2019 and Angina - Cardiovascular Update

Safe Deferral of Coronary Computed Tomography Angiography for Patients With a Low Pretest Probability of Coronary Artery Disease in 2019 European Society of Cardiology Guidelines

Journal of the American Heart Association

DECEMBER 1, 2023

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

Coronary Artery Disease

Coronary Artery Disease Myocardial Infarction Angina Hospital

Cardiovascular disease development in COVID-19 patients admitted to a tertiary medical centre in Iran

The British Journal of Cardiology

JUNE 11, 2024

Cardiovascular diseases (CVDs) have been reported to occur in a significant number of patients diagnosed with coronavirus disease 2019 (COVID-19). Manifestations of CVDs, such as chest pain, abnormal serum markers, unstable angina, myocardial infarction (MI), myocarditis, and new-onset hypertension, were documented.

COVID-19

COVID-19 Cardiovascular Disease Angina Chest Pain

Concerning EKG with a Non-obstructive angiogram. What happened?

Dr. Smith's ECG Blog

DECEMBER 19, 2023

The commonest causes of MINOCA include: atherosclerotic causes such as plaque rupture or erosion with spontaneous thrombolysis, and non-atherosclerotic causes such as coronary vasospasm (sometimes called variant angina or Prinzmetal's angina), coronary embolism or thrombosis, possibly microvascular dysfunction.

Plaque

Plaque Angina Blog Stents

Lowering Atherosclerotic Cardiovascular Disease Events by Treating Residual Inflammatory Risk

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. 2019 Sep 10;140(11):e649-e650] [published correction appears in Circulation. Published 2019 Feb 28.

Cardiovascular Disease

Cardiovascular Disease Heart Attack Heart attacks Coronary Artery Disease

EM Quick Hits 4 Acetaminophen Overdose & Warfarin Interaction, Dental Infections, MTP RABT Score, Statins for STEMI, Cricothyrotomy Tips

ECG Cases

MAY 7, 2019

The post EM Quick Hits 4 Acetaminophen Overdose & Warfarin Interaction, Dental Infections, MTP RABT Score, Statins for STEMI, Cricothyrotomy Tips appeared first on Emergency Medicine Cases.

STEMI

STEMI Angina

India’s first post Covid 19 coronary bypass surgery patient discharged successfully.

Dr. Prateek Bhatnagar

SEPTEMBER 14, 2020

In November 2019, he underwent CT coronary angiography which showed blocks in all 3 coronary arteries of the heart. However, after discharge from hospital, his heart symptoms increased and in May he developed unstable angina. After a successful treatment, he recovered & became Corona negative in April end.

COVID-19

COVID-19 Chest Pain Pulmonary Coronary Artery Disease

Differences in treatment and clinical outcomes in patients aged >=75 years compared with those aged <=74 years following acute coronary syndromes: a prospective multicentre study

Open Heart

DECEMBER 26, 2023

Methods A large-scale cohort study of patients with ST-elevation/non-ST-elevation myocardial infarction (MI)/unstable angina underwent coronary angiography (January 2015–December 2019). Patients were classified as older (≥75 years) and younger (≤74 years).

Cardiogenic Shock

Cardiogenic Shock Myocardial Infarction Outcomes Angina

The “open data” movement runs aground on FOURIER

Dr. Anish Koka

JANUARY 18, 2023

🤨 20% reduction in traditional MACE (CV death, MI, stroke) 4:49 AM ∙ Jan 14, 2023 13 Likes 2 Retweets But the primary endpoint here was a composite endpoint of cardiovascular death, myocardial infarction, stroke, hospitalization for unstable angina, or coronary revascularization.

Document

Document Heart Attack Academic Heart attacks

What will you do for this patient transferred to you who is now asymptomatic?

Dr. Smith's ECG Blog

MARCH 6, 2019

I believe this is by far the most common outcome for this patient around the world in 2019. Current practice ranges widely, but based on my short experience and reports from other institutions, most of these patients are not being taken emergently to the cath lab in 2019. European Heart Journal 2019. Patel et al., Krucoff et al.)

STEMI

STEMI Chest Pain Myocardial Infarction Ischemia

Chest pain, a ‘normal’ ECG, a 'normal trop', and low HEART and EDACS scores: Discharge home? Stress test? Many errors here.

Dr. Smith's ECG Blog

APRIL 22, 2022

JAMA Intern Med 2019 9. KEY Point: Without knowing anything about this 60-year old patient's prior medical history — the story we are given (ie, 3 weeks of exertional chest pain — but painfree on presenting to the ED ) — provides the definition of angina pectoris. Gulati M, Levy P, Mukherjee D, et al. Yazdi D, Sharim J.

Chest Pain

Chest Pain Ischemia Myocardial Infarction Angina

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting."

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

Takotsubo is a sudden event, not one with crescendo angina. 9 This dissociation between the degree of stenosis and the propensity to provoke an acute coronary syndrome helps to explain why myocardial infarction often occurs without being heralded by the demand-induced symptoms of angina that would result from a high-grade stenosis.

Plaque

Plaque Chest Pain Thrombosis Stenosis

What does this ECG with significant ST Elevation represent?

Dr. Smith's ECG Blog

JULY 21, 2019

OMI is generally of more acute onset, unless there is intermittent angina. I learned more about the history: 30-something African American with 5-7days of sharp R-sided shoulder/scapula/chest discomfort, presented with sinus tachycardia. This history of a week of constant chest pain is also much more suggestive of myocarditis.

Chest Pain

Chest Pain Myocardial Infarction Pericarditis Angina

Safe Deferral of Coronary Computed Tomography Angiography for Patients With a Low Pretest Probability of Coronary Artery Disease in 2019 European Society of Cardiology Guidelines

Cardiovascular disease development in COVID-19 patients admitted to a tertiary medical centre in Iran

Concerning EKG with a Non-obstructive angiogram. What happened?

Lowering Atherosclerotic Cardiovascular Disease Events by Treating Residual Inflammatory Risk

EM Quick Hits 4 Acetaminophen Overdose & Warfarin Interaction, Dental Infections, MTP RABT Score, Statins for STEMI, Cricothyrotomy Tips

India’s first post Covid 19 coronary bypass surgery patient discharged successfully.

Differences in treatment and clinical outcomes in patients aged >=75 years compared with those aged <=74 years following acute coronary syndromes: a prospective multicentre study

The “open data” movement runs aground on FOURIER

What will you do for this patient transferred to you who is now asymptomatic?

Chest pain, a ‘normal’ ECG, a 'normal trop', and low HEART and EDACS scores: Discharge home? Stress test? Many errors here.

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting."

What does this ECG with significant ST Elevation represent?

Stay Connected