2010 and Ischemia - Cardiovascular Update

Elixir Medical Receives FDA Breakthrough Device Designation for DynamX BTK System for Below-The-Knee Arterial Disease

DAIC

MARCH 27, 2024

Food and Drug Administration (FDA) for its DynamX BTK System, a novel, adaptive implant for use in the treatment of narrowed or blocked vessels below-the-knee (BTK) in patients with chronic limb-threatening ischemia (CLTI). Global and regional burden of death and disability from peripheral artery disease: 21 world regions, 1990 to 2010.

Peripheral Arterial Disease

Peripheral Arterial Disease Ischemia Technology Coronary Artery Disease

Chest pain: Are these really "Nonspecific ST-T wave abnormalities", as the cardiologist interpretation states?

Dr. Smith's ECG Blog

MAY 27, 2024

The ECG did not meet STEMI criteria, and the final cardiology interpretation was “ST and T wave abnormality, consider anterior ischemia”. Hence the first ECG was labeled 'anterior ischemia' based on ST depression, rather than identifying this as reciprocal from posterior OMI. Ann Noninvasive Electrocardiol 2010 7. Meyers et al.

Chest Pain

Chest Pain STEMI Myocardial Infarction Ischemia

Cardiac arrest, defibrillated, diffuse ST depression and ST Elevation in aVR. Why?

Dr. Smith's ECG Blog

APRIL 24, 2015

Again, it is common to have an ECG that shows apparent subendocardial ischemia after resuscitation from cardiac arrest, after defibrillation, and after cardioversion. and repeat the ECG, to see if the apparent ischemia persists. A third ECG was done about 25 minutes after the first: This shows resolution of all apparent ischemia.

Cardiac Arrest

Cardiac Arrest Defibrillator Atrial Fibrillation Ischemia

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

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Abstract WP192: Impact of Second Line Thrombectomy Technique Following Failed First Pass Thrombectomy for Anterior Circulation Stroke: To Switch or Not to Switch?

Stroke Journal

FEBRUARY 1, 2024

Data from 29 stroke centers for 10,229 AIS patients treated with MT for LVO between January 2010 and December 2022 was investigated. The primary outcome measure was successful recanalization defined as modified Thrombolysis in Cerebral Ischemia (mTICI) score of 2b or higher.

Circulation

Circulation Strokes Stroke Aneurysm

Fractional flow reserve for guiding coronary intervention and functional SYNTAX score

All About Cardiovascular System and Disorders

APRIL 21, 2024

indicates inducible ischemia while an FFR above 0.80 excludes ischemia in 90% of cases. There is a strong correlation between FFR and inducible myocardial ischemia. It recalculates SYNTAX score by incorporating ischemia producing lesions determined by FFR. 2010 Jul 13;56(3):177-84. Normal FFR is 1.0 An FFR below 0.75

Myocardial Infarction

Myocardial Infarction Stent Stents Coronary Artery Disease

Abstract WP205: Development and Validation of a Prediction Model for Outcome in Mechanical Thrombectomy for Large-Vessel Occlusion Anterior Circulation Stroke With Low ASPECTS

Stroke Journal

FEBRUARY 1, 2024

Methods:236 AIS patients with low ASPECTS caused by LVO who undertook MT between January 2010 and December 2022 were retrospectively investigated. Univariate and multivariate logistic regression results were used to screen model predictors and construct nomograms of 90-day modified Rankin Scale scores (mRS) 0-3. with a score of 2, 17.7%

Circulation

Circulation Strokes Stroke Outcomes

Middle Aged Woman with Asystolic Cardiac Arrest, Resuscitated: Cath Lab?

Dr. Smith's ECG Blog

OCTOBER 20, 2013

This ECG is diagnostic of diffuse subendocardial ischemia. We studied this and published the abstract below in 2010. Chicago November 2010. Two prehospital 12-lead ECGs looked similar to this ED ECG: This shows diffuse ST depression (I, II, III, aVL, aVF, V3-V6) with reciprocal ST elevation in lead aVR.

Cardiac Arrest

Cardiac Arrest STEMI Hemorrhage Hospital

HeartFlow Achieves Landmark Milestone of 250,000 Patients Assessed for Coronary Artery Disease (CAD) with FFRCT Analysis

DAIC

JANUARY 3, 2024

Traditional methods of non-invasive ischemia testing (stress EKG , stress echo, SPECT , PET , direct-to-cath) can result in false negatives 20-30 percent of the time, which can lead to undetected disease, and false positives over 50 percent of the time, which can lead to unnecessary invasive procedures. NEJM 2010. Yokota, et al.

Coronary Artery Disease

Coronary Artery Disease Chest Pain Plaque Technology

ECG Blog #373 — 86yo and this Rhythm.

Ken Grauer, MD

APRIL 9, 2023

The other main consideration — is to take another look at the 12-lead ECG, and assess this for recent ischemia or infarction. Riera ARP, et al: AIVR: Chronology and Main Discoveries : Indian Pacing and EP Journal 10: 40-48, 2010. The patient may have SSS ( S ick S inus S yndrome ) as the reason for presyncope.

Blog

Blog Chest Pain Arrhythmia Cardiac Arrest

A "normal ECG" on a busy night

Dr. Smith's ECG Blog

OCTOBER 6, 2018

If the patient had been "lucky," his symptoms from the prior day might have been due to ischemia prolonged and intense enough to result in small troponin increase. JACC 2010 Post hoc analysis of the TRITON-TIMI-38 randomized controlled trial comparing prasugrel with clopidogrel among ACS patients undergoing cardiac catheterization.

Chest Pain

Chest Pain STEMI Myocardial Infarction Coronary Artery Disease

Abstract WP58: Retinal Optical Coherence Tomography Abnormalities Associated with CADASIL: A Case-Control Study from the UK Biobank

Stroke Journal

JANUARY 30, 2025

This study aims to identify retinal biomarkers of NOTCH3 carriers using optical coherence tomography (OCT) from the UK Biobank.Methods:We conducted a cross-sectional, matched case-control study of individuals with or without CADASIL from the UK Biobank between 2006 and 2010. All participants had retinal OCT scan and cognitive assessment.

Biomarkers

Biomarkers Ischemia Diabetes Hypertension

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

Evidence of acute ischemia (may be subtle) vii. 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). J Am Coll Cardiol, 2010; 55:713-721, doi:10.1016/j.jacc.2009.09.049

Arrhythmia

Arrhythmia Outcomes Chest Pain Risk Factors

Unconscious + STEMI criteria: activate the cath lab?

Dr. Smith's ECG Blog

JANUARY 21, 2023

Heart Rhythm 2010 Hudzik B, Gasior M. Occurrence of “J Waves” in 12-Lead ECG as a Marker of Acute Ischemia and Their Cellular Basis. Occurrence of "J waves" in 12-lead ECG as a marker of acute ischemia and their cellular basis. J wave syndromes. J-waves in hypothermia. CMAJ 2017 Vassallo SU, Delaney KA, Hoffman RS, et al.

STEMI

STEMI Bradycardia Arrhythmia Cardiac Arrest

Elixir Medical Receives FDA Breakthrough Device Designation for DynamX BTK System for Below-The-Knee Arterial Disease

Chest pain: Are these really "Nonspecific ST-T wave abnormalities", as the cardiologist interpretation states?

Cardiac arrest, defibrillated, diffuse ST depression and ST Elevation in aVR. Why?

Webinars

Abstract WP192: Impact of Second Line Thrombectomy Technique Following Failed First Pass Thrombectomy for Anterior Circulation Stroke: To Switch or Not to Switch?

Fractional flow reserve for guiding coronary intervention and functional SYNTAX score

Abstract WP205: Development and Validation of a Prediction Model for Outcome in Mechanical Thrombectomy for Large-Vessel Occlusion Anterior Circulation Stroke With Low ASPECTS

Middle Aged Woman with Asystolic Cardiac Arrest, Resuscitated: Cath Lab?

HeartFlow Achieves Landmark Milestone of 250,000 Patients Assessed for Coronary Artery Disease (CAD) with FFRCT Analysis

ECG Blog #373 — 86yo and this Rhythm.

A "normal ECG" on a busy night

Abstract WP58: Retinal Optical Coherence Tomography Abnormalities Associated with CADASIL: A Case-Control Study from the UK Biobank

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

Unconscious + STEMI criteria: activate the cath lab?

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