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Search Results for Stemi
Abstract Number: 110
Hospital Medicine 2020, Virtual Competition
Background: ST-segment elevation myocardial infarctions (STEMI) is a significant cause of morbidity and mortality in the United States. Inter-hospital transfers (IHT) are becoming the standard for treatment of ST-elevation myocardial infarctions (STEMIs) as specialized care is often concentrated at tertiary centers. The American Heart Association and the American College of Cardiology (AHA/ACC) recommends door-to-balloon time […]
Abstract Number: 117
Hospital Medicine 2020, Virtual Competition
Background: ST elevation MI is an acute event that mandates immediate intervention. Often, resources play a major role to enable prompt intervention. Our study aims to elaborate any differences that may exist between weekend and weekday outcomes at a national level. Methods: We conducted a retrospective analysis of the Nationwide Inpatient Sample (HCUP-NIS) database. Patients […]
Abstract Number: 153
SHM Converge 2023
Background: ST-segment elevation myocardial infarction (STEMI) is a cardiac emergency that requires timely reperfusion preferably with cardiac catheterization. The coronavirus disease-2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome-coronavirus-2 (SARS-CoV2), has adversely impacted the delivery of healthcare to patients with STEMI. Several process changes were observed across the world during this period, including alternative cardiac […]
Abstract Number: 236
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The “July effect” is a perceived increased risk of medical errors that occurs when US medical graduates begin residencies. There is substantial variability in results across studies of the “July effect” on patients who are admitted for heart attacks. Furthermore, studies that do show statistically significant increase in mortality at the start of residency […]
Abstract Number: 386
SHM Converge 2021
Case Presentation: A 60-year-old man with type 2 diabetes presented with dyspnea and chest pain for 5 days during the COVID-19 pandemic. He arrived in acute hypoxic respiratory failure, with an oxygen saturation of 45% on room air. Physical exam revealed coarse lung sounds bilaterally and accessory muscle use. Initial labs were notable for leukocytosis […]
Abstract Number: 447
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 45 year-old woman presented with 4 hours of lower back pain, after a fall from standing. She did not report a loss of consciousness, and did not injure her head. She had no neurological deficits, nor bladder of bowel dysfunction. She denied any chest pain or dyspnea. A standard 12 lead EKG […]
Abstract Number: 457
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 29-year-old African-American female presented with two weeks of left neck swelling and fever. Over four months, she had noted fatigue, cough, night sweats, and an unintentional 12-pound weight loss. Two empiric courses of antibiotics effected no clinical change. She had no toxic habits and was sexually active with one male partner. […]
Abstract Number: 458
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 40 year old woman (G4P4A0) with hypertension and hypothyroidism presented with sudden onset, severe, substernal chest pain while lifting heavy garbage bag. She was diagnosed with NSTEMI in the context of typical ischemic chest pain with trending troponins and EKG with T wave inversions in anterior leads. Transthoracic echocardiography revealed apical and […]
Abstract Number: 459
SHM Converge 2021
Case Presentation: We present an unusual case of a previously healthy patient presenting with a demyelinating polyneuropathy, which was determined to be the initial presentation of systemic lupus erythematosus (SLE).This was a 36 year-old female with an unremarkable past medical history who presented with leg weakness that progressively spread to her arms with associated tingling […]
Abstract Number: 464
SHM Converge 2023
Case Presentation: 57-year-old male, with history of recurrent idiopathic hypothermic episodes, HFrEF on carvedilol, T2DM on no medication for 3 months, and stage 4 CKD, presented to the ED for altered mentation. Vitals were unremarkable except for hypothermia (86.4°F). Patient was hypoglycemic (62 mg/dL). WBC count was low (1.26 10^3/uL). Urine WBCs were elevated (31-50/HPF). […]