Dr. Smith's ECG Blog

DECEMBER 19, 2023

link] A 62 year old man with a history of hypertension, type 2 diabetes mellitus, and carotid artery stenosis called 911 at 9:30 in the morning with complaint of chest pain. To further illustrate the concept of T-QRS-D — I've put together in Figure-4 the first 2 ECGs shown in the November 14, 2019 post.

Plaque 127

Plaque Angina Blog Stents 127

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 Heart Failure 40

Stroke Journal

JANUARY 30, 2025

Clinical and neuroimaging predictors of an unfavorable discharge outcome (modified Rankin score 4) were assessed in univariate and multivariable models.Results:Between 2003 and 2019, 1,791 patients were admitted with non-traumatic ICH.

Hemorrhage 40

Hemorrhage Dementia Hypertension Outcomes 40

Stroke Journal

FEBRUARY 1, 2024

million (2019) and projected to reach 4.90 Stroke, Volume 55, Issue Suppl_1 , Page A52-A52, February 1, 2024. Background/Purpose:Stroke imposes a substantial healthcare burden, with ischemic stroke (IS) mortality rising from 2.04 million (1990) to 3.29 million by 2030 according to the Global Burden of Disease Study.

Inpatient 40

Inpatient Stroke Strokes Coronary Artery Disease 40

Circulation

NOVEMBER 11, 2024

This study evaluates the outcomes in patients admitted for HF with and without hyperkalemia.Methods:We used the Nationwide Readmissions Database (NRD) from 2016-2019, extracting adult patients with a primary diagnosis of HF who were admitted between January and November of each year. Survey procedures were applied using SAS 9.4.Results:We

Inpatient 40

Inpatient Heart Failure Outcomes Cardiac Arrest 40

Dr. Smith's ECG Blog

JANUARY 1, 2024

His medical history includes hypertension, a decade-long battle with diabetes, ischemic heart disease, a coronary bypass graft surgery ten years ago, a diagnosis of congestive heart failure for the last five years, and a prior ICD implantation five years ago.

Tachycardia 112

Tachycardia Blog Ischemia Heart Failure 112

Dr. Smith's ECG Blog

OCTOBER 17, 2024

Past medical history included diabetes and hypertension. Finally — Note that there is also T-QRS-D ( T erminal QRS D istortion ) in lead V3 ( See My Comment in the November 14, 2019 post for review and illustration of T-QRS-D criteria ). Vitals were normal. There’s normal sinus rhythm, RBBB, normal axis and normal voltages.

Chest Pain 73

Chest Pain STEMI Pulmonary Embolism 73

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

Case submitted and written by Mazen El-Baba MD, with edits from Jesse McLaren and edits/comments by Smith and Grauer A 90-year old with a past medical history of atrial fibrillation, type-2 diabetes, hypertension, dyslipidemia, presented with acute onset chest/epigastric pain, nausea, and vomiting. Am J Med 2019, 132(5):622-630.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Smith's ECG Blog

FEBRUARY 14, 2020

Written by Pendell Meyers, sent by Anonymous A man in his 50s with history of type 2 diabetes, HTN, and HLD presented with one day of off and on chest / upper abdominal pain. It had awoken him from sleep earlier, and he described it as "gas pain," located in the upper epigastrium and radiating upwards. Vitals were within normal limits.

Chest Pain 52

Chest Pain STEMI Anatomy Risk Factors 52

Dr. Smith's ECG Blog

NOVEMBER 13, 2022

A 50 something-year-old man with a history of newly diagnosed hypertension and diabetes, for which he did not take any medication, presented a non-PCI-capable center with a vague, but central chest pain. 2019 Apr;21(5):253-258. Written by Emre Aslanger. Emre is a new Editor of the Blog. He is an interventionalist in Turkey.

Chest Pain 52

Chest Pain Myocardial Infarction Blog Pericarditis 52

Dr. Smith's ECG Blog

MAY 1, 2023

edits by Meyers A woman in her 60s with a history of chronic atrial fibrillation on Eliquis, ESRD on hemodialysis, type-II diabetes mellitus, prior CVA, hypertension, and hyperlipidemia presented to the emergency department with multiple complaints after missing dialysis. Case written by Brandon Friedman M.D.,

Atrial Flutter 52

Atrial Flutter Tachycardia Arrhythmia Blog 52

Dr. Smith's ECG Blog

AUGUST 26, 2019

Written by Pendell Meyers A woman in her 70s with diabetes, hypertension, and hyperlipidemia suddenly developed nausea, diaphoresis, and brief syncope while eating at a restaurant. She did not report any chest pain or pressure. The development of an inferior-posterior STEMI, from prehospital to hospital Inferior hyperacute T-waves.

Chest Pain 52

Chest Pain STEMI Biomarkers Article 52

DAIC

MAY 8, 2024

Bioelectronic medicine scientists at The Feinstein Institutes for Medical Research used noninvasive, splenic focused ultrasound stimulation (sFUS) and found they can reduce inflammation and improve symptoms of pulmonary arterial hypertension (PAH). For years, Dr. Zanos has investigated bioelectronic medicine therapies to treat PAH.

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Ultrasound Pulmonary Research Hypertension 115

Dr. Smith's ECG Blog

MARCH 2, 2019

Biphasic T-waves in a Middle-Aged Male with Vomiting Diabetic Ketoacidosis: is there hypokalemia? And more cases, if you want, at this link. == My Comment, by K EN G RAUER, MD ( 3/2/2019 ): == The importance of this case lies in recognition of a number of findings, and the differential diagnoses that these findings should evoke.

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Sickle Cell Disease Ischemia Dysrhythmia Chest Pain 52

Dr. Smith's ECG Blog

JULY 1, 2019

Case 2: sent by Dr. James Alva A man in his 50s with diabetes, hypertension, and hyperlipidemia presented to the ED with chest pain and shortness of breath off and on over the past three days, with associated vomiting. She had a completely normal formal echo. All previous ECGs were identical.

Chest Pain 52

Chest Pain Ischemia STEMI Blog 52

Hypertension Journal

OCTOBER 11, 2023

Hypertension, Volume 80, Issue 12 , Page 2591-2600, December 1, 2023. RESULTS:The median age of the patients was 76 years, and 54.9% were women. The total AHT incidence was 70 cases per 100 000 admission year. Urgent dialysis rates increased from 1.52% (95% CI, 1.12–2.06) 2.06) to 2.60% (2.17–3.1;

Hypertension 40

Hypertension Kidney Disease Heart Failure Risk Factors 40

DAIC

SEPTEMBER 11, 2024

A-Fib, as the condition is commonly known, has been on the rise for at least the past decade, driven by the aging of the population, along with increasing rates of hypertension, diabetes and obesity. percent of the patients treated between 2005 and 2009 to 6.82% of the patients treated between 2015 and 2019. million U.S.

Atrial Fibrillation 92

Atrial Fibrillation Quality of Life Myocardial Infarction Kidney Disease 92

Cardiometabolic Health Congress

JULY 10, 2024

Bakris , an internationally recognized and influential nephrologist and hypertension expert, who passed away on June 15, 2024, at the age of 72. Bakris’s distinguished career in medicine spanned over four decades, marked by significant contributions to the fields of diabetic kidney disease, hypertension, and nephropathy progression.

Hypertension 52

Hypertension Education Blood Pressure Kidney Disease 52

CardiacWire

OCTOBER 27, 2024

Heart Disease in 2050 – The AHA warned of massive heart disease increases by 2050, spanning CVD (+60%), diabetes (+100%), obesity (+70%), hypertension (+44%), heart failure (+66%), and stroke (+100%). Hypertension Problems: Another JAMA study highlighted the U.S.’s s massive hypertension diagnosis and treatment problems.

AFIB 59

AFIB Hypertension Kidney Disease Heart Disease 59

Stroke Journal

FEBRUARY 1, 2024

In this study, we aim to analyze the MHO trends and outcomes with respect to Stroke.Methods:We queried the National Inpatient Sample (2016-2019) to identify Stroke hospitalizations in the elderly population (%E2%89%A565 years) with vs without MHO by using ICD-10 codes after excluding patients with Hypertension, analyze, and Diabetes Mellitus.

Obesity 40

Obesity Hospital Stroke Strokes 40

Stroke Journal

FEBRUARY 1, 2024

There is a critical lack of data about early life stroke risk factors among Black women, a group with higher rates of hypertension compared to other racial groups. Using Cox models, we estimated risk of midlife stroke, comparing persons with and without hypertension before age 45, between ages 45-64, and at 10-year age intervals.

Hypertension 40

Hypertension Stroke Strokes Public Health 40

Cardiometabolic Health Congress

JULY 25, 2023

There are significant data that show that if you have obesity, you have a high risk of developing coronary heart disease, heart failure, type 2 diabetes (T2D) or risk factors such as hypertension and dyslipidemia. [1] I think we live in a very exciting time right now for those who work in diabetes and cardiovascular disease.

Obesity 52

Obesity BMI Heart Failure Cardiovascular Disease 52

DAIC

SEPTEMBER 11, 2024

A-Fib, as the condition is commonly known, has been on the rise for at least the past decade, driven by the aging of the population, along with increasing rates of hypertension, diabetes and obesity. percent of the patients treated between 2005 and 2009 to 6.82% of the patients treated between 2015 and 2019. million U.S.

Atrial Fibrillation 52

Atrial Fibrillation Quality of Life Myocardial Infarction Kidney Disease 52

Cardiology Update

JULY 22, 2024

This multicenter open-label, blinded-outcome, randomized trial ( NCT04030234 ), offers new insights into hypertension management. The trial enrolled 11,255 high cardiovascular risk participants from 116 hospitals and communities in China between September 17, 2019, and July 13, 2020.

Blood Pressure 52

Blood Pressure Myocardial Infarction Diabetes Hypertension 52

Dr. Smith's ECG Blog

OCTOBER 20, 2024

Written by Magnus Nossen The patient in today's case is a male in his 70s with hypertension and type II diabetes mellitus. Figure-1: Reasons for the varied ECG presentation of acute LMain occlusion — excerpted from Dr. Smith’s 8/9/2019 post ( This Table from My Comment in the January 16, 2020 post ).

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Cardiogenic Shock Ischemia Chest Pain Cardiac Arrest 128

DAIC

AUGUST 21, 2024

The analysis also found smoking, Type 2 diabetes status, kidney damage, previous heart attack and high blood pressure are major modifiable determinants of developing heart failure over five to 10 years among American Indian adults. tim.hodson Wed, 08/21/2024 - 11:32 Aug.

Heart Failure 52

Heart Failure Risk Factors Heart Attack Heart attacks 52

Stroke Journal

JANUARY 30, 2025

Reliability of self-reported risk factors was high in overweight (F1 0.81) and diabetes (F1 0.71), moderate in hearing impairment (F1 0.59) and hypertension (F1 0.56) and low in hypercholesterolemia (F1 0.49) and kidney disease (F1 0.25).

Risk Factors 40

Risk Factors Dementia Stroke Strokes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

admitted from 2016‐2019 using the Nationwide Readmission Database (NRD). Data was weighted to allow for representative nationwide estimates.ResultsWe identified 1,398 patients admitted with a primary diagnosis of PACNS between 2016 and 2019. The primary diagnosis of the readmission was used to identify the etiology of readmission.

Risk Factors 40

Risk Factors Diabetes Stroke Strokes 40

Stroke Journal

FEBRUARY 1, 2024

We fit multivariable logistic regression models to evaluate the association between the history of migraine and the development of MAVE (stroke, acute coronary syndrome, systemic thromboembolism, hypertensive encephalopathy, pulmonary heart disease, or death) up to 24 weeks after delivery.

Inpatient 40

Inpatient Hypertension Document Obesity 40

Stroke Journal

JANUARY 30, 2025

This study aims to address this gap by examining the association between MA and 90-day AIS readmission.Methods:Using the National Readmission Database between 2016 and 2019, we identified patients admitted with a principal or non-principal diagnosis of migraine. Within 90 days, 411,850 (0.39%) patients had a subsequent admission for AIS.

Stroke 40

Stroke Strokes Atrial Fibrillation Risk Factors 40

Stroke Journal

JANUARY 30, 2025

In a linear regression model adjusted for age, sex, race, hypertension, diabetes, prior stroke, current smoking, current alcohol use, systolic blood pressure, and APOE genotype, lower eGFR was significantly associated with higher WMH ( = -0.008; 95% CI -0.013, -0.003; p < 0.001) (Figure 2). female, 22.1% female, 22.1%

Atherosclerosis 40

Atherosclerosis Kidney Disease Blood Pressure Biomarkers 40

Stroke Journal

FEBRUARY 1, 2024

Methods:Deidentified administrative discharge data included all individuals admitted to SC hospitals between 2010 and 2019 with ICD-9/10 codes for ischemic stroke. This study aims to assess sociodemographic profile and stroke risk factors among individuals residing in FDs within the predominantly rural state of South Carolina (SC).Methods:Deidentified

Risk Factors 40

Risk Factors Stroke Strokes Health Disparities 40

Stroke Journal

FEBRUARY 1, 2024

Patients with a high risk of metabolic syndrome (>= 2 of the following: hypertension, diabetes, hyperlipidemia, or obesity) have a higher risk of AIS (1.37, 1.13 - 1.65), AMI (1.81, 1.19 - 2.75), and MACE (1.28, 1.13 - 1.44).Conclusions:Developing Results:Among 10,652 ICH patients (median age [IQR]: 70 [58 - 80] years; 47.7%

Hemorrhage 40

Hemorrhage Myocardial Infarction Atrial Fibrillation Medicare 40

Circulation

NOVEMBER 16, 2023

1.23]), hypertension (adjusted HR, 2.01 [95% CI, 1.57–2.57]), 2.09]), diabetes (adjusted HR, 1.79 [95% CI, 1.50–2.15]), Clinical factors associated with higher mortality included male sex (adjusted HR, 1.31 [95% CI, 1.08–1.58]), 1.58]), older age (adjusted HR, 1.19 per 5-year increase [95% CI, 1.15–1.23]),

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Cholesterol Myocardial Infarction Kidney Disease Heart Failure 40

Dr. Smith's ECG Blog

NOVEMBER 12, 2020

Higher troponin correlated with more history of heart failure, diabetes, and hypertension, as well as higher D-dimer, and nearly all inflammatory markers. Cardiovascular Implications of Fatal Outcomes of Patients With Coronavirus Disease 2019 (COVID-19). Median age was 66.4 were over age 70, and 60% were men.

Cardiac Arrest 52

Cardiac Arrest COVID-19 Myocardial Infarction Cardiogenic Shock 52

All About Cardiovascular System and Disorders

OCTOBER 25, 2023

2019 Apr 2;321(13):1261-1274. Effect of Catheter Ablation vs Antiarrhythmic Drug Therapy on Mortality, Stroke, Bleeding, and Cardiac Arrest Among Patients With Atrial Fibrillation: The CABANA Randomized Clinical Trial. doi: 10.1001/jama.2019.0693. PMID: 30874766; PMCID: PMC6450284.

Atrial Fibrillation 52

Atrial Fibrillation Heart Failure Ablation Cardiac Arrest 52

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Mark Erfe Outcomes of Sutureless/Rapid Deployment Valves Compared to Traditional Bioprosthetic Aortic Valves The Annals of Thoracic Surgery September 2020 J.

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52