Journal of the American Heart Association

FEBRUARY 19, 2025

An artificial intelligence enhanced ECG (AIECG) algorithm can predict LVDD and mortality in general populations but has not been examined in cardiac intensive care units.MethodsThis historical cohort study included consecutive adults admitted to Mayo Clinic cardiac intensive care unit from 2007 to 2018 with an admission AIECG.

Bicuspid/Mitral 40

Bicuspid/Mitral Echocardiogram Heart Failure 40

Heart BMJ

FEBRUARY 12, 2024

Results 48 patients (71% with a Fontan circulation, 42% females, mean age 33±9 years) underwent two CPETs between May 2018 and May 2022 with echocardiograms performed within 6 months of each CPET. Apple Watch was the predominant smartwatch used (79%).

Congenital Heart Disease 40

Congenital Heart Disease Exercise Congenital Heart Disease 40

Dr. Smith's ECG Blog

JULY 26, 2023

5 years ago Similar Previous formal echocardiogram Inferior posterior with dyskinesis "Dyskinesis" is the technical echo term for LV aneurysm. 2 prior ECGs were found in his medical record — the latest of which was done circa 2018 ( which would be ~8 years after his inferior MI — and ~5 years before ECG #1 ).

Aneurysm 52

Aneurysm Chest Pain STEMI Bradycardia 52

All About Cardiovascular System and Disorders

JANUARY 14, 2024

Another important role is for detection of coronary anomalies, which can also be seen on echocardiogram sometimes. 2018 Jun 28;3:e72-e79. Finding out the origin and insertion of MAPCAs is important prior to surgical repair of tetralogy of Fallot. Magnetic resonance imaging is another way of documenting coronary anomalies. 2018.76824.

Congenital Heart Disease 52

Congenital Heart Disease Pulmonary Anatomy Aortic 52

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Hopefully a repeat echocardiogram will be performed outpatient. Systolic function normal by visual assessment only, unable to visualize well for further characterization. 1900: RBBB and LAFB are almost fully resolved. 2300: QRS now within normal limits. No other significant injuries were found. The patient did well and was discharged.

Tachycardia 115

Tachycardia Dysrhythmia Atrial Fibrillation Bradycardia 115

Dr. Smith's ECG Blog

SEPTEMBER 7, 2024

Eur Heart J 2018. First troponin I returns at 48 ng/L ECG 5 143 min No significant change ECG 6 261 min Same hs Troponin I profile (peaked at 1849): Formal Echocardiogram SUMMARY The estimated left ventricular ejection fraction is 74 %. Full text link. The estimated pulmonary artery systolic pressure is 27 mmHg + RA pressure.

Chest Pain 116

Chest Pain Myocardial Infarction STEMI Pericarditis 116

All About Cardiovascular System and Disorders

MAY 2, 2024

Due to limitations of echocardiogram in evaluating the right ventricle, magnetic resonance imaging study of the right ventricle along with that of the left ventricle has been reported. 2018 Sep;27(9):1052-1062. 2018 Sep;27(9):1063-1071. Effect of exercise on right ventricle. N Engl J Med. 1991 Jan 31;324(5):295-301. Circulation.

Exercise 40

Exercise Cardiomyopathy Blood Pressure Physiology 40

Dr. Smith's ECG Blog

JUNE 17, 2018

The patient underwent an emergent formal echocardiogram to look for wall motion abnormality: The estimated left ventricular ejection fraction is 63 %. Exclusion criteria were age less than 18, SBP less than 100 mmHg, echocardiogram with EF less than 50%, STEMI, pregnancy, and trauma. No wall motion abnormality.

Chest Pain 52

Chest Pain Pericarditis Tachycardia Myocardial Infarction 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2018

American Journal of Emergency Medicine 36(5):865-870; May 2018. She had a normal echocardiogram, with normal shortening and thickening of the septum. My Comment, by K EN G RAUER, MD ( 11/4/2018 ): = Important post by Dr. Smith regarding recognition of chest lead misplacement of leads V1 and V2. 27, 2018 blog post ).

Chest Pain 52

Chest Pain Anatomy Echocardiogram Blog 52

Dr. Smith's ECG Blog

JULY 22, 2023

Formal echocardiogram showed normal EF, no wall motion abnormalities, no pericardial effusion. 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. — No more troponins were done. He was found to be influenza positive.

Chest Pain 92

Chest Pain Heart Rhythm Sudden Cardiac Death Dysrhythmia 92

Dr. Smith's ECG Blog

OCTOBER 24, 2019

Troponins, echocardiogram An echocardiogram showed inferobasilar hypokinesis, further supporting a diagnosis of regional ischemia , likely of the area supplied by the RCA. The biphasic T wave is consistent with recent reperfusion of an occluded coronary artery supplying the inferior region. The initial troponin I was elevated at 0.75

Chest Pain 52

Chest Pain SCAD STEMI Cardiogenic Shock 52

Dr. Smith's ECG Blog

JANUARY 15, 2024

While awaiting transfer to the cath lab, STAT echocardiogram was performed and showed LVEF 30-35%, as well as anterior, inferior, and apical hypokinesis, and apical thrombus. The January 30, 2018 post — for PTA. This confirms the suspicion of prior anterior OMI. The thrombus is circled below in red.

Chest Pain 64

Chest Pain Blog Arrhythmia Critical Care 64

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

See this case: what do you think the echocardiogram shows in this case? 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.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Smith's ECG Blog

NOVEMBER 25, 2022

An echocardiogram was done. 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. — Is there also Brugada? Here is the result: The estimated left ventricular ejection fraction is 50 %. Right ventricular prominence.

Arrhythmia 52

Arrhythmia Blog Chest Pain Cardiac Arrest 52

EMS 12-Lead

AUGUST 22, 2022

Indeed, bedside Echocardiogram revealed severe left ventricular impairment of Takotsubo cardiomyopathy. Surawicz and Knilans report that intense catecholamine surge, or severe maladjustment of the autonomic nervous system, can manifest “cerebral T waves” in the absence of an acute intracranial process. potassium) were within normal parameter.

Tachycardia 52

Tachycardia Cardiomyopathy Electrophysiology ICU 52

Dr. Smith's ECG Blog

DECEMBER 18, 2022

Next day echocardiogram showed inferolateral hypokinesia with an EF of %45-50. On echocardiogram you will not see a "posterior" hypokinesia (will see "inferolateral") and, as in this case, LCx may not give the blood supply of basal inferior segment (formerly called "posterior"). The patient recovered well.

Myocardial Infarction 40

Myocardial Infarction Chest Pain Blog Echocardiogram 40

Dr. Smith's ECG Blog

SEPTEMBER 30, 2019

Unfortunately there is no echocardiogram accessible because the patient checked himself out of the hospital in order to get back to his home state before it could be completed. Slow TIMI 2 initially with brisk flow status post percutaneous coronary intervention with 18mm drug-eluting stent. To our knowledge, the patient did well.

Chest Pain 52

Chest Pain Pulmonary ACE Inhibitor Pacemaker 52

Dr. Smith's ECG Blog

SEPTEMBER 7, 2020

I have ordered an echocardiogram which will be done today, after that patient can be discharged to home with follow-up in 2 to 3 months." 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.

Tachycardia 52

Tachycardia Heart Disease Dysrhythmia Ablation 52

Dr. Smith's ECG Blog

JULY 31, 2018

These are reperfusion T-waves (the same thing as Wellens' waves) Echocardiogram Regional wall motion abnormality-distal septum and apex. Regional wall motion abnormality-distal inferior wall. ECG recorded at time 38 hours: A further evolutionary stage of T-wave inversion. Circ Cardiovasc Interv. 2012;5:134–137. 111.966630. Hayes, S.N.,

SCAD 52

SCAD Chest Pain Myocardial Infarction Ischemia 52

Dr. Smith's ECG Blog

JANUARY 30, 2019

A formal echocardiogram was completed the next day and again showed a normal ejection fraction without any focal wall motion abnormalities to suggest CAD. Cardiology was consulted and they agreed that the EKG had an atypical morphology for STEMI and did not activate the cath lab. Heart Rhythm, 4(2), 198-199. [6]

Heart Rhythm 52

Heart Rhythm Sudden Cardiac Death Arrhythmia STEMI 52

Dr. Smith's ECG Blog

JULY 3, 2018

No further echocardiograms were available after cath. The patient was discharged one day after intervention and appears to be doing well. The full thickness infarction with LV aneurysm morphology places him at a higher risk for short and long term complications (e.g., I still at times forget to look for it.

Pericarditis 52

Pericarditis Chest Pain Stents Stent 52

Dr. Smith's ECG Blog

SEPTEMBER 29, 2018

I think a good start would be a posterior EKG and a high quality contrast echocardiogram read by an expert. His prior EF from an ECHO 6 months prior indicated 35% LVEF. What would you do in this scenario? Unfortunately, neither were done in this case. Have a high index of suspicion for MI in these patients and advocate for them.

Chest Pain 52

Chest Pain Myocardial Infarction Cardiac Arrest Ischemia 52

Dr. Smith's ECG Blog

FEBRUARY 6, 2020

Next day, a stress echo was done: The exercise stress echocardiogram is normal. For another case in which marked ST elevation in leads V1 and V2 could easily be mistaken for a hyperacute change — See the Figure I drew in My Comment at the bottom of the December 27, 2018 post on Dr. Smith’s ECG Blog. No wall motion abnormality at rest.

Chest Pain 40

Chest Pain Ischemia Angina Electrocardiogram 40

Dr. Smith's ECG Blog

FEBRUARY 6, 2025

See the September 14, 2018 post for a nice overview of this subject by Dr. Meyers. It is reasonable to perform an echocardiogram to evaluate LV function. The differential diagnosis, especially in younger patients, includes atriofascicular tachycardia also known as "Mahaim" tachycardia.

Tachycardia 72

Tachycardia Arrhythmia Ablation Atrial Flutter 72