Chest pain and shock: Is there a right ventricular OMI on this ECG? And should he undergo trancutaneous pacing?
ConclusionAmong inferior STEMI, the presence of any ST depression in lead I does not help to diagnose RVMI. ST elevation ≥0.5 mm in lead V1 is specific for RVMI, and moderately sensitive only if concomitant STD ≥ 0.5 mm in V2 is not present. Although STE in V1 is quite specific, overall the diagnostic characteristics of the standard 12‑lead ECG are inadequate to definitively diagnose, or exclude, RVMI, a s defined angiographically.____________________________Kosuge M, Ishikawa T, Morita S, Ebina T, Hibi K, Maejima N, Umemura S, Kimura K.Posterior wall involvement attenuates predictive value of ST-segment elev...
Source: Dr. Smith's ECG Blog - May 30, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
What Are The Diagnosis And Tests For High Blood Pressure?
Conclusion
In conclusion, inadequate attention and poor diagnosis of elevated blood pressure can result in grave outcomes, such as severe illnesses and potentially fatal consequences.
Neglecting regular blood pressure monitoring and failing to manage the condition can result in serious health complications such as heart disease, strokes, kidney problems, and more.
It is crucial to prioritize blood pressure care and take immediate action if diagnosed with high blood pressure. At-home blood pressure monitoring is a great way to keep constant track of your inconsistent pressure levels.
Following the treatment regi...
Source: The EMT Spot - May 23, 2023 Category: Emergency Medicine Authors: Michael Rotman, MD, FRCPC, PhD Tags: Blood Pressure Source Type: blogs
Mother ’ s Day miracle: How our daughter ’ s Down syndrome diagnosis transformed our lives with gratitude
Like Seattle rain, the tears were persistent and recurrent for months. Hearing the words, “Your prenatal screening shows a high probability of Down syndrome,” followed two days thereafter by an ultrasound and the doctor’s words, “Well, you saw the ultrasound. This looks like Down syndrome and a cystic hygroma. You’ll need to come back for
Read more…
Mother’s Day miracle: How our daughter’s Down syndrome diagnosis transformed our lives with gratitude originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - May 14, 2023 Category: General Medicine Authors: Jennifer Mills, MD Tags: Physician Pediatrics Source Type: blogs
Implanted Ultrasound Lets Chemo Access Brain
Researchers at Northwestern University have trailed an implanted ultrasound device in patients, which is used in combination with microbubbles to transiently open pores in the blood brain barrier, allowing chemo drugs to enter. We have reported on this technique before as a lab-based concept (see flashbacks below), but this is the first time that it has actually been trialed in human patients, in this case patients with glioblastoma, a difficult to treat brain cancer. The approach successfully led to a four- to six-fold increase in chemo concentrations in the brain, using drugs that are not otherwise able to cross the bloo...
Source: Medgadget - May 12, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Medicine Neurology Neurosurgery Oncology Radiology glioblastoma northwestern Source Type: blogs
Wearable Ultrasound Measures Tissue Stiffness Under Skin
Researchers at the University of California San Diego have developed a wearable ultrasound patch that is intended to provide information on the stiffness of underlying tissues as deep as 4 cm below the surface of the skin. The patch consists of a flexible 16 x 16 ultrasonic array with a silver-epoxy composite backing layer that is designed to absorb excessive vibrations. It can provide tissue stiffness data, which could be useful in a wide array of medical scenarios, including monitoring liver cirrhosis, cancer progression, sports injuries, and myocardial ischemia. The technology is part of a new wave of wearable ultrasoun...
Source: Medgadget - May 12, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Radiology UCSD Source Type: blogs
AI ’s role in Healthcare: Exclusive Interview with Catherine Estrampes, President & CEO at GE Healthcare
AI is increasingly being used in healthcare to reduce clinician workloads and improve patient outcomes. AI-driven technologies are helping to automate mundane tasks, freeing up clinicians to focus on more complex clinical decisions. AI-powered tools can also help identify patterns in medical data that can lead to faster diagnoses and better patient outcomes.
From the perspective of low hanging fruit, AI can be used to automate tedious administrative tasks such as scheduling appointments, updating medical records, or processing paperwork, saving clinicians time allow them to devote more of their efforts to direct p...
Source: Medgadget - May 3, 2023 Category: Medical Devices Authors: Alice Ferng Tags: Exclusive Informatics AI medicine GEHealthCare Source Type: blogs
Ultrasound Patch Delivers Drugs Through the Skin
Engineers at MIT have developed a patch that uses ultrasound to deliver drugs through the skin. Ultrasound can create temporary openings in skin, allowing drugs to pass through. The skin is typically a difficult area for drug delivery, as it forms a tough barrier. However, the patch, which contains piezoelectric transducers, can push drugs through the skin highly efficiently. The current iteration of the device can deliver drug molecules to the upper few millimeters of skin, suggesting applications in treating relatively superficial conditions, but the MIT researchers believe they can adapt the device to allow drugs to pen...
Source: Medgadget - May 2, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Medicine Source Type: blogs
Bonus Features – April 30, 2023 – 68% of providers say improving patient collections is a high priority, hospital expenses have increased 2x the Medicare IPPS reimbursement rate since 2019, and 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.
News and Studies
Compared to other industries, healthcare is leading the way in improving networks to support edge computing, according to the latest AT&T Cybersecurity Insights Report. Budgets for edge computing go into fo...
Source: EMR and HIPAA - April 30, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT AHA AltaMed AT&T AvaSure Butterfly Network Censinet Clearwater Clinician Nexus Conifer Health Solutions CWH Advisors Cyturus Datavant DrFirst eClinicalWorks eCW Fortified Health Security Healthcare IT Today Source Type: blogs
A 20-something with intermittent then acute chest pain
This was sent to me by a partner:" Curious what you think of this one we had overnight. Healthy male under 25 years old with a pretty good story for acute onset crushing chest pain relieved with nitro. He had another episode the day before after exerting himself. No pericardial effusion on ultrasound. "What do you think?First, many on Twitter said " Pericarditis " . This is NOT pericarditis, which virtually NEVER has ST depression any where except aVR. When there is ST depression (as in aVL, V2, V3), then top on the differential is OMI or myocarditis.See our publication: ST depression in ...
Source: Dr. Smith's ECG Blog - April 25, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
Non-Left Main Bifurcation Lesion PCI Strategies
Bifurcation lesions may be noted in almost one third of cases for percutaneous coronary intervention. Outcomes for bifurcation lesions are worse compared to non-bifurcation lesions. The two important strategies for addressing a coronary bifurcation lesion are planned one stent strategy or provisional stenting and elective two stent strategy. In provisional stenting, side branch is stented only if unavoidable.
A multicenter registry of 2044 patients compared the two strategies in non-left main bifurcation lesions. There were 1551 bifurcation lesions of left anterior descending coronary artery and 493 non-LAD bifurcation le...
Source: Cardiophile MD - April 16, 2023 Category: Cardiology Authors: Johnson Francis Tags: Angiography and Interventions Coronary Interventions Source Type: blogs
What's new in midwifery - in the news - 12th April 2023
Some recent news items, with links to the original research or report where relevant.Guardian report of astudy published in PLoS Medicine about third ultrasound scans reducing the number of breech births.Health Education England report of the use of virtual reality in teaching about perinatal mental health. Report of a baby in Nuneaton who received phototherapy for neonatal jaundice.NHS Ombudsman report into maternity services,reported in the Guardian. A report into maternal and baby safety at University Hospitals Birmingham, Guardian comment piece about pain relief in childbirth, which links to a BMJ ...
Source: Browsing - April 12, 2023 Category: Databases & Libraries Tags: midwifery Source Type: blogs
A 40-something woman with acute pulmonary edema -- see the Speckle Tracking echocardiogram.
A 49 year old woman with h/o COPD only presented with sudden dyspnea. She had acute pulmonary edema on exam. PrehospitalConventional algorithm interpretation: ANTERIOR INFARCT, STEMITransformed ECG by PM Cardio:PM Cardio AI Bot interpretation:OMI with High ConfidenceWhat do you think?There is STE and hyperacute T-waves in V2 and V3, with significant STE in I and aVL, and inferior reciprocal STD.This is proximal LAD Occlusion until proven otherwise.On arrival, lung ultrasound confirmed pulmonary edema (B lines). An ECG was recorded:ED ECG 1:The findings are still present but not nearly as profound now...
Source: Dr. Smith's ECG Blog - April 12, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
Bonus Features – April 9, 2023 – 63% of RCM departments face staffing shortages, small Stanford study shows 90% of GPT answers in clinical setting are “ generally safe, ” and 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.
Research and Surveys
Stanford Health Care tested GPT-3.5 and GPT-4 models with 64 general clinical questions and compared the output of the models to consultation reports. Researchers found that more than 90% of GPT-3.5 and GPT...
Source: EMR and HIPAA - April 9, 2023 Category: Information Technology Authors: Brian Eastwood Tags: AI/Machine Learning Healthcare IT Revenue Cycle Management 4medica Addison Care Andrew Robinson Butterfly Network CenTrak ChatGPT CORL Corl Cleared Cost Plus Drugs CWH Advisors eClinicalWorks eCW Electronic Caregiver GPT-4 Source Type: blogs
Moving Cells Using Ultrasound
Researchers at Caltech have developed a technique that lets them move groups of cells very precisely. It involves genetically modifying cells so that they express small protein air sacs in their interior. The sacs render the cells highly susceptible to manipulation using ultrasound waves, and the researchers can precisely move them into complicated shapes or patterns. The new technology could be very useful for sorting cells for cell therapies or arranging cells on biomaterial constructs to form complex tissue layers. The technique may also allow for control of cell movement within the body using external ultrasound. The s...
Source: Medgadget - March 20, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Genetics Materials Medicine Pathology Radiology Caltech Source Type: blogs
What is strange about this paroxysmal atrial fibrillation in an otherwise healthy patient? And what happened after giving ibutilide?
Conclusions.The efficacy of transthoracic cardioversion for converting atrial fibrillation to sinus rhythm was enhanced by pretreatment with ibutilide. However, use of this drug should be avoided in patients with very low ejection fractions. (N Engl J Med 1999;340:1849-54.) Smith comments from the full text: They included patients who had had a fib for less than 48 hours They excluded patients with a fib for longer than 48 hours unless they proved, by TE echo, to not have an atrial thrombus OR unless they anti-coagulated them for 3 weeks first *Therefore, our patients who have been in afib< 48 hours, or who h...
Source: Dr. Smith's ECG Blog - March 13, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs
