org/10.1016/j.jelectrocard.2022.09.009Cardiology opinion: Takotsubo Cardiomyopathy (EF 30-35%)V Fib Cardiac arrestProlonged QTCNSTEMI (Smith comment: is it NSTEMI or is it Takotsubo? -- these are entirely different)Moderate sin...
Source: Dr. Smith's ECG Blog - November 30, 2022 Category: Cardiology Authors: Steve Smith Source Type: blogs

In-Office Pediatric Ear Tube Procedures: Interview with Preceptis Medical ’s Greg Mielke
Preceptis Medical, a medtech company based in Minnesota, created the Hummingbird Tympanostomy Tube System. The device allows ear, nose, and throat (ENT) surgeons to insert ear tubes in the comfort of their office. The procedure requires only local anesthetic and is intended to be less distressing for pediatric patients than the conventional approach, which requires general anesthesia. The Hummingbird device provides a “one-pass” approach to ear tube placement, with an ear drum incision and tube placement occurring with a few simple manipulations of the device. Medgadget spoke with Steve Anderson, CEO of Preceptis Me...
Source: Medgadget - November 8, 2022 Category: Medical Devices Authors: Conn Hastings Tags: ENT Exclusive Pediatrics hummingbirdears Source Type: blogs

How Will A.I. Penetrate Healthcare? Through Your Skin, Voice And Cough!
There is certainly no shortage of research on artificial intelligence, machine and deep learning algorithms these days. You will come across a number of announcements every week reporting on fascinating findings, new methods, and breakthrough results. Despite the unquestionable buzz, it is challenging to pinpoint examples that actually found their way into everyday medical practice, that became part of “standard” healthcare. In this article, we will introduce three areas we believe will be the forerunners of the A.I. revolution in medicine and will discuss four principles that help to determine whether you ...
Source: The Medical Futurist - August 30, 2022 Category: Information Technology Authors: Andrea Koncz Tags: TMF Forecast Artificial Intelligence in Medicine Digital Health Research Future of Medicine AI doctors vocal biomarkers Future of healthcare medical algorithm skin checking app cough analysis Source Type: blogs

3 Powerful Real-World A.I. Examples That Are Used by Patients in Healthcare
There is certainly no shortage of research on artificial intelligence, machine and deep learning algorithms these days. You will come across a number of announcements every week reporting on fascinating findings, new methods, and breakthrough results. Despite the unquestionable buzz, it is challenging to pinpoint examples that actually found their way into everyday medical practice, that became part of “standard” healthcare. In this article, we will introduce three areas we believe will be the forerunners of the A.I. revolution in medicine and will discuss four principles that help to determine whether you ...
Source: The Medical Futurist - August 30, 2022 Category: Information Technology Authors: Andrea Koncz Tags: TMF Forecast Artificial Intelligence in Medicine Digital Health Research Future of Medicine AI doctors vocal biomarkers Future of healthcare medical algorithm skin checking app cough analysis Source Type: blogs

A Middle Aged Male diagnosed with Gastroesophageal Reflux
This middle aged male with h/o GERD but also h/o stents presented to the ED with chest pain. He had been at a clinic that day where he had complained of worsening GERD. An EKG was recorded and interpreted as normal by the computer, the clinician, and by the overreading cardiologist.He had an ECG recorded in triage (I am not certain whether the patient had active pain at this time; I believe he didnot):What do you think?Here is the patient ' s ECG from several hours ago (which was essentially the same):This shows minimal inferior ST Elevation that is howeverall but diagnostic of inferior ischemia. There is the o...
Source: Dr. Smith's ECG Blog - July 16, 2022 Category: Cardiology Authors: Steve Smith Source Type: blogs

All data suggest unstable angina, but the angiogram is normal. Ken Grauer on stress testing.
A 50-something woman who has a gastric ulcer was experiencing epigastric pain for which she decided to come to the ED. Then, approxiately one hour prior to arrival, she experienced some chest discomfort which was sharp, central, 10/10, with SOB, diaphoresis, dizziness, and nausea. Since that time it has been intermittent. She called 911 and still had pain when the medics arrived, but it resolved with sublingual NTG x 2. On arrival she was chest pain free, but still had the epigastric pain.Prehospital vitals:We could not find the prehospital EKG.Here is the first ED ECG, recorded while asym...
Source: Dr. Smith's ECG Blog - July 2, 2022 Category: Cardiology Authors: Steve Smith Source Type: blogs