Circulation: Cardiovascular Quality & Outcomes

FEBRUARY 6, 2024

Self-reported smoking status was assessed at each consecutive visit and used to determine smoking cessation after each interim ASCVD event (myocardial infarction, percutaneous coronary intervention, coronary artery bypass graft, stroke/transient ischemic attack, peripheral artery disease).

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Coronary Artery Bypass Graft Outpatient Peripheral Arterial Disease Cardiovascular Disease 45

Open Heart

DECEMBER 26, 2023

Safety was defined by MACE (major adverse cardiac events) inclusive of type 1 myocardial infarction (MI) in patients discharged from ED, and clinical effectiveness by percentage ED discharge. of the cohort) with no safety signal (MACE rate 4/444 (0.9%) vs 4/769 (0.52%), p=0.430 for the 2011 and 2018 cohort, respectively).

Myocardial Infarction 52

Myocardial Infarction Education 52

Dr. Smith's ECG Blog

MAY 8, 2023

Diagnosis of Acute Myocardial Infarction in the Presence of Left Bundle Branch Block using the ST Elevation to S-Wave Ratio in a Modified Sgarbossa Rule. Electrocardiographic Diagnosis of Acute Coronary Occlusion Myocardial Infarction in Ventricular Paced Rhythm Using the Modified Sgarbossa Criteria.

Chest Pain 52

Chest Pain Myocardial Infarction STEMI Pacemaker 52

Frontiers in Cardiovascular Medicine

FEBRUARY 8, 2024

Methods In this study, a total of 212 patients (age 46–80 years) with unstable angina (UA) who underwent coronary angiography (CAG) in our hospital from January 2018 to July 2022 due to UA were included. Objective Assessing the impact of lumbar disc herniation (LDH) on the plaque burden of coronary atherosclerosis is our objective.

Plaque 59

Plaque Angina Myocardial Infarction Risk Factors 59

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

Circulation: Cardiovascular Quality & Outcomes

OCTOBER 19, 2023

This study evaluated the relationship between community-level distress and CR participation, access to CR facilities, and clinical outcomes.METHODS:A retrospective cohort study was conducted on a 100% sample of Medicare beneficiaries undergoing inpatient coronary revascularization between July 2016 and December 2018.

Cardiac Rehabilitation 40

Cardiac Rehabilitation Inpatient Myocardial Infarction Outcomes 40

DAIC

MAY 8, 2024

In a groundbreaking development, a study published in the Journal of Vascular Surgery reveals for the first time that coronary CTA (CCTA) with fractional flow reserve (FFR CT ) care significantly reduces mortality by over 60 percent at five years in patients with PAD undergoing major vascular surgery, far surpassing the current standard of care.

Coronary Artery Disease 111

Coronary Artery Disease Chest Pain Myocardial Infarction Ischemia 111

DAIC

DECEMBER 14, 2023

The NCSI participating hospitals agreed to treat patients who presented with acute myocardial infarction and cardiogenic shock using a standard protocol, which involved rapid initiation of mechanical circulatory support (MCS) with an Impella 2.5 In the U.S., a cardiologist at Henry Ford Health and co-researcher for the study.

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Cardiogenic Shock Heart Attack Heart attacks Myocardial Infarction 105

The British Journal of Cardiology

APRIL 16, 2024

We present the cumulative percutaneous coronary intervention (PCI) data of all comers (stable angina and acute coronary syndromes [ACS]) who presented to Hadi Clinic between January 2018 and December 2020. A total of 567 patients underwent coronary catheterisation for the three-year period between January 2018 and December 2020.

Outcomes 52

Outcomes Cardiogenic Shock Angina STEMI 52

All About Cardiovascular System and Disorders

APRIL 21, 2024

They had lower rates of mortality or myocardial infarction. myocardial infarction rate and 3.2% Using a side branch stent increases the risk of stent thrombosis in the main vessel and is especially to be avoided in a thrombotic situation as in acute myocardial infarction. 2018 Jul 19;379(3):250-259.

Myocardial Infarction 52

Myocardial Infarction Coronary Artery Disease Stent Stents 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

Dr. Smith's ECG Blog

SEPTEMBER 7, 2024

Timing of revascularization in patients with transient ST segment elevation myocardial infarction: a randomized clinical trial. Eur Heart J 2018. A comparison of electrocardiographic changes during reperfusion of acute myocardial infarction by thrombolysis or percutaneous transluminal coronary angioplasty.

Chest Pain 115

Chest Pain Myocardial Infarction STEMI Critical Care 115

Dr. S. Venkatesan MD

APRIL 22, 2024

This typically occurs after an inferior posterior myocardial infarction, drug-induced CHB. 2018 Jun;52(1):111-116. Epub 2018 Mar 12. Here is a patient, where a permanent pacemaker was kept temporarily for a few weeks or a month in high-risk reversible complete heart block situations. J Interv Card Electrophysiol.

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Pacemaker Aortic valve TAVR Myocardial Infarction 40

Dr. Smith's ECG Blog

SEPTEMBER 26, 2023

See these 2 articles Association between pre-hospital chest pain severity and myocardial injury in ST elevation myocardial infarction: A post-hoc analysis of the AVOID study Author links open overlay panel [link] 1 Background We sought to determine if an association exists between prehospital chest pain severity and markers of myocardial injury.

Chest Pain 111

Chest Pain STEMI Myocardial Infarction Hospital 111

Open Heart

JULY 10, 2023

Methods From the UK Clinical Practice Research Datalink-GOLD dataset, 2 January 1998–30 November 2018, we identified individuals aged ≥30 years without known AF. to 8.34; 4.27), myocardial infarction (69.6; HR 6.85, 95% CI 6.70 to 7.00; median time to event 5.44 years), heart failure (124.7; 12.54, 12.08 2.05, 2.00

Atrial Fibrillation 52

Atrial Fibrillation Myocardial Infarction Kidney Disease Innovation 52

All About Cardiovascular System and Disorders

MARCH 7, 2024

Primary endpoint of the study was a composite of myocardial infarction, stroke, or death from any cause in those who had micro and nanoplastics in the carotid plaque. 2018 Apr;235:1030-1034. Epub 2018 Jan 19. Inflammatory biomarkers were also estimated. Current opinion: What is a nanoplastic? Environ Pollut. 2018.01.024.

Plaque 52

Plaque Myocardial Infarction Laboratory Cardiac Function 52

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. 7 Secondary prevention following myocardial infarction: a clinical update. 2018 Mar;68(668):151-152. J Am Heart Assoc. 2021 Oct 19;10(20):e021356.

Heart Disease 97

Heart Disease Coronary Artery Disease Heart Attack Heart attacks 97

Dr. Paddy Barrett

MAY 17, 2024

1 Association of psychosocial risk factors with risk of acute myocardial infarction in 11119 cases and 13648 controls from 52 countries (the INTERHEART study): case-control study. 2018 Apr;15(4):215-229 6 Effects of stress on the development and progression of cardiovascular disease. 2018 Apr;15(4):215-229.

Heart Disease 79

Heart Disease Heart Attack Heart attacks Risk Factors 79

Stroke Journal

FEBRUARY 1, 2024

However, no head-to-head trials of these 2 incretin-based drug classes have been conducted.

Cardiovascular Disease 40

Cardiovascular Disease Diabetes Myocardial Infarction Outpatient 40

DAIC

JANUARY 25, 2024

Since 2018, exceptional validation results showing CaRi-Heart technology’s ability to aid the prediction of heart attacks have been published in leading medical journals including the Lancet , JACC , European Heart Journal , and Cardiovascular Research. In June 2023, the U.S.

Heart Attack 110

Heart Attack Heart attacks Technology Cardiovascular Disease 110

Dr. Smith's ECG Blog

MAY 30, 2023

Literature cited In inferior myocardial infarction, neither ST elevation in lead V1 nor ST depression in lead I are reliable findings for the diagnosis of right ventricular infarction Johanna E. For review — GO TO: The June 4, 2018 post ( LA-LL reversal ). The July 29, 2018 post ( LA-RA reversal ). 2009;54:386–393.

Chest Pain 81

Chest Pain Myocardial Infarction STEMI Cardiogenic Shock 81

Dr. Paddy Barrett

JANUARY 30, 2024

MI = Myocardial Infarction/Heart Attack However, there are two very important caveats. 2023, 2 Coronary CT Angiography and 5-Year Risk of Myocardial Infarction. 2018 Sep 6;379(10):924-933. So a very low chance. Journal of Cardiovascular Computed Tomography, Oct 9. N Engl J Med.

Heart Disease 69

Heart Disease Heart Attack Heart attacks Plaque 69

Dr. Smith's ECG Blog

APRIL 18, 2024

Immediate and early percutaneous coronary intervention in very high-risk and high-risk non-ST segment elevation myocardial infarction patients. International evaluation of an artificial-intelligence- powered electrocardiogram model detecting acute coronary occlusion myocardial infarction. Clin Cardiol 2022 4.

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STEMI Chest Pain Myocardial Infarction Stent 121

Dr. Paddy Barrett

AUGUST 30, 2024

2018 Apr 10;90(15):e1298-e1305. 5 Sleep Duration and Myocardial Infarction. If you want to know more about a consultation with Dr Barrett, Click Here or on the button below. I'm Interested In Case You Missed Them: 1 Midlife cardiovascular fitness and dementia: A 44-year longitudinal population study in women. JAMA Intern Med.

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Heart Disease Dementia Obesity Heart Attack 97

EMS 12-Lead

APRIL 21, 2022

His father and brother both died of myocardial infarction at ages 61 and 45, respectively. New insights into the use of the 12 Lead Electrocardiogram for diagnosing Acute Myocardial Infarction in the emergency department. A new electrocardiographic pattern indicating inferior myocardial infarction.

Ischemia 52

Ischemia Myocardial Infarction Blog Coronary Angiogram 52

Dr. Smith's ECG Blog

OCTOBER 28, 2022

This is obviously diagnostic of inferior and lateral Occlusion Myocardial Infarction. The location of the infarct is clear, but that does not necessarily tell you what artery it is. Electrocardiographic diagnosis of acute coronary Occlusion Myocardial Infarction in ventricular paced rhythm using the modified Sgarbossa criteria.

Chest Pain 52

Chest Pain Myocardial Infarction Pacemaker Cardiogenic Shock 52

Cardiometabolic Health Congress

JULY 25, 2023

Dr. Carbone: The new physical activity guidelines were published in 2018, an update after 10 years from the prior guidelines. [11] 17] Glycemic improvement alone, however, has not been associated with improved risk of macrovascular diabetes complications, such as myocardial infarction, stroke and heart failure. Lavie, Carl J.,

Obesity 52

Obesity BMI Heart Failure Cardiovascular Disease 52

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 Published 2018 Feb 6. Efficacy and Safety of Low-Dose Colchicine after Myocardial Infarction. 4 In the U.S. A Narrative Review.

Cardiovascular Disease 111

Cardiovascular Disease Heart Attack Heart attacks Coronary Artery Disease 111

Dr. Smith's ECG Blog

JULY 31, 2020

Meyers, Weingart and Smith published their OMI Manifesto — in which they extensively document the critically important concept that management of acute MI by separation into a “STEMI” vs “non-STEMI” classification is an irreversibly flawed approach.

STEMI 52

STEMI Article Chest Pain Blog 52

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. Smith's ECG Blog

NOVEMBER 4, 2022

New insights into the use of the 12-lead electrocardiogram for diagnosing acute myocardial infarction in the emergency department. 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! Am J Med 2019, 132(5):622-630. link] Harhash AA et al.

Ischemia 52

Ischemia STEMI Stenosis Coronary Artery Disease 52

Dr. Smith's ECG Blog

OCTOBER 24, 2018

Therefore, this does not meet the definition of myocardial infarction ( 4th Universal Definition of MI ), which requires at least one troponin above the 99% reference range. First, the name (Myocardial Infarction or Not) is not important. A subsequent troponin drawn 6 hours after symptom onset , remained below the LoD.

STEMI 52

STEMI Angina Myocardial Infarction Plaque 52

Dr. Smith's ECG Blog

NOVEMBER 5, 2023

By Magnus Nossen, edits by Grauer and Smith The patient is a 70-something female with DMII, HTN and an extensive prior history of coronary artery disease and myocardial infarctions. As I illustrated in detail in My Comment of the October 3, 2018 post of Dr. Smith's ECG Blog — I favor a qualitative approach based on shape.

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Chest Pain Ischemia Pacemaker Stent 103

Dr. Smith's ECG Blog

JUNE 28, 2018

Characteristic electrocardiographic pattern indicating a critical stenosis high in left anterior descending coronary artery in patients admitted because of impending myocardial infarction. Electrocardiographic diagnosis of reperfusion during thrombolytic therapy in acute myocardial infarction. Am Heart J. Am Heart J.

Chest Pain 52

Chest Pain Myocardial Infarction STEMI Article 52

Dr. Smith's ECG Blog

MAY 13, 2020

Here is the ED ECG on arrival: Less STE/STD Provider's Clinical Impression: "findings concerning for myocardial infarction, likely proximal LAD or Left main." EMS gave 324 mg aspirin and 3 sublingual NTG, which the patient stated reduced the substernal chest pain from an 8/10 to 4/10. NTG drip started. Pain better still.

Echocardiogram 52

Echocardiogram Ischemia Chest Pain Blog 52

Dr. Smith's ECG Blog

JUNE 17, 2018

Smith, MD – Department of Emergency Medicine, Hennepin County Medical Center, Professor, University of Minnesota School of Medicine, Minneapolis, MN ABSTRACT: Background: Patients with type 1 myocardial infarction with normal left ventricular function that are hemodynamically stable do not usually manifest with sinus tachycardia.

Chest Pain 52

Chest Pain Pericarditis Tachycardia Myocardial Infarction 52

Dr. Paddy Barrett

AUGUST 1, 2023

2 Coronary CT Angiography and 5-Year Risk of Myocardial Infarction. 2018 Sep 6;379(10):924-933. Subscribe now 1 Radiation dose and image quality of CT coronary angiography in patients with high heart rate or irregular heart rhythm using a 16-cm wide detector CT scanner. Medicine (Baltimore). 2022 Sep 16;101(37):e30583.

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Coronary Angiogram Plaque Coronary Artery Disease Chest Pain 52