AI Model Expands ECG’s Diagnostic Potential
An AI model developed by researchers at New York-Presbyterian and Columbia University Irving Medical Center has received approval from the Food and Drug Administration for use in detecting structural heart disease through electrocardiograms (ECGs), according to a news release. Known as EchoNext, the deep learning model was trained to detect a broad range of structural abnormalities, as published in Nature: The model analyzes a routine 12-lead ECG and estimates whether a patient is likely to …
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Brugada Syndrome in the Urgent Care Center: A Case Report
Urgent Message: Brugada syndrome may present with subtle electrocardiogram findings, and clinicians must recognize the pattern promptly to help prevent sudden cardiac death. Katherine Quinn, MS IV; Eric Mast, DO; M. Drew Mattin, MS IV; Todd Fredricks, DO, MSS Keywords: sudden cardiac death; Brugada syndrome; Brugada pattern; ventricular fibrillation Abstract Introduction: Syncope in young, otherwise healthy individuals is often attributed to benign causes but can occasionally signal life-threatening cardiac conditions. Brugada syndrome (BrS), a rare …
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55-Year-Old With Frequent Falls
A 55-year-old male with past medical history of alcohol use disorder presents to urgent care with frequent falls. He denies chest pain or shortness of breath. An ECG is obtained. View the ECG and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
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60-Year-Old With Prior Myocardial Infarction
A 60-year-old male with a past medical history of prior myocardial infarction (MI) is presenting with left-sided chest pain for 1 day. He reports nonadherence to his clopidogrel for 2 weeks after running out of his medications. View the ECG and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
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Student Athletes in Florida Must Have ECG Before Playing Sports
A new Florida law now requires that all high school student-athletes receive an electrocardiogram (ECG) before they can participate in school sports programs. Florida is the only state with an ECG requirement as part of sports physicals for students, but others may follow if more high-profile young athletes are treated for sudden cardiac arrest on the sidelines—such as basketball player Bronny James and football player Damar Hamlin. In Florida, youth athletes must be tested in …
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17-Year-Old With Syncope
A 17-year-old male presents to urgent care with syncope. He has a family history of sudden cardiac death. He is well appearing and with normal vital signs. An ECG is obtained. View the ECG and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
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65-Year-Old With Hypertension
A 65-year-old female with a history of hypertension presents with chest pain and dyspnea for 1 day. She denies fever, cough, nausea, vomiting, or abdominal pain. Upon arrival to urgent care, her respiratory rate was 28 breaths per minute, blood pressure 179/102, and oxygen saturation 92% on room air. An ECG is obtained. View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is described on …
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74-Year-Old With Lightheadedness
A 74-year-old woman presents to urgent care with epistaxis, controlled on arrival. She is also complaining of lightheadedness and fatigue that’s been going on for the past 2 weeks. View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
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27-Year-Old with History of Asthma
A 27-year-old female with history of asthma presents to urgent care on a Friday morning with dyspnea for 1 day. She denies palpitations, syncope, or chest pain. An ECG is obtained. View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
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