2011 and Myocardial Infarction - Cardiovascular Update

Abstract WP244: Myocardial Infarction Risk Following Stroke and Cervical Artery Dissection: Multi-State Inpatient Sample Analysis

Stroke Journal

FEBRUARY 1, 2024

We utilized a multi-state database to examine myocardial infarction (MI) risk post stroke or CAD to estimate cardiovascular complication risk.Method:We analyzed State Inpatient Database from New York (2011-2017) and Florida (2011-2019).

Myocardial Infarction

Myocardial Infarction Inpatient Stroke Strokes

Recurrent myocardial infarction and emergency department visits: a retrospective study on the Stockholm Area Chest Pain Cohort

Open Heart

JUNE 29, 2023

Background Patients who experience acute myocardial infarction (AMI) are at risk of recurrent AMI. Results Among 1 37 706 patients presenting to the ED with chest pain as principal complaint from 2011 to 2016, 5.5% (7579/137 706) were hospitalised with AMI. In total, 98.5% (7467/7579) of patients were discharged alive.

Chest Pain

Chest Pain Myocardial Infarction Hospital

Atrial Fibrillation’s Downstream Consequences

CardiacWire

APRIL 21, 2024

in 2011-2022. Post-AFib myocardial infarction was the third most common at 12%, with MI rates falling from 13.7% The researchers analyzed 2000-2022 data from 3.5M Danish people who didn’t have AFib at baseline (45-95yrs, 48yr avg, 51.7% overall, increasing from 24.2% in 2000-2010 to 30.9% during the two periods.

AFIB

AFIB Heart Failure Myocardial Infarction Stroke

Implementation of the European Society of Cardiology 0/3-hour accelerated diagnostic protocol, using high sensitive troponin T: a clinical practice evaluation of safety and effectiveness involving 3003 patients with suspected acute coronary syndrome

Open Heart

DECEMBER 26, 2023

Safety was defined by MACE (major adverse cardiac events) inclusive of type 1 myocardial infarction (MI) in patients discharged from ED, and clinical effectiveness by percentage ED discharge. of the cohort) with no safety signal (MACE rate 4/444 (0.9%) vs 4/769 (0.52%), p=0.430 for the 2011 and 2018 cohort, respectively).

Myocardial Infarction

Myocardial Infarction Education

Abstract 99: Association of Life Essential 8 Score With Major Vascular Outcomes. Results of the Hispanic Community Health Study/Study of Latinos

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

Myocardial Infarction Blood Pressure Outcomes Diet

Secular Trends in Outcomes and Impact of Novel Oral Anticoagulants in Atrial Fibrillation–Related Acute Ischemic Stroke

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

Atrial Fibrillation Outcomes Stroke Strokes

Association Between Polyvascular Disease and Transcatheter Aortic Valve Replacement Outcomes: Insights from the STS/ACC TVT Registry

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

Aortic valve Aortic TAVR Outcomes

Association of coronary angiographic lesions and mortality in patients over 80 years with NSTEMI

Open Heart

JANUARY 31, 2022

Objective Coronary angiography (CA) and percutaneous coronary intervention (PCI) is of great importance during non-ST-segment elevation myocardial infarction (NSTEMI) management. Methods Patients >80 years of age who underwent CA at index NSTEMI during 2011–2014 were included.

Myocardial Infarction

Myocardial Infarction Stenosis Angioplasty Heart Disease

Dark Side of the Moon

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

Myocardial Infarction Coronary Angiogram STEMI Ischemia

An undergraduate who is an EKG tech sees something. The computer calls it completely normal. How about the physicians?

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

Chest Pain Blood Pressure Ischemia STEMI

A 40-something presented after attempted prehospital resuscitation with persistent Ventricular Fibrillation

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

Cardiac Arrest Chest Pain Defibrillator Atrial Flutter

Assessment of LV Diastolic Function by Echo in SR and AF

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

Bicuspid/Mitral Pulmonary Atrial Fibrillation Ultrasound

What are treatment options for this rhythm, when all else fails?

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

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator

Implementing a comprehensive STEMI protocol to improve care metrics and outcomes in patients with in-hospital STEMI: an observational cohort study

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

STEMI Hospital Chest Pain Outcomes

Oral PCSK9 Inhibitor Demonstrated Significant LDL-C Reduction on Top of Statin in Phase I Trial Presented at EAS Congress

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

Cholesterol Cardiovascular Disease Atherosclerosis Myocardial Infarction

Sex-Based Disparities in Acute Myocardial Infarction Treatment Patterns and Outcomes in Older Adults Hospitalized Across 6 High-Income Countries: An Analysis From the International Health Systems Research Collaborative

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

Myocardial Infarction Coronary Artery Bypass Graft Hospital STEMI

Of Twists and Turns

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

Tachycardia AFIB Coronary Artery Bypass Graft Arrhythmia

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. 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

Ischemia Cardiogenic Shock Aortic Stenosis

Published Research

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

Research Coronary Artery Bypass Graft Aortic valve Congenital

Published Research

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

Research Coronary Artery Bypass Graft Aortic valve Congenital

Abstract WP244: Myocardial Infarction Risk Following Stroke and Cervical Artery Dissection: Multi-State Inpatient Sample Analysis

Recurrent myocardial infarction and emergency department visits: a retrospective study on the Stockholm Area Chest Pain Cohort

Atrial Fibrillation’s Downstream Consequences

Implementation of the European Society of Cardiology 0/3-hour accelerated diagnostic protocol, using high sensitive troponin T: a clinical practice evaluation of safety and effectiveness involving 3003 patients with suspected acute coronary syndrome

Abstract 99: Association of Life Essential 8 Score With Major Vascular Outcomes. Results of the Hispanic Community Health Study/Study of Latinos

Secular Trends in Outcomes and Impact of Novel Oral Anticoagulants in Atrial Fibrillation–Related Acute Ischemic Stroke

Association Between Polyvascular Disease and Transcatheter Aortic Valve Replacement Outcomes: Insights from the STS/ACC TVT Registry

Association of coronary angiographic lesions and mortality in patients over 80 years with NSTEMI

Dark Side of the Moon

An undergraduate who is an EKG tech sees something. The computer calls it completely normal. How about the physicians?

A 40-something presented after attempted prehospital resuscitation with persistent Ventricular Fibrillation

Assessment of LV Diastolic Function by Echo in SR and AF

What are treatment options for this rhythm, when all else fails?

Implementing a comprehensive STEMI protocol to improve care metrics and outcomes in patients with in-hospital STEMI: an observational cohort study

Oral PCSK9 Inhibitor Demonstrated Significant LDL-C Reduction on Top of Statin in Phase I Trial Presented at EAS Congress

Sex-Based Disparities in Acute Myocardial Infarction Treatment Patterns and Outcomes in Older Adults Hospitalized Across 6 High-Income Countries: An Analysis From the International Health Systems Research Collaborative

Of Twists and Turns

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

Published Research

Published Research

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