Dr. Smith's ECG Blog

JUNE 23, 2024

Given the presentation, the cardiologist stented the vessel and the patient returned to the ICU for ongoing critical care. 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.

Chest Pain 118

Chest Pain Cardiac Arrest Sudden Cardiac Death Blog 118

Journal of the American Heart Association

DECEMBER 1, 2023

Recently, the ductus arteriosus stent (DAS) has become a viable alternative.Methods and ResultsThis was a retrospective multicenter study of neonates ≤30 days undergoing DAS or Blalock‐Taussig‐Thomas shunt placement between January 1, 2017 and December 31, 2020 at hospitals reporting to the Pediatric Health Information Systems database.

Pediatrics 40

Pediatrics Stents Stent Pulmonary 40

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

Dr. S. Venkatesan MD

JUNE 26, 2024

Agarwal ,et al Radiographics 2017 ) Left main Atresia: Is it a sub-set of the anomalous origin of LCA from the right sinus ? Final message Coronary arterial anomaly is a less discussed topic nowadays, unless & until, it intrudes an interventional cardiologist in his daily routine life, of delivering stents. Annu Rev Physiol.

Coronary Angiogram 52

Coronary Angiogram Cardiothoracic Anatomy Atherosclerosis 52

DAIC

FEBRUARY 24, 2025

As a result, healthcare faces rising expenses from frequent emergency room visits, lengthy hospital stays, costly procedures like stent placements and bypass surgeries, as well as the long-term management of chronic conditions like heart failure (HF). since March 2017.He Stuart LongStuart Long has been the CEO of infobionic.ai

Hospital 52

Hospital Cardiovascular Disease Heart Failure Heart Attack 52

Stroke: Vascular and Interventional Neurology

JANUARY 4, 2024

Endovascular devices have catalyzed a global industry for advanced technologies such as flow diverters and stent retrievers. Stroke: Vascular and Interventional Neurology, Ahead of Print.

Stents 40

Stents Stent Article Technology 40

Circulation

NOVEMBER 11, 2024

Optimal management is controversial, with options including medical therapy (MT), endovascular stenting (ES), and surgical revascularization (SR). Propensity scores adjusted for baseline differences.

Stenosis 40

Stenosis Inpatient Stents Stent 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. Anish Koka

JULY 23, 2023

Jeffery Dormu was a double board certified vascular surgeon who was paid $13 million dollars by Medicare alone between 2013 and 2017. He is again sent to Dr. Dormu, who on the same day, performs another angiogram which revealed an in-stent restenosis of the superficial femoral artery stent and a 60% stenosis of the tibioperoneal trunk.

Vascular Care 52

Vascular Care Outpatient Peripheral Arterial Disease Stents 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Clinical outcome was treatment‐related visual complications.ResultsA total of 60 patients treated at our tertiary center between January 2017 and November 2019 were reviewed. Imaging outcomes were aneurysm occlusion and OA patency at 1‐year, determined by Digital Subtraction Angiography (DSA) or MRA. 4 patients were lost to follow up.

Aneurysm 40

Aneurysm Outcomes Embolism Stents 40

Dr. Smith's ECG Blog

JUNE 12, 2017

He was found to have a 100% circumflex lesion for which a bare metal stent was placed. January 2017. It is not subtle any more. Interventional cardiology was consulted and patient was taken to the cath lab. Imagine if this patient had been at a busy triage and they trusted the computer interpretation.

Chest Pain 52

Chest Pain STEMI Myocardial Infarction Electrocardiogram 52

EMS 12-Lead

JUNE 20, 2022

He was rushed to the Cath Lab where an LAD culprit lesion was stented. Here is the LAD after stent placement. This is to suggest improved TIMI flow – most likely a combination of the ASA administration in tandem with the body’s own natural tPA – yet the ECG still retains signatures of an active thrombus. 2] Driver, B.

STEMI 52

STEMI Stents Stent Myocardial Infarction 52

EMS 12-Lead

APRIL 14, 2022

Troponin I returned 80 ng/mL, and the Cath Lab was then reactivated where a 100% LAD occlusion was found and stented. The nearest PCI center was activated but ultimately denied by Cardiology. link] [1] Zachary et al. Utility of the history and physical examination in the detection of Acute Coronary Syndromes in emergency department patients.

ACE Inhibitor 52

ACE Inhibitor Physiology Chest Pain Academic 52

EMS 12-Lead

MAY 20, 2022

A mid-LAD culprit lesion was identified and stented. Cardiology felt her chest pain to be, most likely, the result of coronary supply-demand mismatch in the context of HCM endothelial remodeling (i.e. Type II MI), however decided to pursue coronary angiogram out of an abundance of caution. & Desai, M. Wolters-Kluwer: Philadelphia, PA.

Cardiomyopathy 52

Cardiomyopathy Ischemia STEMI Coronary Angiogram 52

Dr. Smith's ECG Blog

FEBRUARY 5, 2019

distal stent patent. BMJ 2017;359:j4788 doi: 10.1136/bmj.j4788 (Published 2017 November 07) Full text link: [link] Abstract Objective To evaluate how selection of patients for high sensitivity cardiac troponin testing affects the diagnosis of myocardial infarction across different healthcare settings. The cath lab was activated.

Myocardial Infarction 52

Myocardial Infarction Chest Pain Cardiogenic Shock STEMI 52

Dr. Smith's ECG Blog

MAY 11, 2019

Here is the post stent ECG: This is probably the amount of ST elevation (zero) that this patient has at baseline. This was recorded at the Controversies and Consensus Lecture I gave in Northampton MA in September 2017. At angiogram with a rapid door to balloon time: Culprit is 100% occlusion of the LAD Mid segment.

Chest Pain 52

Chest Pain STEMI Stents Stent 52

Dr. Anish Koka

JULY 15, 2023

Heartflow is a California based company that claims to be able to identify heart vessels leading to a lack of blood to the heart muscle that need coronary stents to fix. Does Brad need a Heartflow scan?

Plaque 52

Plaque Heart Disease Outcomes Heart Attack 52

Dr. Smith's ECG Blog

FEBRUARY 10, 2022

Delayed angiogram found a 95% mid RCA occlusion that was stented. Eur Heart J 2017 Driver BE, Shroff GR, Smith SW. Notice also that there is new T-wave inversion in III with upright T-wave in aVL, confirming inferior infarction. And notice that the T-waves in V4-V6 are now back down to normal size and "bulk."

STEMI 40

STEMI Myocardial Infarction Chest Pain Angina 40

Dr. Smith's ECG Blog

NOVEMBER 3, 2017

J Electrocardiology 50(5):561-569; September/October 2017. After many hours, the decided that it was appropriate to do an angiogram and they found a distal LAD occlusion which was opened and stented. It was stented. Go here to find excel applets. you enter the [link] The closer the formula value is to the cutpoint of 18.2,

Chest Pain 52

Chest Pain STEMI Bradycardia Stenosis 52

Dr. Smith's ECG Blog

OCTOBER 23, 2022

It was stented. These are DIAGNOSTIC of LAD OCCLUSION. == == MY Comment by K EN G RAUER, MD ( 10/23/2020 ): == There are a number of important lessons worthy of repeating from today's repost of our case from March 28, 2017. Regional wall motion abnormality-distal septum and apex. Learning Points : 1. Use the 4-variable formula!!

STEMI 40

STEMI Chest Pain Hospital Risk Factors 40

Stroke Journal

JANUARY 30, 2025

Object:The introduction of antiplatelet agents is essential in stent-assisted coil embolization (SACE) for the treatment of intracranial aneurysms, and preoperative drug efficacy assessment is important in reducing the risk of ischemic complications. Stroke, Volume 56, Issue Suppl_1 , Page ADP37-ADP37, February 1, 2025.

Aneurysm 40

Aneurysm Stents Stent Embolism 40

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Hunter Mehaffey Aortic Annular Enlargement in the Elderly: Short and Long-Term Outcomes in the United States The Annals of Thoracic Surgery January 2021 Shinichi Fukuhara Surgical Explant of Transcatheter Aortic Bioprosthesis: Results and Clinical Implications from The Society of Thoracic Surgeons Adult Cardiac Database Analysis Circulation December (..)

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Hunter Mehaffey 1 Aortic Annular Enlargement in the Elderly: Short and Long-Term Outcomes in the United States The Annals of Thoracic Surgery January 2021 Shinichi Fukuhara 2 Surgical Explant of Transcatheter Aortic Bioprosthesis: Results and Clinical Implications from The Society of Thoracic Surgeons Adult Cardiac Database Analysis Circulation December (..)

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Dr. Smith's ECG Blog

AUGUST 10, 2023

After the episode of VT and the troponin results the patient was taken to the cath lab: complete occlusion of the RCA with TIMI 0 flow, which was stented. The initial troponin was 5300 ng/L (normal < 17), which corresponded to the symptoms and confirmed subacute occlusion. He also had 70% lesion of his LAD. Peak troponin was 16,500 ng/L.

Chest Pain 98

Chest Pain STEMI Ischemia Nursing 98

Dr. Smith's ECG Blog

MARCH 25, 2025

A 2017 trial named CULPRIT SHOCK found that in patients with cardiogenic shock, a strategy of culprit vessel PCI only was associated with better outcomes than immediate multivessel PCI. In fact, in this elegant study by Heitner et al.

Chest Pain 63

Chest Pain Ischemia Plaque Stents 63