Dr. Paddy Barrett

SEPTEMBER 28, 2024

Almost every patient we saw had advanced obstructive coronary artery disease. For many of these patients (but not all), their coronary artery disease was avoidable. In late 2017, I set up my own preventive cardiology practice to implement everything I had learned. But I was in the wrong place.

Coronary Artery Disease 96

Coronary Artery Disease Heart Disease Interventional Cardiology Download 96

Journal of the American Heart Association

DECEMBER 1, 2023

BackgroundCoronary computed tomography angiography is increasingly used as the first‐line test for suspected coronary artery disease. Journal of the American Heart Association, Volume 12, Issue 23 , December 5, 2023. PTP was calculated according to the 2013 and 2019 ESC guidelines.

Coronary Artery Disease 40

Coronary Artery Disease Myocardial Infarction Angina Hospital 40

Dr. Paddy Barrett

JANUARY 23, 2024

By age 66, more than half of all females will have evidence of advanced plaque in their coronary arteries, as seen on a CT calcium score. Subscribe now But are there groups who buck this trend and rarely develop coronary artery disease and, by extension, do not die from it early in life? The answer is yes.

Heart Disease 105

Heart Disease Blood Pressure Dementia Atherosclerosis 105

DAIC

JANUARY 15, 2024

FDA Breakthrough Device Designation recognizes novel innovations that demonstrate the potential to provide more effective treatment or diagnosis for life-threatening or irreversibly debilitating diseases. For more information: [link] References: 1 Maurer M, Elliott P, Comenzo R, et al. Circulation. 135(14):1357-1377. 2 Siddiqi O.,

Ultrasound 119

Ultrasound Coronary Artery Disease Innovation Heart Failure 119

Frontiers in Cardiovascular Medicine

JANUARY 23, 2024

Results Out of the total 776 KTR transplanted between 2017 and 2019, CAG was performed on 541 patients (69.7%), of whom 22.4% were found to have obstructive coronary artery disease (CAD). Asymptomatic obstructive CAD was observed in 70.2% of cases, CAG findings resulted in myocardial revascularization.

Transplant 64

Transplant Coronary Artery Disease Myocardial Infarction Cardiovascular Disease 64

Dr. Paddy Barrett

JUNE 21, 2024

If a parent or an uncle had coronary artery bypass surgery at age 50 and then died suddenly with a heart attack being shown at autopsy, then you can be pretty certain coronary artery disease was the cause. Most of the time, coronary artery disease will be the cause. 2017 Feb 14;69(6):692-711.

Heart Disease 87

Heart Disease Heart Attack Heart attacks Coronary Artery Disease 87

DAIC

JANUARY 23, 2024

Atherosclerotic cardiovascular disease (ASCVD), caused by plaque buildup in arterial walls, is one of the leading causes of disability and death worldwide.1,2 1,2 ASCVD causes or contributes to conditions that include coronary artery disease (CAD), cerebrovascular disease, and peripheral vascular disease (inclusive of aortic aneurysm).3

Cardiovascular Disease 111

Cardiovascular Disease Heart Attack Heart attacks Coronary Artery Disease 111

Circulation: Cardiovascular Interventions

MARCH 17, 2025

After adjustment, surgical ineligibility was associated with a significantly decreased time to mortality (time ratio, 0.801 [95% CI, 0.6620.970]) over a median 1045-day (interquartile range, 5831600) follow-up period, though not associated with composite MACE (time ratio, 0.859 [95% CI, 0.6851.078]).

Coronary Artery Disease 40

Coronary Artery Disease Outcomes Myocardial Infarction Cardiovascular Interventions 40

Stroke Journal

FEBRUARY 1, 2024

This study aims to assess whether certain comorbidities may increase risk for a future ischemic event.Methods:We retrospectively identified patients within the Southern California KP region using ICD 9 and ICD-10 codes who had a diagnosis of TGA from 2012-2017. Patients with prior history of stroke or TIA were excluded.

Stroke 40

Stroke Strokes Coronary Artery Disease Risk Factors 40

All About Cardiovascular System and Disorders

OCTOBER 5, 2023

As Gardner-Skinner Protocol is more popular in the evaluation of peripheral arterial disease, in addition to the routine monitoring like ECG, heart rate and blood pressure, foot transcutaneous oxygen tension (SPO2), ankle systolic pressure and ankle/brachial systolic pressure ratio (ABI) are also checked [1]. 2017 Oct;32(10):1186-1194.

Peripheral Arterial Disease 52

Peripheral Arterial Disease Cardiac Rehabilitation Coronary Artery Disease Blood Pressure 52

Hypertension Journal

DECEMBER 11, 2023

This study investigated the long-term risk of cardiovascular disease events in individuals with home SBP <125 versus 125 to <135 or ≥135 mm Hg who participated in the J-HOP study (Japan Morning Surge-Home Blood Pressure).METHODS:The

Blood Pressure 40

Blood Pressure Coronary Artery Disease Cardiovascular Disease Heart Failure 40

Frontiers in Cardiovascular Medicine

JANUARY 9, 2025

BackgroundThe prognostic value of triglyceride-glucose (TyG) has been well described in patients with coronary artery disease (CAD). Hyperhomocysteinemia (HHcy) promotes insulin resistance and has also been regarded as a potential risk factor for cardiovascular disease.

Coronary Artery Disease 40

Coronary Artery Disease Myocardial Infarction Risk Factors Cardiovascular Disease 40

Stroke Journal

FEBRUARY 1, 2024

Background:Lipoprotein a (Lp(a)) is known to be associated with coronary artery disease and carotid artery atherosclerosis. Stroke, Volume 55, Issue Suppl_1 , Page ATP226-ATP226, February 1, 2024. Lp(a) levels were categorized into two groups: below 50 mg/dl and 50 mg/dl or higher.

Plaque 40

Plaque Coronary Artery Disease Ultrasound Atherosclerosis 40

Dr. Paddy Barrett

OCTOBER 31, 2023

An elevated Lp(a) is a common genetic factor that is independently and causally related to premature coronary artery disease. The occurrence of disease in this instance is probabilistic, not deterministic. An elevated Lp(a) does increase the risk of early cardiovascular disease, but that risk is not set in stone.

Coronary Artery Disease 52

Coronary Artery Disease Heart Disease Atherosclerosis Cardiovascular Disease 52

Dr. Smith's ECG Blog

OCTOBER 12, 2024

Preliminary findings documented in the cath lab were “Anterior STEMI and no significant coronary artery disease.” (!!!) 2017 Sep-Oct;50(5):561-569. Epub 2017 Apr 19. Following PCI, the patient ruled out by troponins : troponin increased to 0.08 ng/mL and 0.10 ng/mL before returning to 0.05 J Electrocardiol.

STEMI 116

STEMI Document Blog Ischemia 116

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). 5.21, P < 0.001; HR 1.67, 95% CI 1.02-2.73, 2.06, P = 0.60) (Figure). 1.58, P = 0.42).Conclusion:This

Myocardial Infarction 40

Myocardial Infarction Inpatient Stroke Strokes 40

The British Journal of Cardiology

APRIL 16, 2024

µg/m³ in 2017, 12.0 concentrations of about 14 µg/m³ in 2017, 14.4 Despite efforts to stimulate economic growth, the rise in urbanisation can pose risks to air quality. In London, mean PM 2.5 concentrations stood at approximately 12.7 µg/m³ in 2018, and 11.4 µg/m³ in 2019. 5 Conversely, Valletta, Malta’s capital, recorded mean PM 2.5

Cardiovascular Disease 40

Cardiovascular Disease Public Health Diet Risk Factors 40

Cardiology Update

FEBRUARY 14, 2024

In the early years of percutaneous coronary intervention (PCI), studies indicated a heightened risk of major adverse cardiac events (MACE) in patients with reduced left ventricular ejection fraction (LVEF), involving outcomes such as death, Q-wave myocardial infarction (MI), stent thrombosis, and repeat revascularization.

Myocardial Infarction 52

Myocardial Infarction Coronary Artery Disease Thrombosis Research 52

Dr. Paddy Barrett

AUGUST 22, 2023

Subscribe now APOE4 & Cardiovascular Risk We now know that carriers of APOE4 typically have higher circulating APOB levels, but the question is how much this influences the risk of cardiovascular disease. The association of apolipoprotein-E ( APOE ) gene polymorphisms with coronary artery disease: a systematic review and meta-analysis.

Cholesterol 52

Cholesterol Dementia Coronary Artery Disease Cardiovascular Disease 52

Dr. Paddy Barrett

DECEMBER 5, 2023

The logic of stenting obstructed coronary arteries is simple. The artery is blocked. A stent unblocks the artery. Subscribe now Stenting stable coronary artery disease has not been convincingly proven to reduce the risk of future heart attacks or death 1. All is fixed. If only it were that simple.

Stents 59

Stents Stent Angina Heart Attack 59

Dr. Smith's ECG Blog

JULY 21, 2024

Studies of patients with coronary artery disease who developed arrhythmic storm with episodes of PMVT following MI — show arrhythmias indistinguishable from those reported in this case. Procainamide, like Quinidine is a Type 1A antiarrhythmic.

Arrhythmia 131

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 131

Dr. Smith's ECG Blog

SEPTEMBER 16, 2024

A coronary angiogram was done that did not show significant coronary artery disease. Most Torsades is the result of a pause-dependent effect that predisposes to development of the malignant arrhythmia ( Dohadwala et al — Heart Rhythm Case Rep 3(2):115-119, 2017 ). Post ROSC the patient was alert and cooperative.

Cardiac Arrest 68

Cardiac Arrest Cardiomyopathy Arrhythmia Atrial Fibrillation 68

Cardiometabolic Health Congress

JULY 25, 2023

2017): 266 – 279. Association of bodyweight with total mortality and with cardiovascular events in coronary artery disease: a systematic review of cohort studies.” 2017): 451-463. 2017): 644-657. ” Vascular Health and Risk Management 15 (2019): 89 – 100. Carbone, Salvatore, Carl J. Horwich, Tamara B.,

Obesity 52

Obesity BMI Heart Failure Cardiovascular Disease 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] 2] Viskin, S., 3] Murphy, M.

Tachycardia 52

Tachycardia AFIB Arrhythmia Coronary Artery Bypass Graft 52

Circulation

NOVEMBER 11, 2024

Studies have shown that an increased left ventricular end-diastolic diameter (LVEDD) is associated with worse outcomes in various cardiovascular conditions, including heart failure, and coronary artery disease (CAD).

Atrial Fibrillation 40

Atrial Fibrillation Coronary Artery Bypass Graft Coronary Artery Disease Myocardial Infarction 40

Coronary Artery Disease Journal

JUNE 2, 2024

Aim The aim of this study was to determine the best clinical predictors of acute heart failure needing mechanical ventilation (MV) in the first 48 h of evolution of patients admitted because of acute coronary syndrome (ACS). Methods We analyzed a cohort of patients admitted for ACS between February 2017 and February 2018.

Heart Failure 40

Heart Failure Pulmonary Ultrasound Myocardial Infarction 40

Open Heart

JANUARY 11, 2025

Methods Data were extracted from the Nationwide Readmissions Database from 2012 to 2017. Coronary artery disease was the most significant predictor of readmission in patients with diabetes. We aimed to examine the impact of diabetes on 30-day mortality, 30-day readmission and compare outcomes between TAVR and sAVR.

Aortic valve 52

Aortic valve TAVR Aortic Diabetes 52