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Some Cochrane Reviews include network meta-analyses to bring together a range of comparisons to help identify the relative effects of different interventions and to rank them based on effectiveness. In June 2024, we published one of these, examining cardioversion for atrial arrhythmias. In this podcast, one of the authors Rui Providencia (left) interviews the first author, Kishore Kukendra‐Rajah (right) both from Barts Health NHS Trust in London in the UK.
Some Cochrane Reviews include network meta-analyses to bring together a range of comparisons to help identify the relative effects of different interventions and to rank them based on effectiveness. In June 2024, we published one of these, examining cardioversion for atrial arrhythmias. In this podcast, one of the authors Rui Providencia (left) interviews the first author, Kishore Kukendra‐Rajah (right) both from Barts Health NHS Trust in London in the UK.
Atrial Flutter by Albuquerque Fire Rescue
In deze aflevering bespreken we alles over hypokaliëmie. We behandelen de volgende onderwerpen:Waarom is kalium belangrijk?Wat is hypokaliëmie en wat zijn de symptomen?Is het gevaarlijk?Wanneer moeten we het behandelen, en hoe?Waarom moeten we altijd eerst magnesium geven?Welke richtwaarden moeten we aanhouden?Bronnen:Electrophysiology of Hypokalemia and Hyperkalemia - American Heart Association Deranged Physiology - Hypokalemia Het Acute Boekje - Hypokaliëmie EMCrit - HypokalemiaMechanism of Hypokalemia in Magnesium Deficiency : Journal of the American Society of Nephrology (lww.com)Association between potassium concentrations, variability and supplementation, and in-hospital mortality in ICU patients: a retrospective analysis | Annals of Intensive Care | Full Text (springeropen.com)Association of Intravenous Potassium and Magnesium Administration With Spontaneous Conversion of Atrial Fibrillation and Atrial Flutter in the Emergency Department | Cardiology | JAMA Network Open | JAMA NetworkExamining the "Repletion Reflex": The Association between Serum Potassium and Outcomes in Hospitalized Patients with Heart FailureAssociation of serum potassium concentration with mortality and ventricular arrhythmias in patients with acute myocardial infarction: A systematic review and meta-analysis - PubMed (nih.gov)Association between hyperkalemia at critical care initiation and mortality - PubMed (nih.gov)Bedankt voor het luisteren!Volg @intensiefdepodcast op InstagramVragen? intensiefdepodcast@gmail.com
Join the team from EMGuidewire from CMC Emergency Medicine Residency for another Intern Nuggets! In this episode, Drs. Crow and Lim discuss some tips on how they have approached the first half of their intern years as well as review management of Atrial Fibrillation and Atrial Flutter.
We look at the most common ECG rhythms and patterns seen in Medicine, including main identifying features of each. Consider subscribing on YouTube (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Patreon: https://www.patreon.com/rhesusmedicineBuy Us A Coffee!: https://www.buymeacoffee.com/rhesusmedicineRecommended sources for further reading:https://litfl.com/ecg-library/https://ecgwaves.com/Timestamps:0:00 Sinus Rhythm (Sinus Tachycardia & Sinus Bradycardia1:06 Atrial Fibrillation 2:35 – AF video link2:38 Atrial Flutter4:26 Premature Ventricular Contraction (PVCs) & Premature Atrial Contractions (PACs)5:40 Bundle Branch Block (LBBB & RBBB) 6:41 1st Degree AV Block7:03 2nd Degree AV Block - Mobitz 1 (Wenckebach) & Mobitz 2 (Hay)7:39 3rd Degree Heart Block (Complete Heart Block) 8:15 Heart Block Video Link8:19 Ventricular Tachycardia & Ventricular Fibrillation10:20 ST ElevationReferences:Nickson, C - Life in the Fast Lane (2023) Atrial Fibrillation. Available at https://litfl.com/atrial-fibrillation/Buttner, R. Burns, E - Life in the Fast Lane (2022) Atrial Flutter. Available at https://litfl.com/atrial-flutter-ecg-library/Larkin, J. Burns, E - Life in the Fast Lane (2021) AV Block: 1st Degree. Available at https://litfl.com/first-degree-heart-block-ecg-library/Burns, E. Buttner, R - Life in the Fast Lane (2021) AV Block: 2nd degree, Mobitz I (Wenckebach Phenomenon). Available at https://litfl.com/av-block-2nd-degree-mobitz-i-wenckebach-phenomenon/Burns, E. Buttner, R - Life in the Fast Lane (2022) AV Block: 2nd degree, Mobitz II (Hay block). Available at https://litfl.com/av-block-2nd-degree-mobitz-ii-hay-block/Larkin, J. Buttner, R. - Life in the Fast Lane (2023) AV Block: 3rd Degree. Available at https://litfl.com/av-block-3rd-degree-complete-heart-block/Buttner, R. Burns, E - Life in the Fast Lane (2023) Ventricular Tachycardia – Monomorphic VT. Available at https://litfl.com/ventricular-tachycardia-monomorphic-ecg-library/Burns, E. Buttner, R - Life in the Fast Lane (2022) The ST Segment. Available at https://litfl.com/st-segment-ecg-library/British Heart Foundation Atrial Flutter and Atrial Fibrillation. Available at https://www.bhf.org.uk/informationsupport/heart-matters-magazine/medical/ask-the-experts/atrial-flutterECG Waves The ECG Book. Available at https://ecgwaves.com/course/the-ecg-book/Please remember this podcast and all content from Rhesus Medicine is meant for educational purposes only and should not be used as a guide to diagnose or to treat. Please consult a healthcare professional for medical advice.
In this episode, we review the high-yield topic of Atrial Flutter from the Cardiovascular section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets
AF conversion in the ED, HRT, a shining example of evidence-based medicine and less-is-more, multimorbidity, and what's coming at AHA are the topics John Mandrola, MD, covers in this week's podcast. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I. AF Conversion - IV Potassium and Magnesium an Acute Treatment for AF? https://www.medscape.com/viewarticle/983137 - Association of Intravenous Potassium and Magnesium Administration With Spontaneous Conversion of Atrial Fibrillation and Atrial Flutter in the Emergency Department https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2797474 II. HRT - USPSTF Doesn't Change Postmenopausal Hormone Recommendations https://www.medscape.com/viewarticle/983349 - Hormone Therapy To Prevent Disease and Prolong Life in Postmenopausal Women https://doi.org/10.7326/0003-4819-117-12-1016 - Risks and Benefits of Estrogen Plus Progestin in Healthy Postmenopausal WomenPrincipal Results From the Women's Health Initiative Randomized Controlled Trial https://jamanetwork.com/journals/jama/fullarticle/195120 - Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal PersonsUS Preventive Services Task Force Recommendation Statement https://jamanetwork.com/journals/jama/fullarticle/2797867 - Menopausal Hormone Therapy for Prevention of Chronic Conditions https://jamanetwork.com/journals/jama/fullarticle/2797897 III. BP Targets After Stroke Intervention - Intensive BP Lowering Harmful in Acute Ischemic Stroke: ENCHANTED2/MT https://www.medscape.com/viewarticle/983176 - Intensive blood pressure control after endovascular thrombectomy for acute ischaemic stroke (ENCHANTED2/MT): a multicentre, open-label, blinded-endpoint, randomised controlled trial https://doi.org/10.1016/S0140-6736(22)01882-7 IV. Multimorbidity - ACC Issues Guidance on Integrating ASCVD and Multimorbidity Care https://www.medscape.com/viewarticle/983123 - 2022 ACC Expert Consensus Decision Pathway for Integrating Atherosclerotic Cardiovascular Disease and Multimorbidity Treatment: A Framework for Pragmatic, Patient-Centered Care: A Report of the American College of Cardiology Solution Set Oversight Committee https://www.jacc.org/doi/10.1016/j.jacc.2022.08.754 V. AHA Preview - AHA 2022 to Recapture In-Person Vibe but Preserve Global Reach https://www.medscape.com/viewarticle/983315 - Mandrola's Top 5 Picks From AHA 2022 Previewed https://www.medscape.com/viewarticle/983237 You may also like: Medscape editor-in-chief Eric Topol, MD, and master storyteller and clinician Abraham Verghese, MD, on Medicine and the Machine https://www.medscape.com/features/public/machine The Bob Harrington Show with Stanford University Chair of Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net
In atrial fibrillation (A-Fib) and atrial flutter (A-Flutter) the electrical impulse for cardiac contraction is in the atria but isn't the normal pacemaker of the heart, the SA node. The ECG characteristics of A-Fib and A-Flutter. Recognition and treatment of unstable patients in A-Fib/Flutter with rapid ventricular response (RVR). Team safety when cardioverting a patient in A-FIB with RVR. Treatment of stable patients in A-Fib/Flutter with RVR. Connect with me: Website: https://passacls.com (https://passacls.com) https://twitter.com/PassACLS (@PassACLS) on Twitter https://www.linkedin.com/company/pass-acls-podcast/ (@Pass-ACLS-Podcast) on LinkedIn Good luck with your ACLS class!
Trade: Inderal Class: Beta Blocker MOA: Nonselective Beta antagonist that binds with both the beta1 and beta 2 receptors. Inhibits the strength of the hearts contractions, as well as decreases heart rate resulting in decreased cardiac O2 consumptionIndication: Angina, reentry SVT, Atrial Fibrillation, Atrial Flutter. Contraindication: Cardiogenic shock, Heart failure, AV block, bradycardia, pulmonary edema, sick sinus syndrome.Side effects: Bradycardia, AV block, Bronchospasm, hypotension. Dosing:Adult: 1-3mg IV/IO Slow IVPPediatric: 0.01 to 0.1mg/kg slow IVP
Atrial fibrillation (A-Fib) and atrial flutter (A-Flutter) are conditions where the stimulus for atrial contraction is above the ventricles but isn't the SA node. Identifying ECG characteristics of A-Fib and A-Flutter. A-Fib & A-Flutter may result in a rapid ventricular response (RVR) resulting in a heart rate greater than 150, putting us in the tachycardia algorithm. Treatment of unstable A-Fib or Flutter patients is delivery of a synchronized shock. Treatment of stable patients with narrow complex tachycardia including: Adenosine, calcium channel blockers, and beta blocker medications. Connect with me: Website: https://passacls.com (https://passacls.com) https://twitter.com/PassACLS (@PassACLS) on Twitter https://www.linkedin.com/company/pass-acls-podcast/ (@Pass-ACLS-Podcast) on LinkedIn Good luck with your ACLS class!
Coronary artery calcification and exercise, translating clinical trials, the question of metabolically healthy obesity, and Watchman complications are the topics John Mandrola, MD, discusses in this week's podcast. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I - CAC and Physical Activity - Physical Activity Paradoxically Tied to Higher Coronary Calcium https://www.medscape.com/viewarticle/959366 - Physical activity and the progression of coronary artery calcification http://dx.doi.org/10.1136/heartjnl-2021-319346 II - Translating Clinical Trials - SYNTAX Score II 2020 Wobbles in Real-World Validation https://www.medscape.com/viewarticle/958834 - Redevelopment and validation of the SYNTAX score II to individualise decision making between percutaneous and surgical revascularisation in patients with complex coronary artery disease: secondary analysis of the multicentre randomised controlled SYNTAXES trial with external cohort validation https://doi.org/10.1016/S0140-6736(20)32114-0 - External Validation of the SYNTAX Score II 2020 https://www.jacc.org/doi/full/10.1016/j.jacc.2021.07.027 III - Healthy and Obesity - ‘Metabolically Healthy Obesity' Has Heart Risks. Is it a Misnomer? https://www.medscape.com/viewarticle/959994 - Metabolically healthy obesity and cardiovascular events: A nationwide cohort study https://doi.org/10.1111/dom.14492 - Relation of Obesity to New-Onset Atrial Fibrillation and Atrial Flutter in Adults https://pubmed.ncbi.nlm.nih.gov/29501206/ - Paediatric obesity appears to lower the risk of diabetes if selection bias is ignored https://pubmed.ncbi.nlm.nih.gov/29374028 IV - Watchman Complications - FDA Investigating Potential Sex Differences in LAAO Adverse Outcomes https://www.medscape.com/viewarticle/959806 You may also like: Medscape editor-in-chief Eric Topol, MD, and master storyteller and clinician Abraham Verghese, MD, on Medicine and the Machine https://www.medscape.com/features/public/machine The Bob Harrington Show with Stanford University Chair of Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net
mayoclinic.org
This episode covers atrial flutter!
Commentary by Dr. Andrea Russo
Should we be giving procainamide to patients with atrial fibrillation/ flutter? We discuss two clinical trials that may give us some answers. References:Stiell IG, Clement CM, Symington C, et al. Emergency department use of intravenous procainamide for patients with acute atrial fibrillation or flutter. Acad Emerg Med. 2007; 14: 1158-1164Stiell IG, Sivilotti MLA, Taljaard M, et al. Electrical versus pharmacological cardioversion for emergency department patients with acute atrial fibrillation (RAFF2): a partial factorial randomized trial. Lancet. 2020; 395 (10221): 339-349
This episode covers atrial flutter!
Commentary by Dr. Valentin Fuster
Neste poscast, o Dr. Jonathan Souza explica sobre Fibrilação Atrial e o tema mais explorado dentro deste assunto na prova do TEC - Anticoagulação.
In rowing and in business reputation counts for a lot. Coming back from a bad experience is even more challenging. The JL Racing business has had a torrid year and is fighting back to the forefront of the rowing apparel market as founder Joline Esparza explains, it has not all been plain sailing. Timestamps to the show: 1:00 Introduction and background in rowing 3:00 The JL Rowing business- finding technical fabrics that FIT the athletes' body 7:00 The Turtleshell jacket. It allows us to row without distraction 10:30 Making clothes with different torso and shorts sizes means garments are sized for rowers 12:50 Campaigning at the Crew Classic 2017 against the US Rowing sponsor who excluded all other clothing companies from their regattas. 17:00 I had to take the issue to my friends. "Be Outraged. Ask me why." 21:45 The resolution included people taking US Rowing to task on other issues as well. The Board was shaken up and long term changes came about as a result. 28:15 A new Partnership - Kellen Brink and Jonathan Maloney of Wild Oar also had a family business. The opportunity to grow the potential in El Salvador with a 2000 person manufacturing facility. 33:00 The business aligns with out social and family values and pays the best local wages with benefits like a clinic and English classes 35:00 Then problems arose. We started with 72 different unisuit designs and we had to digitise ever pattern and size variation. 40:00 The online ordering system had to change as well. 44:00 Water use in garment dying is huge. Sublimation saves so much water and we need to convince people it's better 46:00 This year we switched to biodegradable and recyclable plastic bags 48:00 Cancer is why Joline hasn't been out at regattas this year... but she will be at HOCR 51:00 Atrial Fibrillation and Atrial Flutter in rowers is a new focus of research 55:30 Resolutions and Solutions. We have more quality control and order processing capacity. The design team is 15 people, colour matching is a challenge and analytics now feed good information to management. 94% of orders now ship in under 4 weeks. 1:01 What next? Joline's role has changed and her focus is on community aspect of rowing and supporting each other. 1:02 Share, learn and be healthy via the Pocock Foundation with disadvantaged youth. ErgEd for kids and Scholarships. 1:08 Plug for the US Rowing convention. The speakers are amazing including Steven O'Connor from Fulham Reach Rowing Club in London UK 1:10 Bryan Todd from GLRF has created the Rowers Pledge https://www.glrf.info/glrfcentral/pledgemovement.html You need everyone to sign. Teaching your daughters why you are not safe. Let's make it obvious that rowing clubs are safe spaces. Find out more at https://jlracing.com/ And please share this podcast with your friends in rowing and subscribe in your favourite podcast app or on our website https://rowing.chat
Passover Sale Wednesday 17th to 24th 2019, CODE at Checkout RISEN to Save 7%, Please send eMail and Call for Starter Free Protocols, Health Issues, Epstein Barr Virus, Shingles of Eyes, Atrial Flutter, Atrial Fibrillation, KetoPower, SAFE Ketogenic Diets, Childhood Vomiting with Some Foods, Dysbiosis, Detox Heavy Metals, Need for Pro-Antiinflammatory Fatty Acids, Omega Supreme Pro, Peripheral Neuropathy, Ultra Thiamine B1, NeuroGEN, Hip Bursitis, ArthritX, InflamX, Joint Performance, Tendon Mender, Cell Defense Plus, NutruSilver, AllicinMED, Nutriodine, Antipathogenics, Anti-Cancer, Ellagic Acid, MalignaBlock, Power C Plus, Oncomycin MyCO D2,Dr Bill Deagle MD AAEM ACAM A4M, NutriMedical Report Show, www.NutriMedical.com, www.ClayandIRON.com, www.Deagle-Network.com,NutriMedical Report Show, For information regarding your data privacy, visit Acast.com/privacy See acast.com/privacy for privacy and opt-out information.
In this episode I cover arrhythmias.If you want to follow along with written notes on arrhythmias go to zerotofinals.com/arrhythmias or find the cardiology section in the Zero to Finals medicine book.This episode covers the pathophysiology, presentation, differentials, ECG findings and principles of management of various types of arrhythmias.
In this EM Cases main Episode 112 Tachydysrhythmias with Amal Mattu and Paul Dorion we discuss a potpurri of clinical goodies for the recognition and management of both wide and narrow complex tachydysrhythmias and answer questions such as: Which patients with stable Ventricular Tachycardia (VT) require immediate electrical cardioversion, chemical cardioversion or no cardioversion at all? Are there any algorithms that can reliably distinguish VT from SVT with aberrancy? What is the "verapamil death test"? While procainamide may be the first line medication for stable VT based on the PROCAMIO study, what are the indications for IV amiodarone for VT? How should we best manage patients with VT who have an ICD? How can the Bix Rule help distinguish Atrial Flutter from SVT? What is the preferred medication for conversion of SVT to sinus rhythm, Adenosine or Calcium Channel Blockers (CCBs)? Why is amiodarone contraindicated in patients with WPW associated with atrial fibrillation? What are the important differences in the approach and treatment of atrial fibrillation vs. atrial flutter? How can we safely curb the high bounce-back rate of patients with atrial fibrillation who present to the ED? and many more... The post Ep 112 Tachydysrhythmias with Amal Mattu and Paul Dorion appeared first on Emergency Medicine Cases.
This week we delve into the argument for cardioversion in recent-onset AF as well as the logistics of getting it done. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_98_0_Final_Cut.m4a Download Leave a Comment Tags: Atrial Fibrillation, Atrial Flutter, Cardiology, Cardioversion Show Notes Read More Core EM: Podcast 64.0 – Rate Control in AF Core EM: Recent Onset Atrial Fibrillation Core EM: 30-Day Outcomes After Aggressive AF Management in the ED The SGEM: SGEM#88: Shock Through the Heart (Ottawa Aggressive Atrial Fibrillation Protocol References Nuito I et al. Time to cardioversion for acute atrial fibrillation and thromboembolic complications. JAMA 2014; 312(6): 647-9. PMID: 25117135 Stiell IG et al. Association of the Ottawa aggressive protocol with rapid discharge of emergency department patients with recent-onset atrial fibrillation and flutter.
This week we delve into the argument for cardioversion in recent-onset AF as well as the logistics of getting it done. https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_98_0_Final_Cut.m4a Download Leave a Comment Tags: Atrial Fibrillation, Atrial Flutter, Cardiology, Cardioversion Show Notes Read More Core EM: Podcast 64.0 – Rate Control in AF Core EM: Recent Onset Atrial Fibrillation Core EM: 30-Day Outcomes After Aggressive AF Management in the ED The SGEM: SGEM#88: Shock Through the Heart (Ottawa Aggressive Atrial Fibrillation Protocol References Nuito I et al. Time to cardioversion for acute atrial fibrillation and thromboembolic complications. JAMA 2014; 312(6): 647-9. PMID: 25117135 Stiell IG et al. Association of the Ottawa aggressive protocol with rapid discharge of emergency department patients with recent-onset atrial fibrillation and flutter. Can J Emerg Med 2010; 12(3): 181-91. PMID: 20522282