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Back to basics: what is this rhythm? What are your options for treating this patient?
Written by Bobby Nicholson MD, with edits by Meyers, Smith, GrauerA woman in her early 40s presented to the emergency department for evaluation of palpitations. She reported that she has been experiencing this since she was diagnosed with COVID a little over 1 week ago. She reported a prior history of SVT and has previously performed vagal maneuvers at home with symptom resolution. She reports that she is now unable to vagal out of her palpitations and is having shortness of breath and dull chest pain. Her initial EKG is below.We see a regular tachycardia with a narrow QRS complex and no evidence of OMI or subend...
Source: Dr. Smith's ECG Blog - October 25, 2022 Category: Cardiology Authors: Pendell Source Type: blogs

How We Wrested Control of Our Rx Drug Spending. Maybe You Can, too.
This week, we ' ve heard reporting that the big Congressional bill which was supposed to include a provision for Medicare, which is the taxpayer-funded senior insurance plan to actually negotiate prices on prescription drugs (just as most other countries, as well as the Veteran ' s Administration [VA] already do right now) was going to be omitted because of a handful of PhRMA-bankrolled lawmakers pushed to kill it. That said, it isn ' t over until its over. Although we don ' t know what she might or might not do, House Majority Leader Nancy Pelosi still has some tricks in her own playbook if it doesn ' t happen a...
Source: Scott's Web Log - November 1, 2021 Category: Endocrinology Tags: coupon-generating websites apps PBM prescriptions Source Type: blogs

Comparison of guidelines for diagnosing suspected stable angina and the additional value of the calcium score
BackgroundThe performance of current diagnostic algorithms of the American College of Cardiology/American Heart Association (ACC/AHA), National Institute for Health and Care Excellence (NICE) and European Society of Cardiology (ESC) in patients with stable chest pain and coronary artery calcium (CAC) remains a matter of debate. We compared their merits in patients with CAC and investigated the additional value of the CAC score to improve diagnostic accuracy and risk stratification.Methods and resultsPatient data were obtained from a prospective registry of 642 consecutive patients.
Source: International Journal of Cardiology - September 20, 2021 Category: Cardiology Authors: Dorine Rijlaarsdam-Hermsen, Ron T. van Domburg, Jaap W. Deckers, Dirkjan Kuijpers, Paul R.M. van Dijkman Source Type: research

How A Nurse With a Hole in Her Skull Changed The Medical History of Migraines
The following is adapted from an excerpt from social and medical historian Katherine Foxhall’s new book, Migraine: A History, published by Johns Hopkins University Press, and out June 18, 2019. In 1936, Alfred Goltman, a physician from Tennessee, reported on one of his cases in the prominent medical journal Allergy. The patient was a 26-year-old woman with a history of headaches, nausea, and vomiting since childhood. Goltman believed the observations he had made on this patient helped reveal the pathological physiology of migraine. He had first met the woman, a registered nurse, in 1931. He recorded that for as lon...
Source: TIME: Health - June 18, 2019 Category: Consumer Health News Authors: Katherine Foxhall Tags: Uncategorized Headache History Migraine Source Type: news

LITFL Review 327
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Welcome to the 327th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM. Readers can subscribe to LITFL review RSS or LITFL review EMAIL subscription The Most Fair Dinkum Ripper Beauts of the Week Rory Spiegel, i...
Source: Life in the Fast Lane - April 15, 2018 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: LITFL review LITFL R/V Source Type: blogs

My giant ovarian cyst the size of a watermelon – Laura ’ s story
The day I was told that I had a giant ovarian cyst I turned immediately to the internet for answers to the questions whizzing around my brain, but I quickly discovered that every story is a little bit different and finding answers quite difficult. Early on I decided to keep a diary of my journey, in the hope that it may help someone facing something similar. My way of coping with how anxious I felt was to approach it all like a work project (lots of research, preparation and organizing). In my case, the motivating factor in March 2016 to visit BUPA for a top-to-toe health check was utter despair with my NHS GP and concern ...
Source: The Hysterectomy Association - November 20, 2016 Category: OBGYN Authors: Linda Parkinson-Hardman Tags: Health dermoid cyst hysterectomy stories ovarian cyst Source Type: news

Chest Pain, Dyspnea, and Diaphoresis
​BY BENJAMIN COOPER, MDA 38-year-old man with a history of hypertension and a heart defect status post-repair in infancy presented with acute onset chest pain, dyspnea, and diaphoresis. He had a similar episode at another hospital one month prior that resolved after “some medication.” He denies drug use.​The patient's blood pressure was 120/70 mm Hg. He was alert and oriented, and although dyspneic, was speaking in full sentences. His respiratory rate was in the lower 20s, and oxygen saturation was 98 percent on room air. An ECG was obtained in triage, and is shown. His diagnosis? Stable ventricular tachycardi...
Source: The Case Files - April 26, 2016 Category: Emergency Medicine Tags: Blog Posts Source Type: research

The Wheat Belly lifestyle BEGAN with heart health
Debbie posted this comment on the Wheat Belly Facebook page: “I posted a few weeks back about our scare from our primary care doctor. My husband had a calcium score of 1200. We panicked! Messaged Dr. Davis and went the next day to a cardio doctor and had a stress test, ultrasound, and blood test (inflammatory markers). Got him on recommended supplements per Dr Davis. “Latest update: Cardio doctor says, being as you started ‘Wheat Belly’ back in October, 2014, your score could have been higher and already started to improve, we don’t know. What we DO know is, because of this new way of eating,...
Source: Wheat Belly Blog - September 15, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle calcium score cholesterol fish oil gluten grains heart disease iodine Thyroid vitamin D Weight Loss Source Type: blogs