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Total 885 results found since Jan 2013.

Reversible supraventricular tachycardia and left bundle branch block in a marathon runner with exertional heat stroke in the Po Valley
We report the case of a 52-year-old marathon runner admitted to our emergency department for exertional heat stroke (EHS). The electrocardiogram (ECG) showed a supraventricular tachycardia, probably an atrial flutter with 2:1 block, conducted with left bundle branch block. After 10 minutes of aggressive fluid management and rapid external cooling, the ECG returned to normal. As the high-sensitivity cardiac troponin I was elevated, coronary angiography and an electrophysiological study were performed, revealing normal coronary arteries and excluding inducible arrhythmias. As reported in the current literature, our findings ...
Source: Acta Bio-Medica : Atenei Parmensis - August 22, 2023 Category: General Medicine Authors: Erika Poggiali Gianfranco Cervellin Gioacchino Valenti Bruno Barcella Niccol ò Stomeo Andrea Biagi Andrea Corvi Andrea Vercelli Luca Rossi Source Type: research

Regular pulse checks for patients with non-cardioembolic stroke in rehabilitation hospitals to improve recognition and detection of atrial fibrillation (the ESCORT study): protocol for a prospective multicenter observational study
ConclusionThe findings of this study will help identify patients with AF in rehabilitation hospitals and improve awareness among therapists.
Source: Frontiers in Neurology - August 16, 2023 Category: Neurology Source Type: research

Association between long-term exposure to PM < sub > 2.5 < /sub > constituents and electrocardiographic abnormality: A nationwide longitudinal study in China
CONCLUSION: Differential associations between various constituents of PM2.5 and ECG abnormalities were found. The unequal toxicities for different chemical constituents of ambient particles on cardiovascular electrophysiological endpoints should be taken into consideration when considering the biological pathways linking PM2.5 and cardiovascular conditions.PMID:37572496 | DOI:10.1016/j.envint.2023.108130
Source: Environment International - August 12, 2023 Category: Environmental Health Authors: Xueyan Han Man Cao Zhaoyang Pan Jian Guo Dengmin Huang Wei Sun Jiarun Mi Pengfei Li Yuanli Liu Tao Xue Tianjia Guan Source Type: research

Quiz case: a clinical reasoning challenge in the emergency stroke setting
AbstractA right-handed woman in her 80s was admitted to the emergency department 1 h after sudden-onset global aphasia and right-sided hemiparesis. Medical history included arterial hypertension, dyslipidemia, hyperuricemia, aortic stenosis, osteoporosis, and recent pulmonary embolism. Medication consisted of apixaban, bisoprolol, hydrochlorothiazide, allopurinol, fenofibrate, and vitamin D. Vital parameters (blood pressure, heart rate, body temperature, oxygen saturation) and glycemia were all within normal range. Electrocardiogram showed a first-degree atrioventricular block. The patient was promptly transported to the e...
Source: Neurological Sciences - August 5, 2023 Category: Neurology Source Type: research

Atrial Myopathy and Ischemic Stroke in Heart Failure With Preserved Ejection Fraction
We examined the hypothesis that atrial myopathy may be associated with ischemic stroke in patients with heart failure with preserved ejection fraction. This is an exploratory, post hoc analysis of the Treatment of Preserved Cardiac Function Heart Failure with an Aldosterone Antagonist (TOPCAT) trial. Patients with sinus rhythm documented at baseline electrocardiogram and without known AF were included in this analysis.
Source: The American Journal of Cardiology - July 27, 2023 Category: Cardiology Authors: Kassem Farhat, Khaled Elkholey, Zain Ul Abideen Asad, Stavros Stavrakis Source Type: research

Half-Dose Tenecteplase or Primary Percutaneous Coronary Intervention in Older Patients With ST-Segment-Elevation Myocardial Infarction in STREAM-2: A Randomized, Open-Label Trial
CONCLUSIONS: Halving the dose of tenecteplase in a pharmaco-invasive strategy in this early-presenting, older STEMI population was associated with electrocardiographic changes that were at least comparable to those after primary PCI. Similar clinical efficacy and angiographic end points occurred in both treatment groups. The risk of intracranial hemorrhage was higher with half-dose tenecteplase than with primary PCI. If timely PCI is unavailable, this pharmaco-invasive strategy is a reasonable alternative, provided that contraindications to fibrinolysis are observed and excess anticoagulation is avoided.REGISTRATION: URL: ...
Source: Circulation - July 13, 2023 Category: Cardiology Authors: Frans Van de Werf Arsen D Risti ć Oleg V Averkov Alexandra AriasMendoza Yves Lambert Jos é F Kerr Saraiva Pablo Sepulveda Fernando Rosell-Ortiz John K French Ljilja B Musi ć Katleen Vandenberghe Kris Bogaerts Cynthia M Westerhout Alain Pag ès Thierry Source Type: research

Using the ear photoplethysmographic waveform as an early indicator of central hypovolemia in healthy volunteers utilizing LBNP induced hypovolemia model
Objective. To study the photoplethysmographic (PPG) waveforms of different locations (ear and finger) during lower body negative pressure (LBNP) induced hypovolemia. Then, to determine whether the PPG waveform can be used to detect hypovolemia during the early stage of LBNP. Approach. 36 healthy volunteers were recruited for progressive LBNP induced hypovolemia, with an endpoint of −60 mmHg or development of hypoperfusion symptoms, whichever comes first. Subjects tolerating the entire protocol without symptoms were designated as high tolerance (HT), while symptomatic subjects were designated as low tolerance (LT). Subjec...
Source: Physiological Measurement - July 9, 2023 Category: Physiology Authors: Anna-Maria Eid, Mohamed Elgamal, Antonio Gonzalez-Fiol, Kirk H Shelley, Hau-Tieng Wu and Aymen Awad Alian Source Type: research

Abnormal P-Wave Axis Predicts Major Adverse Cardiovascular Events in Patients With Ischaemic Stroke or Transient Ischaemic Attack
This study sought to assess whether the presence of aPWA can prognosticate cardiovascular outcomes in patients admitted with ischaemic neurovascular events without captured AF.
Source: Heart, Lung and Circulation - July 1, 2023 Category: Cardiology Authors: P. Pius, F. Hayat, H. Chen, S. Khanna, G. Gan, A. Bhat, T. Tan Source Type: research

Screening for undiagnosed atrial fibrillation using a single-lead electrocardiogram at primary care visits: patient uptake and practitioner perspectives from the VITAL-AF trial
CONCLUSIONS: Though the benefits and harms of screening for AF remain uncertain, most older patients underwent screening and PCPs were able to manage SL-ECG results, supporting the feasibility of routine primary care screening. PCPs exposed to a SL-ECG device preferred it over pulse palpation. PCPs were largely uncertain about AF screening done outside of practice visits.TRIAL REGISTRATION: ClinicalTrials.gov NCT03515057. Registered May 3, 2018.PMID:37391738 | DOI:10.1186/s12875-023-02087-5
Source: Primary Care - June 30, 2023 Category: Primary Care Authors: Steven J Atlas Jeffrey M Ashburner Yuchiao Chang Leila H Borowsky Patrick T Ellinor David D McManus Steven A Lubitz Daniel E Singer Source Type: research