Archive for category: Cardiovascular

The Approach To The Most Common Cardiac Dysrhythmia: 8 Causes of Sinus Tachycardia

18 Jul
July 18, 2018

Have you ever heard an entire lecture on sinus tachycardia? Neither have I. It is the most common cardiac dysrhythmia seen in critically ill adults and kids, but it is the least frequently talked about. Sinus tachycardia may not be the sexiest rhythm and we don’t think of cardioverting it or giving some new anti-arrhythmic […]

Rebellion in EM 2018: STEMI Equivalents by Tarlan Hedayati, MD

16 Jul
July 16, 2018

The 1stannual Rebellion in EM Clinical Conference took place in San Antonio, TX on May 11th– 13th, 2018.  If you missed out in 2018, the Rebellion is coming back June 28th – 30th, 2019.  Stay up to date as we plan the conference for this upcoming year at www.rebellioninem.com. The Missions of Rebellion in EM: Decrease Knowledge […]

Industry Sponsored Trials and  Entresto in CHF

23 May
May 23, 2018

Background: Congestive Heart Failure (CHF) is one of the leading causes of hospitalization among adults over the age of 65 years of age. Despite improvement in outcomes with optimal medical treatment, admission rates still remain high with many patients requiring rehospitalization.  The staples of CHF management include ACE inhibitors, ARBs, beta blockers, diuretics, aldosterone antagonists, hydralazine/nitrates, and […]

Chest Pain, “Negative” Stress Tests, POCUS, & ECG Equations

30 Apr
April 30, 2018

I was working a busy shift in the ED, like many of us do, and the next patient I was going to see was a 57 year old male with no real medical problems complaining of chest pain.  I remember thinking as I walked into the room this guy looks ashen and diaphoretic….he doesn’t look […]

The BEST AF Trial: What is the Optimal Energy Selection for Cardioversion in Patients with Afib?

23 Apr
April 23, 2018

Background:There are two trains of thought in using transthoracic direct current cardioversion (DCCV) when it comes to converting atrial fibrillation.  The first is an escalating energy approach which allows cardioversion to occur at the lowest energy for each individual patient and potentially decrease post-shock arrhythmias.  The second train of thought is to start at the […]