It has been nine days since I passed out at my computer. On November 24 at 6:15 I leaned back slightly in my chair, and felt light headed. 581 more words
Tags » Syncope
Is prolactin level useful in determining whether my patient with loss of consciousness suffered a seizure?
It depends on the timing of your patient’s presentation!
It is generally held that serum prolactin level peaks within 10-20 min after a generalized tonic-clonic or complex partial seizure and returns to baseline within 2-6 h. 261 more words
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My elderly patient developed a new left bundle branch block following transcatheter aortic valve replacement. Is this a frequent occurrence?
Yes, conduction abnormalities, particularly left bundle branch block (LBBB), frequently complicate transcatheter aortic valve replacement (TAVR).
A 2016 systematic review and meta-analysis reported new-onset LBBB following TAVR and persisting at hospital discharge in 13.3%-37% of patients1; the incidence may be higher or lower depending on the type of prosthesis used.2,3 In the same systematic review, new-onset LBBB was associated with a higher risk of permanent pacemaker placement (PPI) and cardiac death during 1-year followup. 317 more words