Transient 2:1 Atrioventricular Block with Peri-Conduction System Pacing After Leadless Pacemaker Implantation.

This report discusses a case of transient 2:1 atrioventricular block with conduction system pacing 4 hours after leadless right ventricular pacemaker implantation in a 19-year-old patient with a history of cardioinhibitory syncope and asystole cardiac arrest but without preexisting atrioventricular block. The atrioventricular block was resolved spontaneously. Pacing morphology was suggestive of right bundle branch pacing.

Why do we keep missing left circumflex artery myocardial infarctions?

Background: Diagnosis of left circumflex artery (LCx) myocardial infarctions via 12‑lead electrocardiogram (ECG) has posed a challenge to healthcare professionals for many years.

Methods And Results: A retrospective observational study was performed to analyze patients admitted with myocardial infarction. The study used electronic medical records and specific ICD-10 codes to identify eligible patients, resulting in 2032 encounters.

Relation of T Wave Positivity in Lead aVR to Ischemic Etiology of Cardiomyopathy.

Identifying ischemic etiology of cardiomyopathy carries prognostic and therapeutic significance. Clinical and electrocardiographic parameters can predict ischemic cardiomyopathy. Positive T wave polarity in lead aVR (TPaVR) has been associated with adverse cardiac events and severity of coronary artery disease.

Innovations in ventricular tachycardia ablation.

Catheter ablation of ventricular arrhythmias (VAs) has evolved significantly over the past decade and is currently a well-established therapeutic option. Technological advances and improved understanding of VA mechanisms have led to tremendous innovations in VA ablation. The purpose of this review article is to provide an overview of current innovations in VA ablation.

Early Detection of In-Patient Deterioration: One Prediction Model Does Not Fit All.

Objectives: Early detection of subacute potentially catastrophic illnesses using available data is a clinical imperative, and scores that report risk of imminent events in real time abound. Patients deteriorate for a variety of reasons, and it is unlikely that a single predictor such as an abnormal National Early Warning Score will detect all of them equally well. The objective of this study was to test the idea that the diversity of reasons for clinical deterioration leading to ICU transfer mandates multiple targeted predictive models.

Challenges in the Provision of End-of-Life and Palliative Care to Ethnic Nepali Refugees.

After over a decade of resettlement of ethnic Nepali refugees in the U.S., a significant population of seriously ill refugees will require palliative care and hospice care.

A Needs Assessment of Palliative Care Education among the United States Adult Neurology Residency Programs.

Background: Palliative care (PC) needs in patients with neurological diseases are becoming more recognized by neurologists and PC physicians.

Objective: To qualify and quantify the PC education available in the United States adult neurology programs since the Accreditation Council for Graduate Medical Education (ACGME) published updated mandates in 2009.

Design: A 22-question survey was electronically distributed to each neurology residency program in the United States.