Stroke Journal

FEBRUARY 1, 2024

Introduction:The paucity of large-scale data exploring the effect of prior bariatric surgery on recurrent stroke outcomes in elderly obese stroke survivors led us to address the gap, with an emphasis on the risk of recurrent stroke and its trends.Methods:A retrospective study was conducted using National Inpatient Sample data from 2016-2019.

Obesity 40

Obesity Inpatient Stroke Strokes 40

Coronary Artery Disease Journal

OCTOBER 31, 2023

Background It is unclear how COVID-19 pandemic affected care and outcomes among patients who are diagnosed with ST-elevation myocardial infarction (STEMI) in the USA. for patients admitted in 2016–2019 period. to 3.49, P < 0.001) were reduced in 2020 compared to 2016–2019 period. reduction in admissions in 2020.

COVID-19 52

COVID-19 STEMI Inpatient Hospital 52

All About Cardiovascular System and Disorders

APRIL 15, 2024

Variation and Disparities in Awareness of Myocardial Infarction Symptoms Among Adults in the United States. 2019 Dec 2;2(12):e1917885. JAMA Netw Open.

Heart Attack 52

Heart Attack Heart attacks Chest Pain Myocardial Infarction 52

Stroke Journal

DECEMBER 5, 2024

This study aims to determine the adherence to physical activity recommendations among stroke survivors in the United States.

Stroke 75

Stroke Strokes Myocardial Infarction Education 75

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% Conclusion Asymptomatic CVD is largely prevalent in KTR.

Transplant 64

Transplant Coronary Artery Disease Myocardial Infarction Cardiovascular Disease 64

Frontiers in Cardiovascular Medicine

APRIL 17, 2024

ObjectiveCardiac regenerative medicine has gained significant attention in recent years, and integrins are known to play a critical role in mediating cardiac development and repair, especially after an injury from the myocardial infarction (MI).

Research 52

Research Myocardial Infarction Circulation 52

Frontiers in Cardiovascular Medicine

JANUARY 7, 2024

Methods We retrospectively analysed collected data from the UK National Adult Cardiac Surgery Audit (NACSA) on all redo sternotomy aortic root replacements performed between 30th January 1998 and 19th March 2019. 4.65, P  < 0.001), recent myocardial infarction (OR: 6.42, CI: 2.24–18.41, Age >59 (OR: 2.99, CI: 1.92–4.65,

Coronary Artery Bypass Graft 69

Coronary Artery Bypass Graft Aortic Hospital Outcomes 69

Circulation

NOVEMBER 11, 2024

Patients who underwent coronary angiography and diagnosed with MINOCA in Fuwai Hospital from January 2015 to December 2019 and met the inclusion criteria were enrolled. We mainly explored the correlation between the FAI of right coronary artery and left circumflex and morbidity of AF. month follow-up.

Coronary Artery Disease 40

Coronary Artery Disease Atrial Fibrillation Myocardial Infarction Ischemia 40

Open Heart

OCTOBER 17, 2022

Methods A multicentre cross-sectional epidemiological study to estimate the prevalence of elevated Lp(a) in patients with a history of myocardial infarction, ischaemic stroke or peripheral artery disease conducted at 949 sites in 48 countries in North America, Europe, Asia, South America, South Africa and Australia between April 2019 and July 2021.

Cardiovascular Disease 52

Cardiovascular Disease Peripheral Arterial Disease Myocardial Infarction Cholesterol 52

Dr. S. Venkatesan MD

SEPTEMBER 1, 2024

Strategy to Reduce Mortality Rates of ST-elevation Acute Myocardial Infarction Using Prehospital Thrombolysis: A Meta-analysis. Times to treatment in transfer patients undergoing primary percutaneous coronary intervention in the United States: National registry of myocardial infarction (NRMI)-3/4 analysis.

Thrombolysis 52

Thrombolysis Myocardial Infarction Academic STEMI 52

The British Journal of Cardiology

JUNE 11, 2024

Cardiovascular diseases (CVDs) have been reported to occur in a significant number of patients diagnosed with coronavirus disease 2019 (COVID-19). Additionally, 2D transthoracic echocardiography (TTE), and myocardial injury serum biomarkers assays (creatine phosphokinase-MB [CPK-MB] and cardiac troponins [cTn]) were measured once.

COVID-19 40

COVID-19 Cardiovascular Disease Angina Chest Pain 40

Dr. Smith's ECG Blog

NOVEMBER 15, 2023

associated typical Myocardial Infarction therapies such as statins and ACE inhibitors with significantly decreased 1 year mortality in MINOCA patients, which suggests that they do indeed have a similar pathophysiology to MI patients with obstructive coronary disease. MINOCA I do not have the bandwidth here to write a review of MINOCA.

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Coronary Angiogram Plaque Thrombosis STEMI 109

Dr. Smith's ECG Blog

OCTOBER 3, 2024

Performance of Artificial Intelligence Powered ECG Analysis in Suspected ST-Segment Elevation Myocardial Infarction. 2) To be presented at AHA conference in Chicago in 2 weeks: Sharkey SW et al. That said — I would not interpret ST-T wave appearance in lead aVL of today's ECG as a "reciprocal" change.

Chest Pain 123

Chest Pain Blog Myocardial Infarction 123

Dr. Smith's ECG Blog

AUGUST 6, 2024

The ECG is diagnostic of occlusion myocardial infarction (OMI). I would have favored emergent coronary CT angiogram had I cared for this patient. == Learning points: Diagnosis of occlusion myocardial infarction (OMI) can be extremely difficult and takes time and effort to learn well.

Chest Pain 104

Chest Pain Ischemia Pericarditis Tachycardia 104

Journal of the American Heart Association

DECEMBER 29, 2023

We compared the risk of adverse events between hypertensive patients using valsartan and a propensity score–matched group using nonrecalled angiotensin receptor blockers and angiotensin‐converting enzyme inhibitors.Methods and ResultsWe used Optum's deidentified Clinformatics Datamart (July 2017–January 2019).

Hypertension 45

Hypertension Myocardial Infarction Hospital Heart Failure 45

Stroke Journal

JANUARY 30, 2025

We further compared our findings with the adherence observed among myocardial infarction (MI) survivors.Methods:We utilized data from the 2011-2019 Behavioral Risk Factor Surveillance System, a nationally representative survey.

Stroke 40

Stroke Strokes Myocardial Infarction Education 40

Dr. Smith's ECG Blog

JANUARY 3, 2022

Prospective validation of current quantitative electrocardiographic criteria for ST-elevation myocardial infarction. Int J Cardiol 2019 2. -- Meyers HP, Bracey, Smith et al. V5-V6) of any amplitude, is specific for Occlusion Myocardial Infarction (vs. Ischemic ST depression maximal in V1-V4 (vs.

STEMI 52

STEMI Myocardial Infarction Chest Pain Ischemia 52

Dr. Paddy Barrett

AUGUST 30, 2024

5 Sleep Duration and Myocardial Infarction. 2019 Sep 10;74(10):1304-1314. Obesity (Silver Spring). 2023 May;31(5):1204-1215. 4 Effect of Sleep Extension on Objectively Assessed Energy Intake Among Adults With Overweight in Real-life Settings: A Randomized Clinical Trial. JAMA Intern Med. Published online February 07, 2022.

Heart Disease 111

Heart Disease Dementia Obesity Heart Attack 111

DAIC

OCTOBER 1, 2024

6 (3) (2019). The company is also pursuing an indication for non-invasive measurement of fractional flow reserve (FFR CT ), uniquely derived from its PlaqueIQ technology, to measure coronary blockages and the extent of ischemia. Hafiane, Vulnerable plaque, characteristics, detection, and potential therapies , J. Cardiovasc.

Cardiovascular Disease 52

Cardiovascular Disease Plaque Quality of Life Myocardial Infarction 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Further research and attention to this area are crucial for improving patient outcomes and guiding clinical interventions in this challenging condition.MethodsICD‐10‐CM codes were used to query the National Inpatient Sample (NIS) for patients with AIS between 2010 and 2019. Patients with AKI were on average older (63.29

Hemorrhage 40

Hemorrhage Aneurysm Cardiac Arrest Myocardial Infarction 40

Dr. S. Venkatesan MD

APRIL 22, 2024

This typically occurs after an inferior posterior myocardial infarction, drug-induced CHB. 2019; 74 : 1086-1106. Here is a patient, where a permanent pacemaker was kept temporarily for a few weeks or a month in high-risk reversible complete heart block situations. Ellenbogen K.A. J Am Coll Cardiol.

Pacemaker 40

Pacemaker Aortic valve TAVR Myocardial Infarction 40

Dr. Smith's ECG Blog

FEBRUARY 13, 2023

Accuracy of OMI findings versus STEMI criteria for diagnosis of acute coronary occlusion myocardial infarction. DIagnostic accuracy oF electrocardiogram for acute coronary OCClusion resulTing in myocardial infarction (DIFOCCULT study). Int J Cardiol Heart Vasc 2021 2. Aslanger et al. Int J Cardiol Heart Vasc 2020 3.

Chest Pain 52

Chest Pain STEMI Myocardial Infarction Electrocardiogram 52

Dr. S. Venkatesan MD

DECEMBER 29, 2023

Anderson ML, Peterson ED, Peng SA, Differences in the profile, treatment, and prognosis of patients with cardiogenic shock by myocardial infarction classification: A report from NCDR. SCAI 2019 Catheter Cardiovasc Interv.2019;94:29–37 PMID: 35743628; PMCID: PMC9224589. Circ Cardiovasc Qual Outcomes. 2013 Nov;6(6):708-15.

Cardiogenic Shock 52

Cardiogenic Shock STEMI Myocardial Infarction Document 52

Dr. Smith's ECG Blog

OCTOBER 12, 2024

Terminal QRS distortion is present in anterior myocardial infarction but absent in early repolarization. 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 ). J Electrocardiol. 2017.04.005.

STEMI 115

STEMI Document Blog Ischemia 115

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 111

Chest Pain Pacemaker Ischemia Stents 111

Dr. Smith's ECG Blog

NOVEMBER 13, 2022

The ECG in ER is shown below: ECG is still diagnostic but we are watching the natural course of myocardial infarction here. Considerations on the naming of myocardial infarctions. 2019 Apr;21(5):253-258. He arrived to our hospital one hour later. J Electrocardiol. 2022 Mar-Apr;71:44-46. doi: 10.1016/j.jelectrocard.2022.01.006.

Chest Pain 52

Chest Pain Myocardial Infarction Blog Pericarditis 52

Dr. Smith's ECG Blog

MARCH 9, 2023

Read our recent editorial: Hyperacute T-waves Can Be a Useful Sign of Occlusion Myocardial Infarction if Appropriately Defined. Relationship between an in-farct related artery, acute total coronary occlusion, and mortality in patients with ST-segment and non-ST-segment myocardial infarction. Pol Arch Intern Med.

Chest Pain 52

Chest Pain STEMI Myocardial Infarction Blog 52

Dr. Smith's ECG Blog

JULY 31, 2020

Terminal QRS distortion ( ie, the absence of both a J-wave and an S-wave in either lead V2 or lead V3 ) — SEE My Comment in the November 14, 2019 post for an illustration and description of T-QRS-D. The more leads in a given lead area that show hyperacute changes — the greater the concern for acute OMI.

STEMI 52

STEMI Article Chest Pain Blog 52

Dr. Smith's ECG Blog

APRIL 25, 2023

See our publication: ST depression in lead aVL differentiates inferior ST-elevation myocardial infarction from pericarditis There is STE in inferior leads, high lateral leads, and V4-V6. When there is ST depression (as in aVL, V2, V3), then top on the differential is OMI or myocarditis.

Chest Pain 52

Chest Pain Pericarditis Blog Cardiomyopathy 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

Am J Med 2019, 132(5):622-630. New insights into the use of the 12-lead electrocardiogram for diagnosing acute myocardial infarction in the emergency department. 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.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Smith's ECG Blog

MAY 13, 2020

Here is the ED ECG on arrival: Less STE/STD Provider's Clinical Impression: "findings concerning for myocardial infarction, likely proximal LAD or Left main." EMS gave 324 mg aspirin and 3 sublingual NTG, which the patient stated reduced the substernal chest pain from an 8/10 to 4/10. NTG drip started. Pain better still.

Echocardiogram 52

Echocardiogram Ischemia Chest Pain Blog 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

Such cases are classified as MINOCA (Myocardial Infarction with Non-Obstructed Coronary Arteries). Medical Therapy for Secondary Prevention and Long-Term Outcome in Patients With Myocardial Infarction With Nonobstructive Coronary Artery Disease. An angiogram is a "lumenogram;" most plaque is EXTRALUMINAL!! Lindahl et al.

Plaque 52

Plaque Chest Pain Thrombosis Stenosis 52

Dr. Smith's ECG Blog

APRIL 22, 2022

ST-elevation myocardial infarction after pharmacologic persantine stress test in a patient with Wellens’ syndrome. JAMA Intern Med 2019 9. Single High-Sensitivity Cardiac Troponin I to Rule Out Acute Myocardial Infarction. Lancet 2015 6. Patel J, Alattar F, Koneru J, et al. Case Rep Emerg Med 2014 7.

Chest Pain 52

Chest Pain Ischemia Myocardial Infarction Angina 52

Dr. Smith's ECG Blog

FEBRUARY 16, 2019

I hope you are surprised at this case, but I fear that most readers recognize this as the sad reality that exists across many institutions as of 2019. I attribute this mostly to the inadequate current paradigm of myocardial infarction which inspires failure for all such cases that are not obvious according to the STEMI criteria.

STEMI 52

STEMI Chest Pain Myocardial Infarction Document 52

Open Heart

APRIL 4, 2025

Aims We aimed to study time trends of acute myocardial infarction (AMI) and stroke incidence rates among immigrant groups living in Norway, with a special focus on immigrants from South Asia and former Yugoslavia.

Myocardial Infarction 52

Myocardial Infarction Stroke Strokes Hospital 52

Dr. Smith's ECG Blog

OCTOBER 24, 2019

Revascularization in Patients With Spontaneous Coronary Artery Dissection and ST-Segment Elevation Myocardial Infarction. JACC 2019 Sep 10;74(10):1290-1300. Natural History of Spontaneous Coronary Artery Dissection with Spontaneous Angiographic Healing.

Chest Pain 52

Chest Pain SCAD STEMI Cardiogenic Shock 52

Dr. Smith's ECG Blog

MAY 23, 2023

We wrote this Editorial in the Journal of Electrocardiology in 2019. Available from: [link] Excerpt: "To illustrate the limitations imposed by sample size, recent data from our institution reveal that we identify approximately 225 type I myocardial infarctions (MI) in a typical year. Litell JM, Meyers HP, Smith SW.

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Chest Pain STEMI Blog Stents 98