A man in his 50s with acute chest pain without STEMI criteria. Trop negative. Cath lab cancelled. But how about the ECG and echo?
Case submitted by Matt Tanzi MD, written by Pendell MeyersA man in his early 50s presented with substernal chest pain and that started 1 hour prior to arrival. There was some radiation to the left jaw and diaphoresis. He had ongoing pain on arrival.Initial triage ECG:What do you think?I sent this to Dr. Smith who immediately replied that it is diagnostic of OMI, but difficult to tell whether it is1) anterolateral with de Winter morphology, or instead2) A combination of Aslanger ' s pattern (inferior OMI with single lead STE in III and reciprocal STD in I, aVL, plus widespread STD of subendocardial ischemia) with ...
Source: Dr. Smith's ECG Blog - September 22, 2022 Category: Cardiology Authors: Pendell Source Type: blogs
This ECG is nearly pathognomonic. What is it? (hint: it's not Wellens')
I was texted this ECG:What did I say?My response: " takotusubo "Even without a history, this is the likely diagnosis. Later, I obtained the history: 60-something woman who presented with agitation and had taken a benzodiazepine overdose. There was no report of chest pain. She had a respiratory alkalosis, with venous pH of 7.56 (equivalent to an arterial pH of higher than 7.60 and possibly contributing to the long QT and ECG abnormalities). Electrolytes were normal. She was also on Duloxetine, which can prolong the QT, and on Lithium (but her level was very low).This is almost certainly ta...
Source: Dr. Smith's ECG Blog - September 19, 2022 Category: Cardiology Authors: Steve Smith Source Type: blogs
Chest pain, peak troponin 100,000 ng/L and this ECG on discharge: what ’s the diagnosis?
Written by Jesse McLaren, with edits by Smith Usually cases are presented in chronological order the way they appear in real life. But this case will be represented in reverse chronological order. At each step we ’ll ask the question, “what’s the diagnosis?” using the STEMI paradigm (was this STEMI or NSTEMI?) and OMI paradigm (was this Occlusion MI or Non-Occlusion MI?). Discharge A 60 year old without prior cardiac history was admitted with chest pain, had a peak troponin of 100,000 ng/L (normal<16 in female and<26 in males), and was discharged with the following ECG (#4). What ’s the...
Source: Dr. Smith's ECG Blog - September 13, 2022 Category: Cardiology Authors: Jesse McLaren Source Type: blogs
Hopeful Parents Really Need To Know The potential Risks They Run With Off The Shelf Technology!
This appeared last week:Fetal heart monitors implicated in stillbirths, neonatal deathByKate AubussonAugust 29, 2022 — 5.00amThe medical watchdog is investigating the dangers of at-home fetal heart monitors following three stillbirths and one neonatal death linked to the devices.The Therapeutic Goods Administration (TGA) will consider banning handheld fetal dopplers for personal use after theywere linked to multiple cases of pregnant women being “falsely reassured” that their unborn baby had a healthy heartbeat, leading to delays in seeking medical attention.Health authorities reported three stillbirths and one early...
Source: Australian Health Information Technology - September 8, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Teaching Human Reproduction | A Chat with Margaret Reece | TAPP 122
VeteranA&P educator andreproduction researcherDr. Margaret Reece joins host Kevin Patton to talk about challenges of teaching humanreproduction and development. Reece also briefly discusses heronline resources (MedicalScienceNavigator.com) and her experiences in helpingoverwhelmed A&P students succeed in their studies.00:00 | Introduction00:43 | Reproductive Biology08:13 | Sponsored by AAA08:58 | Ultrasound& Reproductive Biology20:25 | Sponsored by HAPI21:13 | Basic Science35:27 | Sponsored by HAPS36:33 | Medical Science Navigator50:19 | Staying Connected ★ If you cannot see or activate the aud...
Source: The A and P Professor - September 8, 2022 Category: Physiology Authors: Kevin Patton Source Type: blogs
September 2022: The Torsed Testicle Traction Technique
I asked in my May blog whether immediate attempts at manual reduction of a testicular torsion should be the standard of care. Without a doubt, timely manual detorsion of a torsed testicle saves the organ from death. (Pediatr Emerg Care. 2019;35[12]:821; Pediatr Emerg Care. 2012;28[1]:80; https://bit.ly/3T9W0N0.)The detorsion procedure is sometimes quick and easy, but other times it is technically difficult and even unsuccessful. Unfortunately, many physicians are hesitant to attempt manual detorsion because they lack procedural confidence or have anxiety about worsening the torsion.Testicles torsed for a prolon...
Source: M2E Too! Mellick's Multimedia EduBlog - August 31, 2022 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
How Will A.I. Penetrate Healthcare? Through Your Skin, Voice And Cough!
There is certainly no shortage of research on artificial intelligence, machine and deep learning algorithms these days. You will come across a number of announcements every week reporting on fascinating findings, new methods, and breakthrough results.
Despite the unquestionable buzz, it is challenging to pinpoint examples that actually found their way into everyday medical practice, that became part of “standard” healthcare.
In this article, we will introduce three areas we believe will be the forerunners of the A.I. revolution in medicine and will discuss four principles that help to determine whether you ...
Source: The Medical Futurist - August 30, 2022 Category: Information Technology Authors: Andrea Koncz Tags: TMF Forecast Artificial Intelligence in Medicine Digital Health Research Future of Medicine AI doctors vocal biomarkers Future of healthcare medical algorithm skin checking app cough analysis Source Type: blogs
3 Powerful Real-World A.I. Examples That Are Used by Patients in Healthcare
There is certainly no shortage of research on artificial intelligence, machine and deep learning algorithms these days. You will come across a number of announcements every week reporting on fascinating findings, new methods, and breakthrough results.
Despite the unquestionable buzz, it is challenging to pinpoint examples that actually found their way into everyday medical practice, that became part of “standard” healthcare.
In this article, we will introduce three areas we believe will be the forerunners of the A.I. revolution in medicine and will discuss four principles that help to determine whether you ...
Source: The Medical Futurist - August 30, 2022 Category: Information Technology Authors: Andrea Koncz Tags: TMF Forecast Artificial Intelligence in Medicine Digital Health Research Future of Medicine AI doctors vocal biomarkers Future of healthcare medical algorithm skin checking app cough analysis Source Type: blogs
Heated saline-enhanced radiofrequency ablation- New concept
Heated saline-enhanced radiofrequency ablation – New concept
We have heard of cooled saline tip radiofrequency catheter ablation for quite some time, which allows the formation of deeper lesions. Now here is intramural needle ablation using in-catheter, heated saline-enhanced radio frequency (SERF) energy. It uses convective heating to increase heat transfer and produce deeper controllable lesions at intramural targets. This is meant for ablation of ventricular tachycardia (VT) with intramural origins. So far ablations for VT have been mostly endocardial and sometimes epicardial.
The first-in-human trial had 32 subje...
Source: Cardiophile MD - August 27, 2022 Category: Cardiology Authors: Johnson Francis Tags: ECG / Electrophysiology Source Type: blogs
Weekly Overseas Health IT Links –27th August 2022.
In this study, researchers gathered a diverse group of participants; 43 percent were Black, and 68 percent were women. They also considered factors such as age and insurance status when drawing conclusions.The study occurred through a clinical trial, where all participants were randomly assigned to have their next visit occur through either phone or video-based platforms. The central unit of measurement was visit satisfaction rate, reported on a ten-point scale. Researchers noted noninferiority data based on whether patient satisfaction between the telehealth methods exceeded a -15 percent margin.-----https://www.theverge....
Source: Australian Health Information Technology - August 27, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Mining Ultrasound Data to Improve Liver Diagnostics: Interview with Beth Rogozinski, CEO at Oncoustics
Oncoustics, a medtech company based in Ontario, Canada, developed the OnX Liver Assessment Solution, an AI-powered ultrasound-based diagnostic system for liver disease. At present, detecting liver disease is a challenge, potentially involving high-end imaging systems, specialists, and invasive biopsies. These challenges, and the related expense, can limit patient access to such testing for those with strong indications of liver disease.
Consequently, in many cases, liver disease may not be detected until it is already quite advanced, limiting the potential for early detection and treatment. There is a clear need for a n...
Source: Medgadget - August 23, 2022 Category: Medical Devices Authors: Conn Hastings Tags: Exclusive Oncology Radiology liver disease oncoustics Source Type: blogs
Bonus Features – August 21, 2022 – DirectTrust sending 75 Million messages per month, HIMSS23 submission deadline is September 12, 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
DirectTrust, the industry alliance enabling secure PHI exchange among providers and between providers and patients, announced that the Direct Exchange has sent and received nearly 3.3 billion messages since 2014. This amoun...
Source: EMR and HIPAA - August 21, 2022 Category: Information Technology Authors: Brian Eastwood Tags: Health IT Company Healthcare IT Interoperability Alyssa Lin Authenticx Bamboo Health CHRISTUS Health CRISP direct exchange Direct Messaging directtrust Duke Health EchoNous eHealth Exchange Everest Home Care Healthcare IT Tod Source Type: blogs
Bonus Features – August 21, 2022 – DirectTrust sending 75 Million messages per month, HIMSS23 submission deadline is Sep 12, 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
DirectTrust, the industry alliance enabling secure PHI exchange among providers and between providers and patients, announced that the Direct Exchange has sent and received nearly 3.3 billion messages since 2014. This amoun...
Source: EMR and HIPAA - August 21, 2022 Category: Information Technology Authors: Brian Eastwood Tags: Health IT Company Healthcare IT Interoperability Alyssa Lin Authenticx Bamboo Health CHRISTUS Health CRISP direct exchange Direct Messaging directtrust Duke Health EchoNous eHealth Exchange Everest Home Care Healthcare IT Tod Source Type: blogs
Tough Ultrasound-Controlled Bioadhesives
Scientists from McGill University in Canada created a technique of using ultrasound-mediated cavitation to make bioadhesives better stick to body’s tissues, including wet surfaces that are typically challenging for such materials.
The new method involves ultrasound to create microbubbles within the adhesive. The bubbles burst, which then temporarily forces some of the adhesive components deeper into the underlying tissue, helping to create a stronger bond.
The hydrogel adhesives are made using poly(N-isopropylacrylamide) or polyacrylamide combined with alginate, and also contain chitosan or gelatin nanopar...
Source: Medgadget - August 18, 2022 Category: Medical Devices Authors: Conn Hastings Tags: Dermatology Materials Plastic Surgery mcgilluniversitycanada Source Type: blogs
Ultrasound Sticker for 48 Hours of Imaging
Engineers at MIT have created an ultrasound patch that can provide long-term ultrasound imaging of internal organs and structures. The device contains a rigid piezoelectric probe array and uses an underlying layer of elastomer-covered hydrogel in lieu of the gel applied to the skin during conventional ultrasound procedures. At just the size of a postage stamp, the ultrasound patch is highly portable and less expensive than conventional ultrasound technologies. The current iteration of the device requires a wired connection to view the images, but the researchers are working to make the device wireless, and report that in t...
Source: Medgadget - August 11, 2022 Category: Medical Devices Authors: Conn Hastings Tags: Orthopedic Surgery Radiology Sports Medicine mit ultrasound wearable ultrasound Source Type: blogs
