Open Heart

JANUARY 30, 2024

Background Patients who experience in-hospital ST-segment elevation myocardial infarction (iSTEMI) represent a uniquely high-risk cohort owing to delays in diagnosis, prolonged time to reperfusion and increased mortality. Quality initiatives aimed at improving the care of this vulnerable, yet understudied population are needed.

STEMI 52

STEMI Hospital Chest Pain Outcomes 52

Stroke Journal

FEBRUARY 1, 2024

Here we investigated the association of LE8 with incident major adverse cardiovascular events (MACE) among Hispanic/Latino adults living in the US.Design/Method:Baseline characteristics (n=13,956) of HCHS/SOL participants were determined between 2008 and 2011. for all; IRR 0.44, 95% CI 0.23 in males; IRR 0.49, 95% CI 0.28-0.85 in females).Conclusion:Among

Myocardial Infarction 40

Myocardial Infarction Blood Pressure Outcomes Diet 40

Stroke Journal

FEBRUARY 8, 2024

This study analyzes the trend of clinical events in patients with AF-related AIS and determines how much the introduction of NOACs has mediated this trend.Methods:We identified patients with AIS and AF between January 2011 and December 2019 using a multicenter stroke registry. male) were analyzed after excluding cases of valvular AF.

Atrial Fibrillation 40

Atrial Fibrillation Outcomes Stroke Strokes 40

Dr. Smith's ECG Blog

MAY 20, 2024

Diagnosis of Type I vs. Type II Myocardial Infarction in Emergency Department patients with Ischemic Symptoms (abstract 102). Annals of Emergency Medicine 2011; Suppl 58(4): S211. The only study I'm aware of that looked at this was mine, in which 4% of Type II MI had New ST Elevation. Murakami MM.

Chest Pain 126

Chest Pain Blood Pressure Ischemia STEMI 126

Circulation: Cardiovascular Interventions

OCTOBER 22, 2023

Secondary outcomes included major vascular complications, major/life-threatening bleeding, myocardial infarction (MI), transient ischemic attack (TIA)/stroke, and valve and non-valve related readmissions. Exposure of interest was PVD. Primary outcome was all-cause mortality.

Aortic valve 40

Aortic valve Aortic TAVR Outcomes 40

EMS 12-Lead

APRIL 8, 2022

The peak Troponin I confirmed myocardial infarction. (A Posterior myocardial infarction: The dark side of the moon. The delayed action wave in non-ST-elevation myocardial infarction. The EMS crews were correct moving forward with STEMI activation. 1] Driver, B. Emergency Medicine Journal, 1-5. [2]

Myocardial Infarction 52

Myocardial Infarction Coronary Angiogram STEMI Ischemia 52

Circulation

NOVEMBER 11, 2024

Methods:We included US adults with T2DM from the National Health and Nutrition Examination Survey (NHANES) 2011– 2020 who had eligibility criteria from SUSTAIN-6. Prior history of ischemic heart disease, myocardial infarction, and stroke were also less common in our NHANES sample.

Diabetes 40

Diabetes Blood Pressure Myocardial Infarction Kidney Disease 40

Dr. Smith's ECG Blog

JULY 14, 2023

Two recent interventions have proven in randomized trials to improve neurologic survival in cardiac arrest: 1) the combination of the ResQPod and the ResQPump (suction device for compression-decompression CPR -- Lancet 2011 ) and 2) Dual Sequential defibrillation. Finally, head-up CPR (which was not used here), makes for better resuscitation.

Cardiac Arrest 98

Cardiac Arrest Chest Pain Defibrillator Atrial Flutter 98

Dr. Smith's ECG Blog

AUGUST 26, 2009

Research presented at 2011 SAEM in Boston. Smith Background : A previous study found that reciprocal ST depression (rSTD) is present in only 82% of inferior ST elevation (STE) acute myocardial infarction (MI). Also, remember the value of lead aVL: see this post. Published in Academic Emergency Medicine, vol.

STEMI 52

STEMI Catheterization Laboratory Chest Pain Myocardial Infarction 52

DAIC

MAY 29, 2024

Low-density lipoprotein-cholesterol target attainment according to the 2011 and 2016 ESC/EAS dyslipidaemia guidelines in patients with a recent myocardial infarction: nationwide cohort study, 2013-17. Unmet Needs in LDL-C Lowering: When Statins Won't Do! 2016;76(12):1175-90. 7 Allahyari A, et al. 2021;7(1):59-67.

Cholesterol 52

Cholesterol Cardiovascular Disease Atherosclerosis Myocardial Infarction 52

Dr. Smith's ECG Blog

JULY 21, 2024

Troponin T peaked at 38,398 ng/L ( = a very large myocardial infarction, but not massive-- thanks to the pre-PCI spontaneous reperfusion, and rapid internvention!! ). Over the next couple of days the patient was weaned off of mechanical circulatory support. Inotropic medication was continued.

Arrhythmia 131

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 131

All About Cardiovascular System and Disorders

APRIL 14, 2024

2011 Dec;19(4):169-73. 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. Use and Limitations of E/e’ to Assess Left Ventricular Filling Pressure by Echocardiography. Møller JE et al.

Bicuspid/Mitral 52

Bicuspid/Mitral Pulmonary Atrial Fibrillation Ultrasound 52

EMS 12-Lead

APRIL 28, 2022

In most cases, rather, the culprit is gross ischemia due to myocardial infarction, cardiomyopathy, or advanced coronary artery disease. Unfortunately, today’s case is lacking any such diagnostics, thus I cannot say with certainty that the QT interval is, or is not, culpable in arrhythmogenesis. [1] Elsevier: Philadelphia, PA. [7]

Tachycardia 52

Tachycardia AFIB Arrhythmia Coronary Artery Bypass Graft 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

myocardial infarction), arrhythmias, valvular pathology, shunts, or outflow obstructions. Heart 2011; 97 : 838-843 [link] 14. This patient’s severe aortic stenosis (AS) and associated severe cardiogenic shock likely created the ECG pattern, resulting in a very difficult challenge for our inpatient team. J Am Coll Cardiol.

Ischemia 40

Ischemia Cardiogenic Shock Aortic Stenosis 40

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Institutional Coronary Artery Bypass Case Volumes and Outcomes European Journal of Heart Failure October 2023 Makoto Mori Robotic Mitral Valve Repair for Degenerative Mitral Regurgitation The Annals of Thoracic Surgery August 2023 Carlos Diaz-Castrillion Volume-Failure to Rescue Relationship in Acute Type A Aortic Dissections: An Analysis of The Society (..)

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Institutional Coronary Artery Bypass Case Volumes and Outcomes European Journal of Heart Failure October 2023 Makoto Mori 1 Robotic Mitral Valve Repair for Degenerative Mitral Regurgitation The Annals of Thoracic Surgery August 2023 Carlos Diaz-Castrillion 2 Volume-Failure to Rescue Relationship in Acute Type A Aortic Dissections: An Analysis of The (..)

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Circulation: Cardiovascular Quality & Outcomes

FEBRUARY 8, 2024

BACKGROUND:Sex differences in acute myocardial infarction treatment and outcomes are well documented, but it is unclear whether differences are consistent across countries. 1 in 2011 and 1.73:1 1 in 2011 and 2.11:1 1 in 2011 and 1.73:1 1 in 2011 and 2.11:1 1 in 2018; Israel NSTEMI ratio, 1.71:1 1 in 2018).

Myocardial Infarction 40

Myocardial Infarction Coronary Artery Bypass Graft Hospital STEMI 40