Publications by authors named "Samuel L Johnston"

Article Synopsis
  • Clinical decision-making regarding syncope is complex due to its varied presentations and risk factors, which can lead to physician errors.
  • AI technologies like machine learning, deep learning, and natural language processing can help identify patterns in syncope risk factors and clinical outcomes, improving diagnosis and predicting adverse events.
  • The article discusses the potential advantages and challenges of using AI in syncope research and education, questioning whether AI can surpass human performance in these areas.
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Syncope is a form of transient loss of consciousness (TLOC) resulting from cerebral hypoperfusion and is characterized by rapid onset, short duration and spontaneous complete recovery [...

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Syncope, a form of transient loss of consciousness, remains a complex medical condition for which adverse cardiovascular outcomes, including death, are of major concern but rarely occur. Current risk stratification algorithms have not completely delineated which patients benefit from hospitalization and specific interventions. Patients are often admitted unnecessarily and at high cost.

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Background: Syncope, a common problem encountered in the emergency department (ED), has a multitude of causes ranging from benign to life-threatening. Hospitalization may be required, but the management can vary substantially depending on specific clinical characteristics. Models predicting admission and hospitalization length of stay (LoS) are lacking.

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A 53-year-old female with a history of sports participation presented to a community hospital emergency department for collapse. She was given a LifeVest wearable cardioverter-defibrillator (WCD) (Zoll Medical Corp., Chelmsford, MA, USA) and scheduled to undergo cardiac magnetic resonance imaging (MRI) with gadolinium enhancement at a tertiary center.

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Background: RV pacing (RVP), even with preserved atrioventricular (AV) synchrony, may lead to left atrial (LA) enlargement and atrial fibrillation. However, inciting events are unknown. We hypothesized that RVP acutely impairs LA function by mechanisms affecting atrial contraction and/or ventricular diastole.

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A 64-year-old man who had received a lung transplant later presented with an air embolism that caused ST-segment elevation myocardial infarction, multiple strokes, and death. Transesophageal echocardiography was used to document air bubbles crossing from a bronchial fistula to a pulmonary vein and into the left atrium. Spontaneous air was seen entering a pulmonary vein during positive-pressure ventilation and exiting through the left ventricular outflow tract.

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