2017 Angina Ischemia 
Dr. Paddy Barrett
DECEMBER 5, 2023
Whether stenting a narrowed coronary artery improves symptoms such as chest pain (angina) or shortness of breath is a very different question. Share Angina The classic definition of angina involves the sensation of tightness in the centre of the chest that is brought on with exertion and is relieved with rest. The result?
DAIC
JANUARY 23, 2024
12,16 In 2017, CANTOS (Canakinumab Anti-inflammatory Thrombosis Outcomes Study) provided proof-of-principle that inflammation inhibition in the absence of lipid lowering can significantly reduce cardiovascular event rates and helped to define the interleukin-1 (IL-1) to IL-6 to CRP pathway as a central target in CV disease.16
Dr. Smith's ECG Blog
FEBRUARY 10, 2022
Ischemic ST-segment depression maximal in V1-V4 (versus V5-V6) of any amplitude is specific for Occlusion Myocardial Infarction (versus nonocclusive ischemia). Eur Heart J 2017 Driver BE, Shroff GR, Smith SW. JAHA 2022 Grosmaitre P et al. Arch Cardiovasc Dis 2013 Khan AR et al. Emerg Med J 2017;34(2):119–23.
Dr. Smith's ECG Blog
MARCH 25, 2025
There is low voltage in the precordium which always makes reading ischemia harder. In ACS, chest pain is the warning sign of ongoing ischemia. Smith : As Willy says, and as we've said many times before, morphine will resolve pain without resolving ischemia. ECG 1 What do you think? To me, this ECG is not diagnostic.
Dr. Smith's ECG Blog
FEBRUARY 26, 2025
Denying patients the potential benefit of revascularization just because their symptoms have lasted a certain amount of time shows poor understanding of the pathophysiology of myocardial ischemia. There were no other causes of dyspnea apparent and thus we can assume that myocardial ischemia started 6 days prior.
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