急診熊心聲部落格An editorial notebook
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L2 · PubMed 追蹤作者

7 位指定作者本週 PubMed 新發表——Stephen W. Smith / Pendell Meyers / Ken Grauer / Jesse McLaren / Emre Aslanger / Willy Frick / Sam Ghali。

5 筆 · cache 更新 2026-04-29T23:09:22+08:00
Stephen W. Smith · Journal of electrocardiology

Can an artificial intelligence electrocardiogram algorithm improve diagnostic accuracy for acute coronary occlusion in the difficult subset of canceled catheterization lab activations?

STEMI criteria demonstrated lower sensitivity for OMI as compared to the AI algorithm (47.1% vs 94.1%, p = 0.005), and a non-significantly lower specificity (66.1% vs 73.2%, p = 0.090). The AI algorithm also demonstrated higher positive and negative likelihood ratios for OMI identification (3.51 and 0.08, respectively) than STEMI criteria (1.39 and 0.80, respectively).

2026-04-09 PMID 41967390 OMI electrocardiogramacute coronarySTEMIECGocclusion myocardial infarction
Ken Grauer · JACC. Case reports

Sodium Channel-Mediated Ventricular Arrhythmia After Delphinium denudatum Ingestion Managed Conservatively in a Resource-Limited Setting.

BACKGROUND: Delphinium denudatum (jadwār) is a traditional South Asian herbal root containing aconitine-like alkaloids that cause sodium channel-mediated cardiotoxicity. Human toxicity data remain limited, particularly from resource-limited settings. CASE SUMMARY: A man in his late 20s presented 6 hours after accidental ingestion of Ddenudatum root with palpitations and autonomic symptoms.

2026-04-08 PMID 41746248 ECG教學 arrhythmiapalpitationsventricular tachycardiatelemetry
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