Dr. Smith's ECG Blog

JUNE 23, 2024

This is a critically important determination because of the 2017 AHA/ACC/HRS Guidelines for Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death. Frick's presentation in today's case is its simplicity in conveying a critically important finding affecting the outcome of this patient.

Chest Pain 118

Chest Pain Cardiac Arrest Sudden Cardiac Death Blog 118

Dr. Smith's ECG Blog

OCTOBER 23, 2023

Edited by Bracey, Meyers, Grauer, and Smith A 50-something-year-old female with a history of an unknown personality disorder and alcohol use disorder arrived via EMS following cardiac arrest with return of spontaneous circulation. 2017 Oct 1;177(10):1520-1522. The described rhythm was an irregular, wide complex rhythm.

Tachycardia 131

Tachycardia Cardiac Arrest ICU Blog 131

Circulation: Cardiovascular Quality & Outcomes

JANUARY 5, 2024

Admissions to CICUs with the highest tertile of CCRx utilization had a greater burden of comorbidities, had more diagnoses of ST–elevation myocardial infarction, cardiac arrest, or cardiogenic shock, and had higher Sequential Organ Failure Assessment scores. CCRx was provided to 62.2% (interhospital range of 21.3%–87.1%)

Critical Care 40

Critical Care Cardiogenic Shock Academic Cardiac Arrest 40

Circulation

NOVEMBER 11, 2024

NH Black, NH White, and Hispanic men had a significant increase in AAMR from 2017 (APC 4.9), 2016 (APC 5.1), and 2018 (APC 7.0) Ischemic heart disease (AAMR 2.0), hypertensive disease (AAMR 1.7), and cardiac arrest (AAMR 1.4) 17.9]) and NH American Indian or Alaska Native men (1999-2022, APC (-0.6 [-1.6, 100000 people).

Cancer 40

Cancer Cardiovascular Disease Cardiac Arrest Heart Disease 40

Dr. Smith's ECG Blog

JULY 21, 2024

In this study — Procainamide was superior to Amiodarone for terminating monomorphic VT, as well as having fewer adverse effects than Amiodarone ( Ortiz et al — Eur Heart J 1;38 (17): 1329-1335, 2017 ). Procainamide, like Quinidine is a Type 1A antiarrhythmic.

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Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 131

Dr. Smith's ECG Blog

JULY 22, 2023

For now, the 2017 AHA/ACC/HRS guidelines for asymptomatic patients that have inducible types of Brugada syndrome recommend observation without any specific therapies or interventions [8]. 2017 AHA/ACC/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death.

Chest Pain 92

Chest Pain Heart Rhythm Sudden Cardiac Death Dysrhythmia 92

Dr. Smith's ECG Blog

JANUARY 30, 2019

For now, the 2017 AHA/ACC/HRS guidelines for asymptomatic patients that have inducible types of Brugada syndrome recommend observation without any specific therapies or interventions [8]. 2017 AHA/ACC/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death.

Heart Rhythm 52

Heart Rhythm Sudden Cardiac Death Arrhythmia STEMI 52

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

Cardiovascular Disease 111

Cardiovascular Disease Heart Attack Heart attacks Coronary Artery Disease 111

All About Cardiovascular System and Disorders

OCTOBER 26, 2023

2017 Mar;110(3):188-195. Spontaneous type 1 ECG has the highest number of points at 3.5, while fever-induced type 1 ECG has 3 points. Type 2/3 ECG which gets converted to type 1 pattern with sodium channel blockers have 2 points. J Cardiovasc Electrophysiol. 2020 Sep;31(9):2474-2483. Gourraud JB, Barc J, Thollet A, Le Marec H, Probst V.

Sudden Cardiac Death 52

Sudden Cardiac Death Atrial Fibrillation Electrophysiology Arrhythmia 52

Dr. Smith's ECG Blog

JULY 27, 2023

While hypertension and sinus tachycardia are the most common manifestations — a variety of other tachyarrhythmias ( including VT leading to cardiac arrest ) and acute MI may be seen.

Tachycardia 52

Tachycardia Ischemia Cardiac Arrest Echocardiogram 52

Dr. Smith's ECG Blog

NOVEMBER 28, 2022

Cardiac Tamponade. 2017 Nov;35(4):525-537. American Society of Echocardiography clinical recommendations for multimodality cardiovascular imaging of patients with pericardial disease: endorsed by the Society for Cardiovascular Magnetic Resonance and Society of Cardiovascular Computed Tomography. J Am Soc Echocardiogr. 2013.06.023.

Tachycardia 40

Tachycardia Pericarditis Ultrasound Blood Pressure 40

Dr. Smith's ECG Blog

NOVEMBER 24, 2017

However, according to these diagnostic criteria (JACC 2011; 57(7):802), it is a Bazett corrected QT of less than 330-370, depending on other diagnostic criteria, including 1) h/o cardiac arrest, 2) sudden syncope, 3) family hx of sudden unexplained arrest at age less than 40, 4) family hx of SQTS. Some other points: 1.

Bradycardia 52

Bradycardia Article Atrial Fibrillation Chest Pain 52

Journal of the American Heart Association

FEBRUARY 27, 2024

BackgroundOut‐of‐hospital cardiac arrest survival rates have improved over time. Sex differences in temporal trends were evaluated with age‐adjusted Poisson regression analysis, including interaction for sex and out‐of‐hospital cardiac arrest year. Journal of the American Heart Association, Ahead of Print.

Cardiac Arrest 45

Cardiac Arrest Hospital Outcomes 45

Open Heart

DECEMBER 14, 2023

Our institute modified the target temperature to 35°C in 2017. Methods This single-centre, retrospective, observational study included adult out-of-hospital cardiac arrest patients who underwent TTM between April 2013 and October 2019.

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Cardiac Arrest Outcomes Hospital 52

Dr. Smith's ECG Blog

DECEMBER 5, 2019

Further history later: This patient personally has no further high risk features (syncope / presyncope), but her mother had sudden cardiac arrest in sleep. This is based on the Sieira et al, 2017, risk calculator , which gives a borderline risk score (2).

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Sudden Cardiac Death Heart Rhythm Article Tachycardia 52

Dr. Smith's ECG Blog

JANUARY 21, 2023

CMAJ 2017 Vassallo SU, Delaney KA, Hoffman RS, et al. The final letter in the SLOWED mnemonic is " D " for "Dead" ( resulting from VT/VF or asystolic cardiac arrest ). Indian Pacing Electrophysiol J 2004 Antzelevitch C, Yan G. J wave syndromes. Heart Rhythm 2010 Hudzik B, Gasior M. J-waves in hypothermia.

STEMI 52

STEMI Bradycardia Arrhythmia Cardiac Arrest 52

Dr. Smith's ECG Blog

FEBRUARY 20, 2025

The patient was unconscious BEFORE the cardiac arrest, at the same time that she had strong pulses. Therefore, cardiac arrest is NOT the etiology of the coma. More cases here to highlight: [link] Middle Aged Woman with Asystolic Cardiac Arrest, Resuscitated: Cath Lab? OMI is a clinical diagnosis.

STEMI 89

STEMI Hemorrhage Cardiac Arrest Tachycardia 89

Dr. Smith's ECG Blog

FEBRUARY 10, 2025

2] Curiously, ACLS does not include consideration of calcium in its bradycardia algorithm, which could have prevented the arrest and which along with the epi produced ROSC. HyperKalemia with Cardiac Arrest. West J Emerg Med 2017. regardless of the ECG (when the repeat level came back).[1] References 1. Durfey et al.

Bradycardia 118

Bradycardia Cardiac Arrest Hypertension ICU 118