Atrial Fibrillation and Hyperkalemia detection by the Kardia device скачать в хорошем качестве

Atrial Fibrillation and Hyperkalemia detection by the Kardia device

Kardia on Amazon: https://amzn.to/2Duw4qd Full written content and discussion here: http://www.carlooller.com/DrERTV/kard... Do you ever feel like your heart is too slow, racing, or skipping a beat? The awareness of your own heart beat is most times something totally normal, however in some circumstances can be a dangerous or even life threatening arrhythmia. Hello there, I am Dr. Carlo Oller and I am and medical physician who specializes in emergency medicine and have been in practice for 16 years. In this video we are going to review an FDA approved device you can connect through your smartphone in order to detect at least ONE of the more serious arrhythmias. We are going to check the device against medical grade EKGs obtained in the ER on patients with ongoing heart arrhythmias. So lets see if this device lives up to the hype! Palpitations is a common complaint for patients coming into the Emergency Department, but the problem is that many times the symptoms have faded by the time the patient presents for evaluation. So even after a thorough evaluation with blood work, EKGs, and cardiac monitoring, patients often leave the ER with no specific diagnosis and no closer to an answer than when they presented to the ER. Patients will then have to follow up (hopefully within a few days) with the primary doctor to get a holter monitor / or event monitor to be hooked up and then analyze their rhythm over a period of time to hopefully detect the problem if the problem happens while they are wearing the device. Even when the event happens while wearing the device usually you won’t have an answer until the data is downloaded and analyzed by your doctor. There are plenty of heart rate monitors out there (smartwatches, fitbit, garmin, etc). They are good at detection heart rate (how fast or slow your heart rate is). This information is useful to the evaluating physician but does not provide any information about the actual rhythm of your heart during the episodes. In other words, it might tell us that your heart rate shot up to 130s while you were lying in bed but it will not tell us if you were in sinus tachycardia, supraventricular tachycardia, atrial fibrillation or flutter, ventricular tachycardia, etc. But, hey…little information is still better than NO information right? Recently I learned that the latest version of the iWatch (from apple) would be able to detect and then alert the user of a potentially serious arrhythmia called Atrial Fibrillation. Now…lets make a parenthesis and talk about AF / (atrial fibrillation) for a moment. A-fib affects somewhere between 3 to 6 million Americans, most of them over age 65. In some people it’s silent, causing no symptoms. AF is when the top part of the heart beats in a convulsion-like manner and the rest of the heart has a hard time trying to catch up. It usually results in a heart rate in excess of 150-180 bpm. This arrhythmia is dangerous because it can exhaust the heart to the point of damage or infarct, and because the pump itself becomes inefficient blood pools and then clots inside the chambers of the heart. These clots can then be dislodged into the bloodstream causing arterial emboli and occlusion of vessels, pulmonary embolisms, and even strokes. Whether or not a-fib causes symptoms, it quadruples the risk of having a stroke. Patients with AF will have weakness, lightheadedness, dizziness, and even near syncope (almost passing out spells) because as the pump of your heart becomes inefficient, the ability of the heart to pump blood to the rest of the body is compromised by up to 20%. So…when I learned that the iWatch was going to be able to detect Afib I was pretty excited about that. I though it would deliver some critical information in some patients who we would otherwise be ‘on the blind’ when evaluating them in the ER. Not all ER doctors were excited, I must say. Some were actually quite upset thinking that many patients would end up in the ER because their watch told them they were in AF and they were not (something we call a false positive). I have a different take on it, yes I might get some people who are there for a false alarm…but what about those that we wouldn’t have known about their AF unless the phone/watch would have detected it? Patients who could have potentially blown off their symptoms or not known because they had no symptoms and then come in much sicker because they developed heart failure (flooding of the lungs) or a blood clot that caused a stroke or other embolism? THOSE…those are the ones where this type of device, if actually delivers on its promises, could help save lives! So…you heard me right…IF IT DELIVERS ON ITS PROMISES! According to this article a cardiologist used the AW4 to study his own patients with AF against the iWatch’s ability to detect the actual arrhythmia.