Repost: Syncope, Shock, AV block, RBBB, Large RV, " Anterior " ST Elevation in V1-V3
I came across this post from 2015 while answering a question on Twitter, and decided to repost it:http://hqmeded-ecg.blogspot.com/2015/12/syncope-shock-av-block-large-rv.htmlSyncope, Shock, AV block, RBBB, Large RV, " Anterior " ST Elevation in V1-V3An elderly male had a syncopal episode. 911 was called. When medics arrived, the patient was alert and following commands. In the presence of the medics, he lost consciousness and became apneic and underwent 30 seconds of chest compressions, after which he started moaning and was again able to communicate and follow commands. No shock was ever delivered.A 1...
Source: Dr. Smith's ECG Blog - September 23, 2020 Category: Cardiology Authors: Steve Smith Source Type: blogs
General examination – hands and feet
General examination – hands and feet
Cyanosis and pallor can be noted in the tips of the digits in both central and peripheral cyanosis. Severe jaundice may be visible in the palms and soles, especially in small infants.
Clubbing of digits may be noted in cyanotic heart diseases as well many other non cardiac conditions. In clubbing, initially there is fluctuation of nail bed (Grade 1) followed by obliteration of angle between nail and adjacent skin fold (Lovibond angle – Grade 2). Later there is curvature of the nails (parrot beaking – Grade 3). Grade 4 or hypertrophic osteoarthropathy is not common in cardiova...
Source: Cardiophile MD - September 22, 2020 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: HBC Heberden’s nodes Janeway lesions Lovibond angle Osler’s nodes Pitting edema Polydactyly Source Type: blogs
Is There a COVID-Related Wound?
A variety of skin lesions have been described with Coronavirus infection, also called COVID-19 or SARS-CoV-2, and this post explores whether there is a link between COVID and wounds. Understanding of this disease is still in the early stages, and it is unclear whether these skin lesions are the result of comorbidities or coinfection with other agents, or whether COVID-19 is actually responsible. A search of the world literature reveals the following skin issues with COVID:
Acral erythema (redness and swelling of the hands and feet) with vesicles and pustules. This is similar to chilblains – a condition associated with...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - September 21, 2020 Category: Geriatrics Authors: Jeffrey M Levine Tags: Featured Medical Articles Geriatric Medicine Long-Term Care Pressure Injuries & Wound Care bedsore bedsores coronavirus COVID COVID-19 decubiti decubitus ulcer end-of-life care eschar geriatrics gerontology Improving Medical Source Type: blogs
EchoNous KOSMOS 3-in-1 Ultrasound, Electronic Stethoscope, and ECG Helps with COVID-19
EchoNous, a developer of novel ultrasounds, has found a way to leverage multiple critical clinical technologies within a single device. The result is KOSMOS, a handheld 3-in-1 device consisting of an ultrasound, electronic stethoscope, and an ECG, all linked via artificial technology.
When COVID-19 was hitting NYC earlier this year, EchoNous was able to use KOSMOS to help diagnose COVID patients and to inform on treatment strategies. We had a lovely chat with Dr. Richard Hoppmann, a key member of EchoNous, Clinical Professor of Internal Medicine at the University of South Carolina, and the Director of the Ultrasound I...
Source: Medgadget - September 21, 2020 Category: Medical Devices Authors: Alice Ferng Tags: Cardiology Critical Care Diagnostics Exclusive Informatics Medicine Public Health Source Type: blogs
NSTEMI : Is it the baby of STEMI or a Neo NSTEMI ?
It was April 15th 1912, Titanic, the Invincible, had just sunk into the dark waters of Atlantic coast off Newfoundland. Exactly same time around, Dr. James Herrick, In Chicago,Illinois was busy documenting the first diagnosed case of acute coronary thrombosis. A new disease was born ie Myocardial Infarction. This was also the era of the Noble Prize-winning Invention of the ECG machine by Waller, Einthoven, and Thomas Lewis & co that sow the seeds for the speciality of electro-cardiology.
Though much was studied about MI with pathological specimens in the subsequent decades, there was a lull in the efforts to define t...
Source: Dr.S.Venkatesan MD - September 14, 2020 Category: Cardiology Authors: dr s venkatesan Tags: acute coronary syndrome herrick james stemi nomenclature issues of acs non q mi NSTEACS nstemi NSTEMI new definition 2020 Source Type: blogs
Technology : Embolic protective device for TAVI,
The incidence of stroke during TAVI up to 5 % (minimum ). Stroke risk reduction during TAVI is a critical requirement that can be a deterrent against this wonderful Intervention.
Many devices are being considered
EmbolX (Edwards life science)
Emrella
Sentinel (Claret medical)
TriGaurd (Keystone)
TriGaurd 3just got the approval from CE and appear promising. (REFLECT trial) It is inserted through the transfemoral route , deflects embolic material to descending aorta since it covers all the three branches of Arch.What happens to these deflected particles? Any bodys guess.
So , in my understanding it conve...
Source: Dr.S.Venkatesan MD - September 10, 2020 Category: Cardiology Authors: dr s venkatesan Tags: tavr tavi Uncategorized embolic protective device for tavi tavr embolx sentinel. triguard 3 Source Type: blogs
TWiN 9: COVID-19 neurology with Genna Waldman
Columbia University Chief Neurology Resident Genna Waldman joins TWiN to explains how her department prepared for COVID-19, and the neurological symptoms associated with the disease. Click arrow to playDownload TWiN 009 (40 MB .mp3, 67 min)Subscribe (free): iTunes, Google Podcasts, RSS, email Become a patron of TWiN! Show notes at microbe.tv/twin (Source: virology blog)
Source: virology blog - August 12, 2020 Category: Virology Authors: Vincent Racaniello Tags: Uncategorized cognitive defect coma COVID-19 hypoxia neurobiology neuroinvasion neurological symptoms neurology neuropathology neuroscience pandemic SARS-CoV-2 stroke thrombosis Source Type: blogs
A middle aged female with " heartburn " and a " normal ECG " per the computer
This is a re-posting of a Tweet by Robert Jones (@RJonesSonoEM), reproduced with permission, written by Pendell MeyersA middle aged female with history of smoking presented to the ED with " bad heartburn. "Here is her prior baseline ECG (first), and her ED ECG (second):Baseline:ED ECG:What do you think? Do you agree with the computer ' s interpretation of " Normal ECG " ?This was posted on Twitter and Dr. Smith (and several others) replied that it shows OMI. Dr. Smith said " No " (meaning " No, I do not agree with the computer " ). " New ST elevation in V4-V6. New distortion of S wave in V4 - OMI - distal LAD likely. "The ...
Source: Dr. Smith's ECG Blog - August 7, 2020 Category: Cardiology Authors: Pendell Source Type: blogs
Complications of LV aneurysm – Cardiology MCQ
Complications of LV aneurysm – Cardiology MCQ
Which of the following is the least likely complication of left ventricular aneurysm?
Recurrent ventricular tachycardia
Left ventricular failure
Left ventricular mural thrombus
Rupture and cardiac tamponade
Post your answer as a comment below. The correct answer will be published after 2 days.
The post Complications of LV aneurysm – Cardiology MCQ appeared first on All About Cardiovascular System and Disorders. (Source: Cardiophile MD)
Source: Cardiophile MD - July 29, 2020 Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Cardiology Source Type: blogs
Prehospital ECG of a 50-something male with Syncope and Chest Pain
This case was sent by an excellent medic:A 50-something yo male started to chop wood when he experienced a short syncopal episode followed by 8/10 chest pain. Ground EMS arrived, administered ASA and sublingual nitro to which he passed out again.Flight crew was called to transport for signs of shock/syncopal episodes, not ACS.Ground crew had recorded this prehospital ECG:Sinus rhythm with one PVC (first complex)And anything else?These are hyperacute T-waves diagnostic of LAD occlusion. They begin at V3, and there is no inferior ST depression, so this is probably a mid-LAD occlusion. The hyperacute T-waves...
Source: Dr. Smith's ECG Blog - July 25, 2020 Category: Cardiology Authors: Steve Smith Source Type: blogs
Watchman FLX Next Gen Stroke Prevention Device Now FDA Approved
Boston Scientific’s WATCHMAN, a device that’s used to close the left atrial appendage, has done wonders for preventing the formation of clots that lead to stroke in many patients. Now the company has announced that its WATCHMAN FLX, a new and much improved version of the implant, won FDA approval. Already cleared in the European Union, the WATCHMAN FLX is indicated for patients with non-valvular atrial fibrillation (NVAF) for whom oral anticoagulants are not sufficient.
The new minimally invasive implant can be recaptured, repositioned, and redeployed until proper placement is achieved, or removed if the...
Source: Medgadget - July 22, 2020 Category: Medical Devices Authors: Medgadget Editors Tags: Cardiac Surgery Cardiology Source Type: blogs
Chest Pain and Ischemic ST Depression — but there is no Cath Lab available. Thrombolytics?
===================================MY Comment by KEN GRAUER, MD (7/14/2020):===================================This middle-aged man with hypertension and hyperlipidemia presented to the ED with 2 hours of new-onset chest pain — and the ECG shown in Figure-1. The patient was hemodynamically stable. No prior tracing was available for comparison.HOW would you interpret the ECG shown in Figure-1?Immediate cath lab activation was not an option in this hospital. Should acute thrombolysis be used?Figure-1: The initial ECG in the ED (See text).My THOUGHTS on ECG #1...
Source: Dr. Smith's ECG Blog - July 14, 2020 Category: Cardiology Authors: ECG Interpretation Source Type: blogs
Syncope and ST Elevation on the Prehospital ECG
DiscussionThus, no further ECGs were recorded and there was no angiogram or stress test or CT coronary angiogram. Acute MI does not often present with syncope alone, without any other symptom, so the pretest probability of acute MI is low.However, the troponins are high and, in my opinion, the data above does not rule out the possibility of type 1 MI. There were very elevated troponins without a significant known stress (which might cause a type 2 MI). The troponins are NOT consistent with STEMI (OMI), which typically has a troponin I of at least 5 ng/mL. Nevertheless, I don ' t think a thrombosis r...
Source: Dr. Smith's ECG Blog - June 19, 2020 Category: Cardiology Authors: Steve Smith Source Type: blogs
Why should the three antiplatelet siblings Tica ,Prasu & Clopi fight perennially?
Anti-platelet drugs find a place virtually in every prescription written by a cardiologist for CAD.No doubt, it sits right on top among the highest prescribed medication in the world. They are used in all forms of CAD/ ACS. It becomes mandatory in post PCI as a stent maintenance protocol. Cardiologists (at least me) are exhausted with so many studies with these drugs. When we thought we are relaxing for a while, the current issue of circulation release a big meta-analysis with 50,000 patient data.It tries to draw fresh battle lines between the three friendly P2Y12 inhibitors.
https://doi.org/10.1161/CIRCULATI...
Source: Dr.S.Venkatesan MD - June 12, 2020 Category: Cardiology Authors: dr s venkatesan Tags: acute coronary syndrome anti platelet drug bms vs des isar react 5 themis stents for high bleeding risk biofreedom onyxone ticagrelor vs prasugrel vs clopidogrel Source Type: blogs
