keyword
https://read.qxmd.com/read/38463923/educating-correct-ecg-interpretation-is-a-way-to-promote-the-satisfaction-and-competency-the-diagnostic-service-providers
#21
JOURNAL ARTICLE
Mehrdad Saravi, Amirmohammad Rezaei Majd, Mohammad Ali Qassemi Darzi, Yasaman Habibzadeh, Zeinab Hoseini Motlagh, Maryam Ghaemi-Amiri
BACKGROUND: Given electrocardiogram (ECG) interpretation as one of the diagnostical challenges for medical students and health professionals, this research was carried out to present an experience of web-based teaching method and novel approaches used for training of ECG interpretation. METHODS: This online program was conducted in three days. The main content of the class was taught during one hour, and after that, the teacher spent enough time for responding the asked questions...
2024: Caspian Journal of Internal Medicine
https://read.qxmd.com/read/38463090/synchronized-cardioversion-resolving-refractory-supraventricular-tachycardia-in-a-neonate-a-case-report-with-comprehensive-analysis
#22
Neelam Kumari, Tek Nath Yogi, Amrit Bhusal, Niraj Paudel
INTRODUCTION AND IMPORTANCE: Neonatal supraventricular tachycardia (SVT) poses unique challenges in diagnosis and management, with refractory cases requiring synchronized cardioversion being exceptionally rare. This case report explores the presentation and management of refractory SVT in a neonate, emphasizing the significance of sharing such clinical scenarios. CASE PRESENTATION: A 16-day-old neonate, born via emergency caesarean section, presented with respiratory distress, poor feeding, and vomiting...
March 2024: Annals of Medicine and Surgery
https://read.qxmd.com/read/38456295/what-do-we-really-know-about-the-effect-of-prolonged-heart-rhythm-monitoring-after-stroke
#23
JOURNAL ARTICLE
Håkon Ihle-Hansen, Guri Hagberg, Hege Ihle-Hansen, Else Chartlotte Sandset, Jason G Andrade, John Mandrola, Søren Zöga Diederichsen
The bulk of the current knowledge on atrial fibrillation (AF)-associated stroke risk and benefit of oral anticoagulation derives from studies on patients with clinically diagnosed AF. Subclinical AF (SCAF), defined as AF discovered during the interrogation of prolonged heart monitoring, is often asymptomatic and short-lasting, is associated with increased stroke risk compared with sinus rhythm, and may progress to clinical AF. Despite the extensive screening for and treatment of SCAF, especially in secondary stroke prevention, the net benefit of this practice is not established...
March 8, 2024: Stroke; a Journal of Cerebral Circulation
https://read.qxmd.com/read/38446228/autonomic-cardiac-function-in-children-and-adolescents-with-long-covid-a-case-controlled-study
#24
JOURNAL ARTICLE
A B Delogu, C Aliberti, L Birritella, G De Rosa, C De Rose, R Morello, N Cambise, A G Marino, A Belmusto, L Tinti, A Di Renzo, G A Lanza, D Buonsenso
Although the mechanisms underlying the pathophysiology of long COVID condition are still debated, there is growing evidence that autonomic dysfunction may play a role in the long-term complications or persisting symptoms observed in a significant proportion of patients after SARS-CoV-2 infection. However, studies focused on autonomic dysfunction have primarily been conducted in adults, while autonomic function has not yet been investigated in pediatric subjects. In this study, for the first time, we assessed whether pediatric patients with long COVID present abnormalities in autonomic cardiac function...
March 6, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38438728/new-onset-hypertension-as-a-contributing-factor-to-the-incidence-of-atrial-fibrillation-in-the-elderly
#25
JOURNAL ARTICLE
Wei Zhang, Yi Chen, Lei-Xiao Hu, Jia-Hui Xia, Xiao-Fei Ye, Yi-Bang Cheng, Ying Wang, Qian-Hui Guo, Yan Li, Nicole Lowres, Ben Freedman, Ji-Guang Wang
Hypertension and atrial fibrillation are closely related. However, hypertension is already prevalent in young adults, but atrial fibrillation usually occurs in the elderly. In the present analysis, we investigated incident atrial fibrillation in relation to new-onset hypertension in an elderly Chinese population. Our study participants were elderly (≥65 years) hypertensive residents, recruited from community health centers in the urban Shanghai (n = 4161). Previous and new-onset hypertension were defined as the use of antihypertensive medication or elevated systolic/diastolic blood pressure (≥140/90 mmHg), respectively, at entry and during follow-up on ≥ 2 consecutive clinic visits...
March 4, 2024: Hypertension Research: Official Journal of the Japanese Society of Hypertension
https://read.qxmd.com/read/38434280/immune-checkpoint-inhibitor-associated-cardiovascular-toxicities-a-review
#26
REVIEW
Guihong Liu, Tao Chen, Xin Zhang, Binbin Hu, Huashan Shi
Immune checkpoint inhibitors (ICIs) have revolutionary effects on therapeutic strategies for multiple malignancies. Their efficacy depends on their ability to reactivate the host immune system to fight cancer cells. However, adverse reactions to ICIs are common and involve several organs, limiting their use in clinical practice. Although the incidence of cardiovascular toxicity is relatively low, it is associated with serious consequences and high mortality rates. The primary cardiovascular toxicities include myocarditis, pericarditis, Takotsubo syndrome, arrhythmia, vasculitis, acute coronary syndrome, and venous thromboembolism...
March 15, 2024: Heliyon
https://read.qxmd.com/read/38434152/characterization-of-non-ischemic-dilated-cardiomyopathy-in-a-native-tanzanian-cohort-moyo-study
#27
JOURNAL ARTICLE
Lulu Said Fundikira, Pilly Chillo, Mohamed Z Alimohamed, Henry Mayala, Engerasiya Kifai, Geofrey M Aloyce, Appolinary Kamuhabwa, Gideon Kwesigabo, Linda W van Laake, Folkert W Asselbergs
BACKGROUND: Non-ischemic dilated cardiomyopathy (NIDCM) is a common cause of heart failure with progressive tendency. The disease occurs in one in every 2,500 individuals in the developed world, with high morbidity and mortality. However, detailed data on the role of NIDCM in heart failure in Tanzania is lacking. AIM: To characterize NIDCM in a Tanzanian cohort with respect to demographics, clinical profile, imaging findings and management. METHODS: Characterization of non-ischemic dilated cardioMyOpathY in a native Tanzanian cOhort (MOYO) is a prospective cohort study of NIDCM patients seen at the Jakaya Kikwete Cardiac Institute...
2024: Global Heart
https://read.qxmd.com/read/38432160/effect-of-pacing-site-on-p-wave-parameters-within-patient-comparison-of-right-atrial-appendage-and-bachmann-s-bundle
#28
JOURNAL ARTICLE
Natasha A Vedage, Edmond M Cronin
BACKGROUND: Conventional right atrial appendage pacing (RAAp) is associated with adverse clinical outcomes mediated in part by electromechanical atrial delays. Bachmann's bundle pacing (BBp) offers more physiologic atrial activation; however, detailed analysis of pacing site on paced P wave parameters is lacking. METHODS: Intraprocedural electrocardiograms of 21 consecutive patients undergoing atrial lead implantation were retrospectively analyzed and within-patient comparisons of 7 P wave parameters (P wave duration, P wave voltage, P wave area, PR interval, PR segment, PTFV1 and P wave axis) during sinus rhythm, RAAp and BBp performed...
February 27, 2024: Journal of Electrocardiology
https://read.qxmd.com/read/38431589/can-prolonged-p-r-interval-predict-clinical-outcomes-in-non-st-elevation-acute-coronary-syndrome-patients
#29
JOURNAL ARTICLE
Mohammad Zareei, Hossein Zareiamand, Mahsa Kamali, Nasim Ardalani, Ata Ebrahimi, Maryam Nabati
BACKGROUND: The present study aimed to respond to clinical question, can prolonged P-R interval predict clinical outcomes in non-ST elevation acute coronary syndrome patients? METHODS: This descriptive-analytical study was conducted on cardiac patients. All of the non-ST elevation acute coronary syndrome (NSTEACS) including non-ST elevation myocardial infarction (NSTEMI) and unstable angina patients included in the study. Then they divided into two groups: prolonged P-R interval and normal P-R interval...
March 2, 2024: BMC Cardiovascular Disorders
https://read.qxmd.com/read/38430664/epm-algorithm-a-stepwise-approach-to-accessory-pathway-localization-in-ventricular-pre-excitation
#30
JOURNAL ARTICLE
José Nunes de Alencar Neto, Marcel Henrique Sakai, Rogério Gomes de Almeida Neto, Matheus Kiszka Scheffer, Gabriel Pinheiro Soares Alencar E Silva, Claudio Cirenza, Angelo Amato Vincenzo de Paola
BACKGROUND: Accurate estimation of accessory pathway (AP) localization in patients with ventricular pre-excitation or Wolff-Parkinson-White (WPW) syndrome remains a diagnostic challenge. Existing algorithms have contributed significantly to this area, but alternative algorithms can offer additional perspectives and approaches to AP localization. OBJECTIVE: This study introduces and evaluates the diagnostic accuracy of the EPM algorithm in AP localization, comparing it with established algorithms Arruda and EASY...
February 28, 2024: Journal of Electrocardiology
https://read.qxmd.com/read/38430111/fragmented-qrs-as-a-predictor-of-cardiovascular-events-in-patients-with-type-2-diabetes-mellitus-a-36-month-follow-up-data
#31
JOURNAL ARTICLE
Şükrü Çetin, Ali Bayraktar, Önder Demiröz, Kanber Öcal Karabay, Emre Yalçınkaya
BACKGROUND: Major cardiovascular events (MACE) are more common in type 2 diabetes mellitus (T2DM) patients, and early diagnosis can prevent significant morbidity and mortality. The aim of this study was to investigate the predictiveness of fragmented QRS (fQRS) showing MACE in T2DM patients. METHODS: A total of 227 T2DM patients (mean age 52, 51% male) without any cardiovascular disease who came to the cardiology outpatient clinic between March 01 and July 31, 2019, were included in the study...
March 1, 2024: Anatolian Journal of Cardiology
https://read.qxmd.com/read/38430092/cardiac-specific-deletion-of-scn8a-mitigates-dravet-syndrome-associated-sudden-death-in-adults
#32
JOURNAL ARTICLE
D Ryan King, Mustafa Demirtas, Mikhail Tarasov, Heather L Struckman, Xiaolei Meng, Drew Nassal, Nicolae Moise, Alec Miller, Dennison Min, Andrew M Soltisz, Midhun N K Anne, Patrícia A Alves Dias, Jacy L Wagnon, Seth H Weinberg, Thomas J Hund, Rengasayee Veeraraghavan, Przemysław B Radwański
BACKGROUND: Sudden unexpected death in epilepsy (SUDEP) is a fatal complication experienced by otherwise healthy epilepsy patients. Dravet syndrome (DS) is an inherited epileptic disorder resulting from loss of function of the voltage-gated sodium channel, NaV 1.1, and is associated with particularly high SUDEP risk. Evidence is mounting that NaV s abundant in the brain also occur in the heart, suggesting that the very molecular mechanisms underlying epilepsy could also precipitate cardiac arrhythmias and sudden death...
February 15, 2024: JACC. Clinical Electrophysiology
https://read.qxmd.com/read/38425642/the-value-of-electrocardiography-in-predicting-inpatient-mortality-in-patients-with-acute-pulmonary-embolism-a-cross-sectional-analysis
#33
JOURNAL ARTICLE
Nishen Raghubeer, Sa'ad Lahri, Clint Hendrikse
INTRODUCTION: Pulmonary embolism (PE) is a significant global cause of mortality, ranking third after myocardial infarction and stroke. ECG findings may play a valuable role in the prognostication of patients with PE, with various ECG abnormalities proving to be reasonable predictors of haemodynamic decompensation, cardiogenic shock, and even mortality. This study aims to assess the value of electrocardiography in predicting inpatient mortality in patients with acute pulmonary embolism, as diagnosed with computed tomography pulmonary angiogram...
June 2024: African Journal of Emergency Medicine Revue
https://read.qxmd.com/read/38420663/real-world-diagnostic-landscape-and-incidence-of-pulmonary-hypertension-in-adult-congenital-heart-disease-patients-using-administrative-claims-data-in-japan
#34
JOURNAL ARTICLE
Tomoko Ishizu, Yasuhiro Hayashi, Natsuko Tokushige, Junichi Omura
Background: Although pulmonary hypertension (PH) and Eisenmenger's syndrome (ES) are common complications in adult congenital heart disease (ACHD), the frequency of diagnostic tests and the incidence of PH/ES in patients with ACHD in Japanese clinical practice are unclear. Therefore, we sought to clarify the frequency of diagnostic tests and incidence of PH/ES in patients with ACHD using the Medical Data Vision (MDV) database, the largest anonymized database of diagnosis procedure combination hospitals in Japan...
February 29, 2024: Current Medical Research and Opinion
https://read.qxmd.com/read/38419616/femoral-nailing-in-a-porcine-model-causes-bone-marrow-emboli-in-the-lungs-and-systemic-emboli-in-the-heart-and-brain
#35
JOURNAL ARTICLE
Steinar Kristiansen, Anders Hagen Jarmund, Jonas Hilmo, Tom Eirik Mollnes, Martin Leth-Olsen, Siri Ann Nyrnes, Bent Aksel Nilsen, Renathe Henriksen Grønli, Bjørn Ove Faldaas, Benjamin Storm, Arild Espenes, Erik Waage Nielsen
BACKGROUND: Shaft fractures of the femur are commonly treated with intramedullary nailing, which can release bone marrow emboli into the bloodstream. Emboli can travel to the lungs, impairing gas exchange and causing inflammation. Occasionally, emboli traverse from the pulmonary to the systemic circulation, hindering perfusion and resulting in injuries such as heart and brain infarctions, known as fat embolism syndrome . We studied the extent of systemic bone marrow embolization in a pig model...
2024: JB & JS Open Access
https://read.qxmd.com/read/38419606/sex-based-differences-in-obstructive-sleep-apnea-and-atrial-fibrillation-implication-of-atrial-fibrillation-burden
#36
JOURNAL ARTICLE
Chou-Han Lin, Yen-Bin Liu, Lian-Yu Lin, Hui-Chun Huang, Li-Ting Ho, Yen-Wen Wu, Ling-Ping Lai, Wen-Jone Chen, Yi-Lwun Ho, Chih-Chieh Yu
BACKGROUND: Obstructive sleep apnea (OSA) is a risk factor for atrial fibrillation (AF); however, it is unclear whether AF increases the risk of OSA. Furthermore, sex differences among patients with both AF and OSA remain unclear. We aimed to determine the association between an increased AF burden and OSA and investigate the differences in clinical characteristics between women and men with AF and OSA. METHODS: This was a descriptive, cross-sectional analysis from a prospective cohort study...
February 2024: IJC Heart & Vasculature
https://read.qxmd.com/read/38415358/use-of-artificial-intelligence-in-improving-outcomes-in-heart-disease-a-scientific-statement-from-the-american-heart-association
#37
REVIEW
Antonis A Armoundas, Sanjiv M Narayan, Donna K Arnett, Kayte Spector-Bagdady, Derrick A Bennett, Leo Anthony Celi, Paul A Friedman, Michael H Gollob, Jennifer L Hall, Anne E Kwitek, Elle Lett, Bijoy K Menon, Katherine A Sheehan, Salah S Al-Zaiti
A major focus of academia, industry, and global governmental agencies is to develop and apply artificial intelligence and other advanced analytical tools to transform health care delivery. The American Heart Association supports the creation of tools and services that would further the science and practice of precision medicine by enabling more precise approaches to cardiovascular and stroke research, prevention, and care of individuals and populations. Nevertheless, several challenges exist, and few artificial intelligence tools have been shown to improve cardiovascular and stroke care sufficiently to be widely adopted...
February 28, 2024: Circulation
https://read.qxmd.com/read/38412780/sensitivity-and-specificity-of-handheld-one-lead-ecg-detecting-atrial-fibrillation-in-an-outpatient-clinic-setting
#38
JOURNAL ARTICLE
Johan Malmqvist, Johan Engdahl, Gunnar Sjölund, Piotr Doliwa
AIMS: To validate the sensitivity and specificity of the Zenicor One handheld ECG device for detection of atrial fibrillation in an outpatient clinical setting. METHODS AND RESULTS: Patients attending outpatient clinics at Danderyd Hospital (n = 220) were examined with one lead handheld ECG immediately after standard care 12‑lead ECG recording. Twelve recordings were excluded (atrial flutter or pacing) or missing. The recordings were dichotomously categorized as "atrial fibrillation" or "not atrial fibrillation" by two senior cardiologists...
2024: Journal of Electrocardiology
https://read.qxmd.com/read/38410245/circulating-biomarkers-in-the-diagnosis-and-prognosis-of-immune-checkpoint-inhibitor-related-myocarditis-time-for-a-risk-based-approach
#39
REVIEW
Gillian Murtagh, Christopher deFilippi, Qiong Zhao, Ana Barac
Immune checkpoint inhibitors (ICIs) are monoclonal antibodies that block immune checkpoints and therefore activate immune cells, allowing them to recognize and attack cancer cells. ICIs have revolutionized oncology practice, but their use has been complicated by immune-related adverse events (irAEs). Of cardiovascular (CV) irAEs, ICI-related myocarditis has received significant attention due to high mortality rates, ranging from 25% to 50%, despite its overall low incidence. Establishing the early diagnosis of ICI-myocarditis is important for early initiation of steroids and consideration of hospitalization in patients who are at risk for hemodynamic compromise and need high acuity care in a tertiary setting...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38407428/correlation-of-osteopontin-hormone-with-timi-score-and-cardiac-markers-in-patients-with-acute-coronary-syndrome-presenting-with-chest-pain
#40
JOURNAL ARTICLE
Ayşe Şule Akan, Ibrahim Özlü
AIM: Rapid evaluation of patients with acute coronary syndrome (ACS) attending the emergency service under emergency room conditions and using appropriate risk scoring would improve treatment success. Calcium levels accumulate in the tissue in people with coronary artery disease and this has been found to correlate with osteopontin levels in some studies. It is predicted that osteopontin level could be used as a biomarker to detect coronary artery calcification. In this study, we aimed to evaluate the use of osteopontin levels in the differential diagnosis of ACS in conjunction with cardiac troponin I (cTnI) levels, and HEART (history, ECG, age, risk factors, troponin) and thrombolysis in myocardial infarction (TIMI) scores in patients with chest pain who attended the emergency service...
February 16, 2024: Cardiovascular Journal of Africa
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