scholarly journals January 2021 Critical Care Case of the Month: A 35-Year-Old Man Found Down on the Street

2021 ◽  
Vol 22 (1) ◽  
pp. 1-7
Author(s):  
John Lee ◽  
◽  
Ling Obrand ◽  
Janet Campion
Keyword(s):  
Blood Pressure ◽  
Emergency Department ◽  
Heart Rate ◽  
Septic Shock ◽  
Critical Care ◽  
Chart Review ◽  
Sickle Cell Trait ◽  
Alcohol Intoxication ◽  
Dental Procedure ◽  
History Of

No abstract available. Article truncated after 150 words. History of Present Illness A 35-year-old African-American man with a history of alcohol abuse presented to Emergency Department after he was found down. He was seen by a passerby on the street who witnessed the patient fall with a possible convulsive event. He was brought in by ambulance and was unconscious and unresponsive. PMH, SH, and FH The patient had a history of prior ICU admission in Yuma with septic shock secondary to a dental procedure requiring a tracheostomy in 2018. He also had a history of alcohol intoxication requiring an ED visit about 10 years ago and history of sickle cell trait. Per chart review, the patient took no home medications. Further history was unable to be obtained due to the patient's condition. Physical Examination On arrival the patient had a core temperature of 41°C, systolic blood pressure in the 70s-80s, heart rate of 185, respiratory rate of 19 …

Just the Facts: The Five F's of Focused Echocardiography in Shock

CJEM ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. 655-657
Author(s):  
Paul Atkinson ◽  
Mandy Peach ◽  
David Lewis
Keyword(s):  
Lung Cancer ◽  
Blood Pressure ◽  
Emergency Department ◽  
Heart Rate ◽  
Systolic Blood Pressure ◽  
Oxygen Saturation ◽  
Respiratory Rate ◽  
Sinus Tachycardia ◽  
History Of ◽  
Focused Echocardiography

A 60-year-old female presents to the emergency department (ED) with a 3-day history of fatigue and mild breathlessness. She has a history of lung cancer. Her vitals indicate shock with a heart rate of 140 bpm, a systolic blood pressure (SBP) of 65 mmHg, a respiratory rate of 28, with an oxygen saturation of 90% on 100% a nonrebreather mask, and a normal temperature at 36°C. Her electrocardiograph (ECG) shows sinus tachycardia. She appears mottled and pale.

scholarly journals A pilot study investigating the relationship between heart rate variability and blood pressure in young adults at risk for cardiovascular disease

2022 ◽  
Vol 28 (1) ◽  
Author(s):  
Linda P. Bolin ◽  
Amelia D. Saul ◽  
Lauren L. Bethune Scroggs ◽  
Carolyn Horne
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Disease ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Pilot Study ◽  
Family History ◽  
Diastolic Blood Pressure ◽  
Biofeedback Training ◽  
Paced Breathing ◽  
History Of

Abstract Background Cardiovascular disease is one of the leading causes of death globally with hypertension being a primary cause of premature death from this disease process. Individuals with a family history of cardiovascular disease and hypertension are at a greater risk for developing the same sequela. Autonomic cardiac control is important in the level of cardiac function. One intervention that is effective in improving cardiovascular function is heart rate variability biofeedback training. The purpose of our study was to determine the effectiveness of heart rate biofeedback training on HRV and blood pressure in individuals with a family history of cardiovascular disease. Methods Thirty-four participants (76.5% female, 22.7 ± 4.3 years) completed a baseline assessment and training using an established short-term HRV protocol followed by two weeks of at-home paced breathing employing a smartphone application. The participants were then reassessed in a biofeedback clinic. Results The participants physiological measures showed a significant increase in means between pre and post intervention of SDNN (t (32) = 2.177, p =.037) and TP, (t (32) = 2.327 p = .026). Correlation noted a medium effect on diastolic blood pressure and high frequency heart rate variability, F, r = .41, n =33, p < .05. A multiple regression with all predictor variables in the model found no significance with diastolic and systolic blood pressure. Conclusions The findings from this pilot study demonstrated that a two-week paced breathing intervention may assist in reducing heart rate and diastolic blood pressure while improving heart rate variability.

scholarly journals GENITOURINARY MYIASIS CAUSED BY MUSCA DOMESTICA: REGARDING A SINGULAR

2021 ◽  
Vol 9 (10) ◽  
pp. 444-449
Author(s):  
Fz. Lazrak ◽  
◽  
L. Darfaoui ◽  
M. Oujidi ◽  
Y. Islah ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Emergency Room ◽  
Post Partum ◽  
University Hospital ◽  
History Of Surgery ◽  
Obstetric Emergency ◽  
Iron Treatment ◽  
History Of ◽  
Parasitological Study

A 27-year-old woman from and resident in ourika(Marrakesh region – Morocco) with a history of anemia under iron treatment, without a history of surgery, has G1 P1. Presented to the Mohamed VI University Hospital on day 21 post partum of a vaginal birth at home, the evolution was marked by the appearance of urinary incontinence treated in the emergency room by placing a catheter urinary on day 6 post partum then send to her home for the COVID 19 context, then the patient consulted again at the gyneco-obstetric emergency room for deterioration of the general condition in a picture of hemodynamic shock. On physical examination, the patient was hemodynamically unstable with blood pressure figures of 70/40 mmhg, heart rate at 50 bpm, temperature at 35 ° and mucosal skin pallor.Examination of the vaginal cavity showed the presence of numerous whitish-looking maggots, a sample was taken by the biology team that collected the maggots for the purpose of a parasitological study to identify the parasite responsible.

Natural History of Circadian Blood Pressure and Heart Rate Pattern in Patients Who Underwent Heart Transplantations

1993 ◽  
Vol 7 (4) ◽  
pp. 246-252 ◽  
Author(s):  
Pietro Cugini ◽  
Piernatale Lucia ◽  
L. Di Palma ◽  
Giovanni Scibilia ◽  
Anna Rita Cioli ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Natural History ◽  
Heart Transplantations ◽  
Circadian Blood Pressure ◽  
History Of ◽  
Heart Rate Pattern

scholarly journals High Output Cardiac Failure Resolving after Repair of AV Fistula in a Six-Month-Old

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Uygar Teomete ◽  
Rubee Anne Gugol ◽  
Holly Neville ◽  
Ozgur Dandin ◽  
Ming-Lon Young
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Pulmonary Hypertension ◽  
High Risk ◽  
Cardiac Failure ◽  
Pulmonary Artery Hypertension ◽  
Hemodynamic Effect ◽  
Av Fistula ◽  
History Of ◽  
High Output

Background. Acquired AVF in pediatrics are commonly caused by iatrogenic means, including arterial or venous punctures. These fistulae can cause great hemodynamic stress on the heart as soon as they are created.Case. A six-month-old 25-week gestation infant was referred for respiratory distress. Initial exam revealed tachypnea, tachycardia, and hypertension. There was a bruit noted on her left arm. An ultrasound showed an arteriovenous fistula. Its location, however, precluded intervention because of the high risk for limb-loss. An echocardiogram showed evidence of pulmonary hypertension that was treated with sildenafil and furosemide. However, no improvement was seen. On temporary manual occlusion of the fistula, the patient was noted to have increased her blood pressure and decreased her heart rate, suggesting significant hemodynamic effect of the fistula. The fistula was subsequently ligated and the patient clinically and echocardiographically improved.Conclusion. A patient in high output cardiac failure or pulmonary artery hypertension, especially prematüre patients with preexisting lung disease, should be probed for history of multiple punctures, trauma, or surgery and should have prompt evaluation for AVF. If it can be diagnosed and repaired, most of the cases have been shown to decrease the stress on the heart and reverse the pathologic hemodynamics.

scholarly journals Forensic assessment of clinical manifestations when taking ethanol with carbonation

2021 ◽  
pp. 27-39
Author(s):  
A.A. Martemyanova ◽  
◽  
A.L. Kochoyan ◽  
R.A. Kalyokin ◽  
A.M. Orlova ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Oral Administration ◽  
Alcohol Intoxication ◽  
Clinical Manifestations ◽  
Forensic Assessment ◽  
Maximum Heart Rate ◽  
Significant Difference ◽  
Pressure Indicators

The differences in clinical manifestations of oral administration of 40% ethanol (vodka) with carbonation compared with neat (non-carbonated) vodka were studied. It was found that when taking carbonated ethanol, both subjective and objective symptoms appear, which are absent when taking ethanol without carbonation. The symptoms of alcohol intoxication characteristic of ethanol, both with and without carbonation, persist longer when carbonated ethanol is ingested. The maximum heart rate values when taking ethanol with carbonation, recorded 4 hours after ingestion, were 18.4% higher relative to the baseline (the time of intake), and when taking ethanol without carbonation — by 9.6%. There was no significant difference in the change in blood pressure indicators when taking ethanol with and without carbonation.

scholarly journals Type 1 Brugada pattern induced by DKA

2022 ◽  
Vol 6 (1) ◽  
pp. 01-02
Author(s):  
Drew Johnson
Keyword(s):  
Emergency Department ◽  
Heart Rate ◽  
Type 1 Diabetes ◽  
Abdominal Pain ◽  
Respiratory Rate ◽  
Past Medical History ◽  
History Of ◽  
Beta Hydroxybutyrate ◽  
Brugada Pattern

A 25-year-old man with a past medical history of type 1 diabetes presented to the emergency department with 2 days of progressive abdominal pain, nausea, and vomiting after stopping insulin. His heart rate was 125 and the respiratory rate was 26. The glucose was 832 mg/dl, the potassium was 6.6 mmol/L, the beta-hydroxybutyrate was 111.8 mg/dl, and the pH was 6.95.

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