European Journal of Heart Failure

DECEMBER 13, 2023

Aims Few studies have reported data on the optimal timing of left ventricular (LV) unloading during venoarterial extracorporeal membrane oxygenation (VA-ECMO) for cardiac arrest or shock. This study evaluated the feasibility of an early LV unloading strategy compared with a conventional strategy in VA-ECMO.

Aortic valve 75

Aortic valve Cardiac Arrest Pulmonary Heart Transplant 75

Dr. Paddy Barrett

MAY 17, 2024

And pretty much every doctor can recall an event where a patient experienced a suddenly stressful event and had a cardiac event. That event might have been a heart rhythm issue or even a cardiac arrest. In the hours after the 911 attacks on the World Trade Centre in New York, the rates of cardiac arrest more than doubled.

Heart Disease 101

Heart Disease Heart attacks Heart Attack Risk Factors 101

Dr. Smith's ECG Blog

MAY 3, 2024

Some patients have baseline RBBB with LAFB, but in patients with likely ACS, these are associated with severe infarction with cardiac arrest, cardiogenic shock or impending shock. Suffice it to say that, "The heart does whatever it will do when a patient is about to arrest". RBBB + LAFB in the setting of ACS is very bad.

Cardiogenic Shock 127

Cardiogenic Shock Cardiac Arrest Hospital Ischemia 127

Dr. Smith's ECG Blog

OCTOBER 20, 2024

This patient is actively dying from a left main coronary artery OMI and cardiac arrest from VT/VF or PEA is imminent! Complete LMCA occlusion is associated with clinical shock and/or cardiac arrest. The arterial blood gas showed a lactic acidosis with a lactate level of 17mmol/L.

Cardiogenic Shock 128

Cardiogenic Shock Ischemia Chest Pain Cardiac Arrest 128

Circulation

NOVEMBER 11, 2024

AAMRs were stable in recent years for Non-Hispanic (NH) Asian or Pacific Islanders (2018-2020; APC (11.7 [-0.9, 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)

Cancer 40

Cancer Cardiovascular Disease Cardiac Arrest Heart Disease 40

Dr. Smith's ECG Blog

OCTOBER 9, 2018

October 2018. Given the dire consequences of missing a STEMI or OMI, including cardiac arrest (see cases below), $5700 is extremely cheap. It is easy to be led astray by the computer. -- My Comment by K EN G RAUER, MD ( 10/9/2018 ): -- I agree with Dr. Smith — This is a faulty study for many reasons.

Chest Pain 52

Chest Pain STEMI Cardiac Arrest Blog 52

Dr. Smith's ECG Blog

MAY 5, 2022

Steve, what do you think of this ECG in this Cardiac Arrest Patient?" A woman in her 50s with dyspnea and bradycardia A patient with cardiac arrest, ROSC, and right bundle branch block (RBBB). HyperKalemia with Cardiac Arrest. 72; Issue 9; 2018. Is this just right bundle branch block?

Chest Pain 52

Chest Pain Bradycardia Cardiac Arrest STEMI 52

Ken Grauer, MD

JUNE 6, 2023

Unfortunately — the patient abruptly developed hypoxemia, followed by cardiac arrest with PEA. It was thought that this action precipitated the patient's desaturation, and led to his cardiac arrest. The plan was to proceed as soon as possible with aortic valve replacement. He could not be resuscitated.

Blog 78

Blog Pulmonary Hypertension Aortic 78

All About Cardiovascular System and Disorders

OCTOBER 25, 2023

But the full cohort of the CABANA trial did not show a significant reduction in the primary composite end point of death, disabling stroke, serious bleeding or cardiac arrest [7]. 2018 Feb 1;378(5):417-427. EAST-AFNET 4 trial had 2789 patients with early atrial fibrillation and cardiovascular conditions [8]. N Engl J Med.

Atrial Fibrillation 52

Atrial Fibrillation Heart Failure Ablation Cardiac Arrest 52

Dr. Smith's ECG Blog

MAY 19, 2020

I suspect this is Type 2 MI due to prolonged severe hypotension from cardiac arrest. Shark Fin morphology has been discussed a number of times on Dr. Smith’s ECG Blog ( For review — See the June 11, 2018 post and the January 24, 2020 post , to name just 2 instances ).

Defibrillator 52

Defibrillator Circulation Plaque Cardiac Arrest 52

Ken Grauer, MD

OCTOBER 21, 2023

Subendocardial Ischemia from another Cause ( ie, sustained tachyarrhythmia; cardiac arrest; shock or profound hypotension; GI bleeding; anemia; "sick patient" , etc. ). The July 31, 2018 post in Dr. Smith's ECG Blog ( Please scroll down to the bottom of the page to see My Comment ).

Blog 98

Blog Chest Pain Ischemia STEMI 98

Dr. Smith's ECG Blog

JULY 22, 2023

2017 AHA/ACC/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death. 72; Issue 9; 2018 ) — A ) Brugada-1 ECG pattern, showing coved ST-segment elevation ≥2 mm in ≥1 right precordial lead, followed by a negative T-wave. — Heart Rhythm, 4(2), 198-199. [6]

Chest Pain 92

Chest Pain Heart Rhythm Sudden Cardiac Death Dysrhythmia 92

Dr. Smith's ECG Blog

SEPTEMBER 20, 2018

Expert ECG interpretation could have prevented this man's cardiac arrest, and almost certainly would have resulted in a much smaller MI and therefore better long term prognosis. Learning Points: Patients deserve to have their Occlusion MI recognized prior to (or even in the total absence of) STEMI criteria.

Chest Pain 52

Chest Pain STEMI Cardiac Arrest Aneurysm 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

Can J of Cardiol 2018, 34: 132-145 Here are some other cases: LVH, LBBB, RBBB, and RVH may manifest ST depression without any ischemia! Methods STEMI activations between January 2014 and April 2018 at the University of Arizona Medical Center were identified. Miranda DF, Lobo AS, Walsh B, et al.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Smith's ECG Blog

SEPTEMBER 29, 2018

Dialysis patients had double the rate of cardiac arrest (11% vs 5%), were less likely to receive reperfusion therapy when eligible (47% vs. 75%), and had an increased odds ratio of death compared to nondialysis patients 1.5 (95% of nondialysis patients had the correct admission diagnosis of acute MI. THANK YOU Dr. Lee!

Chest Pain 52

Chest Pain Myocardial Infarction Cardiac Arrest Ischemia 52

Dr. Smith's ECG Blog

NOVEMBER 28, 2018

Pattern Recognition is Key == My Comment , by K EN G RAUER, MD ( 11/28/2018 ): == Great case for illustrating a number of important concepts — albeit it raises a series of questions without definite answer. For clarity — I put both tracings together in Figure-1.

STEMI 52

STEMI Chest Pain Cardiac Arrest Anatomy 52

DAIC

JANUARY 23, 2024

mg experienced a 23% lower incidence of death from cardiovascular causes, resuscitated cardiac arrest, myocardial infarction, stroke, or urgent hospitalization for angina leading to coronary revascularization in a time-to-event analysis. Published 2018 Feb 6. 35 Overall, the magnitudes of benefit seen from colchicine, 0.5

Cardiovascular Disease 111

Cardiovascular Disease Heart Attack Heart attacks Coronary Artery Disease 111

Dr. Smith's ECG Blog

MAY 6, 2019

This ECG pattern may be diagnostic of B rugada S yndrome IF seen in association with: i ) a history of cardiac arrest; polymorphic VT; or of non-vagal syncope; and / or ii ) a positive family history of sudden death at an early age; and / or iii ) a similar ECG in relatives. This is not RBBB ( TOP LEFT in Figure-2 ).

Chest Pain 52

Chest Pain STEMI Ischemia Myocardial Infarction 52

Dr. Smith's ECG Blog

NOVEMBER 25, 2022

These include ( among others ) — acute febrile illness — variations in autonomic tone — hypothermia — ischemia-infarction — malignant arrhythmias — cardiac arrest — and especially Hyperkalemia. Patients with such conditions that may transiently mimic the ECG findings of a Brugada-1 pattern are said to have Brugada Phenocopy.

Arrhythmia 52

Arrhythmia Blog Chest Pain Cardiac Arrest 52

Dr. Smith's ECG Blog

SEPTEMBER 7, 2020

Meyers, Smith; Weingart wrote an extensive review on Idiopathic VT in the September 14, 2018 post of Dr. Smith’s ECG Blog. 14, 2018 post adds a series of PEARLS on “My Take” regarding this subject. As a result — it’s worth briefly reviewing this entity of “ Idiopathic ” VT. My Comment at the bottom of this Sept.

Tachycardia 52

Tachycardia Heart Disease Dysrhythmia Ablation 52

Dr. Smith's ECG Blog

JANUARY 26, 2020

See these other related cases: A patient with cardiac arrest, ROSC, and right bundle branch block (RBBB). Is this just right bundle branch block?

Bradycardia 52

Bradycardia Ischemia Cardiac Arrest AFIB 52

Dr. Smith's ECG Blog

JANUARY 30, 2019

2017 AHA/ACC/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death. Heart Rhythm, 4(2), 198-199. [6] Fever-related arrhythmic events in the multicenter survey on arrhythmic events in Brugada syndrome. Heart Rhythm, 15(9): 1394-1401. [7]

Heart Rhythm 52

Heart Rhythm Sudden Cardiac Death Arrhythmia STEMI 52

Dr. Smith's ECG Blog

APRIL 15, 2019

If a patient presents with chest pain and a normal heart rate, or with shockable cardiac arrest, then ischemic appearing ST elevation is STEMI until proven otherwise. CLICK HERE — for the ESC/ACC/AHA/WHF 2018 Consensus Document on the 4th Universal Definition of MI, in which these concepts are discussed and illustrated.

Tachycardia 40

Tachycardia STEMI Chest Pain Ischemia 40

Dr. Smith's ECG Blog

OCTOBER 26, 2020

Case submitted by Magnus Nossen MD from Norway, written by Pendell Meyers A man in his 50s with no pertinent medical history suffered a witnessed cardiac arrest. 12 minutes later, the patient went back into VFib arrest and underwent another 15 minutes of resuscitation followed by successful defibrillation and sustained ROSC.

Ischemia 40

Ischemia Arrhythmia Defibrillator Chest Pain 40

DAIC

JANUARY 30, 2024

Getty Images milla1cf Tue, 01/30/2024 - 19:57 January 30, 2024 — Only 10% of people who experience a cardiac arrest survive. [1] Currently, 90% of people who experience cardiac arrest outside of a hospital die, in part because they do not receive CPR more than half of the time. [2]

Cardiac Arrest 102

Cardiac Arrest Defibrillator Hospital Outcomes 102

Circulation

FEBRUARY 13, 2025

Due to the limited number of ischemic stroke and cardiac arrest cases among AAS users, these outcomes were not reportable.CONCLUSIONS:AAS use is associated with a substantially increased risk of cardiovascular disease in a large cohort with a long follow-up period. The cohort was followed until June 30, 2023.

Coronary Artery Bypass Graft 84

Coronary Artery Bypass Graft Cardiovascular Disease Cardiac Arrest Myocardial Infarction 84

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. Heart Rhythm 2018. We repeated the ECG: Brugada pattern is mostly resolved. The risk of ventricular fibrillation in asymptomatic patients was 0.9%/y y (3 of 88, 43.6 ± 37.4

Sudden Cardiac Death 52

Sudden Cardiac Death Heart Rhythm Article Tachycardia 52

Dr. Smith's ECG Blog

APRIL 9, 2025

A retrospective 'target trial emulation' comparing amiodarone and lidocaine for adult out-of-hospital cardiac arrest resuscitation. This is a helpful PEARL to be aware of since on occasion, acute ST-T wave changes of acute MI may only be seen in PVCs, and not in the rest of the tracing ( See My Comment in the October 8, 2018 post).

Defibrillator 63

Defibrillator Cardiac Arrest Myocardial Infarction STEMI 63

Dr. Smith's ECG Blog

JANUARY 13, 2025

Unexplained cardiac arrest or documented VF/polymorphic VT: +3 3. Unexplained sudden cardiac death (3 categories) (+0.5 - +2) 4. 72; Issue 9; 2018 ) A ) Brugada-1 ECG pattern, showing coved ST-segment elevation 2 mm in 1 right precordial lead, followed by a negative T-wave. Cardiac arrest. Hypothermia.

Chest Pain 71

Chest Pain Cardiac Arrest Ischemia Sudden Cardiac Death 71