Journal Feed Weekly Wrap-Up
- May 4th, 2024
- Clay Smith
- categories:
#1: Emergent Cath Lab Activations with “Normal” Computer ECG Interpretations
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A significant minority of code STEMI patients have an initial normal computer ECG interpretation. Consequently, emergency physicians must remain vigilant to identify signs of OMI regardless of the initial computer ECG interpretation.
Source
Emergency department Code STEMI patients with initial electrocardiogram labeled “normal” by computer interpretation: A 7-year retrospective review. Acad Emerg Med. 2024 Mar;31(3):296-300. doi: 10.1111/acem.14795. Epub 2023 Sep 17. PMID: 37620163.
#2: The Endovascular Therapy Train Continues Onward
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This was an exploratory analysis of the recently published SELECT2 trial, which randomized 352 adults with acute ischemic stroke due to carotid or M1 MCA occlusion to endovascular thrombectomy (EVT) or medical management. The current analysis showed that EVT was superior in functional outcomes across a variety of ischemic severities and penumbra profiles on imaging.
Source
Endovascular Thrombectomy for Large Ischemic Stroke Across Ischemic Injury and Penumbra Profiles. JAMA. 2024;331(9):750-763.