Dr. Smith's ECG Blog

NOVEMBER 4, 2022

Am J Med 2019, 132(5):622-630. Now there is a paper published in 2019 that proves the point beyond doubt, though makes it clear that this pattern is associated with very high mortality. American Journal of Medicine 132(5):622-630; May 2019. J Electrocardiol 2013;46:240-8 2. Harhash AA, Huang JJ, Reddy S, et al.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Smith's ECG Blog

NOVEMBER 18, 2019

Of course this is not a difficult case because one will always measure the K in such a case, but it does show that the K is markedly affecting cardiac electrical activity. Case outcome The Na was 109. This was the etiology of seizures. He was treated with hypertonic saline. Volume was down, and so repleted.

Chest Pain 52

Chest Pain Cardiac Arrest Bradycardia Ischemia 52

Dr. Smith's ECG Blog

SEPTEMBER 21, 2020

But until that point, no one could have known his neurologic outcome, and the stated reason for not accepting was not worry for neurologic outcome but that the ECG did not meet STEMI criteria. The outcome measure was whether the patient ultimately had an OMI or not.

STEMI 52

STEMI Hospital Blog Defibrillator 52

DAIC

JULY 29, 2024

Image courtesy of Takenobu Shimada, Osaka Metropolitan University (CC BY 4.0, [link] mtaschetta-millane Mon, 07/29/2024 - 09:09 July 29, 2024 — When it comes to treating cardiac arrest, acting quickly can mean the difference between life and death. Cardiac arrest can lead to death within minutes. for both groups.

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Cardiac Arrest Hospital Heart Rhythm Research 119

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

It is apparently fortunate that she had a cardiac arrest; otherwise, her ECG would have been ignored. Then they did an MRI: Patient underwent cardiac MRI on 10/4 that showed mildly reduced BiV systolic function. She was defibrillated and resuscitated. Smith: this ECG and clinical presentation is diagnostic of LAD Occlusion.

Plaque 52

Plaque Chest Pain Thrombosis Stenosis 52

Dr. Smith's ECG Blog

JUNE 27, 2024

A patient had a cardiac arrest with ventricular fibrillation and was successfully defibrillated. A reliable study would keep track of all patients with shockable arrest and analyze the ones who were not enrolled to see their outcomes. This is FAR LESS than all other studies of shockable arrest.

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Defibrillator Cardiac Arrest STEMI Chest Pain 113

Dr. Smith's ECG Blog

NOVEMBER 12, 2020

However, in multiple studies, even in the absence of AMI, both acute and chronic myocardial injury (as diagnosed by any elevated cTn) are powerful markers of adverse outcomes in both the short and long term. Cardiovascular Implications of Fatal Outcomes of Patients With Coronavirus Disease 2019 (COVID-19). 3–8 Shi et al.

Cardiac Arrest 52

Cardiac Arrest COVID-19 Myocardial Infarction Cardiogenic Shock 52

Heart 2023 Conference

JULY 11, 2023

Using automated external defibrillators (AEDs) and cardiopulmonary resuscitation (CPR) as soon as possible increases a person's chance of surviving a cardiac arrest. After meeting the exclusion criteria, more than 9,500 cases of out-of-hospital cardiac arrest were included in the study cohort. versus 4.6% versus 4.6%

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Defibrillator Cardiac Arrest Heart Failure RN 52

Open Heart

SEPTEMBER 30, 2024

Knowledge of prehospital factors predicting outcomes in patients with shock remains limited. The primary outcome was 30-day all-cause mortality. Independent predictors of mortality included age, prehospital cardiac arrest and endotracheal intubation. female) were successfully linked with state administrative records.

Cardiac Arrest 52

Cardiac Arrest Blood Pressure Outcomes Hospital 52

Open Heart

DECEMBER 14, 2023

Background Targeted temperature management (TTM) is a recommended therapy for postcardiac arrest patients. Hyperthermia worsened the patient outcome, and overcooling increased the incidence of complications; therefore, a high-quality TTM is required. Temperature deviation did not have an impact on the outcomes.

Cardiac Arrest 52

Cardiac Arrest Outcomes Hospital 52

Frontiers in Cardiovascular Medicine

JANUARY 9, 2024

Methods Patients who developed LVFWR following AMI and underwent surgical repair at our Institution from January 1990 to December 2019 were considered. The primary end-point was in-hospital morality rate; secondary outcomes were long-term survival and postoperative complications. The in-hospital mortality rate was 28.6%.

Myocardial Infarction 59

Myocardial Infarction Cardiac Arrest Risk Factors Hospital 59

Journal of the American Heart Association

JANUARY 19, 2024

Patients who had ECMO initiated within 24 hours (n=5882 [68.2%]) differed from those who had ECMO initiated after 24 hours, with younger age, more preceding cardiac arrest, and worse acidosis. Multivariable logistic regression evaluated the association between time from admission to ECMO initiation and in‐hospital death.

Cardiogenic Shock 40

Cardiogenic Shock Outcomes Cardiac Arrest Hospital 40

Dr. Paddy Barrett

MAY 17, 2024

Regardless of what is driving the effect, it is clear that experiencing high levels of stress is associated with worse outcomes. 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.

Heart Disease 104

Heart Disease Heart Attack Heart attacks Risk Factors 104

DAIC

JANUARY 23, 2024

5 Over my career as a cardiovascular surgeon, as well as an immunologist, I have witnessed how current treatments for ASCVD have led to considerable improvements in outcomes, yet many patients remain vulnerable to life-threatening cardiac events.1,6 2019 Sep 10;140(11):e649-e650] [published correction appears in Circulation.

Cardiovascular Disease 111

Cardiovascular Disease Heart Attack Heart attacks Coronary Artery Disease 111

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

Atrial Fibrillation 52

Atrial Fibrillation Heart Failure Ablation Cardiac Arrest 52

Journal of the American Heart Association

FEBRUARY 27, 2024

BackgroundBystander cardiopulmonary resuscitation (B‐CPR) and defibrillation for out‐of‐hospital cardiac arrest (OHCA) vary by sex, with women being less likely to receive these interventions in public. CARES collected 457 621 arrests (2013–2019); after appropriate exclusion, 309 662 were included.

Cardiac Arrest 40

Cardiac Arrest Defibrillator Hospital Outcomes 40

Journal of the American Heart Association

DECEMBER 29, 2023

BackgroundDespite the increasing long‐term survival after out‐of‐hospital cardiac arrest (OHCA), the risk of subsequent acute myocardial infarction (AMI) remains poorly understood. Journal of the American Heart Association, Ahead of Print.

Cardiac Arrest 45

Cardiac Arrest Myocardial Infarction Hospital Outcomes 45

Circulation

NOVEMBER 11, 2024

The aim of this study is to examine the risks of adverse outcomes following CA in older people with AF.Methods:Using 2014-2019 Medicare claims, we conducted a propensity score analysis of patients treated with CA within 6 months of new AF diagnosis to patients treated with only antiarrhythmic therapy in the 6-month period.

Atrial Fibrillation 40

Atrial Fibrillation Medicare Ablation Outcomes 40

Dr. Smith's ECG Blog

FEBRUARY 10, 2025

2] Curiously, ACLS does not include consideration of calcium in its bradycardia algorithm, which could have prevented the arrest and which along with the epi produced ROSC. HyperKalemia with Cardiac Arrest. Acute hyperkalemia in the emergency department: a summary from a Kidney Disease: Improving Global Outcomes conference.

Bradycardia 118

Bradycardia Cardiac Arrest Hypertension ICU 118

Dr. Smith's ECG Blog

APRIL 9, 2025

But it does show a strong association of better outcome with lidocaine vs. amiodarone. A retrospective 'target trial emulation' comparing amiodarone and lidocaine for adult out-of-hospital cardiac arrest resuscitation. We used propensity score matching (PSM) to investigate the association between antiarrhythmic and outcomes.

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Defibrillator Cardiac Arrest Myocardial Infarction STEMI 63

Dr. Smith's ECG Blog

FEBRUARY 18, 2025

The patient's long term outcome is unknown. In just 90 minutes from presentation, the patient progressed from that very subtle ECG to cardiac arrest. Although the QRS has narrowed and the sinus node has gone back to work, there is still subtle upsloping STD in the lateral precordial leads and subtle T wave peaking.

Blood Pressure 63

Blood Pressure Blog Cardiac Arrest Bradycardia 63

DAIC

JANUARY 11, 2024

Researchers analyze primary and secondary cardiovascular outcomes in 132,784 inpatients with COVID-19 (October 8, 2020 to September 30, 2021) and 31,173 inpatients with non-COVID-19 pneumonia (January 1, 2019 to December 31, 2019) in Korea. The results indicate a lower risk of cardiovascular disease in COVID-19 patients.

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COVID-19 Hospital Thrombosis Inpatient 103