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

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

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

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 Myocardial Infarction Ischemia 111

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 104

Heart Disease Coronary Artery Disease Heart Attack Heart attacks 104

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 attacks Heart Attack Cardiovascular Disease 105

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

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

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

Open Heart

MAY 23, 2022

Background The clinical significance of peak troponin levels following ST-elevation myocardial infarction (STEMI) has not been definitively established. Methods A single-centre retrospective observational study was conducted of all patients with STEMI between January 2015 and December 2017.

STEMI 52

STEMI Myocardial Infarction 52

Frontiers in Cardiovascular Medicine

FEBRUARY 27, 2024

Patients with a new or recurrent episode of ASCVD (angina, acute myocardial infarction, transient ischemic attack, stroke, or peripheral arterial disease) between 1-Jan-2017 and 31-Dec-2018 were included.

Cardiovascular Disease 45

Cardiovascular Disease Peripheral Arterial Disease Drug Costs Myocardial Infarction 45

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

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

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

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

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 Hypertension Diabetes Outcomes 40

Journal of the American Heart Association

DECEMBER 1, 2023

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

Coronary Artery Disease 40

Coronary Artery Disease Myocardial Infarction Angina Hospital 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).

Myocardial Infarction 40

Myocardial Infarction STEMI Kidney Disease Thrombolysis 40

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 106

STEMI Document Blog Ischemia 106

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 Efficacy and Safety of Low-Dose Colchicine after Myocardial Infarction. 4 In the U.S. 12 Importantly, colchicine, 0.5 N Engl J Med.

Cardiovascular Disease 111

Cardiovascular Disease Heart attacks Heart Attack Coronary Artery Disease 111

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

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

OCTOBER 3, 2018

Details cannot be shared here, but suffice it to say that inability to recognize acute occlusive myocardial infarction in the presence of ventricular paced rhythm contributed to a poor outcome. Impact of total occlusion of culprit artery in acute non-ST elevation myocardial infarction: a systematic review and meta-analys is.

Chest Pain 52

Chest Pain Myocardial Infarction STEMI Ischemia 52

Dr. Anish Koka

JANUARY 18, 2023

Discovering discrepancies in a major published trial from the pharma-academic complex would be a boost to those seeking to force trial data to be public, and that is exactly what a group of investigators attempted to do with a major cholesterol lowering trial published in 2017. But first, some background. Cholesterol lowering is big business.

Document 52

Document Academic Heart attacks Heart Attack 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

Dr. Smith's ECG Blog

JULY 21, 2024

Troponin T peaked at 38,398 ng/L ( = a very large myocardial infarction, but not massive-- thanks to the pre-PCI spontaneous reperfusion, and rapid internvention!! ). Over the next couple of days the patient was weaned off of mechanical circulatory support. Inotropic medication was continued.

Arrhythmia 122

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 122

EMS 12-Lead

JUNE 1, 2022

Detailed Considerations LBBB and Myocardial Infarction In the emergent setting it’s important to assess LBBB through the lens of the Smith-modified Sgarbossa criteria, especially in a context that is clinically consistent with Acute Coronary Syndrome. He received a permanent pacemaker during the subsequent inpatient stay. 4] Dodd, K.

Heart Failure 52

Heart Failure Myocardial Infarction Bradycardia Chest Pain 52

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

Cardiometabolic Health Congress

JULY 25, 2023

17] Glycemic improvement alone, however, has not been associated with improved risk of macrovascular diabetes complications, such as myocardial infarction, stroke and heart failure. 2017): 266 – 279. 2017): 451-463. 2017): 644-657. Carbone, Salvatore, Carl J. Lavie, and Ross Arena. Mayo Clinic Proceedings 92.2

Obesity 52

Obesity BMI Heart Failure Cardiovascular Disease 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

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] Wolters-Kluwer: Philadelphia, PA. [2]

Tachycardia 52

Tachycardia AFIB Coronary Artery Bypass Graft Arrhythmia 52

Dr. Smith's ECG Blog

JANUARY 21, 2023

Clinical questions : Is this an occlusion myocardial infarction and does the patient need the cath lab? CMAJ 2017 Vassallo SU, Delaney KA, Hoffman RS, et al. 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

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

Heart BMJ

JULY 25, 2024

Methods All first visits to seven emergency departments (ED)s in Sweden were included from 9 December 2010 to 31 August, 2017 by patients presenting with chest pain and at least one hs-cTnT measured. Patients with myocardial injury (any hs-cTnT >14 ng/L), including patients with myocardial infarction (MI) were excluded.

Chest Pain 52

Chest Pain Myocardial Infarction Heart Failure Stroke 52