Heart Rhythm Medicine, Health, Cycling, Fitness.
It’s entitled: More on ECG screening to prevent sudden death in the young: On risk, the Italian experience and notes from the real world. Here’s the lead in… Earlier this week, I wrote about one of my favorite topics in medicine: the ECG. This 12-pronged view of cardiac vectors catapulted my interest in the human [...]
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When a news source as powerful as The NY Times publishes an article about sudden cardiac death in young people, one expects accurate information. It’s far too important a topic to write about imprecisely. This piece, entitled Should Young Athletes Be Screened for Heart Risk, included numerous inaccuracies and failed to tell important facts about [...]
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It may seem a little formal to say this, but I would like to start by stating my goals for today’s post: Introduce the concept of the athletic heart; Touch upon the notion of sudden death of the athlete; Explain what an ECG really is, and how it may help diagnose heart disease; Review a [...]
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It’s heart-wrenching when young athletes die of sudden cardiac death (SCD). This week, the death of Wes Leonard, a Michigan high school star athlete, was especially poignant since he collapsed right after hitting the game-winning shot. This sort of tragedy occurs about one hundred times each year in America. That’s a lot of sadness. The [...]
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As the commenters correctly pointed out, this Sunday’s case involving the patient with recurrent syncope is indeed polymorphic ventricular tachycardia–aptly named torsades de pointes (‘twisting of the points’). TDP is associated with prolongation of the QT interval, and pause-dependent PVCs (and VT). A serious malady indeed. ICD evaluation showed hundreds of these episodes The initial ECG strengthened [...]
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This one fell in the bucket: “John, you had better go check this out.” The septuagenerian presented to the emergency department because of repeated bouts of syncope. (Syncope is medical speak for temporary loss of consciousness.) As Indiana electrophysiology fellows, we had two categories of passing out: “he passed out…cold,” or “he passed out…stone cold.” [...]
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