Discomfort or pain in the chest as a medical symptom
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12 episodes with Chest pain
9 episodes with Chest pain
7 episodes with Chest pain
11 episodes with Chest pain
8 episodes with Chest pain
4 episodes with Chest pain
6 episodes with Chest pain
7 episodes with Chest pain
4 episodes with Chest pain
In this episode, @ucmax_show host and @embouncebacks author Dr. Michael Weinstock chats with EMRA*Cast's Dr. Lauren Rosenfeld, breaking down documentation to avoid litigation with a focus on a common presentation: chest pain. Learn how to use the HEART score and avoid a courtroom.
Chest pain? Check. Sus ECG? Check. STEMI? Not check. A very tired Chris and a nerded out Spencer (12-leads... go figure) give MAXIMUM effort in today's call with a curious conclusion.
In this episode of the Heart podcast, Digital Media Editor, Professor James Rudd, is joined by Dr Andrew Black from Tasmania, Australia. They discuss his paper that systematically reviewed the evidence for RACP clinics. If you enjoy the show, please leave us a podcast review wherever you get your podcast. Link to published paper: https://heart.bmj.com/content/110/24/1395
Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Sex Differences in the Prognostic Value of Circulating Biomarkers in Patients Presenting With Acute Chest Pain
This episode of JACC-Baran features a brief discussion on Kendrick Lamar and the history of racial discrimination in the United States. Then Hiroki Ueyama, MD, from Emory University discusses his study on P2Y12 inhibitor pre-treatment in NST-ACS using data from the Chest Pain-MI Registry. The study examines how guideline changes have influenced clinical practice, revealing a decline in pre-treatment rates, significant practice variations, and no major differences in outcomes except for longer hospital stays in CABG patients. Watch the video or listen as a podcast here, then check out the JACC article: https://www.jacc.org/doi/10.1016/j.jacc.2024.09.1227
The conversation today is about heart health and the question, what does a heart attack feel like? Our guest is Dr. Nayan Desai, interventional cardiologist with Sanford Heart Bismarck. Our host is Alan Helgeson with Sanford Health News. Learn more about Sanford Health at: http://www.news.sanfordhealth.orgConnect with us on social:FacebookTwitterInstagramLinkedIn
Pay attention to silent signs! Everything from chest pressure, fever, and rashes to a nagging cough that just won't quit could be signs that your body is in trouble. Listen to what Dr. Tom Roselle, DC says about these silent signs. More episodes of Ageless Health with Dr. Tom Roselle, DC at https://www.drtomroselle.com/ageless-health-podcast/ #agelesshealth @dctomroselledc @WMALDC #bodysignals #disease #dysfunction #autoimmunedisease #chronicpain #cancer #breastcancer #thermography #chestpain #shoulderpain
EPISODE IS ALSO ON YOUTUBE!In today's episode, I'm talking with Heather, who already understood the importance of polyphenols when choosing an Omega-3 brand—even before we met. She shares how getting empowered by knowing her numbers and correcting her imbalance helped her reclaim her health. Before this transformation, she struggled with gut issues, chest pain, stiffness, poor recovery, inflammation, and an itchy scalp—living in a body that felt 78 years old. Tune in and get inspired by her incredible health journey!SHOW NOTES:02:00 – Heather's mother was diagnosed with a brain tumor, leading the family to eliminate processed foods and sugar.02:30 – She maintained a healthy lifestyle until the pandemic hit, which caused severe post-workout pain and inflammation. Getting out of bed took 45 minutes due to stiffness.04:00 – At just 36 years old, she felt like she was living in a 78-year-old's body.04:25 – Diagnosed with inflammation in the chest wall, which made breathing difficult.05:30 – Daily life with chronic chest pain—how it affected her physically and mentally.15:00 – A family history of breast cancer motivated her to become a health coach.17:00 – The power of daily choices and their long-term impact on health.20:00 – The game-changer: discovering Omega-3 with Polyphenols.24:00 – She decided to test her Omega-3 levels—shocking results: a 24.5:1 ratio.25:00 – Despite her best efforts, she wasn't in balance—time to experiment!26:00 – Committed to a one-year journey to transform her health.26:30 – The first sign of improvement? Her dandruff and itchy scalp disappeared!27:15 – At seven months in, she realized she hadn't felt chest pain in over a week.32:00 – Heather's Top 2 Tips for Moms Looking to Improve Their HealthConnect with Heather: https://heatherjamison.com/Instagram: http://www.instagram.com/heather_jamisonSend us a textIf you LOVED this episode, please LEAVE A REVIEW and help us grow!Connect with Michaela?www.foodchangeslives.com/Youtube @FoodChangesLives Instagramwww.instagram.com/michaela_morrell/ Fbwww.facebook.com/FoodChangesLives www.facebook.com/groups/omega3experience DISCLAIMER: Welcome to BodyHacking - Build a Better You podcast! Please note that the content provided on this channel is for informational purposes only and should not be considered medical advice. The information shared here is based on personal experiences, research, and general knowledge. Always consult with a qualified healthcare professional before making any health-related decisions. Additionally, some of the products and services mentioned on this channel may be affiliate links. This means I may earn a commission if you purchase through these links. Rest assured, I only recommend products and services that I personally use and trust in my daily life. Things I have spent countless hours researching and feel are th...
In this episode of the Heart podcast, Digital Media Editor, Professor James Rudd, is joined by Professor Attila Kardos from Milton Keynes University Hospital, UK. They discuss his paper on the prognostic potential of stress echocardiography. If you enjoy the show, please leave us a podcast review wherever you get your podcast - it's very helpful to us! Link to published paper: https://heart.bmj.com/content/110/23/1349
Chest Pain & a Critical Decision: Our Most Memorable Case YetIn this episode, Ben and I discuss a high-stakes Same Day Emergency Care Case—a patient presenting with chest pain and the critical decision I made that could have led to devastating consequences.This case has stayed with me, and we break down the challenges of clinical decision-making, the weight of responsibility in acute care, and the moments that shape us as medical professionals.Join us for an in-depth discussion on chest pain assessment, missed diagnoses, and the tough calls that define a career in medicine.Get in touch a.burbridge@nhs.net
Learn how to break the bad habit of ignoring body signals. We very often ignore our body signals. Your body is talking to you. Pay attention. Your body knows exactly what it needs. The body signals are clear and ignoring them can cause you more than discomfort. More episodes of Ageless Health with Dr. Tom Roselle, DC at https://www.drtomroselle.com/ageless-health-podcast/ #agelesshealth @dctomroselledc @WMALDC #bodysignals #disease #dysfunction #autoimmunedisease #chronicpain #cancer #breastcancer #thermography #chestpain #shoulderpain
Learn what your body tells you about your chest and shoulder pain. Could it be heart, structure, or digestive issues? More episodes of Ageless Health with Dr. Tom Roselle, DC at https://www.drtomroselle.com/ageless-health-podcast/ #agelesshealth @dctomroselledc @WMALDC #bodysignals #disease #dysfunction #autoimmunedisease #chronicpain #cancer #breastcancer #thermography #chestpain #shoulderpain
In this podcast, Dr. Valentin Fuster discusses a study on the use of P2Y12 inhibitor pretreatment in patients with non-ST elevation acute coronary syndrome, revealing significant variability in its application across institutions and operators. Despite initial hypotheses of benefit, the findings indicate no significant difference in patient outcomes, suggesting that routine pretreatment may not be necessary, especially when treatment is initiated within 24 hours of symptom onset.
We have a fantastic solo episode today with Dr. Rob Whitfield, a board-certified plastic surgeon who's here to shed some light on breast implant illness, or BII, and how it's managed. Dr. Whitfield kicks things off by introducing us to the SHARP program. This isn't just any program; it's all about tackling chronic inflammation. How, you ask? Through some pretty cool methods like genetic testing, checking out environmental toxins, and making sure your gut health is in tip-top shape. We dive into the nitty-gritty of BII symptoms and why it's crucial to remove the entire implant capsule during explant surgery. Dr. Whitfield also shares some eye-opening research on how bacterial contamination might be linked to BII. But it's not just about the ****science. Dr. Whitfield is all about empowering women with the knowledge and resources they need. Whether you're thinking about explant surgery or are on the road to recovery, he's got your back with support and encouragement for proactive health management. So, grab your headphones and get comfy—this is an episode you won't want to miss! Show Highlights Introduction to Breast Implant Illness (00:00:03) Breast implant illness and its impact on women's health Overview of the SHARP Program (00:01:25) Explanation of the SHARP program for managing chronic inflammation related to breast implants Genetic Testing and MTHFR (00:02:34) Discussion on genetic testing and the role of MTHFR in nutrient utilization and inflammation Environmental Toxins (00:03:39) Insight into environmental toxins like glyphosate and their effects on health Mycotoxins and Mold Sensitivity (00:04:48) Exploration of mycotoxins from mold and their impact on patients' health Heavy Metals and Gut Health (00:04:48) Importance of testing for heavy metals and assessing gut health pre-operatively Chronic Inflammatory Symptoms (00:08:13) Overview of common symptoms associated with breast implant illness and chronic inflammation Research on Bacterial Contamination (00:09:21) Recent studies showing the link between bacterial contamination and breast implant illness symptoms Aesthetic Considerations in Explant Surgery (00:10:28) Challenges and considerations regarding aesthetics after explant surgery Links and Resources Let's Connect... Podcast: https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554 Spotify: https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667 TikTok: https://www.tiktok.com/@drrobertwhitfield?t=8oQyjO25X5i&r=1 IG: https://www.instagram.com/breastimplantillnessexpert/ FB: https://www.facebook.com/DrRobertWhitfield Linkedin: https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/ X: https://x.com/rob_whitfieldmd Read this article - https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness Shop: https://drrobssolutions.com SHARP: https://www.harp.health NVISN Labs - https://nvisnlabs.com/ Get access to Dr. Rob's Favorite Products below: Danger Coffee - Use our link for mold free coffee - https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg JASPR Air Purifier - Use code DRROB for the Jaspr Air Purifier - https://jaspr.co/ Echo Water - Get high quality water with our code DRROB10 - https://echowater.com/ BallancerPro - Use code DRROBVIP for the world's leader in lymphatic drainage technology - https://ballancerpro.com Ultrahuman - Use code WHITFIELD10 for the most accurate wearable - https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield
In this Talking Rheumatology bonus case based episode Dr Laura Chadwick talks to Prof Rob Moots about an interesting and unusual case involving joint pain and chest pain . Can you work out what's going on? Thanks for listening to Talking Rheumatology! Join the conversation on X using #TalkingRheum or tweet us @RheumatologyUK.BSR is the UK's leading specialist medical society for rheumatology and MSK health professionals. To discover how we can support you in delivering the best care for your patients, visit our website.
Listener discretion is advised. References: PMID 28196622 PMID 35166796 PMID 26062607 Salim Rezaie, "Does My Patient with Chest Pain Have Acute Coronary Syndrome?", REBEL EM blog, November 23, 2015. Available at: https://rebelem.com/does-my-patient-with-chest-pain-have-acute-coronary-syndrome/.
JACC Associate Editor Seng Chan You, MD, and author Hiroki Ueyama, MD discuss this study presented at AHA and published in JACC. NCDR study finds a steady decline in P2Y12 inhibitor pretreatment for NSTE-ACS in the US, but significant variability persists among operators, institutions, and regions. This practice was not associated with any benefits but was linked to a longer length of stay among those undergoing CABG, underscoring the importance of maintaining efforts to integrate evidence into clinical practice.
In this episode of Everyday Health Stories, host Anna and Dr. Kota Reddy dive into the often confusing world of chest pain, helping listeners understand when chest discomfort might signal an urgent issue versus a non-emergency. They discuss the distinct signs of heart-related chest pain—such as pressure or heaviness that can radiate to the arms or jaw—and contrast it with other common causes, like acid reflux and musculoskeletal pain. The episode provides practical tips for recognizing symptoms that require immediate medical care, while also shedding light on scenarios that might allow for a calmer approach and evaluation. With a mix of expert insights and real-life examples, this episode aims to empower listeners to make informed decisions about their health.
LISTENER DISCRETION IS ADVISED.
Summary: In this episode, we explore the relationship between scoliosis and chest pain. Our host explains how scoliosis affects the spine and ribcage, potentially leading to chest pain and other symptoms. We also discuss the different severity levels of scoliosis, the limitations of traditional treatment approaches, and the importance of proactive care to prevent and manage symptoms like chest pain. Key Points: Understanding Scoliosis and the Spine: Spinal Structure: The spine consists of 24 vertebrae separated by intervertebral discs, which act as shock absorbers and spacers, allowing spinal nerves and the spinal cord to function properly. Normal Curvature vs. Scoliosis: While the spine normally has natural curves when viewed from the side and appears straight from the front, scoliosis causes an unnatural sideways curvature and rotation, leading to structural changes. What is Scoliosis? Definition and Diagnosis: Scoliosis is a structural, progressive condition often diagnosed in adolescence but can also appear in adults. It involves a sideways curvature of the spine with a rotational component. A Cobb angle of 10 degrees or greater, measured via X-ray, confirms the diagnosis of scoliosis. Severity Levels: Mild Scoliosis (10-25 degrees): Typically does not warrant treatment beyond pain management, despite potential pain or postural issues. Moderate Scoliosis (25-40 degrees): Usually, no treatment is recommended unless the patient is an adolescent in an early growth stage, in which case bracing may be advised to slow progression. Severe Scoliosis (40+ degrees): Spinal fusion surgery is often the only recommended option, despite its invasive nature and associated risks. Very Severe Scoliosis (80+ degrees): The impact on the body can be significant, but the specific effects vary greatly from person to person. Can Scoliosis Cause Chest Pain? Chest Pain from Thoracic Curves: Thoracic scoliosis or lumbar curves with compensatory thoracic curves can cause asymmetrical development and rotation of the ribs, leading to chest pain. Rib and Muscle Involvement: The twisting and deformity of the ribcage associated with scoliosis can cause the ribs to pull on muscles and tissues around the chest, causing pain. Spinal Stiffness: As scoliosis progresses, the spine can become stiff, restricting normal movement and leading to chest discomfort. Impact on Lung and Heart Function: Severe scoliosis may alter the shape of the ribcage, affecting the lungs' capacity and potentially leading to cardiovascular or pulmonary impairment. However, the exact degree of curvature at which this occurs is highly individual and unpredictable. Why Proactive Treatment is Important: Proactive treatment, including reducing smaller curves, is vital in preventing the development of severe symptoms such as chest pain. Traditional scoliosis treatments often delay intervention until the curve is severe enough to warrant surgery, which can limit the effectiveness of less invasive approaches. At the Scoliosis Reduction Center, a proactive approach focuses on reducing spinal curves early to prevent symptoms and improve quality of life. Conclusion: Scoliosis can indeed cause chest pain through various mechanisms, including rib deformities, muscle strain, and potential lung impairment. A proactive approach to managing scoliosis, even in mild cases, can help minimize these symptoms and improve overall health outcomes. If you have scoliosis or are concerned about chest pain, consider seeking a treatment plan that addresses the structural causes of your symptoms. Artlist.io 847544
Welcome back to the St. Emlyn's podcast. This episode covers some of the most important developments in emergency medicine and critical care from July 2024. Whether you're practicing on the frontlines or keeping up with the latest research, this episode has something for you. From coronary risk scoring tools to cutting-edge AI in ECG interpretation, and the management of non-fatal strangulation, it's packed with insightful updates. Here's a breakdown of the key topics: The Manchester Acute Coronary Score (MACS Rule) is a valuable tool for risk-stratifying patients presenting with chest pain in the emergency department (ED). MACS uses both clinical characteristics and biomarkers like troponin to assess a patient's likelihood of experiencing an acute coronary event. A recent systematic review found that the T-MACS model (which uses troponin) has a sensitivity of 96%, making it highly effective at ruling out serious coronary events. Though the specificity is lower, MACS's real strength lies in its ability to drive clinical decisions and patient referrals. This tool is already integrated into the Electronic Patient Record (EPR) in Manchester, where it helps streamline the decision-making process for patients with chest pain. If you're looking for a reliable method to quickly and accurately stratify risk, MACS could be the answer. Artificial intelligence (AI) is revolutionizing healthcare, and its application in ECG interpretation is particularly exciting for emergency medicine. In this episode, Steve Smith joins us to talk about how AI can enhance the detection of occlusive myocardial infarction (OMI)—a concept that might one day replace the traditional ST-elevation and non-ST-elevation classifications. By integrating AI into rapid assessment areas (like pit-stop zones in the ED), clinicians can benefit from real-time ECG analysis. This reduces the burden of interruptions and helps detect subtle abnormalities that might be missed in high-pressure environments. AI-driven ECG tools could dramatically improve patient outcomes, particularly in cases of high-risk cardiac events. Non-fatal strangulation (NFS) is an often underdiagnosed condition in emergency medicine, but it carries significant risks, including carotid artery dissection. A new guideline from the Faculty of Forensic and Legal Medicine emphasizes the importance of detecting these cases and suggests that clinicians use contrast angiography to rule out vascular injuries. Beyond the medical consequences, non-fatal strangulation is also a major indicator of future violence, including homicide. The guideline highlights the ethical challenges clinicians face when deciding whether to involve law enforcement, especially when patient consent is lacking. Safeguarding and appropriate referrals are essential for these high-risk patients. REBOA has been evolving in recent years, and now it's moving from the emergency department into the pre-hospital setting. In the latest advancements, partial REBOA—which allows for some blood flow below the balloon—is being used to resuscitate patients in traumatic cardiac arrest. This partial occlusion technique may be more effective in maintaining coronary perfusion, essentially resuscitating the heart in cases of extreme hemorrhage. Early data from a feasibility study shows promise, with an 18% survival rate in patients who otherwise would have had little chance of survival. REBOA could become a life-saving pre-hospital intervention for trauma patients in the near future. Paediatric eating disorders, particularly anorexia and diabulimia, remain under-recognized in emergency medicine. In this episode, we explore some of the red flags—such as rapid weight loss, bradycardia, and postural hypotension—and why emergency clinicians need to be more attuned to the signs of eating disorders. Of all mental health disorders, anorexia has the highest mortality rate, and in cases of diabulimia, patients intentionally stop taking insulin to induce ketosis and lose weight. Given the severity of these conditions, it's crucial that we recognize them early and respond appropriately, especially when young diabetic patients present with unusual symptoms. The advent of hybrid closed-loop insulin pumps is transforming the care of type 1 diabetes. These pumps act as an artificial pancreas, continuously monitoring blood glucose levels and adjusting insulin delivery automatically. The latest guidelines from NICE recommend these devices for all patients with type 1 diabetes in the UK. However, these pumps come with their own set of challenges, especially in the emergency department, where clinicians need to know how to troubleshoot common problems, such as cannula blockages or starvation ketosis. In this episode, Nicola Trevelyan walks us through the essential steps for managing patients who use these devices. Lidocaine patches have long been used as a low-risk intervention for managing pain in elderly patients with rib fractures, particularly when nerve blocks or NSAIDs aren't viable options. But how effective are they? A recent feasibility study compared lidocaine patches with standard care and found that while the pulmonary complication rate remains high, the patches may offer some benefit for pain relief. While more research is needed, lidocaine patches continue to be a low-harm option that might provide relief in certain patient populations, particularly where other pain management strategies are contraindicated. Button battery ingestion remains one of the most dangerous emergencies in pediatric medicine. Francesca Stedman, a pediatric surgeon, explains the dangers of battery-induced burns, which can occur within hours of ingestion. Time is of the essence in these cases, and quick identification through radiographic imaging followed by rapid removal is critical to prevent long-term damage. Even when batteries are lodged in places like the nose, they can cause significant tissue damage in a short time, making early intervention absolutely vital. That's a wrap for our July 2024 podcast update! From life-saving interventions like REBOA and AI in ECG analysis to the everyday challenges of managing pediatric emergencies and coronary risk, this month's highlights offer a wealth of knowledge for clinicians. Be sure to check out the full blog posts and podcasts for more in-depth discussions on each of these topics. Thanks for listening and stay tuned for more cutting-edge insights from St. Emlyn's!
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In this conversation, Liz Rohr interviews Jennifer Carlquist, a physician assistant with extensive experience in cardiology, who discusses the assessment and management of chest pain.They covered: - Assessing cardiac versus noncardiac chest pain- Assessing risk for MI and when to send patients to the ED or not- What EKG findings to watch out for, and how to learn more to build your ekg reading confidence (and what's new!)- What we can do for patients to assess and manage heart disease risk, including labs and tests to check in primary care (including the coronary calcium score, LPa, and homocysteine)- How to communicate and collaborate effectively with ER providers- Further resources to learn if you're in cardiology or interested in making the switch from primary careTakeaways- Consider both cardiac and non-cardiac causes of chest pain, especially in female patients with atypical symptoms.- Take a detailed history, including risk factors and family history, and be aware of red flags that may indicate a more serious condition.- Recognize the limitations of certain diagnostic tests, such as EKGs and troponin levels, and consider a CTA with FFR for outpatient testing.- Collaboration between primary care providers and the ER is crucial, and concise reporting of findings is key to effective communication.- Differentiating between hyperkalemia T-waves and hyperacute T-waves can be challenging, but hyperkalemia T-waves are pointy and hyperacute T-waves are more blunted and broad-based.- Inverted T-waves in leads other than AVR and V1, especially if they are symmetric, can indicate the need for urgent evaluation.- Q-waves can form within an hour of an infarction, and a small Q-wave in lead III without other abnormalities may be a normal finding.- When learning EKG interpretation, it is important to start with understanding what a normal EKG should look like and then focus on high-risk findings.- Inflammation is a significant risk factor for heart disease, and non-traditional risk factors such as psoriasis and early menses should be considered.- Lab tests such as the coronary calcium score, LPa, and homocysteine can provide valuable information in assessing heart disease risk.- Magnesium supplementation can be beneficial for patients with palpitations and hypertension, but the specific type and dose should be tailored to the individual.- Primary care providers play a crucial role in assessing heart disease risk and can collaborate with cardiologists to order appropriate tests and make informed decisions.- The three-day EKG challenge and the Cardiology Fundamentals Mentorship program are valuable resources for learning and advancing in cardiology.- The importance of fostering a supportive and collaborative environment in healthcare to provide the best care for patients.For a full transcript and conversation chapters, visit the blog https://www.realworldnp.com/blog/assessing-chest-pain______________________________© 2024 Real World NP. For educational and informational purposes only, see https://www.realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.
In this episode of the Heart podcast, Digital Media Editor, Professor James Rudd, is joined by Dr Love Cyon from Stockholm, Sweden. They discuss his paper exploring the prognostic value of troponin levels in chest pain patients in the ED. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 or wherever you get your podcasts - it's really helpful. Link to published paper: https://heart.bmj.com/content/early/2024/06/07/heartjnl-2024-323913
Pediatrician Dr. Paul Bunch consults Dr. Adam Powell and Katie Bloomfield, RN on pediatric chest pain - specifically cardiac vs. non-cardiac causes and sudden cardiac arrest. Episode recorded on July 16. CME & MOC Part 2 We are proud to offer CME and MOC Part 2 from Cincinnati Children's. Credit is free and registration is required. Please click here to claim CME credit via the post-test under "Launch Activity." Resources discussed in this episode: Community Practice Support Tool PCP Support Tools App Project ADAM American Heart Association TAKE10 Cincinnati Financial Disclosure: The following planning committee member/faculty has indicated commercial support relationship(s): None All planning committee members'/faculty identified conflicts of interest pertaining to this activity were resolved prior to the activity. To Claim Credit: Click "Launch Activity." Click "Launch Website" to access and listen to the podcast. After listening to the entire podcast, click "Post Test" and complete. Accreditation: In support of improving patient care, Cincinnati Children's Hospital Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Specific accreditation information will be provided for each activity. Cincinnati Children's designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity is approved for a maximum 0.5 continuing nursing education (CNE) contact hours. Successful completion of this CME activity, which includes participation in the activity and individual assessment of and feedback to the learner, enables the learner to earn up to 0.5 MOC points in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit. Credits AMA PRA Category 1 Credits™ (0.50 hours), ABP MOC Part 2 (0.50 hours), CME - Non-Physician (Attendance) (0.50 hours), Nursing CE (0.50 hours)
“Mechanical pain and mechanical concepts don't exist in the practice of medicine.” Dr. Vikas Agarwal Our guest is Dr. Vikas Agarwal MD, Cert. MDT, FACP. Dr. Vikas is an Internal Medicine physician, also certified in the McKenzie Method of Mechanical Diagnosis and Therapy (MDT). He is the first Internal Medicine physician to integrate mechanical concepts of the McKenzie Method into his primary care practice. Dr. Agarwal is a 1994 graduate of King George's Medical College (KGMC) in Lucknow, India. Following four and a half years of medical school, he spent six years as an Internal Medicine Resident, three with All India Institute of Medical Sciences (AIIMS, New Delhi, 1995-1997), and three with the University of Missouri - Kansas City (UMKC, 1998-2001). Dr. Agarwal is Certified by the American Board of Internal Medicine (2001/2011) and became Certified in Mechanical Diagnosis and Therapy in 2015. He is a two-time recipient of the Mosaic Life Care Distinguished Physician Recognition Award (2012 & 2014). Dr. Agarwal's goal is to create awareness of the mechanical pain and mechanical causes resulting in many of the human being's ailment. Dr. Agarwal specializes in managing patients with acute and chronic pain at Mosaic Life Care in Saint Joseph, MO where he also serves as a Physician Collaborator for Nurse Practitioners.
Tune in as Dr. Sandeep Patel explains what chest pain may feel like, the signs to watch out for, and how to know if an ER visit may be needed. Visit www.cardio.com for more information or to schedule an appointment with one of our providers.
The JournalFeed podcast for the week of June 10-14, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:This was a validation study for the recently published American College of Cardiology (ACC) Expert Consensus Decision Pathway for chest pain. Results suggest this pathway is safe and efficacious for use in patients without known CAD; however, performance was not as good for patients with known CAD.Friday Spoon Feed:Noninvasive ventilation (NIV) was superior to standard non-rebreather (NRB) oxygen mask for preoxygenation of critically ill, adult ED or ICU patients requiring intubation, with a NNT of 11 to prevent 1 episode of hypoxemia
The Supreme Court has dismissed a challenge to the FDA's approval of the abortion pill mifepristone, ruling unanimously that the anti-abortion doctor group that filed the suit lacked standing. But abortion opponents are expected to pursue other strategies to ban or restrict the medication. Meanwhile, the Biden administration moves to stop the inclusion of medical debt on individual credit reports, and former President Donald Trump tries to claim credit for $35 insulin. Anna Edney of Bloomberg News, Rachana Pradhan of KFF Health News, and Emmarie Huetteman of KFF Health News join KFF Health News chief Washington correspondent Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF president and CEO Drew Altman about KFF's new “Health Policy 101” primer. Plus, for “extra credit,” the panelists suggest health policy stories they read this week that they think you should read, too: Julie Rovner: HuffPost's “How America's Mental Health Crisis Became This Family's Worst Nightmare,” by Jonathan Cohn. Anna Edney: Stat News' “Four Tops Singer's Lawsuit Says He Visited ER for Chest Pain, Ended Up in Straitjacket,” by Tara Bannow. Rachana Pradhan: The New York Times' “Abortion Groups Say Tech Companies Suppress Posts and Accounts,” by Emily Schmall and Sapna Maheshwari. Emmarie Huetteman: CBS News' “As FDA Urges Crackdown on Bird Flu in Raw Milk, Some States Say Their Hands Are Tied,” by Alexander Tin. Hosted on Acast. See acast.com/privacy for more information.
Have you ever wondered why some heart conditions slip through the cracks? I do. And myocardial bridges are one of those conditions. Join me as I speak with my very own primary care physician, Dr. Thomas Hopkins, more affectionately known as Dr. Tom. He joins us to unpack the mysteries of diagnosing chest pain in the hopes we can catch a symptomatic myocardial bridge sooner rather than later. With a journey that spans from aspiring heart surgeon to passionate primary care physician, Dr. Tom brings a unique perspective on cardiac health. This episode uncovers the critical importance of educating both patients and healthcare providers about myocardial bridges—a frequently misdianosed but potentially fatal condition. Dr. Tom walks us through a comprehensive approach to diagnosing chest pain, ensuring that no deadly condition is overlooked. From initial assessments to advanced diagnostic tests, Dr. Tom explains the systematic pathway to accurately diagnose cardiac conditions from the perspective of a primary care physician or general practitioner. We delve into the limitations of primary care settings and the indispensable role of timely referrals to cardiologists. The urgency of quick action is highlighted, especially when conditions like myocardial bridging are suspected. This episode is a must-listen for anyone eager to understand the nuances of cardiac diagnostics and the vital need for vigilance in recognizing heart issues, especially if you or a loved one are experiencing chest pain that makes no sense. Effective communication between patients and their physicians is paramount for accurate diagnosis and treatment. Dr. Tom emphasizes the importance of patients sharing their symptoms, risk factors, and behaviors openly with their doctors. He provides key questions to guide these conversations, ensuring timely interventions and specialist referrals. This episode not only highlights the clinical significance of myocardial bridges but also underscores the value of expressing gratitude for medical support. By fostering mutual respect and teamwork in the patient-doctor relationship, the greater the likelihood the condition can be diagnosed in a timely and proper manner to get the proper treatment before something more serious occurs. It's both Dr. Tom's and you know my belief, that there are many out there who are going to experience only one symptom from a myocardial bridge and that's sudden cardiac arrest. Starting the conversation correctly from the beginning may just help save lives and improve lifestyles sooner for those getting proper diagnosis. Here's the website link to: Dr. Thomas Hopkins To learn more about myocardial bridges visit: My Imperfect Heart To see our guests you can watch Imperfect Heart on YouTube Episode Highlights(00:05 - 01:05) Medical Journey Towards Cardiac Surgery (09:55 - 11:15) Diagnostic Tests for Chest Pain (14:54 - 16:05) Patient-Doctor Interaction for Proper Diagnosis (23:39 - 24:57) Addressing Patient Honesty and Care Coordination (30:34 - 31:49) Connecting Patients With Myocardial Bridge Chapter Summaries (00:00) Diagnosing Chest Pain in Patients This chapter welcomes Dr. Thomas Hopkins, also known as Dr. Tom, to discuss his transition from aspiring heart surgeon to primary care physician and his ongoing interest in cardiac health. We explore the topic of myocardial bridges—a condition not widely known even among medical professionals—and emphasize the importance of educating both patients and healthcare providers. Dr. Tom outlines the systematic approach his practice takes when a patient presents with chest pain, emphasizing the need to consider a broad range of potential causes, from cardiac issues to gastrointestinal and mental health factors. The goal is to ensure nothing potentially deadly is overlooked, using a comprehensive checklist that includes listening to the patient's story, assessing risk factors, and understanding behaviors that might contribute ...
Advancing Acute MI Care In Densely Populated LMICs: Innovative Standalone Chest Pain Units For Expedited Triage And Timely Management - A Role Model For Global Healthcare Systems
This case report explores the intricacies of familial hypercholesterolemia (FH), delving into its genetic basis, atherosclerotic cascade, and early-onset cardiovascular complications. It examines established diagnostic criteria and emphasizes personalized management, including statins, novel therapies, and lifestyle modifications. CardioNerds cofounders (Drs. Amit Goyal and Danial Ambinder) join Dr. Irfan Shafi, Dr. Preeya Prakash, and Dr. Rebecca Theisen from the Wayne State University/DMC and Central Michigan University at Campus Martius in Downtown Detroit for some holiday ice-skating! They discuss an interesting pediatric case (see case synopsis below). Dr. Luis C Afonso provides the Expert CardioNerd Perspectives & Review segment for this episode. Audio editing by CardioNerds academy intern, Pace Wetstein. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscript here. CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Case Synopsis FH, a 9-year-old female with no previous medical history, recently moved back to the US from Iraq. She presented to establish care and discuss new-onset chest pain and dyspnea. A systolic ejection murmur was noted during her initial visit to the pediatrician, prompting cholesterol testing and a cardiology referral. Testing revealed, alarming cholesterol levels (Total Cholesterol: 802 mg/dL, LDL: 731 mg/dL, Triglycerides: 123 mg/dL) prompted concern for cardiac involvement. Due to persistent symptoms, FH was transferred to Children's Hospital of Michigan. Despite normal findings on EKG and chest x-ray, a 2/6 systolic murmur was noted. She was discharged with a cardiology clinic follow-up. However, two days later, FH experienced severe chest pain at rest, sweating, and difficulty breathing. She was transported to Children's Hospital again, and her troponin level measured 3000, and her total cholesterol was 695 mg/dL. An echocardiogram revealed valvar and supravalvar aortic stenosis, necessitating collaboration between Pediatric and Adult cardiology teams. CTA thorax revealed severe supravalvular stenosis, a hypoplastic right coronary artery, and significant coronary artery obstructions. Diagnostic cardiac catheterization confirmed severe aortic stenosis and coronary artery disease, leading to the decision for surgical intervention. FH underwent the Ross operation, left main coronary artery augmentation, and right coronary artery reimplantation. Intraoperatively, atherosclerotic plaques were observed in multiple cardiac structures. FH's recovery was uneventful, discharged on a regimen including Atorvastatin, Ezetimibe, evolocumab, and antiplatelet therapy. Persistent high LDL levels required regular plasmapheresis. Plans for evaluations in Genetics, Lipid Clinic, Endocrine, and Gastroenterology were made, potentially leading to a liver transplant assessment. Given the severity of her condition, a heart/liver transplant might be considered in the future. Conclusion: This case of FH highlights the complex presentation of severe aortic stenosis and coronary artery disease in a pediatric patient. Urgent diagnosis, interdisciplinary collaboration, and aggressive management were crucial. The case underscores the importance of comprehensive care for pediatric patients with rare cardiac conditions, emphasizing collaboration between specialties for optimal outcomes and long-term well-being. Case Media Pearls - Familial Hypercholesterolemia Mutations in LDLR, ApoB, or PCSK9 genes disrupt LDL-C clearance, leading to a cascade of events culminating in accelerated atherosclerosis and early-onset cardiovascular complications (e.g., CAD, aortic stenosis, PAD, stroke). Diagnosis of familial hypercholesterolemia relies on ...
Send us a Text Message.Are you aware of the hidden risk factors that might be silently paving the way for coronary artery disease?In this insightful episode of me&my health up, hosted by Anthony Hartcher, we dive deep into the world of coronary artery disease (CAD). This episode is a must-listen for anyone interested in understanding the causes, symptoms, and preventive measures for this prevalent condition.Our expert guest sheds light on the primary causes of CAD, including atherosclerosis, high blood pressure, high cholesterol, smoking, and diabetes. Learn about the key risk factors and discover practical strategies to manage and prevent coronary artery disease. From recognising early warning signs such as chest pain and shortness of breath to implementing lifestyle changes like a healthy diet, regular exercise, and stress management, this episode covers it all. Plus, we explore the benefits of holistic health coaching in managing and preventing CAD, offering a comprehensive approach to heart health.Don't miss this episode filled with valuable insights and actionable tips to help you take control of your heart health. Tune in now and empower yourself with the knowledge to make informed decisions about your well-being.About me&my health up & Anthony Hartcherme&my health up seeks to enhance and enlighten the well-being of others. Host Anthony Hartcher is the CEO of me&my wellness which provides holistic health solutions using food as medicine, combined with a holistic, balanced, lifestyle approach. Anthony holds three bachelor's degrees in Complementary Medicine; Nutrition and Dietetic Medicine; and Chemical Engineering.Podcast DisclaimerAny information, advice, opinions or statements within it do not constitute medical, health care or other professional advice, and are provided for general information purposes only. All care is taken in the preparation of the information in this Podcast. [Connected Wellness Pty Ltd] operating under the brand of “me&my health up”..click here for moreSupport the Show.
Bytes of Health is a daily, five-minute long podcast that provides practical guidance and advice for parents of kids of all ages! It's a shame-free zone that aims to take a "byte" out of your parent worries! Be sure to subscribe, rate, and review Bytes of Health on Apple Podcasts, Spotify, Amazon, or wherever you get your podcasts. And find us on Instagram at https://www.instagram.com/bytesofhealthpod/ Interested in advertising with us? Please reach out to advertising@airwavemedia.com, with “Bytes of Health” in the subject line. PLEASE NOTE: The discussion and information provided in this podcast are for general educational, scientific, and informational purposes only and are not intended as, and should not be treated as, medical or other professional advice for any particular individual or individuals. Every person and medical issue is different, and diagnosis and treatment requires consideration of specific facts often unique to the individual. As such, the information contained in this podcast should not be used as a substitute for consultation with and/or treatment by a doctor or other medical professional. If you are experiencing any medical issue or have any medical concern, you should consult with a doctor or other medical professional. Further, due to the inherent limitations of a podcast such as this as well as ongoing scientific developments, we do not guarantee the completeness or accuracy of the information or analysis provided in this podcast, although, of course we always endeavor to provide comprehensive information and analysis. In no event may Unbiased Science or any of the participants in this podcast be held liable to the listener or anyone else for any decision allegedly made or action allegedly taken or not taken allegedly in reliance on the discussion or information in this podcast or for any damages allegedly resulting from such reliance. The information provided herein do not represent the views of our employers. Learn more about your ad choices. Visit megaphone.fm/adchoices
Nursing Podcast by NRSNG (NCLEX® Prep for Nurses and Nursing Students)
For resources to help you master Cardiac topics we have a FREE Cheatsheet Download at NURSING.com/heart. At NURSING.com you can learn everything you need to know as a nurse about agina including: angina symptoms, anginal pharmacology, the difference between stable and unstable angina, and more. We also cover key concepts for NCLEX for angina nursing. Excerpt: ". . . it wasn't my patient that I should have been worried about When my patient's son said he wasn't feeling right, it would have been easy to assume it was because of the stress he was under. He was visiting his sick mom . . . in the ICU nonetheless. But something just didn't feel right"
NRSNG NCLEX® Question of the Day (Nursing Podcast for NCLEX® Prep and Nursing School)
For resources to help you master Cardiac topics we have a FREE Cheatsheet Download at NURSING.com/heart. At NURSING.com you can learn everything you need to know as a nurse about agina including: angina symptoms, anginal pharmacology, the difference between stable and unstable angina, and more. We also cover key concepts for NCLEX for angina nursing. Excerpt: ". . . it wasn't my patient that I should have been worried about When my patient's son said he wasn't feeling right, it would have been easy to assume it was because of the stress he was under. He was visiting his sick mom . . . in the ICU nonetheless. But something just didn't feel right"
For resources to help you master Cardiac topics we have a FREE Cheatsheet Download at NURSING.com/heart. At NURSING.com you can learn everything you need to know as a nurse about agina including: angina symptoms, anginal pharmacology, the difference between stable and unstable angina, and more. We also cover key concepts for NCLEX for angina nursing. Excerpt: ". . . it wasn't my patient that I should have been worried about When my patient's son said he wasn't feeling right, it would have been easy to assume it was because of the stress he was under. He was visiting his sick mom . . . in the ICU nonetheless. But something just didn't feel right"
For resources to help you master Cardiac topics we have a FREE Cheatsheet Download at NURSING.com/heart. At NURSING.com you can learn everything you need to know as a nurse about agina including: angina symptoms, anginal pharmacology, the difference between stable and unstable angina, and more. We also cover key concepts for NCLEX for angina nursing. Excerpt: ". . . it wasn't my patient that I should have been worried about When my patient's son said he wasn't feeling right, it would have been easy to assume it was because of the stress he was under. He was visiting his sick mom . . . in the ICU nonetheless. But something just didn't feel right"
For resources to help you master Cardiac topics we have a FREE Cheatsheet Download at NURSING.com/heart. At NURSING.com you can learn everything you need to know as a nurse about agina including: angina symptoms, anginal pharmacology, the difference between stable and unstable angina, and more. We also cover key concepts for NCLEX for angina nursing. Excerpt: ". . . it wasn't my patient that I should have been worried about When my patient's son said he wasn't feeling right, it would have been easy to assume it was because of the stress he was under. He was visiting his sick mom . . . in the ICU nonetheless. But something just didn't feel right"
Commentary by Dr. Valentin Fuster
Are those chest pains signs of a heart attack…or a broken heart? Can a broken heart send you to the hospital? Broken Heart Syndrome is a real cardiac event brought on by an intense emotional reaction to life events. In honor of Valentine's Day, our host Faith speaks with Dr. Joy Gelbman, cardiologist at NewYork-Presbyterian and Weill Cornell Medicine, about how the heart is a physical and emotional center of our body.Click here for the episode transcript.
Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Katie A. Young, MD We now have a variety of tests to assess patients who present with chest pain. These tests include such basic assessment tools such as a resting ECG to the most invasive of cardiac tests, a coronary angiogram. But there are multiple tests in between these two extremes. Each have their specific benefits and limitations. Which test or tests should we order for patients with chest pain? What are the potential risks of these tests to the patient? In this podcast, we'll discuss these questions and more with cardiologist Katie A. Young, M.D., from the Department of Cardiovascular Disease from the Mayo Clinic. The topic for today's podcast is “Chest Pain: What's the Best Test?” Connect with the Mayo Clinic's School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Join us in this episode of the TALK EM Podcast as we delve deep into the critical world of emergency medicine. In this insightful episode, our host, John Bielinski, takes you on a journey through the complexities of evaluating chest pain in the emergency department and understanding the invaluable tool known as the Heart Score. About the Episode: Chest pain is one of the most common complaints in the emergency department, and the ability to quickly and accurately assess the risk of serious cardiac events is crucial. In this episode, John Bielinski, a distinguished expert in emergency medicine, explains how to unravel the mysteries behind chest pain evaluation and the Heart Score. Thanks for listening!
Do you know what can cause chest pain and difficulty swallowing? Both, distal esophageal spasm (DES) and hypercontractile esophagus (HE). DES causes spasms of the lower esophageal sphincter, while HE causes contractions of the esophagus that are stronger than normal, also known as jackhammer esophagus. Join Dr. Niket Sonpal as he discusses the symptoms of DES and HE such as chest pain, difficulty swallowing and regurgitation. Both conditions can be diagnosed by using an esophageal manometry, which measures the pressure in the esophagus. And the treatments vary depending on the patient and the severity of their symptoms. November 13, 2023 — Do you work in primary care medicine? Primary Care Medicine Essentials is our brand new program specifically designed for primary care providers to increase their core medical knowledge & improve patient flow optimization. Learn more here: Primary Care Essentials —
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