Circulation: Cardiovascular Quality & Outcomes

JANUARY 19, 2024

Background:Type 2 myocardial infarction (T2MI) and type 1 myocardial infarction (T1MI) differ with respect to demographics, comorbidities, treatments, and clinical outcomes. This could facilitate more accurate longitudinal assessments of acute myocardial infarction quality and outcomes. T1MI and 53.5%

Myocardial Infarction 40

Myocardial Infarction COVID-19 Medicare Hospital 40

Circulation

NOVEMBER 13, 2024

This update summarizes relevant clinical data published since the 2017 American Heart Association scientific statement on KD related to diagnosis, cardiac imaging in acute KD treatment, and long-term management. Recent data have advanced the understanding of safety and dosing for several anti-inflammatory therapies in KD.

Aneurysm 81

Aneurysm Myocardial Infarction Cardiovascular Imaging Ischemia 81

Circulation

FEBRUARY 23, 2025

Circulation, Volume 151, Issue 8 , Page e681-e681, February 25, 2025.

Myocardial Infarction 45

Myocardial Infarction Circulation Strokes Stroke 45

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 40

Myocardial Infarction Inpatient Stroke Strokes 40

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% Conclusion Asymptomatic CVD is largely prevalent in KTR.

Transplant 64

Transplant Coronary Artery Disease Myocardial Infarction Cardiovascular Disease 64

Frontiers in Cardiovascular Medicine

JANUARY 7, 2024

There was a steady increase in the volume of redo sternotomy root replacements beyond 2006, from an annual volume of 22 procedures in 2006 to 106 procedures in 2017. 4.65, P  < 0.001), recent myocardial infarction (OR: 6.42, CI: 2.24–18.41, Age >59 (OR: 2.99, CI: 1.92–4.65, Emergency surgery (OR: 3.95, 2.27–6.86,

Coronary Artery Bypass Graft 69

Coronary Artery Bypass Graft Aortic Hospital Outcomes 69

Journal of the American Heart Association

DECEMBER 29, 2023

We compared the risk of adverse events between hypertensive patients using valsartan and a propensity score–matched group using nonrecalled angiotensin receptor blockers and angiotensin‐converting enzyme inhibitors.Methods and ResultsWe used Optum's deidentified Clinformatics Datamart (July 2017–January 2019).

Hypertension 45

Hypertension Myocardial Infarction Hospital Heart Failure 45

Dr. Smith's ECG Blog

OCTOBER 12, 2024

2017 Sep-Oct;50(5):561-569. Epub 2017 Apr 19. Terminal QRS distortion is present in anterior myocardial infarction but absent in early repolarization. J Electrocardiol. doi: 10.1016/j.jelectrocard.2017.04.005. 2017.04.005. PMID: 28460689. Lee DH, Walsh B, Smith SW. Am J Emerg Med. 2016 Nov;34(11):2182-2185.

STEMI 115

STEMI Document Blog Ischemia 115

Open Heart

APRIL 6, 2023

Methods We conducted a cross-sectional study of 8497 AI/ANs using 2017 Behavioural Risk Factor Surveillance Survey data. Coronary heart disease, myocardial infarction and stroke were defined as CVD outcomes. Individual LS7 factors were summarised as ideal and poor levels. Healthcare access measures represented SDH.

Myocardial Infarction 40

Myocardial Infarction Diabetes Hypertension Outcomes 40

Circulation

NOVEMBER 11, 2024

Methods:STEMI patients who underwent coronary revascularization therapy and cardiac magnetic resonance (CMR) at about 4 days and 6 months between 2017 and 2023 were included. The patients were divided into groups (Group 1, FSF (-) during procedures with final TIMI-3; Group 2, FSF (+) with TIMI-3; Group 3, final angiogram was non-TIMI-3).

STEMI 40

STEMI Myocardial Infarction Kidney Disease Thrombolysis 40

Coronary Artery Disease Journal

JUNE 2, 2024

Methods We analyzed a cohort of patients admitted for ACS between February 2017 and February 2018. 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).

Heart Failure 40

Heart Failure Pulmonary Ultrasound Myocardial Infarction 40

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

Stroke Journal

JANUARY 30, 2025

The purpose of this study is to analyze 30-day readmission rates in elective and nonelective CAS and CEA procedures.Methodology:The 2017 National Readmission Database is queried for hospital admissions for CAS and CEA procedures. Hospital readmission rates can help identify the optimal strategy to minimize post-procedural complications.

Stents 40

Stents Stent Lipid disorders Heart Failure 40

Dr. Smith's ECG Blog

JUNE 12, 2017

January 2017. The Comparison of Physician to Computer Interpreted Electrocardiograms on ST-elevation Myocardial Infarction Door-to-balloon Times. Laurence Katz and Jonathan Jones Safety of Computer Interpretation of Normal Triage Electrocardiograms (pages 120–124). Academic Emergency Medicine 24(1):120-124.

Chest Pain 52

Chest Pain STEMI Myocardial Infarction Electrocardiogram 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’). Impact of total occluson of culprit artery in acute non-ST elevation myocardial infarction: a systemic review and meta-analysis.

STEMI 40

STEMI Myocardial Infarction Chest Pain Angina 40

EMS 12-Lead

JUNE 20, 2022

Electrocardiographic differentiation of early repolarization from subtle anterior ST-segment elevation myocardial infarction. References 1] Smith, S. Annals of Emergency Medicine, 60 (1), 45-56. 2] Driver, B.

STEMI 52

STEMI Stents Stent Myocardial Infarction 52

EMS 12-Lead

MAY 20, 2022

New insights into the use of the 12-lead electrocardiogram for diagnosing acute myocardial infarction in the emergency department. Paroxysmal atrioventricular block: Eletrophysiological mechanism of phase 4 conduction block in the His-Purkinje system: A comparison with phase 3 block. Pacing Clin Electrophysiol. 40; 1234-1241.

Cardiomyopathy 52

Cardiomyopathy Ischemia STEMI Coronary Angiogram 52

Dr. Smith's ECG Blog

OCTOBER 24, 2019

Many of these issues were described in a prior post by Dr. Angie Lobo ( @aloboMD ) (For open-access reviews of this literature, see Saw 2016 , Saw 2017 , or Hayes 2018.) Revascularization in Patients With Spontaneous Coronary Artery Dissection and ST-Segment Elevation Myocardial Infarction. References Lobo AS et al.

Chest Pain 52

Chest Pain SCAD STEMI Cardiogenic Shock 52

Dr. Paddy Barrett

FEBRUARY 14, 2025

This graph shows the absolute and relative risk reduction for statin therapy in preventing heart attacks (Myocardial Infarction), strokes and preventing death from any cause (All-cause mortality) 2. As you can see, statin therapy reduces the risk of heart attacks (myocardial infarction) by close to 30%. J Am Heart Assoc.

Cholesterol 114

Cholesterol Heart Disease Heart Attack Heart attacks 114

Frontiers in Cardiovascular Medicine

JANUARY 14, 2024

Background The objective of this study was to investigate the differences in presenting symptoms between patients with and without diabetes being diagnosed with an acute myocardial infarction (AMI). Methods A total of 5,900 patients with a first-time AMI were included into the analysis.

Myocardial Infarction 64

Myocardial Infarction Diabetes Chest Pain Risk Factors 64

Dr. Smith's ECG Blog

NOVEMBER 3, 2017

Electrocardiographic Differentiation of Early Repolarization FromSubtle Anterior ST-Segment Elevation Myocardial Infarction. J Electrocardiology 50(5):561-569; September/October 2017. Annals of Emergency Medicine 2012;60:45-56. Go here to find excel applets. the more accurate.

Chest Pain 52

Chest Pain STEMI Bradycardia Stenosis 52

Circulation

NOVEMBER 11, 2024

Introduction:Stroke and Myocardial Infarction (MI) are the leading causes of death in the United States. Circulation, Volume 150, Issue Suppl_1 , Page A4139285-A4139285, November 12, 2024. Awareness of symptoms is vital for early recognition and prompt treatment, which can significantly improve health outcomes.

Myocardial Infarction 40

Myocardial Infarction Stroke Strokes Public Health 40

Dr. Paddy Barrett

APRIL 5, 2024

2 Trends and Predictors of Participation in Cardiac Rehabilitation Following Acute Myocardial Infarction: Data From the Behavioral Risk Factor Surveillance System. 2017 Dec 29;7(1):e007664. 2017 May 4;376(18):1713-1722. 7 Secondary prevention following myocardial infarction: a clinical update. N Engl J Med.

Heart Disease 119

Heart Disease Coronary Artery Disease Heart Attack Heart attacks 119

DAIC

MAY 8, 2024

The 2017 ESC guidelines on the diagnosis and treatment of peripheral arterial diseases, in collaboration with the European Society for Vascular Surgery (ESVS).” 5 Revascularization to improve blood flow to the heart has been shown to reduce mortality in stable chest pain patients. Journal of Vascular Surgery, Mar. 2024, [link].

Coronary Artery Disease 111

Coronary Artery Disease Chest Pain Ischemia Myocardial Infarction 111

DAIC

JULY 18, 2024

Cardiovascular disease is the most common cause of death and disability globally, largely driven by myocardial infarction and ischemic stroke caused by atherosclerosis (plaque build-up in the arteries). 2017 23, April 2020; Available from: [link]. Cardiovasc. 6 (3) (2019).

Plaque 105

Plaque Heart Attack Heart attacks Cardiovascular Disease 105

Journal of the American Heart Association

FEBRUARY 26, 2025

ConclusionsARBBB is a predictor of inhospital SCD, CR, and 2year major adverse cardiovascular and cerebrovascular events in patients with firstepisode acute myocardial infarction undergoing percutaneous coronary intervention with a drugeluting stent.

Sudden Cardiac Death 40

Sudden Cardiac Death Myocardial Infarction Stents Stent 40

Circulation: Cardiovascular Imaging

MARCH 24, 2025

BACKGROUND:T2-weighted imaging is commonly used to measure myocardial salvage in reperfused myocardial infarction but is hindered by poor reproducibility and indistinct boundaries. The median MSI was 35.0% (interquartile range, 22.959.5%), with smaller MSI observed in patients with larger infarcts (P&lt;0.001).

Myocardial Infarction 40

Myocardial Infarction STEMI Thrombolysis Cardiovascular Imaging 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

Journal of the American Heart Association

JANUARY 9, 2024

BackgroundHeart failure is a common complication after myocardial infarction (MI) and is associated with increased mortality. Journal of the American Heart Association, Ahead of Print. Whether remote heart failure symptoms assessment after MI can improve risk stratification is unknown. A total of 1135 (aged 64±12 years, 26.7%

Myocardial Infarction 40

Myocardial Infarction Heart Failure Risk Factors Cardiomyopathy 40

DAIC

JUNE 19, 2024

Since 2017, a plethora of AI-based algorithms for interpreting ECGs have been approved by the FDA in the US, ranging from the detection and diagnosis of arrythmias, to more recent advances in the diagnoses of structural and ischemic diseases. Figure 1: The AI-ECG competitive vendor landscape New Horizons However, dramatic changes are afoot.

AFIB 105

AFIB Reimbursement Research Atrial Fibrillation 105

Dr. Smith's ECG Blog

FEBRUARY 5, 2019

LAD 80% mid LCx occluded mid (acute infarct lesion) RCA 80% mid. PCI mid LCx So this is an OMI (Occlusion Myocardial Infarction), but not a STEMI Echo: Decreased left ventricular systolic performance, mild/moderate. Cardiac Troponin Changes to Distinguish Type 1 and Type 2 Myocardial Infarction and 180-Day Mortality Risk.

Myocardial Infarction 52

Myocardial Infarction Chest Pain Cardiogenic Shock STEMI 52

Circulation: Cardiovascular Interventions

MARCH 17, 2025

The aim of this study was to describe and compare the clinical characteristics, institutional variation, and longitudinal outcomes of PCI among surgically eligible and ineligible patients in the Veterans Affairs Healthcare System.METHODS:Patients with left main and/or multivessel coronary artery disease undergoing index PCI between October 1, 2017 (..)

Coronary Artery Disease 40

Coronary Artery Disease Outcomes Myocardial Infarction Cardiovascular Interventions 40

Circulation

NOVEMBER 11, 2024

The value of the CHA2DS2-VASc score in predicting adverse outcomes during pregnancy was also assessed.Study Design:The National Inpatient Sample (NIS) database was queried to identify pregnancy-related hospitalizations from 2008 to 2017. per 10,000 in 2017 (Ptrend&lt; 0001). The incidence increased from 2.18

Atrial Fibrillation 40

Atrial Fibrillation Outcomes Myocardial Infarction Inpatient 40

Frontiers in Cardiovascular Medicine

JANUARY 9, 2025

However, the prognostic value of TyG in acute coronary syndrome (ACS) patients undergoing percutaneous coronary intervention (PCI) and the interaction between TyG and HHcy remain unclear.MethodsA total of 1,734 ACS patients undergoing PCI were continuously enrolled between June 2016 and November 2017 at Beijing Anzhen Hospital.

Coronary Artery Disease 40

Coronary Artery Disease Myocardial Infarction Risk Factors Cardiovascular Disease 40

Dr. Smith's ECG Blog

MARCH 10, 2017

Acad Emerg Med 2017; 24(1): 120 – 24. The Comparison of Physician to Computer Interpreted Electrocardiograms on ST-elevation Myocardial Infarction Door-to-balloon Times. Electrocardiographic diagnosis of ST segment elevation myocardial infarction: An evaluation of three automated interpretation algorithms 3.

STEMI 52

STEMI Chest Pain Myocardial Infarction Electrocardiogram 52

Dr. Smith's ECG Blog

JANUARY 17, 2024

J Electrocardiol 2017 2. Hyperacute T waves can be a useful sign of occlusion myocardial infarction if appropriately defined. Accuracy of OMI ECG findings versus STEMI criteria for diagnosis of acute coronary occlusion myocardial infarction. McLaren, Meyers, Smith and Chartier. Acad Emerg Med 2023 3. Smith, Meyers.

Chest Pain 118

Chest Pain STEMI Myocardial Infarction Blog 118

Heart BMJ

MAY 23, 2024

Background To determine if the European Society of Cardiology 0/1-hour (ESC 0/1-h) algorithm with high-sensitivity cardiac troponin T (hs-cTnT) meets the ≥99% negative predictive value (NPV) safety threshold for 30-day cardiac death or myocardial infarction (MI) in older, middle-aged and young subgroups.

Chest Pain 52

Chest Pain Myocardial Infarction Risk Factors 52