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Diagnostic reasoning in cardiovascular medicine

John E Brush, Jonathan Sherbino, Geoffrey R Norman
2022 The BMJ (British Medical Journal)  
Research in cognitive psychology shows that expert clinicians make a medical diagnosis through a two step process of hypothesis generation and hypothesis testing.  ...  This article reviews the literature on the cognitive psychology of diagnostic reasoning in the context of cardiovascular disease.  ...  in emergency departments where a missed cardiac diagnosis is a leading cause of malpractice litigation. 4 5 One cardiac diagnostic challenge is an ST elevation myocardial infarction (STEMI), for which  ... 
doi:10.1136/bmj-2021-064389 pmid:34987062 fatcat:3py3feucujb3jmiulihlsee4sq

Management of patients after primary percutaneous coronary intervention for myocardial infarction

Fatima Dalal, Hasnain M Dalal, Christos Voukalis, Manish M Gandhi
2017 The BMJ (British Medical Journal)  
STATE OF THE ART REVIEW Diagnosis and management of inflammatory bowel disease in children Stephanie Series explanation: State of the Art Reviews are written with academic or specialist international  ...  For those who present with an acute ST elevation myocardial infarction (STEMI) in the UK, nearly 90% are treated with a primary angioplasty within 90 minutes of arrival at hospital. 1 One out of every  ...  In , the idea that a man who wasn't a doctor might be present at childbirth was out of the question. By , it was almost taken for granted that the father would be present.  ... 
doi:10.1136/bmj.j3237 pmid:28729460 fatcat:vrrfvolc2nb3pnrovk4paa5hy4

Homage to James B. Herrick: A Contemporary Look at Myocardial Infarction and at Sickle-Cell Heart Disease : The 32nd Annual Herrick Lecture of the Council on Clinical Cardiology of the American Heart Association

T. N. James
2000 Circulation  
Acknowledgements This work was supported by the Pegasus Fund of the University of Texas Medical Branch.  ...  the diagnosis of human myocardial infarction  ...  Just as was discussed in the comparison of cardiac disease in TTP with examples of acute myocardial infarction, similar comparative lessons are available for sickle-cell heart disease.  ... 
doi:10.1161/01.cir.101.15.1874 pmid:10769291 fatcat:mnrkl7c275fo7lkqj23b53sopi

The Diagnostic Error in Medicine

2019 Diagnosis  
Data gathering, analysis and feedback mechanisms within departments and across the institution are being refined to further develop and strengthen a learning health system for diagnosis.  ...  Description of the program: In 2017, a large integrated health care organization (HCO) created 'The Committee to Improve Clinical Diagnosis (CICD)' as a first step to develop a learning health system focused  ...  /lung 9 Failure/delay in considering the diagnosis 102 Diagnosis of underlying cause 67 Failure in follow-up of abnormal/critical result 83 Anchoring 63 Acute myocardial infarction 9  ... 
doi:10.1515/dx-2019-0075 pmid:33580920 fatcat:3gi2ik3uzbac5a572zykcshhfy

Full Issue PDF

2020 JACC Case Reports  
(J Am Coll Cardiol Case Rep 2020;2:341-6) (A and B) Volume-rendered computed tomography images of the left side of the heart showing the inferobasal pseudoaneurysm (PSA) with a narrow neck.  ...  (B and C) Modified short-axis and 2-chamber views of the heart. The in situ occluder across the left ventricular defect and the pseudoaneurysm is seen (green arrow).  ...  All authors have reported that they have no relationships relevant to the contents of this paper to disclose.  ... 
doi:10.1016/s2666-0849(20)30212-6 fatcat:4vbuqs7uwndzbntzb363vwolvi

Calcific Uremic Arteriolopathy: An Underrecognized Entity

Victoria Kumar
2011 The Permanente Journal  
Disclosure Statement Funding for this work was provided by the National Heart, Lung and Blood Institute, National Institutes of Health, grants HL088198 and HL089623.  ...  Dr Bota also thanks Carla Hix, PsyD, Linda DeSoucy, RN, and Soncerie Villegas, RN, for support. Katharine O'Moore-Klopf, ELS, of KOK Edit provided editorial assistance.  ...  When an individual has an event that leads to the diagnosis of CAD or HF, it occurs in one of three scenarios: 1) an out-of-hospital cardiac arrest; 2) hospitalization for an acute event characterized  ... 
doi:10.7812/tpp/10-114 fatcat:64lvjkv56ng75jq7gzrwrkx6em

Full Issue PDF

2021 JACC Case Reports  
DIFFERENTIAL DIAGNOSIS The patient's presentation was concerning for several possibilities, including acute pulmonary embolism, acute heart failure, cardiac tamponade, or LEARNING OBJECTIVES To identify  ...  A diagnosis of COVID-19-associated acute myocardial infarction was considered secondary to epicardial thrombotic occlusion.  ...  ADDRESS FOR FUNDING SUPPORT AND AUTHOR DISCLOSURES The authors have reported that they have no relationships relevant to the contents of this paper to disclose. ADDRESS  ... 
doi:10.1016/s2666-0849(21)00479-4 fatcat:wtlqwu5nurhytivkcu5ein55pq

PROCEEDINGS of the 28th scientific sessions of the American Heart Association; October 22-24, 1955, Municipal Auditorium, New Orleans, Louisiana

1955 Circulation  
All 3 patients died of acute myocardial infarction and 1 patient had a cardiac rupture.  ...  to the sub- sidence of the acute QRS changes characteristic of the infarction.  ... 
pmid:13261318 fatcat:xsrrsh2w2zfjzfky3ps4mg43g4

The elderly patient: stress and emergencies

1987 The Mount Sinai journal of medicine  
Two explor- atory celiotomies were undertaken for diagnosis and therapy of the acute abdomen.  ...  , and serious arrhythmias in the course of the last acute myocardial infarction.  ... 
pmid:3494910 fatcat:xsi6qy5kfzfrhoe7v3znghcar4

Saturday 23 April 2016

2016 Journal of Medical Radiation Sciences  
A group of radiographers took the lead when the need for a trained team of forensic radiographers ready for rapid deployment in mass fatality events was identified.  ...  State of the Art imaging equipment including a 3T PRISMA, PET/CT and 3T MMR (PET MR) are performing ground breaking imaging and changing the way we think about and manage conditions of the human brain.  ...  of surgical valve replacement, 1 transcatheter aortic valve implantation (TAVI) 2 and acute myocardial infarction. 3 It has a high cardiac rupture rate and mortality in the first year, yet its treatment  ... 
doi:10.1002/jmrs.1_166 fatcat:zipbcyoz3vaz5k7cmywjg5m2re

To Philosophise about Dying

Peter Harteloh
2021 Synthesis philosophica  
As the death process does not leave enough time (for example acute deaths from myocardial infarction) or a capacity for conscious reflection (for example gradual deterioration of the personality in dementia  ...  We have to be prepared for different ways of dying. About one in four persons die suddenly of cardiac or respiratory arrest as a direct cause of death.  ... 
doi:10.21464/sp36104 fatcat:hqijnwai2nhbndsb56lj45jldi

Taking the History from a Dizzy Patient: Why "What Do You Mean by Dizzy?" Should Not Be the First Question You Ask

D. E. Newman-Toker
2006 Academic Emergency Medicine  
Chapter 2 describes a multi-institutional survey of emergency physicians confirming that the "quality-of-symptoms" approach to dizziness is the dominant paradigm for diagnosis.  ...  Considering the dual impact of symptom-related morbidity (e.g., falls with hip fractures) and direct medical expenses for diagnosis and treatment, dizziness represents a major healthcare burden for society  ...  Lack of Clinical Skepticism Bedside medicine is considered an "art" and much of what is practiced is learned through apprenticeship from experienced clinicians.  ... 
doi:10.1197/j.aem.2006.03.186 fatcat:o4hlcj53ofghzn2e56tsfal6ki

White book on Physical and Rehabilitation Medicine in Europe (Revised November 2009)

C Gutenbrunner, A Ward, M Chamberlain
2007 Journal of Rehabilitation Medicine  
Cardiac disorders a) Cardiac rehabilitation in valvulopathy, b) Cardiac rehabilitation after myocardial infarction, occlusive disease of the legs: investigation, the place of and technology of the rehabilitation  ...  Explicit and implicit learning are thought to tap into different neural pathways.  ...  General Application to the human body of systems of levers; the different constituents of levers with relation to the locomotor system.  ... 
doi:10.2340/16501977-0028 fatcat:lcuxkwj3x5hpvnpxdafwmenxmy

Towards effective evaluation and reform in medical education: a cognitive and learning sciences perspective

Vimla L. Patel, Nicole A. Yoskowitz, Jose F. Arocha
2008 Advances in Health Sciences Education  
Health professions education is dealing with major transformations in light of the changing nature of the health care delivery system, including the use of technology for "just in time" delivery of care  ...  This has forced the medical education community to reassess the current teaching and learning practices and more importantly, the evaluation of the medical education process.  ...  Acknowledgements The writing of this manuscript was supported in part by funds from the College of Medicine, University of Arizona, Phoenix, in Partnership with Arizona State University. References  ... 
doi:10.1007/s10459-007-9091-1 pmid:18214707 fatcat:7uww57yrvva47mzijqomcm5o7q

Fifth report on the provision of services for patients with heart disease

2002 Heart  
acute myocardial infarction.  ...  There is a need for proper training of all health care professionals in the art of counselling.  ...  This is made up of learning derived from going on courses that deal with particular aspects of cardiac care, attending educational meetings within the workplace, and private study.  ... 
pmid:12368237 pmcid:PMC1876276 fatcat:adlzxnbrqfflzju56rlgizee5m
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