28 Burst results for "Arrhythmia"
"arrhythmia" Discussed on The Tech Guy
"Now we got to add this check box to that category, so we've got osteoporosis, vision degradation, primarily among men for that one. Cerebral issues, possible cardiovascular issues, radiation poisoning, so clearly other than the radiation thing, what this says is, although it's going to be really technically challenging, we got to work on getting artificial gravity going both in orbit, and especially if we're going to head off to Mars because imagine sitting in the spacecraft for 6 or 7 months to get to Mars. And you're about to land and it's like, let's see. Nauseated, I can't think. I'm having arrhythmia. I can't stand up for brittle. Yeah, exactly. So is it all gravity if we just had artificial gravity, everything would be fine? We think so. You know, the problem is we haven't tried it yet, right? I mean, they're just starting to do centrifuge runs with mice and the data is going to come out here before mice. Oh my God. Did I ever send you the video clip of the mouse in surgery? No. You see this thing. It's black and white, kind of low res, but it's kind of floating along going that's just right. You never told me about this. Like watching cats fall in space is slow motion. So it all science fiction we do create artificial gravity with centrifugal force. We spin the thing up and it works. How can we do that science fiction? Interestingly, my son was just talking to me about the expanse the other day he watched the last boots. Well, he said, what happened with the boots and the rocket thrusting? It's like they're walking around having sipping costs with too much trouble to shoot it. Yeah. And I said, yeah, I think they're winding down the last season. It's like let's just get to some gravity. But the mag boots don't help because all they're doing is anchoring you, right? You actually need that force in your body pulling down your bones, keep the fluids and the lower third. That could happen on earth. So yeah, you've got exactly. You need some kind of a centrifuge system. So the question there becomes how big does it have to be? So you don't start getting nauseated from that radial motion. Where your feet are moving more than your head, right? Because you're spinning, but you don't know you're spinning around, right? Well, it depends. And there's a lot of calculations against studies. It's not gravity, it's a force. It is, yeah. Yeah, so you have to have a certain radius or diameter of this wheel so that you don't have too big a difference. 'cause your head is not spinning as fast as your feet. Your VR guy, as a mine now, and you know how your brain starts going, this isn't quite right when I'm moving around with these VR goggles on if there's a delay or something. Yeah, that would be bad. So, yeah. I know what we're learning, honestly. Space is extremely hostile. Mars will kill you in a minute. Extremely hostile. And this fantasy that we can somehow, oh, we're just going to leave the planet and travel to the stars. Maybe not. That might just be a fantasy. Exactly. And if you read pulps in the 50s and 60s or bought them later, red science fiction that era, it looks so easy or Star Trek. Hand me my Earl gray tea and we're gonna boost it warp 9. And now you start seeing how hostile the solar system really is. In fact, I was just thinking last night, I was getting ready for the show. And I thought, I want to do an article in ad aster called the angry solar system..
Nurse Sees More Children Die From the Vaccine Than COVID
"Meanwhile, a nurse can cut one O 5 says she talks about how they're seeing more kids die of the vaccine than of COVID her words cut one O 5. My name is collet Martin. I'm an RN. I have 17 years, 12 years oncology, and the past 5 years I've been afloat resource nurse to all the different floors in the hospital. I'm extremely concerned with the IDA mandating this vaccine for our children. The reactions we were seeing in the hospital with adults are terrifying and they're being ignored. Just some examples of post vaccine reactions or blood clots. Heart attack strokes encephalopathy, heart arrhythmias such as atrial fibrillation. I personally had a patient die three months after his vaccines at pericarditis, which we know is an own side effect. Diagnose 30 days after a shot, no mention to VAERS. Majority of our nurses nurse managers and some doctors do not even know what theirs is. I've spoken to our chief medicine, managers, other nurses, and why we're not reporting to VAERS, and the most common responses, what is VAERS? We have chemotherapies that we know have side effects causing blood cancers such as leukemia and ten plus years after giving the drug. We know this because we have real long-term trials on these drugs. We are not just seeing severe acute reactions with this vaccine, but we have zero idea what any long-term reactions are. Cancer is autoimmune infertility. We just don't know. Our children are not even at risk for this. As of now, we have more children that die from the COVID vaccine than of COVID itself. Most people don't even know what VAERS is, she
"arrhythmia" Discussed on Mayo Clinic Q&A
"Coming up on mayo clinic in day and your heart muscle is like other muscles that gets activated electrically and that electrical impulse stocks off the top of the heart and finishes off the author of the heart and allows the hot to activating pump in a sequential way from top to bottom and coordinated. Way giving you more pulse and the normal pressure but if the electrical impulses that coordinate. Your heart beets are irregular. You can have a condition called heart arrhythmia. Your heart can be too fast too slow or out of rhythm today and mayo clinic. Q&a will explore the causes and the treatments of this common heart issue. It's very straightforward to investigate. It's very straightforward to reassure when things all benign mentally treatable we have treatments.
Unsure About the COVID-19 Vaccine? Talk to Your Doctor
"I've had heart to heart conversations with a lot of people in my life who choose to be unvaccinated. One of them is afraid of needles. Thinks he's healthy. Doesn't think it's going to be a big problem. So he'd rather not now. You can't really get them to answer what he's resistant to other than the i think it's overall the uncertainty of what the vaccine could do to. You long-term i've got a friend who's very overweight. Seen can knock on senior citizen status is very vulnerable. He and his wife absolutely will not budge. They're not gonna get it. They've got a friend of a friend who had leukemia after the the the shot. They say somebody told it's all anecdotal and it's all we've got comparing stories. I've got another friend. Very vulnerable concerns about maybe arrhythmia. You know and again. It's a risk reward thing we all make calculations about what risk were willing to take and there many people were saying. I'm not going to get this vaccine. Because i don't know what the risks are and we should respect. We should respect that. And by the same token. I think we should respect people who believe in the science of the vaccine and not not turn each other against each other. But that's what the left is doing. They're they're pitting the vaccinated against the unvaccinated they wanna shame people who are unvaccinated and for millions of americans are not going to be shamed. You're not gonna make learn. Not gonna let rachel maddow make you get a vaccine
"arrhythmia" Discussed on Cardionerds
"Cardia would we have put in a defibrillator. An eyewitness attend tend to say in somebody like that again with a potentially reversal. 'cause there's not a lot of scar that you're seeing a meat on cardiac mri that potentially we could get away with something like a life vest as we treat the underlying inflammation and see what happens if arrhythmias quiet down with treatment the with immunosuppressive treatment whether or not we can we can potentially avoid defibrillator. Because we've quieted down. The cause of the killer cardio. I do notice that a lot of people in different institutions have different thresholds for when they put in a defibrillator anything. A lot of people would argue while at this point is also secondary prevention. This person presented in bt storm. Are you going to be able to sleep at night knowing that. You didn't put a true defibrillator. In somebody that has already shown that tendency to sudden cardiac out That's a that's a really good point. And i think with cardiac sarcoma. I'd say if when these patients are are presenting with heart block. I think there is data to say that you get on the right treatment. The heart block will reverse and things are fine. The problem is we've discussed before it would be t. Is that even. If you are able to get the inflammation gone. There is almost always residual scar tissue left behind and the chances that they have a recurrent beach yet so sometime down. The road is pretty high. So i definitely think about like ejection fraction and the burden of scar and how much. Pt they were having an all those things but my bias is definitely leans towards just putting in a defibrillator. I might if the patient was really fighting me on it. And i don't know if i do. This patient already had vici. But maybe if they didn't have yet and they just had kind of the imaging we know you start way but nothing bad has happened to you yet in those patients. I might think about ep. Study to see if you have induced v. to help decide between putting a defibrillator or not. I think that's a great point and our colleague. Dr tung and i have this discussion as well frequently clinic about our threshold to do an ep. Study or just a bite. The bullet input into defibrillator. As you know rod. Tom often likes to do. Electrical mapping of these people and actually has been very helpful even diagnostically when we go through when we find somebody with critic inflammation by that is not in the area that we normally ask c. and there is no evidence of extra cardiac star coin like this particular patient that was presented luckily had some evidence of extra cardiac star koi but if they had no extra awkward in the intervention septum revives did not show inflammation. Dr tongue is often done has been to electrically map the area where there is inflammation potentially the. Lv unbiased see that particular area as well as the area around it help us make the diagnosis and certainly if the is very induced on scenario than also to go ahead and put in a device but i think it's really highlighting really the multidisciplinary nature of quite as you can see like not it's not just heart failure not just imaging not just ep. It's really everybody working together on each particular scenario to find the right way to treat the patient. Yeah that's that's for. Sure i like this case for. It really highlighted. One other thing for me which was how challenging. It is to make the diagnosis of primary. Cardiac sarcoidosis is really what this patient. I mean yes. They had a lymph node that we were able to access and From but really. As far as i understood from the case not no other organ involvement was was there and so this is a case of primary cardiac sarcoidosis since and we've studied patients who were presenting with a v. t..
"arrhythmia" Discussed on Cardionerds
"Now the three episodes that were detected in the metric their ticket cardi zone retreated with Piecing andy one episode of ventricular fibrillation was actually treated with icy gate discharge. Which did end up differentiating the the and. That's the reason the patient is here talking with us today and speaking of our patient. Now that we're done with our device interrogation. I think we're going to continue to get gets more information from her and an examiner integrating exactly. What's going on just to further. Get information yet so the things. I'm thinking about right now. One is the patient who has a reduced ejection. Fraction heart failure. But her predominant. Clinical presentation is recurrent v. Recurrent is it shocks. That appear to be this time and the second thing i'm thinking about is why would she have you. Ut what should precipitated. Today's event remembering a really nice discussion that we had with our case from northwestern with similar case it was a patient who was younger. It was a forty year old man with a history of we have heartfully edge. I think it was about forty percent to and his predominant presentation was recurrent intricate. Urban was sarah choosing who gave us a beautiful differential. And she said look obviously any hartfield or can give you ventricular arrhythmias because a scar. But the ones that come with the predominant ventricular arrhythmias you can think about like genetic cardiomyopathy specifically lamb in cardiomyopathy in dsp cardiomyopathy. Their case dsp cardiomyopathy huma sarcoidosis about that potential. A lot of arrhythmia. And so you have already made use cardiomyopathy. I think i would add to that. List potentially toxic cardiomyopathy rights if somebody's on sympathetic agents and also thera- acoustics hypothyroidism. I think there's a nice differential potentially for patients with heart failure predominant clinical presentations with But also right now just thinking about how we're going to examine this patient and get the evaluation we're gonna look for. Why is this patient having v. tv right now and you can think okay. Is this a hema dynamic trigger right. Are they just like in heart failure. And they've got the newer hormonal activation and stretch and that's precipitating arrhythmia electrolyte imbalance potential because diuretic use than all the other routine sort of differential diagnosis is just part of natural history of their underlying cardiomyopathy or techy with me a syndrome so the to tease apart here but already from the exam restarted. Think about things to look for on the exam. Bloodwork the ekg the chest x ray etcetera. So let's get some data awesome. She's a febrile her heart rate's actually seventy two. The of am blood pressure is one forty six over eighty six chea respiratory rate is fourteen inches reading comfortably. I'm rubare her. Physical exams actually very normal. She's lying on bed she's comfortable. She's a little anxious but otherwise no acute distress her heart south's a normal rate irregular rhythm there's no murmurs as she has a palpable device in her left chest. Her lungs are clear to osco tation. She has no lower sherman. Dima no j. d. and her abdominal exam is soft non tender anonymous defended. He looks pretty usually mc and pretty comfortable as far as her labs go her electrical antonina function are all within normal limits..
"arrhythmia" Discussed on Cardionerds
"Or even absent and if we think we have insufficient data for women as a whole there is truly a chasm to us for as evidenced. Optimally care for women of color. Particularly african american women whose maternal mortality is two to four times higher than that of white women. So some of you might be thinking. I already am or i plan to be a cardiologist. I will not be delivering babies. So why should i as a true cardio nerd pay attention to or even care about this topic. Well i'm just gonna stop you there. Half the population is women. The vast majority of women in our society become mothers at some point in their life and presumably all of you had one as a physician and cardiologist. even if you do not see pregnant patients in your practice. The role of pregnancy and predicting women's future risk of cardiovascular disease is critical fund of knowledge. That is rapidly evolving. You will need it. And as the science built specific cardio be more attention will be paid to cardiovascular risk management in the preconception phase especially among women with known heart disease. And as a cardiologist. You will be called. Upon to address complications that occur during pregnancy and increasingly to be asked to assess and proactively reduce long-term cardiovascular risk after pregnancy. Our goal for this series raise awareness about the intersection between pregnancy and cardiovascular issues and improve your comfort around caring for women who have had or are at risk for cardiac ob problems. You do not have to be an expert to know how and when to engage the cardio. Obi heart team all you've cardio. Nerves need to pay attention and as you take advantage of the medical expertise of the participants in this series. I hope you also take advantage of the expertise that your patients can provide you either individually or through. Women hearts trained patient. It's champions. I have learned much and have often been humbled by the knowledge advocacy bravery and persistence of women with heart..
"arrhythmia" Discussed on Cardionerds
"People do it at different stages. I started later to having a family but some people do it very early. There's no writer wong but they're definitely different ways to do this. And you need to feel very welcome and supported in your work. And so i think part of that is that we need to have more women. In general and cardiology ep in leadership positions that can help mentor. Support women sponsor women throughout their career. Give them opportunities to excel and in the past. I think people used to say oh. We were worried about radiation exposure and that was the deterrent. But i'm not so sure. That was the only deterrent then. But now it's certainly not now that we have these low floor zero flora glacier procedures. That are safe. Not just for the pregnant patient. Butter save for the operators in that regard. So i certainly think i'm biased. Obviously but he has so much to offer women as well as men. I think it's intellectually challenging and men and women go into the field for that reason. There's lots of new innovations and advancements. I mean there's always something new to learn and as you know really opportunity for continued. Lifelong learning is clear of pace. That we just need to get the word out better. And i think doing programs like this are going to help and i thank you for that. That was amazing on crusoe. Thank you so much. And you're certainly this what we call residency to fellowship cliff right when it comes to women and your ends you know kind of entering the doorway the pathway into cardiology but there's also this unacceptable fellowship to super fellowship. Cliff both for electrophysiology interventional cardiology in the other procedures. Sub specialties in. So we had. This is such an important part of our mission and we want to show people that you know while there's work to be done cardiology amazing field. It is inclusive. There's a lot of opportunity and you know you just have to seek it out and we have people like yourself who are making such an inviting career. that's what we've launched this narratives in cardiology series to have these discussions and really improve our field for everyone patients research. Everyone included but docker. So before we let you go. We have one final question for you..
"arrhythmia" Discussed on Cardionerds
"We can safely at our patients even through big procedures. Like catheter. ablation. I have some follow up about the patient. We were talking about earlier. She received dentist seen to be converted to sinus rhythm she was started motto parallel for suppression of her arrhythmia. The team understood the same thing you did about. Choosing the appropriate beta blocker and avoiding ten law due to the adverse effects on the fetus over consulted again what she's ready for discharge from the obstetrics unit. She is hoping to breastfeed and the team is asking what anti arrhythmic medications are considered safe for use in breastfeeding as so often. Considering some of the same medications so beta blockers we do think of entry uterine growth retardation. But now she's already and fetal brain cardio potentially And when using material on propranolol during pregnancy and avoiding ten law. So it's important to allow women to breastfeed and although these medications can certainly pass through breast milk we can still consider using jock center or the beta blockers that we talked about mutoko lol or propranolol so it using with caution in following but it's not contra indicated again we would avoid if their other arrhythmias we would definitely not want to have the mother on amiodarone because there is a high rate of excretion in the breast milk. I'm so glad that our patient and her baby doing well now. Let's go back to a clinic. Our next patient is a twenty eight year old woman with familial long cute syndrome type two in be touched on this a little bit earlier. She's now twenty four weeks pregnant with her first baby. What is the risk of malignant arrhythmias in the perry pardon period in patients. Who have these genetic syndromes. Well patients with congenital. Long queue syndrome in general are at risk of ventricular arrhythmias and some of that risk is improved with treating the beta blockers. So your during pregnancy. It's probably surprisingly less of an issue. But there's clearly an increased risk in the postpartum period. And we're thinking well. They got their pregnancy. We're all done but really we don't completely know why that is but there's certainly a decrease in heart rate and cardiac can promote long queue. T related arrhythmias. You know there's more stress. Mothers probably not sleeping much and doing a lot for the baby so that may be some of the reason but i think the really important thing to remember is that we have to continue beta blockers. Routh is that is clearly associated and this is one of the things we clearly have. Some data on with a reduction in the risk of these cardiac events post-partum so continue betablockers throughout the period of time during pregnancy and postpartum. Don't stop them. Postpartum and people may think of that. Welcome new breastfeeding be on a drug but really key to continue these drugs. Postpartum you can use propranolol or topalov. That's so interesting. We've been hearing throughout the series that a lot of complications or high risk of occurrence in the early postpartum period. Including a top a-this perry pardon cardiomyopathy hypertensive disorders of pregnancy. Instead with a really important point to keep in mind just because the patients delivered doesn't mean she's in the clear. So dr rousseau i worry about patients with a r b c or cpv classically triggered by sympathetic. Drive are these patients at increased..
"arrhythmia" Discussed on Cardionerds
"We don't have a lot of experience and pregnancy with dramatic owner defend allied so tend not to use those drugs but the one that we really try to avoid in terms of the membrane. Active drugs is amiodarone and we really avoid this because of potential fetal problems that we know about fetal thyroid problems in these neuro developmental problems so in summary really. We know to avoid a tunnel and avoid amniote around. Now it's it's a life threatening arrhythmia and the mothers in a severe distressful situation. Intravenous amiodarone could be used as an emergency situation but that would be our last line. I think this is a particularly important part of this conversation for the audience and for myself. Because you're faced with an accurate mia right. Your rhythm is different. And it's acute. The central comes rapidly and you have very few moments to react to it. And so i think having is almost rules is so useful you know we very quickly reach for amiodarone in so many different contexts. I think if nothing else who can take away. Hey like i should not use them yoder unless like actually life threatening and even then think twice or thrice so. That's very helpful. But what does this conversation. Look like for ventricular arrhythmias. What is your typical first line. Anti arrhythmic approach to acute ventricular arrhythmias patients with chronic predispositions who've arrhythmias. How do you handle that with the guard. Santo with mc medicines just point out again if patients are human dynamically unstable electrical cardioversion. I think people have a fear of cardi averting the mother but that has been shown to be safe to cardio avert if the patient's unstable but if they're humid avidly tolerating the arrhythmia and you'd think it's been tricky attacker cardia. Intravenous light came is for signing in could be tried intravenous. Pro qena mind again is an option. Just be careful not to administered too rapidly. You don't wanna cause hypertension used use intravenous clinton. I don't even sure if it's available is much anymore but first line. Cain second line pro qena mind there..
"arrhythmia" Discussed on Cardionerds
"You might use some intravenous drugs for ray control Topol or even propranolol do jackson her occasionally for apple but after the rates are controlled it you can try to convert Means i think you're referring to i atrial fibrillation or flutter you can acutely try to terminate but for the long term you can consider either option most of these arrhythmias fortunately will terminate with acute treatment. And we more often treat patients with rhythm control for a few reasons that we do it in non-pregnant as well because people don't feel really well in atrial arrhythmias and there's lots of drugs that we can potentially use than the area that we're talking about in pregnant women again. There's not a lot of randomized controlled trials looking at different drugs but we do. Have certain drugs have been around awhile that we do have experience with retrospective studies. That could tell us. Seen really bad things happen or not but during pregnancy them in their atrial arrhythmia. They haven't increased state and even as they're getting sinus technocratic credit maybe difficult to just rate control these patients so we do try to. At least i tried to lean more towards rhythm control certainly in these individuals and you may have them on a beta blocker if it's regular. Svp irregular sp that utilizes the ab notice part of the re entrance circuit. You know we treat with betablockers maybe jocson unless commonly rapid mill. But you can use that. Also but if it's an april redmi need a drug that works directly on the atrial tissue so drugs like sotelo fleck night or sometimes profit known can be utilized in these situations to maintain sinus rhythm. The one situation where we wanna be careful of certainly is in patients who have wolff parkinson white syndrome so they have the potential to have not just s fy t in those patients they can have the potential to have atrial fibrillation or atrial arrhythmias. That conduct very rapidly down the accessory pathway certainly particularly during the q. treatment and those patients. We want to avoid av nodal blocking drugs. Such as for apple into jackson in particular because that can enhance conduction down the accessory pathway acute treatment in those patients if they are certainly atrial fibrillation with pre excite tation. The classic therapy would be intravenous. Protein in tastic tanko dr resell for long term management. You mentioned some medications. That were safe. Can you speak a little bit more about this. In especially which medications are definitely off limits for use with pregnancy. Yes absolutely that's really important is to show which ones we shouldn't use in the long term management of svp some of the same drugs like it's entrant arrhythmia utilizing the aveeno things like the topalov pro panel into jackson are considered safe first line treatment. This is we have a long record of safety in these patients. Although beta blockers have been associated with intra uterine growth retardation. Its most pronounced with a tunnel. Also we really completely avoid a tunnel all and this other beta blockers. It's not necessary to use that one so in maintaining sinus rhythm and we really need this for sp t like ab notary entry. But if you have wolf parkinson's white syndrome or you have atrial arrhythmias. We consider drugs. Like flack neider. Propofol or sotelo. All those are considered really safe and effective. The only thing to keep in mind we wouldn't use. We're talking about the normal.
"arrhythmia" Discussed on Cardionerds
"There is some data to say that lower dose warford might be safe during parts of pregnancy. But in this particular topic of atrial arrhythmias neutral fibrillation. We wouldn't even consider that because of the potential adverse affects so now i individuals who have each will relation who are not pregnant our recommendations are usually for the direct oral anticoagulant so things like a pixel river rock band. Too big a trainer or doxa ban over war friend. But it's not really a lot of experience with these agents in pregnancies so we're not recommending that typically a so if they need anti coagulation the bottom line is we would consider a low molecular weight heparin and if they're at high risk of thromboembolic complications with atrial fibrillation during pregnancy. Yes absolutely given the high stakes involved with anti coagulation in pregnancy. It's always good to review. Thank you we did speak about the details of anti coagulation in pregnancy focusing on mechanical valves in a separate episode with dr burlacu because it's not straightforward as you kind of referenced. I think it's important to reiterate. How vital preconception counseling with these patients. Really is because a lot of those side effects end. Tragic genetic effects can happen within that first trimester when some people don't even know that they're pregnant yet so really having this discussion upfront. To making patients aware before they try to conceive is important. Gosh guys got called for rapid response they wanna cardio obt stat. Let's go see what's going on..
"arrhythmia" Discussed on Cardionerds
"The prosthetic mitral stenosis which wasn't too bad before pregnancy ended the flutter. Rv are thankfully. She did very well with a management. She received it really kind of goes to show you that. These hits add up one by one exactly as a complex patient. So dr so you mentioned long queue t syndrome. How does your preconception. Counseling differ for patients with inherited arrhythmias. Such as long queue tea or w w or regatta. Well some arrhythmia. Syndromes are primarily rhythm. Syndromes can be inherited as you pointed out and we certainly should have genetic counseling and discussions before pregnancy so there are a lot of factors that need to be considered including the frequency and the severity of severe outcomes as well. As what kind of available therapies we for the mother but also for the fetus. Right so we think of increased risk for wcw offspring. And at least i think of this is although you can have a severe and life threatening for them that's not as frequent and occurrence. And w p w is certainly something that is curable with catheter. Ablation we have lots of data for many years that we can cure a svp related to. W w as well as other potential adverse outcomes with wcw. So it's not a disease that would one would think of dissuading women from having their own children but letting women no again. They may have some increase dems during pregnancy but in terms of their offspring. But i wouldn't think of saying don't have children because you have wcw in contrast or are some other syndromes that are also your transmitted more frequently to the fetus sometimes regatta or even some forms of long queue t syndrome or added autosomal dominant or even audits recessive in some situations. So we need to talk to the mother about that possibility. And with each of the syndromes there may be variable penetrates. Not all of their offspring may have severe disease. We know that it may vary even with a given families and there are therapies right. We now have a lot more data out there in a lot..
"arrhythmia" Discussed on Cardionerds
"Have a resting heart rate. That's ten or fifteen beats permitted at least faster than your baseline heart rate on your e. C g for this increase catecholamines state can result in a shorting of the pr interval. And then you can even see some access changes on your ekg. As pregnancy progresses the diaphragm elevates in from the uterus in you can get an upward and leftward shift on the access on your ekg. you can get some nonspecific. T wave changes and most notable though are the increase in heart rates that we see during pregnancy resting heart rates her faster and particularly as you get later in pregnancy. Great thank you can certainly imagine how the electoral shifts in the hormone ships could really exacerbate a patient with a predisposition to arrhythmias. We have some cases. Now i love you to join us in cardio nerds ep clinic where our first patient is a twenty two year old woman. Who's previously been diagnosed with av nrt on holter monitor. She has no structural heart disease. She's not pregnant currently but hoping to become pregnant in the next year. What recommendations do you make for patients who have known super ventricular technical cardio's who come in for preconception counseling. You did point on. I think that was actually a good point. You made before i address. Particular case is set. Women who are pre existing arrhythmias may have an increase in arrhythmias during pregnancy. And we clearly see that and then on top of that. We actually are often consulted for women who have symptoms during pregnancy and her diagnosed with arrhythmias during pregnancy. That may be new or sometimes. This is the time when young women are starting to seek medical attention for pregnancy. So someone's listening to them and hearing about their symptoms before pregnancy. So you could see both an increase in pre existing arrhythmias as well as new onset. Arrhythmias that are just diagnosed but to get back to your important case and this is a common situation where we see. You know someone who's had prior svp in this case av notary reentry some women who have pre existing arrhythmias have been thinking about non pharmacologic options for long term therapy to reduce arrhythmia symptoms and reduce the frequency of. Sv t so we know that for s bt catheter. Ablation has a high success rate. Low recurrence rate is a class one recommendation in our practice guidelines. But it's really a personal decision if someone wants to have a non pharmacologic approach for treatment if they're thinking of waiting a year or two or doing it now. It may be a reason to consider doing it now. But it's really a personal choice. If the woman really elects to have continued medical therapy she just needs to be aware that she may have increased arrhythmias that increased in tabasco volume increased stretch on the h. Area in the heart can increase the number of extra beats that can trigger arrhythmia. So it's a personal decision but they need to be aware that you can have more arrhythmias during pregnancy but we do have effective treatment and beta blockers such as motto per law are often very effective in treating svp but she may require dose adjustments or additional therapy during pregnancy. Thank you so so so yes. There are several hema dynamic and electrical changes are associated with pregnancy. Appreciate you going over them because we've talked a lot about the human dynamic changes but not necessarily the conductors changes in pregnancy and so these changes during pregnancy can exacerbate pre existing or pre diagnosed conditions. That can be time for a diagnosis of new arrhythmia conditions. You're talking about things like av..
"arrhythmia" Discussed on Cardionerds
"Episode for the cardio obstetric series. Today we'll be talking about the always intimidating arrhythmias in pregnancy to guide us. We have our fit lead. Dr kelly arps. Kelly is a clinical cardiology fellow at duke university. She completed medical school at emory university in residency at john hopkins hospital. She's planning to pursue a career in cardiac electrophysiology with particular interest in arrhythmia management of patients with heart. Failure infiltrative cardiomyopathy. These welcome kelly. Thanks so much natalie. We are incredibly lucky to hear today from dr andrea russo. Factories have is professor of medicine at cooper medical school of rowan university where she is also director of the clinical cardiac electrophysiology fellowship program as well as director of electrophysiology arrhythmia services at cooper university hospital and director of research. At cooper hardens. Tutut she is the immediate past president heart rhythm society. She's had numerous leadership positions in h. r. s the american college of cardiology american heart association. American board of internal medicine national quality forum in the american board of medical specialties jerus- currently serving as a member of the acc cardiovascular disease in women committee and the abm cardiovascular board she's written extensively in the field of electrophysiology with a focus on sex differences in arrhythmias icpd's in subcutaneous cardiac devices atrial fibrillation digital health and performance improvement activities. She's been a steering committee for trials including untouched in the apple. Heart study and contributed multiple guideline consensus statements including his first author of the two dozen thirteen multi society appropriate use criteria for implantable cardio vertebra leaders and cardiac recent coronation therapy in a senior author of the acc aj guidance for cardiac electrophysiology during the covid nineteen pandemic in addition to academic achievements. Actress's russa's recognize..
Medical Expert Testifies George Floyd Died Of "Cardiac Arrhythmia"
Managing Atrial Fibrillation With Lifestyle Changes Dr. Christine Albert
"Thought we could start by discussing some of your major contributions to the management of atrial fibrillation even since my medical school days. It seems like the emphasis. On lifestyle management for diseases such as atrial fibrillation has increased exponentially as we learn more about arrhythmia mechanisms and now we specifically screen patients for sleep apnea diet alcohol use et cetera. So from all of the landmark clinical research that you've conducted over your career. That's far could you. Maybe summarize for us. What you feel are the biggest takeaways whether in eighth hundred prevention or in any of your other areas that sudden cardiac death. Thank you when i started doing. Research on the epidemiology of heart rhythm disorders really wasn't an emphasis as you say on. Risk factors for h. fibrillation or sudden cardiac death. And then you know a group of us not just myself but amelia benjamin in the premium study and patrick eleanor. We all started to get interested in looking at atrial fibrillation as you would cardiovascular disease and some of the major findings are really related to lifestyle and how it can impact each relation including body mass index. And wait and wait reduction. We've done several studies. One who first authors tetreault who's also electro physiologist at brigham women's hospital and she published a very important study in jack. Where we showed in bunks women. Even being slightly overweight had elevated to risk of fibrillation. And then if you lost weight you lower that risk. And in addition some of the other research we did was around. Exercise and showing that exercise is beneficial to atrial fibrillation. But as we all know too much. Exercise can actually have an adverse effect and this again was a study that was done by tony acer who was also an electro physiologist and his now at nyu worked with me for a while. So both of those manuscripts were very important. With regards management of atrial fibrillation. In addition we also published one of the first studies looking at alcohol intake and h fibrillation. Now there have been multiple multiple studies showing that alcohol is related to atrial fibrillation. And as you know a randomized trial now that shows that if you abstained from alcohol you lower your risk of atrial fibrillation so all of these studies are not just by myself but multiple. Investigators have really changed the practice where we as clinicians think about lowering. Risk factors as electra physiologists event and approach sanders. Work in australia really took it to another level by actually doing clinical trial in showing that reduction of weight and modifying risk factors lowers incidence of atrial fibrillation. So now it's really one of our pillars of treatment and it is rewarding to see something go from observational research to clinical trials in actually to
"arrhythmia" Discussed on Cardionerds
"You start to get a sense of issues. He's on neurohormonal blockade with pearl panel. Actum are beta law so you might surmise. Some systemic french dysfunction next us on jayjay of soda law in addition to carve adl all this. You get a sense that each arrhythmia burden is probably high us on a sizable cocktail of medications. You should also keep in mind. The potential rhythmic complications from these drugs first deduction this is probably my favorite medication. It has history. As controversy has arrhythmic complications so to understand dish sixty. I you have to understand mechanism of action. Which is twofold one is slow conduction through the av note by increasing big tone and to it increases contract tilleke by inhibiting the cell membrane bound sodium potassium atp and indirectly increasing intracellular calcium. Originally from jackson toxicity occurs when either. These mechanism is taken to the extreme essay. Av nodal blockade atrial arrhythmias general tax card yet. Ndtv f- to a my favorite arrhythmia associated with the docs in our radio is atrial fibrillation with complete heart block in a regular skate rhythm and bidirectional bt which is not with an alternating right and left frontal cure s access. I just have to say that. Incredible to me jimmy that you have favorite arrhythmias and in the words of play hearing you talk about. Arrhythmias is electrifying. So johnson toxicity can occur at any level but rates are significantly higher with levels about two nanograms per milliliter importantly and possibly the most interesting fact about the jackson is that is metabolized. By bacteria agra phthalate uinta which is part of the normal gut flora in about thirty percent of people therefore treating patients with antibiotics can lead to increased by ability to jackson and toxicity so long so allows the class three enter with additional beta blocker properties. It works by slowing refers ation by hitting the delayed rectifier potassium channel and is it side. Effects include greater cardia prolonged. Q t interval for sods. Dt via so for both of these drugs renal dysfunction can increase the risk of toxicity. Both for lactose center can lead to renal dysfunction and hypothermia further increasing risk for arrhythmia so deduction toxicity can lead to hyper as well. Lastly he on work friend to rent from bose's from ocean along the fontane because of o. Arrhythmia so should keep in mind over and under evaluation this patient as well. Wow that was awesome. That was a lot of information about mix and jackson making. You're really excited for my ep. Rotation next month okay so back to our patients case. So let me give you some family history. It's basically the family. History for a patient was only significant. Maternal grandfather who had premature cad complicated by schemic cardiomyopathy. There's.
Apple's Beta Effect
"Have my notes, the Beta effect to talk about, and what that is is with with with going from fourteen fourteen to fourteen one, which we believe made for iphone twelve, and that's why we're not getting that. We also believe fourteen to was made before the final version of fourteen point zero and so when you update to fourteen point to. You can't use the new blood oxygen sensor APP on the Apple Watch because it requires your phone to have the version to do something with the data and so my watch on seven point zero watch os before was on fourteen two I couldn't do the oxygen singer tests I. Guess You have to accept the health disclaimers and stuff upfront right? That's probably and it saves it there too like the background. Readings where they go. So I think should say it must save on your watch before like if you're out and about without your phone, it's back into some pretty sure and then he just sinks him up. Right. Yeah. Yeah. So but it's like ekg where you've gotta you've gotTa have the version match up to support it and we need when you like started in the health app on the phone does it Does have that like. Explain urine like disclaimers like it does when you do EKG yeah I don't recall I. Mean there is an I button for information on the readout on the watch explains thing like ninety and above is pretty good. You've got kind of hunt for it to find that I think it should be like under the readout not at an disclosure button but I think. The reason is they didn't get medical sign off on the sensor because they call a wellness not medical, right? Yeah. So they have to be very careful about how they present this information and we respect about spending Keno after the show like. is kind of silly at the moment you just get this number and then you're kind of left your and devices about what to do about it but they haven't go FDA approved the weather you know the necessary. Regulatory. Accreditation they need to be able to make more defined choices like they can with Iki the cagey where if it does detect potential arrhythmia a directly sound on the screen you know go talk to your doctor about it like they don't have that same flexibility with with the blackhawks jeans and that's why in the event they would say like we aren't doing studies about blood oxygen and Covid, nineteen. The Apple Watch has a blood oxygen sensor lie they never would linked together because. The purchase self. So the the APP on the watch is very nice I. Mean we saw the animation from the event on seeing it in person it's lovely. It's blue and red. It's like blood arteries. And it as fifteen seconds to run it to do an like an act of measurement and. As you near like say three seconds it becomes it begins to form a circle of completion and it's just so delightful. How how looks You do see the last. Measurement in the APP itself. So if you go just launch it, you'll see the last say passive measurement that picked up. So you might say like when our three hours ago. And That's neat. So it's more data than than just here do or read out. Your readings to be like. Consistent enough that you think it's good because I've seen some reviews like I've been getting some resource I get ninety, six, hundred lights will have the place. So I don't really trust it. Yeah. Well. Not How to. Read. Out. That was like you're below ninety. And then I had one that was like you're you're in the ninety range than I would maybe be concerned but I've seen the rains be from ninety three to one hundred back to back tends to be pretty consistent for me. Washington Post. They had an issue where they tried different watches and bands and just could not it to work the right way have had that experience. Sensor depends on like your skin and You know. The Senate doesn't work if you've got tattoos for instance so. Different reasons and stuff like transparent basically. So it's you know. No Job for it. And if there was an issue like despite being review watched, that's the point of this talk about the experience I would mention in trust me. I mean lot with the series five hours of disinterested and reviewing because of an issue that had which I read about instead. Of. The. Battery Life So. I've been on this one fine. Yeah. A lot of people have have had shoes with seven on their existing watches having less better life than they had before I have had that and I don't know what the clear processes take restores instead of his new
Drug-Company CEOs Sign Pledge on Covid-19 Vaccine
"Week. The CEOS of nine drug companies that are developing corona virus vaccines all signed onto a pledge not to seek regulatory approval until the shots have been shown to work in late stage clinical trials. This is all an attempt to calm fears that have seen may be too soon for political reasons many Americans are skeptical about taking a vaccine if it seems a development and authorizations were rushed for more on, this will speak to Christopher role in he's the business of healthcare reporter at the. Washington Post. The stakes couldn't be higher obviously and what we've seen unfortunately from this administration since the pandemic began is a number of hyped and rushed through decisions through the FDA and through other political statements that have had the effect of kind of undermining the public's faith and exactly what the FDA is going to approve. The biggest example is the. Hydroxy Cork when debacle, which the FDA gave a emergency youth authorization to it, you know at the behest of trump in the White House really with very little two zero hard evidence that it would have any effect as a treatment for coronavirus for covid nineteen and when some more hard studies were done for hydroxy core Quinn by June, it became apparent that the drug pad dough benefit. And in fact, posed dangers of dangerous heart arrhythmias. The FDA had to rescind its way which was a big black guy for the agency and kind of set the tone for the relationship between the White House and the FDA, and so you've seen trump expressing frequent displeasure with the pace of FDA deliberations, and then what you've also seen was just recently two weeks ago trump totally over hyping the. For Congress and plasma for treatment of Corona virus, and then his own FDA Commissioner, Steven Hahn completely botching the roll out of the statistics and totally exaggerating what the effect of commerce and plasma is for what the benefit is. It's actually of somewhat potentially some use, but there have been good randomized clinical trials that even show what it does. That's the backdrop to today's announcement by the drug companies where they are want to rush in and here, and so the vaccine is a much bigger deal obviously than hydroxy Corcoran or convalescent plasma, and if people don't have faith in the vaccine, the safety and efficacy of the vaccine and not enough people signed up. To take and accept that it's GonNa inoculate them from growing virus. It won't stem pandemic I mean you need at least fifty to percent of the people taking it to build hurt immunity. It's GONNA be a couple of year endeavor and to rush something into the marketplace without having it appropriately tested is a really dangerous course and so that's why you're seeing the drug companies you know sort of tacit or implicit criticism of trump's path here. So they are you know boldly saying would normally not be bold at all. Don't worry folks. We've got you the headline for their Stevens said former leaders unite to stand with science, SCO right there sounds kind of. Sort of an unsubtle dig I think. The political environment, a lot of the top vaccine makers that are in contention right now that are in stage, three trials and others have signed on this. List a few those if you could please. So the ones that are in the most advanced stages three that are in phase three trials, Astra Zeneca Pfizer and Moderna each of these is not a traditional vaccine you know you have what's called deactivated virus and then you use the deactivated virus in some sort of growth grow it in like Ed Whites or And it's a very painstaking and long process with these genetic based vaccines. You can rush them through the manufacturing and development process much more quickly, and so that's what they've done. So that's why those three manufacturers are ahead of the game ahead of the pack and our manufacturing large volumes of vaccine in the event that they do prove safe and effective through massive stage three clinical trials. Clinical. Trials for vaccine take about thirty thousand people and that's an important distinction that these vaccines are made a different way because we don't have a vaccine that has been made in the way that they're going about it. So they really do need to do all the due diligence in these late stage clinical trials to make sure it's safe and effective. Well, that's a great point. Really. Yeah. These are novel technologies. So they do show in early stages they've shown clinical effectiveness and they've shown a decent safety profiles. And so it's encouraging. But until you have the really large scale population scale clinical trials that were, you can see that it's actually preventing people from getting infection out in a community. You really won't know how the other thing is. You gotTA figure out how long it's GonNa work that'll take even longer you'll see is a an e Ua before we know exactly whether or not the effect of the vaccine will last one year, two years, five years. So no one will really know that for quite some time as well,
"arrhythmia" Discussed on WTVN
"Contract Cove ID You then might also have this myocarditis, which I mean, you're very being is affected, because the heart is arguably the most important organ. So what would you say to people? A cz Faras is far in Faras following protocol and and moving forward and trying to be as healthy as possible. Is it Follow all the protocols. And I mean is there any medications are vitamins or anything that you can take that kind of beef? You're hard up. So even if you get covered, maybe you're not impacted on this level. I don't believe that there's any way to prevent Mark provided. There's no, not really any medicine that you can take to prevent this from happening. If you're Indian, Justin, the better. Hopefully, your chances of contracting that is a little bit less. No, not really. Even healthy. People who have perfect Indian house are being affected with my good ideas and actually, the reason it is very important to diagnose and treat my provided. Because it's not treated a perfectly in a timely manner. It can cause serious complications and can even be fatal. My credit again inflammation of the heart muscle, which can lead to three very serious condition. One is heart failure, which is because the inflammation causes the heart muscle. True. Weekend and reduce the heart's ability to pump reducing heart function, causing the patient to go into heart failure as second is cardiac arrhythmia. That this is the one that we really care about, especially for athletes at the inflammation can cause the heart to have erratic rhythm. Physically ventricular arrhythmia at such a ventricular tackle cardia or ventricular assist relation that can cause cardiac arrest. And third is cardiac tamponade. It's a condition that's caused by the inflammation, causing the heart muscle to become Vicky and cause fluid to build up in the pericardial space. Which is between the space between the heart and the fact that heart is encased with and this can lead to dangerous human dynamic compromise can be fatal. Sobering. Just absolutely fascinating information. Doctor. Thank you very much for sharing this morning, Dr Fahmi. Fairy cardiologists here on news radio. 6 10 W TVM looks.
"arrhythmia" Discussed on Heartland Newsfeed Radio Network
"L. R N dot FM, now, relevant to me in other news, evidently energy drinks are really bad for your heart. Uh-huh. This should not be surprised to. Yeah. Right. This is like saying, hey, Coca Cola makes you fat. It's kind of like duh. We know that. We're not drinking it to be healthy. We're drinking it because we generally don't give a crap, and we want energy more than we want to live forever. Yeah. But I don't even drink energy drinks, drink energy shots, like five energy, except, I don't drink five hour energy, because it stupidly expensive. You do the generic one. Yeah. Because he five hour energy. I mean it's like four bucks each. Well, the tweaker said, I drink are not only larger, but they're ninety nine cents each so it's pretty get your heart arrhythmia and save money, right? So the same stuff that gets your heart pumping in the morning might just stop it oughta gather. Now, I do have one every single morning like before I even smoke that first cigarette lately, I'm county, one of these energy shots. But it's because they take longer to hit versus the nicotine. Right. But a new report from the American Heart Association reveals that drinking just four eight out, servings, typical energy, drink can lead to a spike in blood pressure and cardiac arrhythmia, the fun. Again, da. That's campaign in general..
Caffeine, Alison Aubrey And Journal Of The American Heart discussed on Morning Edition
"A new study finds that drinking multiple servings of energy drinks may increase the risk of high blood pressure and irregular heartbeat. NPR's Alison Aubrey reports the drinks contained caffeine, and the combination of other ingredients during the study healthy volunteers drank thirty two ounces of an energy drink during about a one hour period, compared to drinking a placebo, drink the energy drinks led to an increase in blood pressure and EKG's showed changes that can increase the risk of arrhythmia study off their such an Shah, a professor pharmacy at university of the Pacific says it's not clear which ingredients may pose a risk. We do not believe at a caffeine or any other ingredient individually, but we suspect that as the combination is known as the studies published in the journal of the American Heart
Blood Pressure : Why potassium helps to lower blood pressure
"Blood pressure can lower your blood pressure by many many points. You know, it's there's no clinical research because it's not a drug, but you can use it is food to lower your blood pressure. If there's one magic word to lower blood pressure, folks, it may just be potassium. And I've talked about this for almost thirty years ever since starting the show. But if you have little potassium diet, the toxic effects of excessive salt intake are magnified. And of course, the most processed foods have their naturally, high, sodium, they have added sodium, but no extra potassium. And when your kidneys tried to flesh out that salt, you lose even more potassium. So it's a it's a double whammy and then the imbalance damages. Your blood pressure blood vessels, rather, it drives up your blood pressure. So and potassium supplements, by the way are not necessarily the answer because they can lead to well, if if you take too much of it too much, potassium. That's why they limited. Ninety nine milligrams per tablet because too much potassium can lead to arrhythmia or other cardiac problems. But most people have only half as much or not even half as much potassium in their diet than they actually need and two or three times more sodium than they need. So they have excess sodium not enough potassium. The key is to eat more green, leafy vegetables and potassium. Rich. Foods course, fruits are are your best source. They're also whole grains and nuts and seeds, and if you eat a whole foods diet, like a Mediterranean diet you naturally get enough potassium and not too much
MNG Enterprises offers to buy USA Today publisher Gannett
"I guess there's some serious stuff being linked to a too much caffeine slash energy drinks. So the the new study is stroke and seizure and it's not just caffeine. I don't wanna pick on caffeine because in a smaller energy drink. There's about seeing this caffeine has a Cup of coffee, but it's combining with the sugar. Imagine this imagine taking your Cup of coffee and putting about fourteen teaspoons of sugar in that. You would never do it. Right. So and then we combine that with a couple of amino acids that the isolate and then some other chemicals and herbs, and then it's a cocktail that increase your heart rate. And actually we shown the constrict your blood vessels. Which is the big scary part is so I'm not alarmist. And I always feel like these things are for people who have pre existing conditions or they're just going way overboard, and slamming, you know, five red balls, but I guess there's some evidence that just one energy drink could possibly trigger arrhythmia, right? Yeah. I'm I'm with you on the moderation in in most things in life. And I think we're all going to be fine. Right. But this particular thing because of the the the combination of things in that did show with even with young people one drink really can do something to your heart. That would you said in a written years, which is an abnormal rhythm. And that constriction of your your arteries is concerned, especially back constriction happens in your brain. Now. This is something that people would feel with their hearts are racing or they may not even feel it, and then wouldn't seek help you may or may not feel this this arrhythmia it can be mild to where you can't feel it and you're not going to seek help because it's a it's a short term thing. But if you go on and use over and over again, then you've got a real problem. So I think it's if we look at it most people a couple of cups coffee in the morning, not bad for you. There's some evidence that one or two cups of coffee is actually has some health benefits. Know, we're drinking four or five cups of coffee in the morning. And then we pound these things in the afternoon in the evening. I worry about early morning people you guys get up early every day. Probably don't go to bed at a at a normal hour because it's hard to do that. I would think now is wondering if people who may have a Cup of coffee in the morning before they go workout first thing you combine the caffeine with exercise and raising your heart rate. Yeah. But but there's really no evidence that one Cup of coffee, even before your workout can really doing damage to you. So I think he's with with coffee. It's moderation with the energy drinks. I think it needs it should be elimination. And I've seen some studies in the past that said that younger people are more prone to problems does that make sense to you. This study did look at eighteen and under and it had it had a negative effect even on young people. So I think I think we need to focus not just on the on the older folks with heart conditions. I think these energy drinks in particular because of the cocktail that it is. And speaking of cocktail, sometimes they're people combined these with alcohol evening, right? I'm gonna I'm sure you've heard of that. I've seen it done a lot. Yeah. Even more evidence that when we combine it with alcohol now, we got an extra cocktail. It's it's even more Rick. So I'd say so so I was going to I guess you answer my next question. Do you would you say just to avoid these things altogether? I would. Yeah. This is one that like I said earlier, I'm with you in moderation host things, but in this particular avenue, I think we've got to eliminate these things because I don't I don't think. I'm not a fan. That's probably the only one I tasted that was enough for me. Yeah. Me too. And then there's there's over sixty these on the market today, which is hard to believe, it's huge business. I know and I saw there's a huge rise in the diagnoses of irregular heartbeats. I gotta be somehow related Dr David Barschak. Hey, dr. Thanks, good stuff. My pleasure. Have great day. Eight twenty two on eight ten one three one WGN, traffic
"arrhythmia" Discussed on The Basement Yard
"It was really bad. I'm not writing it off that I would never even that would never do it either. I think good on lease. I think I'd be fine which I think that eventually I will. But like I never had the like when the want calms would be like I'm going to try this like Sweden. I'll do it. One of those kids like you dare program. I'm not doing that. But I just like I just never had the urge to do it about this. Did you ever try that Thuc? No. You would never try Harris Allen. Now, do you know how crazy like, you know, how much of a control freak? I am. I would never do like hard drugs. That'd be afraid. Because like, oh, my God you on sniff would be terrible. Yeah. I wouldn't on cheese. On cheese, no cocaine. That's what I'm that's cheese. Do they call that cheese? I I've heard people say, oh, I got too much cheese. I've never heard that. I'm never heard that either. Yeah. But if I would never I'm so scared of that shit that now. We have a heart murmur. Yeah. Like, I like the idea I think I have one. That's the reason why I'm scared. I got a EKG done. They said I had a sinus arrhythmia. So now, I have to go get a stress if I have a fucking harbor than main valve in my heart is leaking. Oh, here we go contest. Contest. Worst fucking problems Jesus Christ. No, wait, hold on. I was in the hospital. This is what was your heart rate morning. Check it. I do check it. Let's get this Okay. Bill. Bill. Three minutes ago. It was eighty all right? You're good arable notes fire resting as eighty he's sitting up. What does that mean a normal resting heart rate is between sixty and one hundred there's nothing to worry about. No, I don't think there's anything to worry about. But I think as high right now, it's eighty three if you're like an athlete because you made them nervous seventy eight dropping. Mine usually flirts around like sixty six are you serious? Yeah. Do you check it or you're guessing? No, I have that watch that I wear my heart drop dead mindsets around like seventy seventy five. My heart rate me and I'm excited. Damning? Now, he's said it's going to be one hundred and twenty not-i'm not probably have high blood pressure. Don't do you have the sinus arrhythmia with fucks going on over here. What the hell? Are we talking about is nothing? It's benign. I don't know what it is. Right. You ought to know something here. I'm gonna tell you something about you. Yeah. I'm not here we go. Do you want to know what it is? I'd love to hear this. To go off the rails. I hope you're hope you I'm ready. I'm ready. You don't care about other people's problems hands are folded..
A.I. bests experts at predicting deaths from heart disease
"Again. Because you often advocate that people eat eggs every day and got a story here. From CNN headline an egg day might reduce your risk of heart disease study says and they say you didn't get a day may lower your risk of cardiovascular disease was a study of more than four hundred thousand adults in China. And they say Daley egg eaters had a eighteen percent lower risk of dying from cardiovascular disease compared to those adults who avoided eggs, according to the research published in the journal heart say, commonly called heart disease. Cardiovascular disease includes heart failure, arrhythmias and heart valve problems. In addition to
Google gets slapped with $5BN EU fine for Android antitrust abuse
"All that after the president said, he meant to say, why wouldn't Russia want to interfere a day after suggesting he had doubts about intelligence agencies concerns. Bob Costantini says, the president has been tweeting. More talking points today may have misspoken Monday as he said, he did on Tuesday, but today President Trump with another clarification on Twitter quote Putin. And I discussed many important subjects at our earlier meeting. We got along well, which truly bothered many haters who wanted to see a boxing match. Big results will come in quote, continuing on the haters steam after a couple of tweets about the economy. Mr. Trump writes, quote, some people. Hate the fact that I got along well with President Putin of Russia they would rather. Go to. War then see this it's called Trump derangement syndrome quote he has Russia may be able to help with bringing North Korea's Kim Jong. Hoon around to total denuclearisation Bob Costantini Washington authorities have ruled the death of a Chicago, fire department diver accidental more than a month after he was pulled from the, Chicago river diver one Busey oh had gone into the. Water to search for the body, of a twenty eight, year old would fall it off of a boat may twenty-eighth shortly after entering the river emergency. Responders called for, help for UCLA who was. Pulled from the water and taking a stroke hospital where he, was pronounced dead he, died of a fixture with depletion of air from his diving. Tank due to cardiac arrhythmia was caused by a rare. Cardiovascular disease that can, cause heart failure who left behind a wife and two young boys. European Union regulators have slapped Google, with a five billion dollar antitrust fined for abusing the dominance of its. Android mobile operating, system, the us WHO's European commission executive body ordered the combinator put an end to illegal conduct within ninety days or else. Face additional, fines and penalties Google said in a statement that it would appeal the ruling arguing against the view that it software is restrictive of fair competition. Up proposal. For, a high voltage power line carrying wind energy across the midwest as received a jolt of new life this after the Missouri supreme court ruled that regulators wrongly rejected it the court ruling yesterday means that Missouri must reevaluate whether clean line energy partners deserve approval for a two point three billion dollar. Project that would build one of the longest electric transmission lines in the US you'll have to find a cone or shake somewhere other than one south suburban ice cream shop our Jennifer Keiper says that's because the. Driver of a vehicle slammed into the place early Tuesday people were injured when a vehicle crashed into the Dairy Queen on the. Seventeen hundred Block of ridge road in. South suburban homeland officers were, called around three thirty AM Tuesday and found that one passenger had gotten out of the. Vehicle but the driver had to be pulled out by firefighters both were taken to a hospital to home with Dairy Queen says on its Facebook page that it, will remain closed until further notice because of the damage caused in the crash which. Is still being investigated Jennifer Keiper WLS AM eight ninety s news..