Remove 2019 Remove Cardiac Arrest Remove Coronary Artery Disease
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Lowering Atherosclerotic Cardiovascular Disease Events by Treating Residual Inflammatory Risk

DAIC

Atherosclerotic cardiovascular disease (ASCVD), caused by plaque buildup in arterial walls, is one of the leading causes of disability and death worldwide.1,2 1,2 ASCVD causes or contributes to conditions that include coronary artery disease (CAD), cerebrovascular disease, and peripheral vascular disease (inclusive of aortic aneurysm).3

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Does Stress Cause Heart Disease?

Dr. Paddy Barrett

24% increased risk of coronary artery disease. 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. 2019 Sep;94(9):1852-1864. JAMA Netw Open.

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Rate vs Rhythm Control in Atrial Fibrillation

All About Cardiovascular System and Disorders

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]. 2019 Apr 2;321(13):1261-1274. EAST-AFNET 4 trial had 2789 patients with early atrial fibrillation and cardiovascular conditions [8].

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What are treatment options for this rhythm, when all else fails?

Dr. Smith's ECG Blog

Studies of patients with coronary artery disease who developed arrhythmic storm with episodes of PMVT following MI — show arrhythmias indistinguishable from those reported in this case. The decision was made to try Quinidine ( as this case was felt to represent conditions consistent with Quinidine-responsive PMVT ).

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90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

Dr. Smith's ECG Blog

Diffuse ST depression with ST elevation in aVR: Is this pattern specific for global ischemia due to left main coronary artery disease? Incidence of an acute coronary occlusion. Am J Med 2019, 132(5):622-630. Incidence of an Acute Coronary Occlusion. American Journal of Medicine 132(5):622-630; May 2019.

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

Dr. Smith's ECG Blog

It is apparently fortunate that she had a cardiac arrest; otherwise, her ECG would have been ignored. Hospital Course The patient was taken emergently to the cath lab which did not reveal any significant coronary artery disease, but she was noted to have reduced EF consistent with Takotsubo cardiomyopathy.

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