Session Type
Meeting
Search Results for Echocardiogram
Abstract Number: 64
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: New onset third degree or complete heart block (CHB) is a medical emergency and usually requires permanent pacemaker. CHB can be caused by cardiac ischemia or non-ischemic conditions such as infiltrative diseases or fibrosis. The purpose of this study was to analyze the clinical characteristics associated with ischemic versus non ischemic causes of complete […]
Abstract Number: 255
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: In 2014, the ACC/AHA released guidelines regarding indications for preoperative transthoracic echocardiogram (pre-op TTE) in patients undergoing noncardiac surgery. Studies indicate that the ordering of pre-op TTE in noncardiac surgery is not consistent with the ACC/AHA guidelines. Some studies suggest the pre-op TTE have a significant impact on management, while others have demonstrated low cardiac […]
Abstract Number: 323
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Guidelines recommend in-hospital evaluation with cardiac monitoring and transthoracic echocardiogram (TTE) to assess syncope in patients that are considered high-risk for major adverse cardiovascular events. We sought to identify variables associated with performing TTE in patients presenting with syncope. Methods: We abstracted demographic and clinical data from all patients evaluated for syncope at the […]
Abstract Number: 330
SHM Converge 2021
Case Presentation: An 85-year-old female with a medical history of hypertension, hyperlipidemia and tobacco abuse presented to the ED with a several day history of intermittent, non-radiating substernal chest pain that occurred at rest. Physical exam revealed normal vital signs, regular cardiac rhythm, no murmurs or gallops, clear lungs, and no jugular venous distention or […]
Abstract Number: 390
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Echocardiography is an essential evaluation in the diagnosis of infectious endocarditis (IE). Transthoracic echocardiography (TTE) is a portable study that is widely available and non-invasive. Though transesophageal echocardiography (TEE) is traditionally known for higher sensitivity and specificity, it is speculated that improvements in modern TTE imaging could produce higher diagnostic yield than previously thought. […]
Abstract Number: 416
Hospital Medicine 2020, Virtual Competition
Background: Unnecessary hospitalizations and testing for syncope remain common (1), and physician attitudes continue to favor overuse for syncope (2). Structured protocols, specialized units, and decision support algorithms may reduce health service use, but lack of data precludes the ability to advocate for use of a specific decision support algorithm (3). Purpose: Our primary aim […]
Abstract Number: 650
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: 60 y/o African American male with h/o chronic esophageal strictures s/p multiple esophageal dilations presented to the ER with complaints of weakness and dizziness. He met criteria for sepsis with possible source as aspiration pneumonia and was started on broad spectrum antibiotics. Two sets of blood cultures done from admission grew Streptococcus mitis/oralis. […]
Abstract Number: 695
Hospital Medicine 2020, Virtual Competition
Case Presentation: 77-year-old Caucasian male presents to the ER due to progressive shortness of breath impacting his activities of daily activity. Shortness of breath started 2 weeks ago and was associated with a hacking cough and minimal sputum production for which he visited his physician’s office and received a steroid shot for “bronchitis”. On further […]
Abstract Number: 883
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 29 year-old woman with sickle cell disease (SCD) on hydroxyurea and L-glutamine, and mild intermittent asthma presented to our institution with right lower extremity and back pain suggestive of a vaso-occlusive crisis. She did not report fever, cough or dyspnea. Vital signs revealed a heart rate of 91/min, blood pressure of 126/86 […]
Abstract Number: 1002
Hospital Medicine 2020, Virtual Competition
Case Presentation: The patient was a 28-year-old male with past medical history significant for polysubstance abuse including alcohol and opiates, as well as chronic DVTs on coumadin, who originally presented to the hospital for recurrent pancreatitis. Two weeks into his admission, he abruptly became hypotensive (MAP < 65mmHg), tachycardic, and hypoxemic (SpO2 < 88% on […]