Circulation: Cardiovascular Quality & Outcomes

APRIL 29, 2024

There are no randomized clinical trials of coronary assessment after HF diagnosis.METHODS:Using an electronic health record cohort of all individuals with HF within the San Francisco Health Network from 2001 to 2019, we identified factors associated with coronary assessment.

Heart Failure 40

Heart Failure Coronary Artery Disease Outcomes Risk Factors 40

Journal of the American Heart Association

DECEMBER 29, 2023

The risk score included age, transplant type, race, coronary artery disease, heart failure, peripheral artery disease, creatinine, triglycerides, and prior anthracycline dose. The score was externally validated in a separate cohort of 919 HSCT recipients (mean age at transplant 54 years; 20.4%

Transplant 79

Transplant Peripheral Arterial Disease Coronary Artery Disease Myocardial Infarction 79

Frontiers in Cardiovascular Medicine

JANUARY 23, 2024

Results Out of the total 776 KTR transplanted between 2017 and 2019, CAG was performed on 541 patients (69.7%), of whom 22.4% were found to have obstructive coronary artery disease (CAD). Asymptomatic obstructive CAD was observed in 70.2% of cases, CAG findings resulted in myocardial revascularization.

Transplant 64

Transplant Coronary Artery Disease Myocardial Infarction Cardiovascular Disease 64

DAIC

JANUARY 23, 2024

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

Cardiovascular Disease 111

Cardiovascular Disease Heart Attack Heart attacks Coronary Artery Disease 111

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

from 2016‐2019 and secondary diagnosis of T2DM. Data was weighted to allow for representative nationwide estimates.ResultsWe identified 426,549 patients who were admitted with a primary diagnosis of TIA between 2016 and 2019. The primary diagnosis of the readmission was used to identify the etiology of readmission.

Diabetes 40

Diabetes Coronary Artery Disease Atrial Fibrillation Dementia 40

Stroke Journal

FEBRUARY 1, 2024

million (2019) and projected to reach 4.90 million by 2030 according to the Global Burden of Disease Study. Autoimmune diseases are increasingly associated with chronic conditions and may modify risks by altering underlying pathophysiology. to 2.26) and liver disease (OR 2.20, p < 0.01, CI 1.27

Inpatient 40

Inpatient Strokes Stroke Coronary Artery Disease 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

x) from 2016‐2019. The rate of 30‐day readmission was overall stable (7.34% in 2016 and 7.70% in 2019; p=0.42), but the 90‐day readmission rate slightly increased from 11.69% in 2016 to 12.47% in 2019 (p=0.04). ConclusionThe annual rate of 90‐day readmission, but not 30‐day readmission, increased from 2016 to 2019.

Hemorrhage 40

Hemorrhage Coronary Artery Disease Obesity Strokes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

x) from 2016‐2019 using the Nationwide Readmission Database (NRD). Data was weighted to allow for representative nationwide estimates.ResultsA total of 260,854 patients were admitted with a primary diagnosis of ICH between 2016‐2019. The mean age of the cohort was 68.49 years, with 52.6% being male.

Hemorrhage 40

Hemorrhage Risk Factors Coronary Artery Disease Strokes 40

Dr. Paddy Barrett

AUGUST 1, 2023

CT coronary angiography, in addition to a CT CAC, is arguably the best test for estimating whether someone has evidence of coronary artery disease and what that means for their near-term risk of a heart attack. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes. N Engl J Med.

Coronary Angiogram 52

Coronary Angiogram Plaque Coronary Artery Disease Chest Pain 52

Stroke Journal

FEBRUARY 1, 2024

We utilized a multi-state database to examine myocardial infarction (MI) risk post stroke or CAD to estimate cardiovascular complication risk.Method:We analyzed State Inpatient Database from New York (2011-2017) and Florida (2011-2019). 5.21, P < 0.001; HR 1.67, 95% CI 1.02-2.73, 2.06, P = 0.60) (Figure). 1.58, P = 0.42).Conclusion:This

Myocardial Infarction 40

Myocardial Infarction Inpatient Strokes Stroke 40

Open Heart

JUNE 21, 2022

Objective The aim of this systematic review and meta-analysis was to assess the effect of timing of complete revascularisation on cardiovascular outcomes in patients with STEMI and multivessel coronary artery disease.

Myocardial Infarction 52

Myocardial Infarction STEMI Coronary Artery Disease Outcomes 52

Coronary Artery Disease Journal

OCTOBER 31, 2023

for patients admitted in 2016–2019 period. to 3.49, P < 0.001) were reduced in 2020 compared to 2016–2019 period. Patients with COVID-19 versus those without had significantly greater in-hospital mortality (45.2% vs. 10.7%; P < 0.001). In 2020, 3.0% of hospitalizations had a diagnosis of COVID-19, and the mortality was 11.5%

COVID-19 52

COVID-19 STEMI Inpatient Hospital 52

Dr. Paddy Barrett

OCTOBER 4, 2024

But the goal in this instance is to die after a long and healthy life ‘ with ’ coronary artery disease rather than ‘ from ’ coronary artery disease. However, the chances of dying from heart disease are directly proportional to the amount of plaque in your coronary arteries.

Heart Disease 74

Heart Disease Plaque Cholesterol Risk Factors 74

The British Journal of Cardiology

APRIL 16, 2024

µg/m³ in 2019. µg/m³ in 2018, and 14 µg/m³ in 2019. In London, mean PM 2.5 concentrations stood at approximately 12.7 µg/m³ in 2017, 12.0 µg/m³ in 2018, and 11.4 5 Conversely, Valletta, Malta’s capital, recorded mean PM 2.5 concentrations of about 14 µg/m³ in 2017, 14.4

Cardiovascular Disease 52

Cardiovascular Disease Public Health Diet Risk Factors 52

Dr. Smith's ECG Blog

OCTOBER 20, 2024

The ST segment changes are compatible with severe subendocardial ischemia which can be caused by type I MI from ACS or potentially from type II MI (non-obstructive coronary artery disease with supply/demand mismatch). The ST-T wave appearance in lead aVR can be anything when there is acute LMain occlusion.

Cardiogenic Shock 125

Cardiogenic Shock Ischemia Chest Pain Cardiac Arrest 125

Dr. Paddy Barrett

JANUARY 23, 2024

By age 66, more than half of all females will have evidence of advanced plaque in their coronary arteries, as seen on a CT calcium score. Subscribe now But are there groups who buck this trend and rarely develop coronary artery disease and, by extension, do not die from it early in life? Adults: Fall 2019.

Heart Disease 94

Heart Disease Blood Pressure Dementia Atherosclerosis 94

DAIC

MARCH 7, 2024

I think especially with the recent changes in guidelines and the recommendation to use CT for screening of coronary artery disease, we expect to see this trend really impact the way CT is used in the future.” “The CT procedural mix is evolving, and cardiac CT is starting to account for a large proportion of that.

Technology 111

Technology Document Cardiovascular Imaging Cancer 111

Cardiometabolic Health Congress

JULY 25, 2023

It is for this reason that the 2019 ACC/ AHA guidelines for primary CVD prevention encourage referrals of patients to clinicians and professionals that specialize in lifestyle medicine and can adequately address nutrition and physical activity, such as dietitians, whose role to improve cardiovascular health is too often underestimated. [16]

Obesity 52

Obesity BMI Heart Failure Cardiovascular Disease 52

Open Heart

DECEMBER 6, 2023

Objectives The risk factor-weighted and coronary artery calcium score-weighted clinical likelihood (RF-CL and CACS-CL, respectively) models improve discrimination of patients with suspected obstructive coronary artery disease (CAD). However, external validation is warranted.

Coronary Artery Disease 52

Coronary Artery Disease Chest Pain Myocardial Infarction Risk Factors 52

Dr. Smith's ECG Blog

APRIL 25, 2023

Cath lab activation by the ED and I agree with coronary angiography emergently." Result: no angiographically significant obstructive coronary artery disease. "ECG diffuse ST elevation, but lacking pericarditis features, and very concerning for acute injury." Medical Rx. Aggressive risk factor modification.

Chest Pain 52

Chest Pain Pericarditis Blog Cardiomyopathy 52

Physiologically Speaking

FEBRUARY 28, 2024

This is supported by the over 1 million marathon participants worldwide in 2019. link] In older adults, reasons for death often include further cardiovascular issues such as coronary artery disease, increasing the susceptibility to risk of injury or death during high exertion activity.

Exercise 98

Exercise Sudden Cardiac Death Physiology Congenital 98

Dr. Prateek Bhatnagar

SEPTEMBER 14, 2020

63 years old Afsar Khan resident of Karwan, Hyderabad had been having coronary artery disease and chest pain on exertion for about a year. In November 2019, he underwent CT coronary angiography which showed blocks in all 3 coronary arteries of the heart.

COVID-19 52

COVID-19 Chest Pain Pulmonary Coronary Artery Disease 52

Dr. Paddy Barrett

MAY 17, 2024

24% increased risk of coronary artery disease. 3 Psychosocial Risk Factors and Cardiovascular Disease and Death in a Population-Based Cohort From 21 Low-, Middle-, and High-Income Countries. 2019 Sep;94(9):1852-1864. 5 Effects of stress on the development and progression of cardiovascular disease.

Heart Disease 85

Heart Disease Heart Attack Heart attacks Risk Factors 85

Dr. Smith's ECG Blog

JULY 21, 2024

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 ).

Arrhythmia 113

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 113

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

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.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Smith's ECG Blog

OCTOBER 12, 2024

Preliminary findings documented in the cath lab were “Anterior STEMI and no significant coronary artery disease.” (!!!) Rather than loss of both a J wave and S wave — there is a "slur" ( J-point equivalent ) in lead V2 of ECG #2 ( See My Comment in the November 14, 2019 post for illustration of T-QRS-D ). ng/mL and 0.10

STEMI 97

STEMI Document Blog Ischemia 97

Dr. Smith's ECG Blog

NOVEMBER 15, 2023

Angiogram No obstructive epicardial coronary artery disease Cannot exclude non-ACS causes of troponin elevation including coronary vasospasm, stress cardiomyopathy, microvascular disease, etc. hours All Hyperacute T-wave and ST Depression is resolved. Echo The estimated left ventricular ejection fraction is 56 %.

Coronary Angiogram 101

Coronary Angiogram Plaque Thrombosis STEMI 101

All About Cardiovascular System and Disorders

OCTOBER 25, 2023

2019 Apr 2;321(13):1261-1274. Overall, it appears that rhythm control strategy in AF may be better in those with heart failure and in those with associated cardiovascular conditions and early AF. doi: 10.1001/jama.2019.0693. PMID: 30874766; PMCID: PMC6450284.

Atrial Fibrillation 52

Atrial Fibrillation Heart Failure Ablation Cardiac Arrest 52

Dr. Paddy Barrett

SEPTEMBER 5, 2023

Share Let’s first state our goal when we are in the business of ‘Heart Disease Prevention’: To delay the onset of coronary artery disease (atherosclerosis/plaque) that might rupture and cause a heart attack. 2019 Sep 24;74(12):1582-1593. Not any more. Here’s why. J Am Coll Cardiol.

Plaque 52

Plaque Heart Attack Heart attacks Exercise 52

Dr. Smith's ECG Blog

SEPTEMBER 25, 2024

Here is the post shock ECG: Cardiology was called stat for ischemic VT, query SCAD vs thrombotic occlusion vs coronary vasospasm. Cath lab was activated: There was no coronary artery disease, but there was spontaneous coronary artery dissection (SCAD) of the distal LAD, which was narrowed by 95%, and treated medically.

Chest Pain 66

Chest Pain Pericarditis SCAD STEMI 66

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. She's had multiple PCI procedures. On the day of presentation she complained of typical chest pain, and stated it feels like prior MI.

Chest Pain 101

Chest Pain Ischemia Pacemaker Stent 101

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

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. Myocardial Infarction With Nonobstructive Coronary Arteries (MINOCA): The Past, Present, and Future Management [Internet].

Plaque 52

Plaque Chest Pain Thrombosis Stenosis 52

DAIC

APRIL 29, 2024

Getty Images milla1cf Mon, 04/29/2024 - 13:06 April 29, 2024 — Women with heart disease are less often treated with cholesterol-lowering drugs than men, according to research presented today at ESC Preventive Cardiology 2024 , a scientific congress of the European Society of Cardiology ( ESC ).1 2Knuuti J, Wijns W, Saraste A, et al.

Heart Disease 104

Heart Disease Cholesterol Heart Attack Heart attacks 104

Circulation

NOVEMBER 11, 2024

Studies have shown that an increased left ventricular end-diastolic diameter (LVEDD) is associated with worse outcomes in various cardiovascular conditions, including heart failure, and coronary artery disease (CAD).

Atrial Fibrillation 40

Atrial Fibrillation Coronary Artery Bypass Graft Coronary Artery Disease Myocardial Infarction 40

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. Lemkes et al.

STEMI 52

STEMI Chest Pain Ischemia Myocardial Infarction 52

Dr. Smith's ECG Blog

SEPTEMBER 30, 2019

He was taken emergently to the cardiac catheterization lab and found to have multi-vessel coronary artery disease with a near-occlusive culprit lesion in the RCA, possibly reperfused. Slow TIMI 2 initially with brisk flow status post percutaneous coronary intervention with 18mm drug-eluting stent.

Chest Pain 52

Chest Pain Pulmonary ACE Inhibitor Pacemaker 52

Dr. Smith's ECG Blog

APRIL 15, 2020

Angiogram: Severe coronary artery calcification Moderate to severe distal small vessel disease mainly seen in RPL1, 2 Otherwise, Mild plaque, no angiographically significant obstructive coronary artery disease. Figure-1: The 2 ECGs in this case ( See text ).

Tachycardia 52

Tachycardia Nursing Heart Disease Dysrhythmia 52