Dr. S. Venkatesan MD

DECEMBER 29, 2023

Anderson ML, Peterson ED, Peng SA, Differences in the profile, treatment, and prognosis of patients with cardiogenic shock by myocardial infarction classification: A report from NCDR. 2013 Nov;6(6):708-15. Epub 2013 Nov 12. PMID: 35743628; PMCID: PMC9224589. Circ Cardiovasc Qual Outcomes. doi: 10.1161/CIRCOUTCOMES.113.000262.

Cardiogenic Shock 52

Cardiogenic Shock STEMI Myocardial Infarction Document 52

Stroke Journal

FEBRUARY 1, 2024

We performed a systematic review to understand the acute risk factors having health service contact within 90 days before incident strokes.Methods:PubMed, Embase and Scopus were searched for studies within last 10 years (2013- September 2022). Studies selected using PRISMA guidelines underwent quality assessment with Newcastle Ottawa scale.

Risk Factors 40

Risk Factors Strokes Stroke Myocardial Infarction 40

Dr. Smith's ECG Blog

MAY 6, 2018

One of our fine interns, Daniel Lee, who is also an ECG whiz, found this paper from 2013 and brought it to my attention: The delayed activation wave in non-ST-elevation myocardial infarction.

STEMI 52

STEMI Chest Pain Myocardial Infarction Article 52

Dr. Smith's ECG Blog

FEBRUARY 10, 2022

In the STEMI/NSTEMI dichotomy, NSTEMI is supposed to mean non-occlusive myocardial infarction, but this patient had transient Occlusion MI that was at risk for re-occlusion (like ‘transient STEMI’). Arch Cardiovasc Dis 2013 Khan AR et al. JAHA 2022 Grosmaitre P et al. Eur Heart J 2017 Driver BE, Shroff GR, Smith SW.

STEMI 40

STEMI Myocardial Infarction Chest Pain Angina 40

Dr. Smith's ECG Blog

APRIL 22, 2022

Int J Cardiol 2013 2. ST-elevation myocardial infarction after pharmacologic persantine stress test in a patient with Wellens’ syndrome. Single High-Sensitivity Cardiac Troponin I to Rule Out Acute Myocardial Infarction. Backus BE, Six AJ, Kelder JC, et al. Shin YS, Ahn S, Kim YJ. Am J Emerg Med 2020 3.

Chest Pain 52

Chest Pain Ischemia Myocardial Infarction Angina 52

Dr. Smith's ECG Blog

MAY 23, 2023

Available from: [link] Excerpt: "To illustrate the limitations imposed by sample size, recent data from our institution reveal that we identify approximately 225 type I myocardial infarctions (MI) in a typical year.

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Chest Pain STEMI Blog Stents 98

Dr. Smith's ECG Blog

FEBRUARY 16, 2019

Posterior STEMI" may not even technically exist according to the current (2013) ACC/AHA STEMI guidelines, as it is not described as a "STEMI equivalent" and the only relevant statement in the guidelines is: "In addition, ST depression in 2 precordial leads (V1-V4) may indicate transmural posterior injury."

STEMI 52

STEMI Chest Pain Myocardial Infarction Document 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

New insights into the use of the 12-lead electrocardiogram for diagnosing acute myocardial infarction in the emergency department. Here is the abstract: Background Identification of ST elevation myocardial infarction (STEMI) is critical because early reperfusion can save myocardium and increase survival.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Smith's ECG Blog

DECEMBER 16, 2019

This was formerly an indication for cath lab activation, but was abandoned in the 2013 guidelines because of poor specificity. Here is an algorithm that is very useful in such cases, published by Cai and Sgarbossa in 2013. Excessively discordant STE, as defined by at least 1 mm and with an ST/S ratio of 25% or more.

Chest Pain 52

Chest Pain Myocardial Infarction Stents Stent 52

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 52

Myocardial Infarction Stents Stent STEMI 52

Dr. Smith's ECG Blog

JUNE 1, 2022

They recorded a third ECG before intervention: No significant difference Angiogram : Impression and Recommendations: Culprit for the patient's non-ST elevation myocardial infarction is a thrombotic occlusion of the mid circumflex Formal Echo Normal left ventricular cavity size, normal wall thickness and normal LV systolic function.

Chest Pain 52

Chest Pain STEMI Myocardial Infarction Bradycardia 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

myocardial infarction), arrhythmias, valvular pathology, shunts, or outflow obstructions. N Engl J Med 2003; 348:1756-1763, 5/1/2013. 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. Khot, MD; et al.

Ischemia 40

Ischemia Cardiogenic Shock Aortic Stenosis 40

Open Heart

AUGUST 21, 2023

Background Insights on the differences in clinical outcomes, quality of life (QoL) and health resource utilisation (HRU) with different levels of care available to post-acute myocardial infarction (AMI) populations in rural and urban settings are limited.

Myocardial Infarction 52

Myocardial Infarction Angina Outcomes Coronary Artery Disease 52

Dr. Smith's ECG Blog

MAY 8, 2023

Diagnosis of Acute Myocardial Infarction in the Presence of Left Bundle Branch Block using the ST Elevation to S-Wave Ratio in a Modified Sgarbossa Rule. Electrocardiographic Diagnosis of Acute Coronary Occlusion Myocardial Infarction in Ventricular Paced Rhythm Using the Modified Sgarbossa Criteria.

Chest Pain 52

Chest Pain Myocardial Infarction STEMI Pacemaker 52

Open Heart

SEPTEMBER 18, 2024

The ‘1–3–6–12 days rule’, based on expert consensus and referring to stroke severity, was used in clinical practice to initiate OAC after acute ischaemic stroke or transient ischaemic attack (TIA) since publication in 2013.

Atrial Fibrillation 52

Atrial Fibrillation Strokes Stroke Myocardial Infarction 52

Journal of the American Heart Association

DECEMBER 1, 2023

PTP was calculated according to the 2013 and 2019 ESC guidelines. 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).

Coronary Artery Disease 40

Coronary Artery Disease Myocardial Infarction Angina Hospital 40

Circulation: Genomic and Precision Medicine

MARCH 28, 2025

METHODS:Participants were followed from randomization in October 2013 to September 2023 to ascertain MACE, testing for CHD, and changes in risk factors. The primary outcome was time to first MACE, defined as cardiovascular death, nonfatal myocardial infarction, coronary revascularization, and nonfatal stroke. 48% male).

Heart Disease 40

Heart Disease Cholesterol Myocardial Infarction Risk Factors 40

Dr. Smith's ECG Blog

AUGUST 9, 2019

At the bottom of the post, I have re-printed the section on aVR in my article on the ECG in ACS from the Canadian Journal of Cardiology: New Insights Into the Use of the 12-Lead Electrocardiogram for Diagnosing Acute Myocardial Infarction in the Emergency Department Case 1. Widimsky P et al. O'Gara PT, Kushner FG, Ascheim DD, et al.

Myocardial Infarction 52

Myocardial Infarction Ischemia STEMI Cardiogenic Shock 52

Open Heart

OCTOBER 23, 2024

Background Since 2000, the definition of myocardial infarction (MI) has evolved with reliance on cardiac troponin (cTn) tests. male), and 96% of cases had linked biomarker data, predominantly conventional cTn at the start and high-sensitive cTn from late 2013. Results There were 37 272 ACS admissions in 30 683 patients (64.2%

Biomarkers 52

Biomarkers Hospital STEMI Myocardial Infarction 52

DAIC

JANUARY 23, 2024

3 Patients with ASCVD are at a higher risk for major adverse cardiovascular events (MACE) including heart attack or myocardial infarction (MI), stroke, and cardiovascular (CV) death.4 2013;368(21):2004-2013. Published 2013 Apr 4. Efficacy and Safety of Low-Dose Colchicine after Myocardial Infarction.

Cardiovascular Disease 111

Cardiovascular Disease Heart Attack Heart attacks Coronary Artery Disease 111

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. 2016;76(12):1175-90. 7 Allahyari A, et al. Eur Heart J Qual Care Clin Outcomes. 2021;7(1):59-67. J Am Coll Cardiol.

Cholesterol 52

Cholesterol Cardiovascular Disease Atherosclerosis Myocardial Infarction 52

Dr. Smith's ECG Blog

MAY 6, 2019

Only 5-18% of ED patients with chest pain have a myocardial infarction of any kind. This definition was changed following an expert consensus panel in 2013 — so that at the present time, all that is needed to diagnose Brugada Syndrome is a spontaneous or induced Brugada-1 ECG pattern, without need for additional criteria.

Chest Pain 52

Chest Pain STEMI Ischemia Myocardial Infarction 52

Dr. Smith's ECG Blog

OCTOBER 20, 2013

Door to balloon time (DBT) was 96 minutes for 7 patients with ST elevation myocardial infarctions (STEMI) who had CT prior to PCI vs. 75 minutes for 11 patients who did not have CT, p=0.058. This ECG is diagnostic of diffuse subendocardial ischemia. Conclusions: Head CT is common in NT-OHCA.

Cardiac Arrest 52

Cardiac Arrest STEMI Hemorrhage Hospital 52

Open Heart

APRIL 6, 2022

Background Poor adherence to guideline recommendations for anticoagulation in patients with acute myocardial infarction (MI) and atrial fibrillation (AF) is previously reported. of 78369) patients registered in the NORMI from 2013 through 2019. Results AF was observed in 8565 (10.9% 95% CI 0.7 95% CI 0.7 p<0.001).

Myocardial Infarction 52

Myocardial Infarction Atrial Fibrillation Heart Failure Stroke 52

Dr. Smith's ECG Blog

APRIL 13, 2025

Here it is annotated in red: Our extremely smart radiologist, Gopal Punjabi , assures me that this finding can only be due to myocardial infarction, not myocarditis. Myocardial Infarction with Non-Obstructive Coronary Arteries. The patient was found to have an embolic source. So this is "MINOCA".

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Chest Pain Embolism STEMI Plaque 75

Dr. Smith's ECG Blog

APRIL 9, 2025

REFERENCE Prevention of primary ventricular fibrillation in acute myocardial infarction with prophylactic lidocaine [link] Primary ventricular fibrillation (VF) during an acute myocardial infarction (AMI) occurs with a high incidence and mortality rate with or without thrombolysis.

Defibrillator 63

Defibrillator Cardiac Arrest Myocardial Infarction STEMI 63

Dr. Smith's ECG Blog

FEBRUARY 26, 2025

It could also, given a different clinical context be compatible with a subacute myocardial infarction complicated by post infarct regional pericarditis. Most common cause) 2 ) Post infarct regional pericarditis. Due to the atypical and vague symptoms, the myocardial infarct was not initially diagnosed.

Chest Pain 89

Chest Pain Pericarditis Myocardial Infarction Dementia 89

European Journal of Heart Failure

DECEMBER 19, 2024

Methods and results Out of 2739 native AS patients, who received TAVI at the University of Cologne Heart Center between March 2013 and June 2021, 114 patients displayed pLFLG AS and were included in this study.

Stenosis 40

Stenosis Aortic Pulmonary Aortic valve 40

Dr. Smith's ECG Blog

MARCH 8, 2025

The authors describe a case with some features in common with our patient -- a stressful event followed by a stress cardiomyopathy/acute myocardial infarction overlap syndrome. Acute myocardial infarction: an uncommon complication of takotsubo cardiomyopathy. Acute myocardial infarction triggered by emotional stress.

Cardiomyopathy 75

Cardiomyopathy Myocardial Infarction Defibrillator Bradycardia 75