What does the angiogram show? The Echo? The CT coronary angiogram? How do you explain this?
A 70-something female with no previous cardiac history presented with acute chest pain. She awoke from sleep last night around 4:45 AM (3 hours prior to arrival) with pain that originated in her mid back. She stated the pain was achy/crampy. Over the course of the next hour, this pain turned into a pressure in her chest. She said this was midsternal and felt like a tightness. This originally radiated into her left arm. Over some time and the pain moved into her other arm as well as her jaw. She also had some shortness of breath. She was brought in by ambulance and re...
Source: Dr. Smith's ECG Blog - November 15, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
3D Printing In Medicine And Healthcare – The Ultimate List
3D printing has demonstrated huge potential for the future of medicine in the previous years, and its development is unstoppable. See the impressive list of 3D-printed healthcare materials and medical equipment below!
How does 3D printing in medicine work?
3D printing in medicine is part of the innovative process called additive manufacturing, which means producing three-dimensional solid objects from a digital file. How the technology works, we explained in our article on bioprinting here.
As technology evolves, researchers work on various solutions. For example, engineers from the University of Buffalo have ...
Source: The Medical Futurist - November 7, 2023 Category: Information Technology Authors: berci.mesko Tags: 3D Printing Biotechnology Future of Medicine Healthcare Design Medical Education Personalized Medicine 3d printed biomaterial tissue engineering Video bioprinting GC1 Innovation Source Type: blogs
Empty myocardial syndrome : A risk marker of mechanical rupture during STEMI
Myocardial development is a complex process that begins in the precardiac mesoderm, and is regulated by a number of genes.
Duelen R, Sampaolesi M. Stem Cell Technology in Cardiac Regeneration: A Pluripotent Stem Cell Promise. EBioMedicine. 2017 Feb;16:30-40.
After formation of tubular heart , initial increase in ventricular mass during period of chamber formation is achieved by development of trabeculations. Trabecular compaction coincides with genesis of coronary circulation, and results in formation of ventricular chambers.The hallmark of sponge-like hearts delayed and poor compactive forces.
Time line...
Source: Dr.S.Venkatesan MD - November 1, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs
Continuous prolonged generalized weakness, lightheadedness, and presyncope. What might you suspect from the ECG?
A young man presented with continuous prolonged generalized weakness, lightheadedness, and presyncope. There was some dyspnea but no chest pain. Here is his ECG. This shows LVH, with high voltage.LVH can have very thick-walled ventricles and a correspondingly small LV cavity. LVH is a common etiology of heart failure with preserved ejection fraction, as it may results in a stiff ventricle with poor diastolic relaxation.See this articles: Heart Failure with Preserved Ejection Fraction (NEJM review)One etiology of LVH on the ECG is Hypertrophic Cardiolmyopathy (HOCM), and sometimes ECGs in pa...
Source: Dr. Smith's ECG Blog - October 28, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
Four patients with chest pain and ‘normal’ ECG: can you trust the computer interpretation?
Conclusions are identical to those of Dr. McLaren, namely:It isnot safe toavoid interrupting emergency physicians— simply because prior to the QOH (Queen Of Hearts) AI application — no computer interpretation of " normal " from an ECG of a patient with new or recent CP symptoms could be relied on. Emergency physiciansmustbe interrupted to take a quick look atall ECGs of patients who present with new or recent CP.Emergency physicians should (and can!) be expected with training to be able to identify non-stemi OMIs that elude the computer. It is essential that they be ab...
Source: Dr. Smith's ECG Blog - October 19, 2023 Category: Cardiology Authors: Jesse McLaren Source Type: blogs
Bonus Features – October 15, 2023 – 66% of orgs hit by cyberattacks report disruptions to patient care, 75% of Americans don ’ t trust AI in a care setting, and 26 more
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job.
More News from HLTH
Walmart employees using virtual care provided by Included Health saw an 11% reduction in the total cost of care, the companies announced. Given these results, Walmart is expanding this three-year pilot to al...
Source: EMR and HIPAA - October 15, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT Active Minds Arrive athenahealth BrainCheck Brightside Health Butterfly Network Carta Healthcare CHIME Clearsense Concert Health Fifth Eye First Health Advisory Galen Healthcare Solutions GoodRx Harris Data Inte Source Type: blogs
Expert human ECG interpretation and/or the Queen of Hearts could have saved this patient's anterior wall
This is a re-post of an excellent case from 2021. See it again now, along with our new Queen of Hearts functionality. We ' ve come a long way in 2 years! And the pace only quickens.A man in his mid 60s with history of CAD and stents experienced sudden onset epigastric abdominal pain radiating up into his chest at home, waking him from sleep. He called EMS who brought him to the ED. He had active chest pain at the time of triage at 0137 at night, with this triage ECG:What do you think?I sent this ECG, without any text at all, to Dr. Smith, and he replied: " LAD OMI with low certainty. V3 is the one that is convincing. "&nbs...
Source: Dr. Smith's ECG Blog - October 1, 2023 Category: Cardiology Authors: Pendell Source Type: blogs
Having Tackled Workflows and Image Enhancement, Generative AI Targets Diagnostics
The following is a guest article by Morris Panner, President at Intelerad Medical Systems
By 2034, the U.S. could face a shortage of up to 124,000 physicians due, in part, to burnout. In the medical imaging field, specifically, this challenge isn’t exactly new – but the technology that could help remedy the problem is. The usage of this potential solution in the imaging space has been delayed due to the perception it’s a bit of a rule-breaker.
A fairly recent arrival to radiology, Generative AI has emerged as a powerful resource, showing promise in a variety of tasks, from supporting streamlined workflows to syntheti...
Source: EMR and HIPAA - September 26, 2023 Category: Information Technology Authors: Guest Author Tags: AI/Machine Learning Ambulatory Clinical Health IT Company Healthcare IT Hospital - Health System Clinical Workflow Generative AI Intelerad Medical Systems Medical Images Morris Panner Physician Burnout Physician Shortage Radiolog Source Type: blogs
How Could Digital Technology Make An Impact On Primary Care?
I truly hope that very soon I do not have to make an appointment at the GP when I suspect signs of a disease, but my GP will send me a message that she spotted something irregular in my latest test results and my digital health data, so I’d better visit. Let me show you in detail how primary care should be carried out in the future!
Digital health should become an organic part of primary care in the future
I live a fairly healthy life. I use data to improve my lifestyle and to make better decisions by optimising my sleep pattern, my physical, my cognitive or my emotional abilities; and I had several genetic tests....
Source: The Medical Futurist - September 21, 2023 Category: Information Technology Authors: berci.mesko Tags: Digital Health Research Healthcare Innovation technology wearables GP primary care general practitioner Source Type: blogs
A 50-something with Regular Wide Complex Tachycardiaa: What to do if electrical cardioversion does not work?
Case submitted by anonymous. Written by Smith. Ken ' s piece at the bottom is excellent.A 50-something presented with sudden onset palpitations 8 hrs prior while sitting at desk at work. He had concurrent sharp substernal chest pain that resolved, but palpitations continued.Over past 3 months, he has had similar intermittent episodes of sharp chest pain while running, but none at rest. Past medical history includes coronary stenting 17 years prior. A brief chart review revealed his most recent echo in 2018, with LV EF 67%, “very small” inferior wall motion abnormality.Initial ED ECG:What do you think?This wa...
Source: Dr. Smith's ECG Blog - September 20, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?
Case submitted by anonymous. Written by Smith. Ken ' s piece at the bottom is excellent.A 50-something presented with sudden onset palpitations 8 hrs prior while sitting at desk at work. He had concurrent sharp substernal chest pain that resolved, but palpitations continued.Over past 3 months, he has had similar intermittent episodes of sharp chest pain while running, but none at rest. Past medical history includes coronary stenting 17 years prior. A brief chart review revealed his most recent echo in 2018, with LV EF 67%, “very small” inferior wall motion abnormality.Initial ED ECG:What do you think?This wa...
Source: Dr. Smith's ECG Blog - September 20, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
Microneedle Skin Patch Measures Cancer Biomarkers
Researchers at the Harvard Wyss Institute have developed a technique that lets clinicians to characterize and monitor melanoma. The system involves using a microneedle patch that can draw deep interstitial fluid into itself through a series of penetrating hyaluronic acid needles. The needles can later be dissolved to release the biomarkers into a test tube before analysis, using a highly sensitive technique called Simoa, to detect individual biomarker protein molecules. The Simoa method involves capturing these molecules using an antibody attached to a magnetic bead, which allows the researchers to use magnets to separate ...
Source: Medgadget - September 14, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Dermatology Diagnostics Medicine Oncology harvard wyssinstitute Source Type: blogs
A 50-something with chest pain.
This was sent by anonymous The patient is a 55-year-old male who presented to the emergency department after approximately 3 to 4 days of intermittent central boring chest pain initially responsive to nitroglycerin, but is now more constant and not responsive to nitroglycerin. It is unknown when this pain recurred and became constant.More past history: hypertension, tobacco use, coronary artery disease with two vessel PCI to the right coronary artery and circumflex artery several years prior. He reports feeling nauseated with emesis. He reports that this chest pain feels different than prior chest...
Source: Dr. Smith's ECG Blog - September 3, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
The Salt Facial: Now Available
The SaltFacial® is our latest facial treatment that can address a variety of skin concerns including:acnescarssun damagefine lineswrinklesuneven skin tone and texture. It can even provide relief from eczema symptoms.The SaltFacial uses a three-step procedure that combines natural sea salt exfoliation, ultrasound technology, and LED light therapy to rejuvenate, replenish, and brighten the complexion for healthier glowing skin on the face and body. Safe for all skin types and skin tones, and it can be performed any time of the year.Watch the video below and learn more on ourSaltFacial page! Christine Hamori C...
Source: What's New In Plastic Surgery? - August 23, 2023 Category: Cosmetic Surgery Source Type: blogs
Ultrasound-Equipped Bra Monitors for Breast Cancer
Researchers at MIT have developed a wearable ultrasound system that is intended to allow women at high risk of breast cancer to perform an ultrasound scan on themselves at home, and may also let patients with early-stage malignancy or suspicious lesions to monitor how they are progressing. The technology can help patients to avoid having to attend a clinic, and may also help them to identify tumors that arise between routine breast checks at a clinic.
The system consists of a piezoelectric ultrasound scanning module that fits into a rig that can be affixed to a bra. The rig includes openings into which the ultrasoun...
Source: Medgadget - August 22, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Cardiology Diagnostics Radiology Source Type: blogs
