ECG Cases

NOVEMBER 28, 2023

On this month's EM Quick Hits podcast: Anand Swaminathan on update to ED management of postpartum hemorrhage, Nour Khatib on serotonin syndrome and its mimics, Katie Lin on an approach to recognition and management of severe TBI and brain herniation syndromes, Hans Rosenberg on the ED management of ulcerative colitis, Heather Cary on pediatric c-spine (..)

Pediatrics 107

Pediatrics Hemorrhage 107

All About Cardiovascular System and Disorders

NOVEMBER 16, 2023

ECG Changes in Intracranial Hemorrhage ECG changes are fairly common in intracranial hemorrhage. Giant T inversions with QT interval prolongation may be seen in intracranial hemorrhage even without associated myocardial damage [1]. But the number of persons with lobar hemorrhage in that study was only 17%. Am Heart J.

Hemorrhage 52

Hemorrhage Myocardial Infarction Aneurysm Electrocardiogram 52

Medical Xpress - Cardiology

FEBRUARY 14, 2024

Taking an anticoagulant, or blood-thinning medication, can increase one's risk of—or exacerbate—a brain bleed, also known as a brain hemorrhage, which is the deadliest type of stroke. Now, new research finds that faster treatment for these patients is associated with a greater likelihood of survival.

Hemorrhage 89

Hemorrhage Research Stroke Strokes 89

American College of Cardiology

MAY 22, 2024

What is the effect of andexanet alfa, a reversal agent for factor Xa inhibitors, on hematoma volume expansion in patients with intracerebral hemorrhage?

Hemorrhage 58

Hemorrhage Article 58

Stroke Journal

FEBRUARY 1, 2024

Introduction:Delirium associates with poor outcome after intracerebral hemorrhage (ICH), yet its incidence and contributing factors are poorly characterized. The median hemorrhage volume was 8.0 [1.6-24.7] 1.10]), top-quartile hemorrhage volume (2.89 [1.08-7.75]), female) with an ethno-racial distribution of 57.6% Hispanic, 8.5%

Hemorrhage 40

Hemorrhage Hospital Stroke Strokes 40

Frontiers in Cardiovascular Medicine

JANUARY 8, 2024

Nevertheless, the patient developed hemorrhagic PT due to acute pericarditis 2 weeks later, which was confirmed by cardiac magnetic resonance, requiring an urgent pericardiocentesis. Conclusions We encountered a unique case of COVID-19-associated acute pericarditis exhibiting hemorrhagic PT.

COVID-19 72

COVID-19 Pericarditis Hemorrhage Hospital 72

Stroke Journal

MAY 2, 2024

The American Heart Association/American Stroke Association released a revised spontaneous intracerebral hemorrhage guideline in 2022. These 15 performance measures encompass a wide spectrum of intracerebral hemorrhage patient care, from prehospital to posthospital settings, highlighting the importance of timely interventions.

Hemorrhage 75

Hemorrhage Stroke Strokes Patient Care 75

Stroke: Vascular and Interventional Neurology

FEBRUARY 19, 2024

BACKGROUNDThe rate of underlying ruptured aneurysms, complications, and their relevance to outcomes in “benign” perimesencephalic subarachnoid hemorrhage are not well known and underreported.METHODSRetrospective analysis of patients with perimesencephalic subarachnoid hemorrhage from a large tertiary care center (2007–2022).RESULTSEighty‐one

Aneurysm 40

Aneurysm Hemorrhage Outcomes Hospital 40

Journal of the American Heart Association

DECEMBER 29, 2023

BackgroundThe outcome of diffuse angiogram‐negative subarachnoid hemorrhage (dan‐SAH) compared with aneurysmal SAH (aSAH) remains unclear. 4.64];P<0.001), presence of intraventricular hemorrhage (OR, 3.58 [95% CI, 1.72–7.46];P=0.001), 4.64];P<0.001), presence of intraventricular hemorrhage (OR, 3.58 [95% CI, 1.72–7.46];P=0.001),

Hemorrhage 40

Hemorrhage Aneurysm Outcomes Ischemia 40

Cardiovascular Diabetology

MARCH 17, 2024

Hemorrhagic stroke (HS), including non-traumatic intracerebral hemorrhage (ICH) and subarachnoid hemorrhage (SAH), constitutes a substantial proportion of cerebrovascular incidents, accounting for around 30% o.

Hemorrhage 52

Hemorrhage Stroke Strokes Research 52

Stroke Journal

FEBRUARY 1, 2024

A pairwise comparison of PiB and FTP uptake was done between lobes with any hemorrhagic lesion (ICH/cSS) and their corresponding lobes without hemorrhages.Results:The FTP uptake was significantly higher in 8 frontal, 16 temporal, and 11 occipital lobes with hemorrhages compared to their corresponding contralateral lobes without hemorrhages (1.18±0.1

Hemorrhage 40

Hemorrhage Stroke Strokes 40

All About Cardiovascular System and Disorders

FEBRUARY 2, 2024

What are the ECG Changes in Intracranial Hemorrhage?

Hemorrhage 52

Hemorrhage Electrophysiology 52

Journal of Clinical Investigation - Cardiology

FEBRUARY 15, 2024

Hereditary hemorrhagic telangiectsia (HHT) is an inherited vascular disorder with highly variable expressivity, affecting up to 1 in 5,000 individuals. This disease is characterized by small arteriovenous malformations (AVMs) in mucocutaneous areas (telangiectases) and larger visceral AVMs in the lungs, liver, and brain.

Hemorrhage 50

Hemorrhage 50

Journal of the American Heart Association

FEBRUARY 29, 2024

BackgroundDelayed cerebral ischemia represents a significant contributor to death and disability following aneurysmal subarachnoid hemorrhage. In murine studies (n=30), the endovascular perforation model was predominantly used, while rat studies primarily employed intracisternal blood injection to mimic subarachnoid hemorrhage.

Ischemia 40

Ischemia Hemorrhage Blood Pressure Aneurysm 40

Stroke Journal

FEBRUARY 1, 2024

Objective:Disorders of consciousness (DoC) are known to correlate with worse functional outcome after hemorrhagic stroke. Results:We included 314 patients admitted with intracranial hemorrhage, 51 (16%) of whom had GCS ≤ 8 at time of admission, 51% female and median [interquartile (IQR)] age of 63 [51-73].

Hemorrhage 40

Hemorrhage Stroke Strokes Risk Factors 40

Stroke Journal

FEBRUARY 1, 2024

Introduction:Patients who have had hemorrhagic strokes experience psychological and functional deficits after hospital discharge. Conclusion:Psychological and functional outcomes for patients with hemorrhagic strokes are associated with SDoH. Stroke, Volume 55, Issue Suppl_1 , Page AWP164-AWP164, February 1, 2024.

Hemorrhage 40

Hemorrhage Strokes Stroke Outcomes 40

Frontiers in Cardiovascular Medicine

MAY 12, 2024

During the treatment, the patient received two sessions of external cardiopulmonary resuscitation (ECPR) as supportive care and experienced cerebral hemorrhage. Through a cautious anticoagulation therapy, not only was the ECMO support successfully maintained but also was further deterioration of cerebral hemorrhage effectively prevented.

Embolism 52

Embolism Hemorrhage Pulmonary Cardiac Arrest 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

We investigated whether computed tomography perfusion (CTP) derived hypoperfusion index ratio correlates with the rate of hemorrhagic transformation.MethodsWe conducted a retrospective cohort analysis of a prospectively maintained patient database. female), 55 (19%) had hemorrhagic transformation. to 15.18; p=0.011).ConclusionIn

Hemorrhage 40

Hemorrhage Strokes Stroke 40

Stroke Journal

FEBRUARY 1, 2024

Introduction:Intracerebral Hemorrhage (ICH) leads to high rates of morbidity and mortality. There was no association between BMI and ICH volume in patients with deep or lobar hemorrhage. Stroke, Volume 55, Issue Suppl_1 , Page AWMP81-AWMP81, February 1, 2024. Malnutrition is common in stroke patients and leads to worse outcomes.

Hemorrhage 40

Hemorrhage BMI Outcomes Coronary Artery Disease 40

Stroke Journal

FEBRUARY 1, 2024

Our study aims to describe the trends and outcomes of patients with Subarachnoid Hemorrhage (SAH) using a Nationwide Inpatient Sample (NIS) database.Methods:We examined the 2016-2020 NIS database, focusing on patients aged 18 years and older with a primary SAH discharge diagnosis. years with 72,650 (61.0%) being female. to COVID 5.6 (p=0.0006).

COVID-19 40

COVID-19 Hemorrhage Outcomes Inpatient 40

Science Daily - Stroke

NOVEMBER 20, 2023

A new study has revealed a new culprit in the formation of brain hemorrhages that does not involve injury to the blood vessels, as previously believed.

Hemorrhage 40

Hemorrhage Research 40

Stroke Journal

FEBRUARY 1, 2024

Project analysis began by identifying care opportunities.

Hemorrhage 40

Hemorrhage Stroke Strokes Best Practices 40

Stroke Journal

FEBRUARY 1, 2024

In the EMS cohort, only patients seen between 8 am to 8 pm, corresponding to the operating hours of the MSU, were included. The target blood pressure goal was met much quicker in the MSU. Faster time metrics convey a hypothetical benefit towards improved patient outcomes.

Hemorrhage 40

Hemorrhage Blood Pressure Strokes Stroke 40

Stroke Journal

DECEMBER 21, 2023

FAST-MAG (Field Administration of Stroke Therapy-Magnesium) was a pragmatic clinical trial of magnesium sulfate administered prehospital for acute clinical stroke syndromes and included patients with intracerebral hemorrhage. Placebo patients had fewer serial neuroimaging studies available (123 [65.4%] versus 145 [75.1%];P=0.038).

Hemorrhage 40

Hemorrhage Strokes Stroke Hospital 40

Stroke Journal

NOVEMBER 2, 2023

Therefore, ASPIRING (Antiplatelet Secondary Prevention International Randomized Study After Intracerebral Hemorrhage) aims to recruit 4148 ICH survivors to determine the effects of antiplatelet agents after ICH definitively overall and in subgroups. Stroke, Volume 54, Issue 12 , Page 3173-3181, December 1, 2023.

Hemorrhage 40

Hemorrhage Stroke Strokes Blood Pressure 40

Stroke Journal

FEBRUARY 1, 2024

Glial fibrillary acidic protein (GFAP) has been recently identified as a biomarker of intracerebral hemorrhage. GFAP values over 1000 pg/ml indicated a primary cerebral cause of coma with 100% certainty (hereof, 86% had intracranial hemorrhage).Conclusion:Increased

Hemorrhage 40

Hemorrhage Biomarkers Stroke Strokes 40

Science Daily - Stroke

MAY 22, 2023

Regular physical activity and exercise may reduce bleeding in individuals with intracerebral hemorrhage, a new study shows. The researchers emphasize the importance of physical activity to protect the brain.

Exercise 40

Exercise Hemorrhage Research 40

Stroke Journal

FEBRUARY 1, 2024

Introduction:Spontaneous intracerebral hemorrhages (ICH) remains the most devastating form of stroke. SCUBA patient was matched with control ICH patient who received standard medical treatment at 1:1 ratio by variables (hematoma volume and laterality, intraventricular hemorrhage [IVH] with hydrocephalus, age, NIHSS, GCS).

Hemorrhage 40

Hemorrhage Stroke Strokes Hospital 40

Dr. Smith's ECG Blog

MARCH 7, 2024

A young man presented with a gunshot wound to the right chest, with hemo-pneumothorax and hemorrhagic shock. He got a chest tube and intubation and massive transfusion and stabilized. CT of chest showed the bullet path through his right lung but nowhere near his heart. But he did get an EKG: What is this?

Hemorrhage 110

Hemorrhage Chest Pain AFIB Article 110

Stroke Journal

FEBRUARY 1, 2024

Secondary endpoint included the radiographic pattern of hemorrhagic conversion according to the Heidelberg bleeding classification (HBC).Results:Median Suggested mechanisms of bleeding are hemorrhagic conversion in clinically silent infarcts and contusions underlying the lesions. Results:Median age was 62.94 for alteplase and 64.45

Hemorrhage 40

Hemorrhage Thrombolysis Strokes Stroke 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionUp to 18% of spontaneous intracerebral hemorrhages are cryptogenic despite a thorough workup, usually noted in a lobar location. CT revealed a left parasagittal hemorrhage. The patient was diagnosed with ACA territory stroke complicated by PH2‐type hemorrhagic conversion. CT revealed a right parasagittal hemorrhage.

Hemorrhage 40

Hemorrhage AFIB Cerebrovascular Disease Thrombosis 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionThe use of detachable coils for endovascular embolization of cerebral aneurysms has become a safe and effective alternative to direct surgical clipping in patients with ruptured aneurysmal subarachnoid hemorrhage. In order to avoid thromboembolic complications in these cases, patients require treatment with antiplatelet therapy.

Aneurysm 40

Aneurysm Stents Stent Hemorrhage 40

HeartRhythm

APRIL 30, 2024

We present a case of a rare complication that rapidly progressed to hemorrhagic shock following RF ablation. Radiofrequency (RF) ablation is an effective, and generally safe atrial fibrillation (AF) treatment. Major complications requiring blood transfusion or surgical intervention are rare.

Atrial Fibrillation 40

Atrial Fibrillation Hemorrhage Ablation 40

Journal of the American Heart Association

FEBRUARY 7, 2024

Overall, we found a higher risk of hemorrhagic stroke for LDL‐C lowering, risk ratio (RR) 1.16 (95% CI, 1.01–1.32,P=0.03). Journal of the American Heart Association, Ahead of Print. We searched MEDLINE, Embase, and Cochrane Library up to July 2, 2021 and updated a meta‐analysis of cardiovascular statin trials published in 2012. 1.73) (Pint=0.14

Hemorrhage 40

Hemorrhage Stroke Strokes Cholesterol 40

Stroke Journal

FEBRUARY 1, 2024

Background:Anticoagulation-associated intracerebral hemorrhage (AC-ICH) often results in death. Stroke, Volume 55, Issue Suppl_1 , Page A145-A145, February 1, 2024. Specific reversal agents are available, but it is not clear whether there is a time-dependent treatment effect.

Hemorrhage 40

Hemorrhage Blood Pressure Hospital Document 40

Stroke Journal

JANUARY 26, 2024

BACKGROUND:The dynamics of blood clot (combination of Hb [hemoglobin], fibrin, and a higher concentration of aggregated red blood cells) formation within the hematoma of an intracerebral hemorrhage is not well understood.

Hemorrhage 49

Hemorrhage Stroke Strokes Blood Clot 49

Stroke Journal

FEBRUARY 1, 2024

Background:Studies describing outcomes of subarachnoid hemorrhage (SAH) in children are sparse. 1.02], p<0.001), higher NIS-Subarachnoid Hemorrhage Severity Score (NIS-SSS) (12.64 [4.21-37.95], Stroke, Volume 55, Issue Suppl_1 , Page ATP19-ATP19, February 1, 2024. A total of 61.8% were discharged home, 29.3%

Pediatrics 40

Pediatrics Hemorrhage Outcomes Inpatient 40