2009 and Myocardial Infarction - Cardiovascular Update

Anterior-wall and non-anterior-wall STEMIs do not differ in long-term mortality: results from the augsburg myocardial infarction registry

Frontiers in Cardiovascular Medicine

JANUARY 7, 2024

Background Different ST-segment elevation myocardial infarction (STEMI) localizations go along with dissimilarities in the size of the affected myocardium, the causing coronary vessel occlusion, and the right ventricular participation. years, (standard deviation: 3.0).

Myocardial Infarction

Myocardial Infarction STEMI

Trends in the incidence, mortality and clinical outcomes in patients with ventricular septal rupture following an ST-elevation myocardial infarction

Coronary Artery Disease Journal

JUNE 10, 2024

Background Despite improvements in outcomes of ST elevation myocardial infarction (STEMI), ventricular septal rupture (VSR) remains a known complication, carrying high mortality. Methods The National Inpatient Sample database (2009–2020) was used to study trends in admissions and outcomes of post-STEMI VSR over time. and 10 ± 1.2%

Myocardial Infarction

Myocardial Infarction STEMI Outcomes Inpatient

Rules of myocardial revascularisation REVIVEed very late: Quantify”non-viable tissue” first.

Dr. S. Venkatesan MD

DECEMBER 20, 2023

This same question was asked & answered more than a decade ago (2009) on this site, of course without that damning evidence. Common myths in cardiology: The presence of viable myocardium does not mean one must do a revascularisation procedure following myocardial infarction!

Myocardial Infarction

Myocardial Infarction Research Outcomes

ECG Changes in Intracranial Hemorrhage

All About Cardiovascular System and Disorders

NOVEMBER 16, 2023

ECG changes resembling ST elevation myocardial infarction has also been described after traumatic intracranial hemorrhage [4]. Excess of catecholamines can damage myocytes directly and can also lead to generalized spasm of coronary arteries and even consequent actual myocardial infarction [5]. 2009 Nov;40(11):3478-84.

Hemorrhage

Hemorrhage Myocardial Infarction Aneurysm Electrocardiogram

Early and late outcomes after minimally invasive direct coronary artery bypass vs. full sternotomy off-pump coronary artery bypass grafting

Frontiers in Cardiovascular Medicine

FEBRUARY 20, 2024

Patients and methods From December 2009 to June 2020, 388 elective patients were included in our retrospective study. IPTW-adjusted Kaplan–Meier estimates by study group were calculated for all-cause mortality, stroke, the risk of repeat revascularization and myocardial infarction up to a maximum follow-up of 10 years.

Coronary Artery Bypass Graft

Coronary Artery Bypass Graft Myocardial Infarction Outcomes Stroke

STEMI Breakthrough: Looking beyond Primary PCI with “Intra-coronary liquid oxygen”

Dr. S. Venkatesan MD

NOVEMBER 25, 2023

tried this in 2009 itself.(Ref Effect of supersaturated oxygen delivery on infarct size after percutaneous coronary intervention in acute myocardial infarction. 2009 Oct;2(5):366-75. Hence current guidelines, has very strict advice about not giving oxygen unless systemic tissue hypoxia is documented. Stone et al.

STEMI

STEMI Myocardial Infarction Download Document

How terrible can it be to fail to recognize OMI? To whom is OMI Obvious or Not Obvious?

Dr. Smith's ECG Blog

OCTOBER 8, 2024

Hyperacute T Wave in the Early Diagnosis of Acute Myocardial Infarction. Interpretation of acute myocardial infarction with persistent “hyperacute T waves” by cardiac magnetic resonance. 2009;Available from: [link] 4. High T waves in the earliest stage of myocardial infarction. 2023;82:194–202.

Cardiac Arrest

Cardiac Arrest Myocardial Infarction STEMI Cardiogenic Shock

Safe Deferral of Coronary Computed Tomography Angiography for Patients With a Low Pretest Probability of Coronary Artery Disease in 2019 European Society of Cardiology Guidelines

Journal of the American Heart Association

DECEMBER 1, 2023

The overall mortality, cardiac deaths, myocardial infarctions, and hospitalizations for unstable angina were acquired from national registry data for 1 to 10 years of follow‐up (median, 4 years). PTP was calculated according to the 2013 and 2019 ESC guidelines.

Coronary Artery Disease

Coronary Artery Disease Myocardial Infarction Angina Hospital

Fractional flow reserve for guiding coronary intervention and functional SYNTAX score

All About Cardiovascular System and Disorders

APRIL 21, 2024

They had lower rates of mortality or myocardial infarction. myocardial infarction rate and 3.2% Using a side branch stent increases the risk of stent thrombosis in the main vessel and is especially to be avoided in a thrombotic situation as in acute myocardial infarction. 2009 Jan 15;360(3):213-24.

Myocardial Infarction

Myocardial Infarction Coronary Artery Disease Stents Stent

Which patient has the more severe chest pain?

Dr. Smith's ECG Blog

SEPTEMBER 26, 2023

See these 2 articles Association between pre-hospital chest pain severity and myocardial injury in ST elevation myocardial infarction: A post-hoc analysis of the AVOID study Author links open overlay panel [link] 1 Background We sought to determine if an association exists between prehospital chest pain severity and markers of myocardial injury.

Chest Pain

Chest Pain STEMI Myocardial Infarction Hospital

National A-Fib Numbers Higher Than Previously Thought

DAIC

SEPTEMBER 11, 2024

percent of the patients treated between 2005 and 2009 to 6.82% of the patients treated between 2015 and 2019. The study appears Sept. 11 in the Journal of the American College of Cardiology JACC. About 2 million of these people had been diagnosed with A-Fib, and the numbers grew over time, rising from 4.49 million.

Atrial Fibrillation

Atrial Fibrillation Quality of Life Myocardial Infarction Kidney Disease

National A-Fib Numbers Higher Than Previously Tought

DAIC

SEPTEMBER 11, 2024

percent of the patients treated between 2005 and 2009 to 6.82% of the patients treated between 2015 and 2019. The study appears Sept. 11 in the Journal of the American College of Cardiology JACC. About 2 million of these people had been diagnosed with A-Fib, and the numbers grew over time, rising from 4.49 million.

Atrial Fibrillation

Atrial Fibrillation Quality of Life Myocardial Infarction Kidney Disease

Subacute AnteroSeptal STEMI, With Persistent ST elevation and Upright T-waves

Dr. Smith's ECG Blog

JULY 18, 2014

Appearance of abnormal Q waves early in the course of acute myocardial infarction: implications for efficacy of thrombolytic therapy. Baseline Q-wave surpasses time from symptom onset as a prognostic marker in ST-segment elevation myocardial infarction patients treated with primary percutaneous coronary intervention.

STEMI

STEMI Pericarditis Myocardial Infarction Cardiogenic Shock

Assessment of LV Diastolic Function by Echo in SR and AF

All About Cardiovascular System and Disorders

APRIL 14, 2024

2009 Sep;17(3):86-95. Ratio of left ventricular peak E-wave velocity to flow propagation velocity assessed by color M-mode Doppler echocardiography in first myocardial infarction: prognostic and clinical implications. L wave in echo Doppler. Indian Heart J. 2014 May-Jun;66(3):392-3. Ha J et al. J Cardiovasc Ultrasound.

Bicuspid/Mitral

Bicuspid/Mitral Pulmonary Atrial Fibrillation Ultrasound

Septal STEMI with ST elevation in V1 and V4R, and reciprocal ST depression in V5, V6

Dr. Smith's ECG Blog

MARCH 13, 2013

2009) similarly found that STE in aVR correlated with proximal (vs. The prognostic meaning of the full spectrum of aVR ST-segment changes in acute myocardial infarction. Value of the electrocardiogram in localizing the occlusion site in the left anterior descending coronary artery in acute myocardial infarction.

STEMI

STEMI Myocardial Infarction Electrocardiogram Chest Pain

Precordial ST depression. What is the diagnosis?

Dr. Smith's ECG Blog

JANUARY 1, 2013

Blackwell Publishing 2009. New electrocardiographic criteria for posterior wall acute myocardial ischemia validated by a percutaneous transluminal coronary angioplasty model of acute myocardial infarction. William Brady and JD Truwit, editors. Smith SW as editor of section on Acute Coronary Syndromes).

STEMI

STEMI Ischemia Chest Pain Myocardial Infarction

Target Acquired

EMS 12-Lead

APRIL 2, 2022

He was found diaphoretic and uncomfortable, and verbalizing a prior history of myocardial infarction and that, furthermore, the acute symptoms were identical to that which had been associated with RCA stent placement 4 years prior. Terminal QRS distortion is present in anterior myocardial infarction but absent in early repolarization.

Myocardial Infarction

Myocardial Infarction Stents Stent STEMI

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

myocardial infarction), arrhythmias, valvular pathology, shunts, or outflow obstructions. NEJM 362(9):779; March 4, 2009. NEJM 362(9):779; March 4, 2009. Fundamentally, cardiogenic shock is an issue of decreased cardiac output. This may be secondary to multiple factors, including decreased cardiac contractility (ie.

Ischemia

Ischemia Cardiogenic Shock Aortic Stenosis

75 year old with 24 hours of chest pain, STEMI negative

Dr. Smith's ECG Blog

JUNE 8, 2023

Evaluating clinical reasons and rationale for not delivering reperfusion therapy in ST elevation myocardial infarction patients: insights from a comprehensive cohort. Infarct size and myocardial salvage after primary angioplasty in patients presenting with symptoms for <12h vs 12-72h. Eur Heart J 2009 4 Lemkes et al.

Chest Pain

Chest Pain STEMI Bradycardia Myocardial Infarction

Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

APRIL 8, 2015

in 2010 EM Clinics of North America (full text link) For an Exhaustive Review of Syncope and its full management outside the ED environment, go to the 2009 European Society of Cardiology Guidelines (full text pdf). Yield of Diagnostic Tests in Evaluating Syncopal Episodes in Older Patients Arch Intern Med 2009 Jul 27; 169:1299-1305.

Arrhythmia

Arrhythmia Outcomes Risk Factors Chest Pain

Anterior-wall and non-anterior-wall STEMIs do not differ in long-term mortality: results from the augsburg myocardial infarction registry

Trends in the incidence, mortality and clinical outcomes in patients with ventricular septal rupture following an ST-elevation myocardial infarction

Rules of myocardial revascularisation REVIVEed very late: Quantify”non-viable tissue” first.

ECG Changes in Intracranial Hemorrhage

Early and late outcomes after minimally invasive direct coronary artery bypass vs. full sternotomy off-pump coronary artery bypass grafting

STEMI Breakthrough: Looking beyond Primary PCI with “Intra-coronary liquid oxygen”

How terrible can it be to fail to recognize OMI? To whom is OMI Obvious or Not Obvious?

Safe Deferral of Coronary Computed Tomography Angiography for Patients With a Low Pretest Probability of Coronary Artery Disease in 2019 European Society of Cardiology Guidelines

Fractional flow reserve for guiding coronary intervention and functional SYNTAX score

Which patient has the more severe chest pain?

National A-Fib Numbers Higher Than Previously Thought

National A-Fib Numbers Higher Than Previously Tought

Subacute AnteroSeptal STEMI, With Persistent ST elevation and Upright T-waves

Assessment of LV Diastolic Function by Echo in SR and AF

Septal STEMI with ST elevation in V1 and V4R, and reciprocal ST depression in V5, V6

Precordial ST depression. What is the diagnosis?

Target Acquired

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

75 year old with 24 hours of chest pain, STEMI negative

Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

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