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electrocardiography AND review AND education

Pramod Theetha Kariyanna, Amog Jayarangaiah, Apoorva Jayarangaiah, Sudhanva Hegde, Jonathan D Marmur, Syed Haseeb, Teresa Song, Navneet Singh, Samy I McFarlane
Coronary air embolism (CARE) is a rare complication during transluminal coronary angiography or angioplasty and is almost always iatrogenic. CARE can cause significant morbidity and mortality as shown in animal studies. CARE is known to cause acute chest pain, hypotension, bradycardia, ST-segment elevation myocardial infarction (STEMI), and death. Multiple isolated case reports of CARE have been reported. We here present a systematic review of cases of CARE during transluminal coronary angiography or angioplasty...
2018: SciFed journal of cardiology
Sybil A McAuley, Martin I de Bock, Vijaya Sundararajan, Melissa H Lee, Barbora Paldus, Geoff R Ambler, Leon A Bach, Morton G Burt, Fergus J Cameron, Philip M Clarke, Neale D Cohen, Peter G Colman, Elizabeth A Davis, Jan M Fairchild, Christel Hendrieckx, D Jane Holmes-Walker, Jodie C Horsburgh, Alicia J Jenkins, Joey Kaye, Anthony C Keech, Bruce R King, Kavita Kumareswaran, Richard J MacIsaac, Roland W McCallum, Jennifer A Nicholas, Catriona Sims, Jane Speight, Stephen N Stranks, Steven Trawley, Glenn M Ward, Sara Vogrin, Timothy W Jones, David N O'Neal
INTRODUCTION: Manual determination of insulin dosing largely fails to optimise glucose control in type 1 diabetes. Automated insulin delivery via closed-loop systems has improved glucose control in short-term studies. The objective of the present study is to determine the effectiveness of 6 months' closed-loop compared with manually determined insulin dosing on time-in-target glucose range in adults with type 1 diabetes. METHODS AND ANALYSIS: This open-label, seven-centre, randomised controlled parallel group clinical trial will compare home-based hybrid closed-loop versus standard diabetes therapy in Australia...
June 9, 2018: BMJ Open
János Borbás, Erzsébet Forczek, Róbert Sepp, Ferenc Bari
Telemedicine is a young science that integrates innovations of information-technology and telecommunications into medical science. A successful telemedicine procedure should guarantee reduced workload of the healthcare system with well secured and cost-effective processes. Our goal was to collect the development phases of telemedicine projects through existing telecardiology solutions. Subsequent to reviewing international publications we analyzed the past and present situation of blood pressure monitoring, remote diagnostics of electrocardiography, implantable cardioverter defibrillator monitoring and pocket ultrasound devices...
November 2017: Orvosi Hetilap
Nathan Henrie, Bryan Harvell, Amy A Ernst, Steven J Weiss, Scott Oglesbee, Dusadee Sarangarm, Lorenzo Hernandez
OBJECTIVES: ST elevation myocardial infarctions (STEMIs) and non-ST elevation myocardial infarctions (NSTEMIs) have differences that can be important to differentiate. Our primary hypothesis was that corrected QT (QTc) duration and troponin I levels were higher in STEMIs compared with NSTEMIs. The objective of our study was to compare STEMIs with NSTEMIs for QTc duration and troponin levels. METHODS: This was a retrospective case-control study of all STEMIs and a random sample of NSTEMIs during a 1-year period...
March 2017: Southern Medical Journal
Kieran L Quinn, Eugene Crystal, Ilan Lashevsky, Banafsheh Arouny, Adrian Baranchuk
BACKGROUND: We have previously developed a novel digital tool capable of automatically recognizing correct electrocardiography (ECG) diagnoses in an online exam and demonstrated a significant improvement in diagnostic accuracy when utilizing an inductive-deductive reasoning strategy over a pattern recognition strategy. In this study, we sought to validate these findings from participants at the International Winter Arrhythmia School meeting, one of the foremost electrophysiology events in Canada...
July 2016: Annals of Noninvasive Electrocardiology
Nicole Lowres, Ines Krass, Lis Neubeck, Julie Redfern, Andrew J McLachlan, Alexandra A Bennett, S Ben Freedman
BACKGROUND: Atrial fibrillation guidelines advocate screening to identify undiagnosed atrial fibrillation. Community pharmacies may provide an opportunistic venue for such screening. OBJECTIVE: To explore the experience of implementing an atrial fibrillation screening service from the pharmacist's perspective including: the process of study implementation; the perceived benefits; the barriers and enablers; and the challenges for future sustainability of atrial fibrillation screening within pharmacies...
December 2015: International Journal of Clinical Pharmacy
David Colquhoun, Ben Freedman, David Cross, Ben Fitzgerald, Brett Forge, David L Hare, James Tatoulis, John Wicks, Andrew Wilson, Robert Zecchin
This position paper provide guidelines on the minimum requirements of both personnel and equipment for the safe performance of clinical exercise electrocardiography, and for the adequate interpretation and assessment of results. This document was originally developed by Professor Ben Freedman and members of the Rehabilitation, Exercise and Prevention Working Group in 1996. It has been recently reviewed by a Working Group chaired by Associate Professor David Colquhoun. The resulting, revised Statement was considered by the Continuing Education and Recertification Committee and ratified at the CSANZ Board meeting held on 1st August 2014...
August 2015: Heart, Lung & Circulation
Mayra Tisminetzky, David D McManus, Nathaniel Erskine, Jane S Saczynski, Jorge Yarzebski, Edgard Granillo, Joel Gore, Robert J Goldberg
BACKGROUND: Limited data exist about relatively recent trends in the magnitude and characteristics of patients who are rehospitalized shortly after admission for a non-ST-segment elevation acute myocardial infarction (NSTEMI). This observational study describes decade-long trends (1999-2009) in the magnitude and characteristics of patients readmitted to the hospital within 30 days of hospitalization for an incident (initial) episode of NSTEMI. METHODS: We reviewed the medical records of 2249 residents of the Worcester (Mass) metropolitan area who were hospitalized for an initial NSTEMI in 6 biennial periods between 1999 and 2009 at 3 central Massachusetts medical centers...
July 2015: American Journal of Medicine
Yu-Tao Xiang, Helen F K Chiu, Gabor S Ungvari, Christoph U Correll, Kelly Y C Lai, Chuan-Yue Wang, Tian-Mei Si, Edwin H M Lee, Yan-Ling He, Shu-Yu Yang, Mian-Yoon Chong, Ee-Heok Kua, Senta Fujii, Kang Sim, Michael K H Yong, Jitendra K Trivedi, Eun-Kee Chung, Pichet Udomratn, Kok-Yoon Chee, Norman Sartorius, Chay-Hoon Tan, Naotaka Shinfuku
OBJECTIVE: Little is known about the pattern of QT interval (QTc) prolongation in Asian patients with schizophrenia. This study examined trends of QTc prolongation in schizophrenia inpatients in six Asian countries and territories between 2004 and 2008/2009 and its independent demographic and clinical correlates. METHOD: Data on 3482 hospitalized schizophrenia patients (2004 = 1826 and 2008/2009 = 1656) in six Asian countries and territories were collected by either chart review or interviews during a 1-month period...
March 2015: Human Psychopharmacology
Nicole Lowres, S Ben Freedman, Robyn Gallagher, Ann Kirkness, David Marshman, Jessica Orchard, Lis Neubeck
INTRODUCTION: Postoperative atrial fibrillation (AF) occurs in 30-40% of patients after cardiac surgery. Identification of recurrent postoperative AF is required to initiate evidence-based management to reduce the risk of subsequent stroke. However, as AF is often asymptomatic, recurrences may not be detected after discharge. This study determines feasibility and impact of a self-surveillance programme to identify recurrence of postoperative AF in the month of posthospital discharge. METHODS AND ANALYSIS: This is a feasibility study, using a cross-sectional study design, of self-screening for AF using a hand-held single-lead iPhone electrocardiograph device (iECG)...
2015: BMJ Open
Graham Fent, Jivendra Gosai, Makani Purva
BACKGROUND: Electrocardiogram (ECG) interpretation is poorly performed at undergraduate and post-graduate level. Incorrect ECG interpretation can lead to serious clinical error. Despite the incorporation of computerized ECG interpretation software into modern ECG machines, the sensitivity and specificity of current technology remain poor, emphasizing the on-going need for doctors to perform ECG interpretation accurately. PURPOSE: This is the first review in this important area and aims to critically evaluate the current literature in relation to the optimal format and method of teaching ECG interpretation at undergraduate and postgraduate level...
March 2015: Journal of Electrocardiology
R Scorgie, G M Nicholls, P Jones
BACKGROUND: High-sensitivity troponin replaced the fourth generation assay at our institution in July 2010. Prior experience suggested that the number of positive tests with the new assay may double, and that many troponin requests were inappropriate. AIM: Primarily, this study aims to design and measure the effect of an educational intervention to reduce the number of inappropriate troponin tests. Second, other objectives are to compare weekly totals of troponin tests before and after the intervention, to note patients with missed acute coronary syndrome (ACS) during the study period and to survey clinicians regarding their likely troponin ordering practices in certain clinical scenarios...
November 2014: Internal Medicine Journal
John Robson, Isabel Dostal, Rohini Mathur, Ratna Sohanpal, Sally Hull, Sotiris Antoniou, Peter Maccallum, Richard Schilling, Luis Ayerbe, Kambiz Boomla
BACKGROUND: Atrial fibrillation (AF) is a cause of stroke, and undertreatment with anticoagulants is a persistent issue despite their effectiveness. AIM: To increase the proportion of people with AF treated appropriately using anticoagulants, and reduce inappropriate antiplatelet therapy. DESIGN OF STUDY: Cross-sectional analysis. SETTING: Electronic patient health records on 4604 patients with AF obtained from general practices in three inner London primary care trusts between April 2011 and 2013...
May 2014: British Journal of General Practice: the Journal of the Royal College of General Practitioners
Helen F Brown
The "2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines" is a major revision of the 2004 guideline. This article provides a synopsis and review of the guideline focusing on changes in patient care and implementing processes to ensure quality care. The implementation of this guideline provides nursing with a unique opportunity to affect patients and families primarily by recognition of the event and education about lifestyle modification and disease management...
April 2014: AACN Advanced Critical Care
Roger Chou, Ricardo A Cruciani, David A Fiellin, Peggy Compton, John T Farrar, Mark C Haigney, Charles Inturrisi, John R Knight, Shirley Otis-Green, Steven M Marcus, Davendra Mehta, Marjorie C Meyer, Russell Portenoy, Seddon Savage, Eric Strain, Sharon Walsh, Lonnie Zeltzer
UNLABELLED: Methadone is used for the treatment of opioid addiction and for treatment of chronic pain. The safety of methadone has been called into question by data indicating a large increase in the number of methadone-associated overdose deaths in recent years that has occurred in parallel with a dramatic rise in the use of methadone for chronic pain. The American Pain Society and the College on Problems of Drug Dependence, in collaboration with the Heart Rhythm Society, commissioned an interdisciplinary expert panel to develop a clinical practice guideline on safer prescribing of methadone for treatment of opioid addiction and chronic pain...
April 2014: Journal of Pain: Official Journal of the American Pain Society
Katy E Trinkley, Robert Lee Page, Hoang Lien, Kevin Yamanouye, James E Tisdale
OBJECTIVE: QT interval prolongation signifies an increased risk of the life-threatening arrhythmia torsades de pointes (TdP). The purpose of this paper is to review the diverse methods for assessing and monitoring the risk of TdP, discuss risk factors for TdP, and recommend interventions that may mitigate the risk of TdP. METHODS: A non-systematic search of PubMed (through March 2013) was conducted to determine the optimal approach to assessing and monitoring QT interval, prevention of TdP, and to identify risks factors for TdP...
December 2013: Current Medical Research and Opinion
Agnieszka Parnicka, Barbara Wizner, Małgorzata Fedyk-Łukasik, Adam Windak, Tomasz Grodzicki
BACKGROUND: Heart failure (HF) is a common complication of cardiovascular diseases, and patients with HF remain largely under the care of primary care physicians (GPs). Therefore, the goal of the study presented was to assess the GPs' knowledge of chronic HF guidelines in regards to their professional experience. METHODS AND RESULTS: In 2008, during a nationwide educational project on HF management, 15 courses for GPs were conducted. Before the training, physicians filled out a standardized questionnaire about the diagnosis and treatment of HF...
2013: Cardiology Journal
Kathy K Hager, Paul Loprinzi, Dennis Stone
OBJECTIVE: The objectives of this article are to (1) describe the outcomes of a diabetes care program in a long term care facility dedicated to diabetes excellence and (2) compare the relevant outcome variables of research published between 2007 and 2012 with the results found in the studied facility. DESIGN: Three-year retrospective chart review of the facility's residents with comparison to extant literature. PARTICIPANTS: A total of 224 resident charts within the studied facility were reviewed...
November 2013: Journal of the American Medical Directors Association
Adel Shabana, Ayman El-Menyar, AbdurRazzak Gehani
We aimed to review the literature to explore the magnitude of sudden cardiac death (SCD) in young athletes. Although SCD in athletes is not a common event, it represents a tragedy of the apparently fit young population. SCD varies according to countries, age groups, and sex. In addition, it varies in the underlying causes and the screening tool. Therefore, we are in need for further research efforts. Guidelines, public and physician awareness, and education regarding the warning signs are integral part in the strategy to reduce SCD tragedy...
September 2013: Critical Pathways in Cardiology
Irfan M Asif, Ashwin L Rao, Jonathan A Drezner
PURPOSE OF REVIEW: To review the recent literature and recommendations for cardiovascular screening in young athletes. RECENT FINDINGS: The primary purpose of the preparticipation examination is to detect the cardiovascular disorders known to cause sudden cardiac arrest in the athlete. Studies demonstrate that the traditional history and physical-based examination has a limited sensitivity, does not detect the majority of athletes with at-risk conditions, and may provide false reassurance for athletes with disorders that remain undetected...
January 2013: Current Opinion in Cardiology
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