Over-diagnosing MI is not* as negligent as missing it!
As the medical literature expands exponentially, the quality and intent of the research questions sound awry. There are only a handful of journals like JAMA that are bold enough to ask some tough and pragmatic questions in this glitzy world of medical extravaganza.
The current issue wants to set the pace for an important debate, on a topic that is rarely discussed.
The question is
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Check whether your answers concur with this crucial query from Harvard Medical School and Massachusetts General Hospital. Three questions this article wishes to address.
1.What is the reason it is happening?...
Source: Dr.S.Venkatesan MD - April 25, 2024 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized acc aha esc guidlines dilemma in cardiology drsvenkatesan ethics in medicine high senstivity troponins jama network nstemi pci Source Type: blogs
Wednesday Bible Study: Rehashing
Psalm 105 is a lengthy song of praise that recounts God ' s faithfulness to the Israelites, mostly reciting purported events in Exodus. The introduction is adapted -- largely copied actually -- from 1 Chronicles 16, in which David sets up the Ark and commissions a song of praise by Asaph. Note verse 35 -- there are no caterpillars in the canonical version of Exodus. The caterpillars have come up before, which presumably means that they were working from an alternative version of the story. I don ' t need to harp on the moral depravity of the story -- the 7 year famine God causes, the murder of Egyptian children, the g...
Source: Stayin' Alive - April 24, 2024 Category: American Health Source Type: blogs
Which coronary artery is called widow maker artery and why?
Coronary arteries are blood vessels supplying oxygenated blood to the heart muscle. LAD is short for left anterior descending coronary artery. LAD is usually the largest branch of the left main coronary artery which supplies the major portion of the left ventricle.
Hence blockage of LAD can cause a major heart attack, which can sometimes be fatal. That is why LAD has been called a widow maker artery. LAD supplies the front region of the left ventricle and the partition wall between the ventricles. Ventricles are the lower muscular pumping chambers of the heart.
When the LAD is blocked at its origin, the resulting damage to...
Source: Cardiophile MD - April 24, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Navigating family skepticism: a physician ’ s dilemma
As I stepped into the hospital waiting room, the anxious eyes of family members greeted me, their worry palpable as they awaited news about their ailing patriarch. Quickly, I introduced myself and delved into the heart of the matter. “I wanted to talk to you about your father’s condition. It’s not easy news, but I
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Navigating family skepticism: a physician’s dilemma originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 24, 2024 Category: General Medicine Authors: Osmund Agbo, MD Tags: Physician Critical Care Source Type: blogs
Treadmill Stress ECG
Treadmill Exercise ECG is usually done with a computerized treadmill unit which controls the motor speed of the treadmill as well as monitors the ECG. ECG is recorded periodically during the test in addition to documenting any specific events like arrhythmias. Ideally treadmill test is done in a basal state so that the process of digestion of food and consequent increase in cardiac output does not interfere with the assessment. If it is a diagnostic test, the individual should be off medications. But if it is for assessment of effort tolerance while on treatment, it may be done on medications.
Though various protocols like...
Source: Cardiophile MD - April 24, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Take the OMI Quiz and Test yourself against the Queen of Hearts
QuizThe PM Cardio Queen of Hearts AI model for ECG interpretation from Powerful Medical is still in its early days. Do you think you can outperform the toddler version of the AI model? Version 2.0 will soon be available with four times the training data.The QoH groups ECGs intoOMI andNOT OMI. Each category is subdivided into three levels of confidence. Thus you can get a reading of NOT OMI (low, mid or high). Or you can get sa reading of OMI (low, mid or high). In other words there are six outputs with NOT OMI high confidence on one end and OMI high confidence on the other end.Take t...
Source: Dr. Smith's ECG Blog - April 24, 2024 Category: Cardiology Authors: Magnus Nossen Source Type: blogs
Exchanging, Managing, and Meaningfully Using Health Data in 2024
The following is a guest article by Jolie Ritzo, VP of Strategy and Network Engagement at Civitas Networks for Health
Health data management in 2024 is both intricate and complex. From integrating artificial intelligence (AI) into healthcare and health data platforms to establishing robust data standards that reach beyond clinical settings to managing patient consent and increased patient access, it is fair to say that health data exchange and data management have many important intricacies worthy of careful attention. The scope of health data sharing and use of health data have expanded far beyond electronic health record...
Source: EMR and HIPAA - April 23, 2024 Category: Information Technology Authors: Guest Author Tags: Analytics/Big Data Health IT Company Healthcare IT Interoperability IT Infrastructure and Dev Ops CIvitas Civitas Networks for Health Data Segmentation For Privacy DS4P HDU HDUs Health Data Health Data Management Health Data Util Source Type: blogs
Syllable Corporation Announces Purchase of Actium Health
Syllable Expands Artificial Intelligence Offerings to Health Systems Through the Purchase of Actium Health’s Patient Activation Solution, Thus Furthering its Vision to Advance and Accelerate Patient Access to Care
Syllable Continues on the Path to Revolutionize Healthcare with Actium Health to Alleviate Pain Points of Growing Patient Demands and Expectations while Driving Patient Volume
Syllable, a leader in healthcare artificial intelligence and process automation, today announced its purchase of Actium Health. Actium Health will operate as a division of Syllable Corporation.
As the industry evolves, health systems are ...
Source: EMR and HIPAA - April 23, 2024 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT Actium Health Chrisie Scott Health IT Acquisitions Healthcare M&A Kobus Jooste Michael Linnert Oak HC/FT Syllable Syllable Corporation Vig Chandramouli Virtua Health Source Type: blogs
How Significant is First Degree Heart Block?
First degree heart block is an abnormality in the electrical conduction of the heart noted on the ECG, the recording of the electrical activity of the heart. It is not a block in the blood vessels of the heart which we are more familiar with. The waves on an ECG are P, QRS complex and the T wave.
Normal interval between the onset of the P wave and the onset of QRS complex is up to one fifth of a second (0.2 seconds). When this interval is increased, it is called first degree heart block or first degree atrioventricular or AV block to be specific. Atria are the upper chambers of the heart and ventricles the lower chambers.
...
Source: Cardiophile MD - April 23, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Types of Ventricular Tachycardia
Three or more ventricular beats in a row at a rate above 100 per minute is termed ventricular tachycardia. Ventricular tachycardia lasting more 30 seconds or requiring termination earlier due to hemodynamic compromise is called sustained ventricular tachycardia. Non sustained ventricular tachycardia is one which lasts less than 30 seconds without hemodynamic compromise.
Based on the morphology, ventricular tachycardia can be classifed into monomorphic in which all beats have same morphology on ECG in a given lead and polymorphic in which there is beat to beat variation.
Polymorphic ventricular tachycardia with QT interval ...
Source: Cardiophile MD - April 23, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
A Pacemaker quiz and a new concept.
This image comes with courtesy of the Journal of SCAI Jai Parekh, Vikram Sharma, Jared Robl,et al Journal of the Society for Cardiovascular Angiography & Interventions 3 (2024) 101310
What is your diagnosis ?
I thought, it was pacemaker extrusion. It was indeed a close answer, still terribly wrong. It is an intentional exterior placement of a permanent pacemaker generator mimicking an extrusion due to pocket infection. Here is a patient, where a permanent pacemaker was kept temporarily for a few weeks or a month in high-risk reversible complete heart block situations. This typically occurs after an inferior post...
Source: Dr.S.Venkatesan MD - April 22, 2024 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized chb after tavi chb risk with tavi core valve vs sapien how to use a permanent pacemaker as temporary ? how to use a ppm as tpm? mechansim of chb after tavi TAVR Source Type: blogs
Hippocratic AI Raises $53 Million Series A at a $500 Million Valuation
Company Releases First Product: Generative AI-Powered Staffing Marketplace for Healthcare and will use Funds to Accelerate Further Product Development and Conduct Phase Three Safety Testing for its LLM
Hippocratic AI, the company building the first safety-focused Large Language Model (LLM) for healthcare, today announced the close of a $53 million Series A funding round at a $500 million valuation, bringing total funding to $120 million. Today, the company also released its first product for phase three safety testing: a staffing marketplace for healthcare where health systems, payors, and others can “hire” generative ...
Source: EMR and HIPAA - April 22, 2024 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT a16z Andreessen Horowitz Bio Health Capsule Cincinnati Children’s ELNA Evernow Fraser Health General Catalyst Guidehealth HarmonyCares Health IT Funding Health IT Fundings Health IT Investmen Source Type: blogs
Difference between pulsed wave and continuous wave Doppler
In pulsed wave Doppler, same piezoelectric crystal is used to transmit and receive the echo from the sample volume. Hence the signals are sent out in pulses and the intervals between the pulses are used to receive the echoes. In continuous wave Doppler, one piezoelectric crystal transmits continuously and another one receives continuously. As the transmission and reception are continuous, it is not possible to find out the depth from which the return signals are received. At the same time continuous wave Doppler can analyze higher velocities while pulsed wave Doppler can analyze only lower velocities.
In case of pulsed Dop...
Source: Cardiophile MD - April 22, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
Exercise, Stress, and Cardiovascular Risk
Exercise is well known to correlate with reduced risk of cardiovascular disease in human epidemiological studies. In animal studies, it is possible to demonstrate that increased physical activity does in fact cause a lower incidence of cardiovascular disease. Here researchers argue that stress has a significant effect on cardiovascular outcomes, as demonstrated by the fact that patients with greater degrees of stress, such as those with major depressive disorder, exhibit a larger beneficial correlation of reduced cardiovascular disease with exercise. It is interesting to ask which mechanisms are causing this association; e...
Source: Fight Aging! - April 22, 2024 Category: Research Authors: Reason Tags: Daily News Source Type: blogs
What is the link between thyroid and heart disease?
Heart disease can occur with both increased function of the thyroid gland and decreased function of the thyroid gland. When thyroid function is increased, heart rate increases and the work load of the heart increases.
In severe cases heart failure may occur. A peculiarity of heart failure associated with increased thyroid function is that it is a high output failure unlike the usual heart failure in which the pumping function of the heart is reduced, and low output failure occurs.
While in low output heart failure the extremities are cold, in high output failure due to increased thyroid function, the extremities of the lim...
Source: Cardiophile MD - April 22, 2024 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs
