What is better than shocking someone back into rhythm? Shocking them with twice the electricity. This week we discuss the utility of dual sequential defibrillation (DSD) in refractory ventricular fibrillation.
Myocarditis is an inflammatory change of the heart muscle and an important differential diagnosis for patients presenting with non-specific symptoms such as low grade fever, fatigue, malaise, dyspnea on exertion, palpitations, and/or chest pain in the ED.
Beta-blockers are the fifth most commonly prescribed medication in US and are frequently involved in potentially fatal single or multi-drug ingestions. Cardiovascular drugs as a whole are the 2nd most common culprit of adult death from all overdoses.
In 1990, only two years before singer Billy Ray Cyrus revealed his cardiac myocytes to be “achy breaky”, Japanese scientists first described a pathophysiologic mechanism for a common condition which has, for centuries, plagued philosophers and poets, cardiologists and lyricists alike: the broken heart.
Acute aortic dissection is a potentially catastrophic cardiovascular disease, and is a somewhat rare but exceedingly important diagnosis to make. A low-risk, cost-efficient diagnostic test with the ability to reliably exclude this disease would be useful. Is the D-dimer that test?