A child with biphasic T waves in V1-V2
Case submitted by Dr. Mike Runyon, written by Meyers, Grauer, and SmithA child between the ages of 5 and 10 was brought in by parents for new onset recurrent episodes that were interpreted as most likely panic attacks. Before arriving at that diagnosis, the providers wanted to make sure all other diagnosable causes were ruled out. An ECG was ordered and is shown below.What do you think?This was sent to me asking " What do you make of the T waves in V1 and V2? "I responded:" These T waves don ' t match any pathology I know of. I think they are likely just a meaningless normal variant. I ' ve seen some like it before, ...
Source: Dr. Smith's ECG Blog - July 10, 2021 Category: Cardiology Authors: Pendell Source Type: blogs
Microchip Nanosensor Detects Stress Hormone from Drop of Blood
Researchers at Rutgers University have developed a microchip that can perform real-time measurements of stress hormone levels in a drop of blood. The technology could provide a replacement for bulky and expensive lab tests for such hormones, and allow patients to monitor their stress levels more easily. The chip includes tiny wells that contain antibodies, and the technology monitors antibody binding through impedance measurements performed using electrodes within the device.
Life has been stressful for many people during the pandemic, where illness, lockdowns and general societal turmoil have contributed to mental heal...
Source: Medgadget - July 8, 2021 Category: Medical Devices Authors: Conn Hastings Tags: Diagnostics Medicine Nanomedicine Psychiatry Source Type: blogs
Panic Attack Symptoms And How To Deal With Them
Panic attack symptoms are similar to those of a heart attack and are experienced by 1 in 10 each year. Learn how to fight them psychologically. (Source: PsyBlog | Psychology Blog)
Source: PsyBlog | Psychology Blog - June 10, 2021 Category: Psychiatry & Psychology Authors: Jeremy Dean Tags: Anxiety Panic Source Type: blogs
A panic attack brought on by the stress of medical school [PODCAST]
“As I leaned against the pristine wall, my vision suddenly dimmed. Everything turned gray. I gulped for air. My arms and legs went numb. I felt that drowning sensation I ’d had in third grade when a nun pushed my head between my legs to keep me from fainting in church on a brutally hot JuneRead more …Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - May 24, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/the-podcast-by-kevinmd" rel="tag" > The Podcast by KevinMD < /a > < /span > Tags: Podcast Medical school Source Type: blogs
Terrified of needles? That can affect your health
No one likes getting stuck by a needle. Whether for a blood test, vaccination, or blood donation, needle sticks are something most people would prefer to avoid.
Yet, judging only by schedules for routine vaccinations and tests, the average healthy person can expect at least 165 needle sticks over a lifetime. Get hospitalized? That might add dozens or even hundreds more. And the number of needle sticks experienced by people with diabetes, HIV, and some other illnesses hovers in the “don’t ask” range.
For many, this may be more of an annoyance than a real problem. But if you have a strong fear of needles or aversion to...
Source: Harvard Health Blog - April 27, 2021 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Anxiety and Depression Behavioral Health Coronavirus and COVID-19 Source Type: blogs
Postural orthostatic tachycardia syndrome
Postural orthostatic tachycardia syndrome (POTS) is characterized by orthostatic tachycardia in the absence of orthostatic hypotension. Criteria for diagnosis of POTS are as follows: 1. Heart rate increase ≥30 beats per minute from supine to standing (5-30 min) 2. Symptoms get worse with standing and better on lying down 3. Symptoms lasting ≥6 months 4. Absence of other overt cause of orthostatic symptoms or tachycardia like active bleeding, acute dehydration and medications [1]. As children have higher orthostatic tachycardia, a cut off of ≥40 beats per minute within 5 minutes of head up tilt has been suggested in...
Source: Cardiophile MD - April 6, 2021 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: ECG / Electrophysiology Source Type: blogs
20-something with anxiety. Pulse is 169. Then 229. Then 169. Then 229. Latent conduction vs. Concealed Conduction. 3 Pathways.
A young woman in her third trimester of pregnancy had complained of panic attacks on multiple occasions. She presented to the ED this time, instead of to a clinic, for the same complaint and her pulse was palpated at " very fast " .Side note: Many panic attacks are diagnosed as SVT by 3 year followup. In other words, the patient was wrongly diagnosed and treated for psychiatric disease for up to 3 years.Lessmeier TJ, Gamperling D, Johnson-Liddon V, et al. Unrecognized paroxysmal supraventricular tachycardia. Potential for misdiagnosis as panic disorder. Arch Intern Med. 1997;157(5):537-543. More I...
Source: Dr. Smith's ECG Blog - March 25, 2021 Category: Cardiology Authors: Steve Smith Source Type: blogs
Agoraphobia: Has COVID fueled this anxiety disorder?
The past year has been hard on most of us. Who hasn’t felt anxious? Who hasn’t wanted to retreat from the world at times? Staying home when possible as COVID-19 rates climbed felt safer — and in many places was required by lockdown rules. Yet, could growing accustomed to feeling less safe in public spaces seed, or feed, the anxiety disorder known as agoraphobia? If you’re wondering whether the discomfort you experience is normal or has crossed a line, read on.
What is agoraphobia?
People with agoraphobia become anxious in places where they feel helpless, out of control, stuck, or judged. Someone who has agoraphobia...
Source: Harvard Health Blog - March 15, 2021 Category: Consumer Health News Authors: Bobbi Wegner, PsyD Tags: Anxiety and Depression Coronavirus and COVID-19 Health Mental Health Stress Source Type: blogs
Hidden Anxiety Symptoms and How to Handle Them
You probably think of anxiety as a mental disorder, and it is. However, psychological distress might not be your first symptom. This condition has a habit of manifesting in sneaky ways.
Therefore, you need to use your mindfulness skills to recognize when things aren’t quite right. Here are six hidden anxiety symptoms and how to cope so you can get relief.
1. Intestinal Upset
Are you plagued with frequent stomach upset? If so, your fight-or-flight response might be the culprit. When you face danger, your sympathetic nervous system increases blood flow to your heart and muscles and away from your intestines as it ...
Source: PickTheBrain | Motivation and Self Improvement - March 2, 2021 Category: Consumer Health News Authors: Kara Reynolds Tags: depression featured happiness health and fitness psychology self-improvement anxiety mental health mental illness pickthebrain Source Type: blogs
The Best Treatment For Panic Disorder
Panic disorders involve an extreme feeling of anxiety and fear, sometimes for no apparent reason.
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Accept Yourself: How to feel a profound sense of warmth and self-compassion
The Anxiety Plan: 42 Strategies For Worry, Phobias, OCD and Panic
Spark: 17 Steps That Will Boost Your Motivation For Anything
Activate: How To Find Joy Again By Changing What You Do (Source: PsyBlog | Psychology Blog)
Source: PsyBlog | Psychology Blog - March 1, 2021 Category: Psychiatry & Psychology Authors: Jeremy Dean Tags: Panic Source Type: blogs
A panic attack brought on by the stress of medical school
An excerpt from Cured: A Doctor’s Journey from Panic to Peace. Dead bodies surrounded me. They lay on their backs, supine in medical terminology. I imagined some staring at the white plastic sheets that covered them completely, others glaring at their closed eyelids. Their smell, a mixture of formaldehyde and death, made me gag. Corpses […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 24, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/anne-mctiernan" rel="tag" > Anne McTiernan, MD, PhD < /a > < /span > Tags: Education Medical school Source Type: blogs
The landscape of digital mental health apps: huge unmet needs, quality concerns, app stores asked to ensure transparency
Addressing the mental health crisis (Pharma Field):
Each day we find out more about the mental health effects of the pandemic. Early on, the Office for National Statistics found that one in five Britons reported symptoms of depression, compared with one in 10 before. And, according to a recent study led by the University of Nottingham and King’s College London, stress, anxiety and depression were all significantly higher in participants compared with ‘population norms’, with 64% of the participants reporting symptoms of depression and 57% reporting symptoms of anxiety.
… Through simple force of necessity, COVID-19 ...
Source: SharpBrains - February 5, 2021 Category: Neuroscience Authors: SharpBrains Tags: Brain/ Mental Health Technology & Innovation advertising standards cognitive behavioural therapy consumer protection digital health digital health applications digital mental health digital mental health interventions digital therapeutic Source Type: blogs
Sarah ’ s Wheat Belly health and life transformation
Sarah’s story reminds us how the simple matter of diet can shape our lives for decades, affecting energy, body weight, emotional health–just about every aspect of our physical and social lives before we finally stumble on the right answers. After many years of struggling with poor health, relying on prescription medications that never addressed underlying causes, it therefore came as a surprise to Sarah that she could indeed achieve magnificent health without the drugs by simply following the diet programmed into human genetic code and supplementing nutrients that are deficient in modern life.
...
Source: Wheat Belly Blog - January 28, 2021 Category: Cardiology Authors: Dr. Davis Tags: Open grain-free Inflammation joint pain wheat belly Source Type: blogs
Dealing With Anxiety in the Time of COVID-19
Now that we’re in the middle of a pandemic, more people than ever are experiencing anxiety, especially those who struggled with mental health issues before COVID-19. And to make things even worse, many of our coping mechanisms, like going to the gym or hanging out with friends, have been taken away.
In today’s show, our host, Gabe Howard, talks with Dr. Jasleen Chhatwal, who helps explain why so many people are having anxiety symptoms and what we can do about it.
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Source: World of Psychology - September 21, 2020 Category: Psychiatry & Psychology Authors: Gabe Howard Tags: Anxiety and Panic Disorders Mental Health and Wellness The Psych Central Show Source Type: blogs
Young Man with a Heart Rate of 257. What is it and how to manage?
A 30-something was in the ED for some minor trauma when he was noted to have a fast heart rate. He acknowledged that he had palpitations. but only when asked. He had a history heavy alcohol use. Blood pressure was normal (109/83).Here is his 12-lead:There is a wide complex tachycardia with a rate of 257, with RBBB and LPFB (right axis deviation) morphology.The Differential Diagnosis is: SVT with aberrancy(#) [AVNRT vs. WPW (also called AVRT*)] Atrial flutter with 1:1 conduction, with aberrancy VT coming from the anterior fascicle (fascicular...
Source: Dr. Smith's ECG Blog - September 6, 2020 Category: Cardiology Authors: Steve Smith Source Type: blogs
