2019, Coronary Artery Disease and Plaque

2019

Coronary Artery Disease

Plaque

7 Things You Can Do To Reduce Your Risk Even If You Already Have Heart Disease.

Dr. Paddy Barrett

APRIL 5, 2024

A common feedback I get is that people with existing coronary artery disease feel like it doesn’t apply to them. Arguably, applying the principles of prevention offers more bang for buck in the short term for people WITH coronary artery disease than those without coronary artery disease.

Heart Disease

Heart Disease Coronary Artery Disease Heart Attack Heart attacks

At What Age Should You Think About Assessing Your Risk For Heart Disease?

Dr. Paddy Barrett

OCTOBER 4, 2024

Everyone starts with no plaque in the coronary arteries, but over a long enough time frame, everyone develops plaque in their coronary arteries. By age 80, almost everyone will have evidence of advanced plaque in their coronary arteries, as defined by a cardiac CT 1.

Heart Disease

Heart Disease Plaque Cholesterol Risk Factors

Lowering Atherosclerotic Cardiovascular Disease Events by Treating Residual Inflammatory Risk

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 7 Research has shown inflammation plays a significant role in the development of atherosclerosis and ASCVD,8-10 and even the formation of plaque.11 4 In the U.S.

Cardiovascular Disease

Cardiovascular Disease Heart Attack Heart attacks Coronary Artery Disease

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Bridging Innovation & Patient Care: The Growing Role of AI

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What does the angiogram show? The Echo? The CT coronary angiogram? How do you explain this?

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

Coronary Angiogram Plaque Thrombosis STEMI

The Advantages Of A CT Coronary Angiogram

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. Mixed Plaque - A combination of both calcified and NON-calcified plaque.

Coronary Angiogram

Coronary Angiogram Plaque Coronary Artery Disease Chest Pain

Beating the Odds: Inside the Tribe with a Near-Zero Rate of Heart Disease.

Dr. Paddy Barrett

JANUARY 23, 2024

However, most adults will start to develop advanced plaque in their coronary arteries early in life. 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. Adults: Fall 2019. Circulation. 2006 Jan 3;113(1):30-7.

Heart Disease

Heart Disease Blood Pressure Dementia Atherosclerosis

See what happens when a left main thrombus evolves from subtotal occlusion to total occlusion.

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

Cardiogenic Shock Ischemia Chest Pain Cardiac Arrest

Stress Tests Are Useful But Not For The Reasons You Might Think

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. And the less plaque you have, the lower the risk of a heart attack.

Plaque

Plaque Heart Attack Heart attacks Exercise

The Risks and Benefits of 'Too Much' Exercise

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

Exercise Sudden Cardiac Death Physiology Congenital

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

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. To prove there is no plaque rupture, you need to do intravascular ultrasound (IVUS). It can only be seen by IVUS.

Plaque

Plaque Chest Pain Thrombosis Stenosis

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

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

Ischemia STEMI Stenosis Chest Pain

60-something with wide complex tachycardia: from where does the rhythm originate?

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. This would be the likely source of the VT. Figure-1: The 2 ECGs in this case ( See text ).

Tachycardia

Tachycardia Nursing Heart Disease Dysrhythmia

Patient is informed of her husband's death: is it OMI or it stress cardiomyopathy?

Dr. Smith's ECG Blog

MARCH 8, 2025

In my review of the literature, there are many articles which purport to demonstrate an acutely increased risk of plaque rupture from emotional stress, but I could not find any credible case reports that were not at least as likely to be takotsubo. Mechanisms of plaque formation and rupture. Coronary plaque disruption.

Cardiomyopathy

Cardiomyopathy Myocardial Infarction Defibrillator Bradycardia

Cardiovascular Update

7 Things You Can Do To Reduce Your Risk Even If You Already Have Heart Disease.

At What Age Should You Think About Assessing Your Risk For Heart Disease?

Lowering Atherosclerotic Cardiovascular Disease Events by Treating Residual Inflammatory Risk

Webinars

What does the angiogram show? The Echo? The CT coronary angiogram? How do you explain this?

The Advantages Of A CT Coronary Angiogram

Beating the Odds: Inside the Tribe with a Near-Zero Rate of Heart Disease.

See what happens when a left main thrombus evolves from subtotal occlusion to total occlusion.

Stress Tests Are Useful But Not For The Reasons You Might Think

The Risks and Benefits of 'Too Much' Exercise

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

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

60-something with wide complex tachycardia: from where does the rhythm originate?

Patient is informed of her husband's death: is it OMI or it stress cardiomyopathy?

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