Dr. Smith's ECG Blog

JULY 14, 2023

Two recent interventions have proven in randomized trials to improve neurologic survival in cardiac arrest: 1) the combination of the ResQPod and the ResQPump (suction device for compression-decompression CPR -- Lancet 2011 ) and 2) Dual Sequential defibrillation. So, your next step is to Trace it down, and Copy it over".

Cardiac Arrest 98

Cardiac Arrest Chest Pain Defibrillator Atrial Flutter 98

Circulation

NOVEMBER 11, 2024

As heart failure with preserved ejection fraction (HFpEF) comprises half of all heart failure cases, understanding its management and effect on outcomes is crucial. p=0.35) and cardiac arrest (aOR 1.05, 95% CI 0.8 - 1.36, p=0.74) in patients on chronic opioids. adjusted odds ratio [aOR] 1.01, 95% CI 0.85 - 1.2,

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Preserved Ejection Fraction Inpatient Cardiogenic Shock Heart Failure 40

Dr. Smith's ECG Blog

DECEMBER 13, 2023

Outcome: 100% LAD Occlusion Here the Queen explains why: The dark blue tells us that she is looking especially at the QRS in V3 and the T-wave in V2 and V3. Not OMI, and we (Pendell and I) always take proportionality into account. So we taught the Queen on cases with very low voltage that were OMI.

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Blog Chest Pain Cardiac Arrest Cardiomyopathy 123

Circulation

NOVEMBER 11, 2024

Understanding the association with acute myocarditis (AMC) is crucial for preemptive management strategies and improving patient outcomes.Methods:We identified and compared adults (>18 years) with SID vs. non-SID patients hospitalized with AMC using the National In-patient sample database from 2016-2020.

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Hospital Outcomes Cardiac Arrest Heart Failure 40

European Journal of Heart Failure

DECEMBER 19, 2024

Aims To describe the use and the relation to outcome of different ventilation strategies in a contemporary, large, prospective registry of cardiogenic shock patients. for the NIV group ( p =0.005), even after excluding patients with cardiac arrest at presentation. The 60-day mortality rates were 40.2%

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Cardiogenic Shock Cardiac Arrest Outcomes Research 40

European Journal of Heart Failure

DECEMBER 13, 2023

Abstract Aims This study aimed to give contemporary insight into the use of Impella and venoarterial extracorporeal membrane oxygenation (VA-ECMO) in acute myocardial infarction-related cardiogenic shock (AMICS) and into associated outcomes, adverse events, and resource demands. Overall, adverse event rates and resource consumption were high.

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Cardiogenic Shock Myocardial Infarction Cardiac Arrest Hospital 40

Dr. Smith's ECG Blog

AUGUST 19, 2023

They had had twice the rate of cardiac arrest and twice the in-hospital mortality[1] In another study of patients diagnosed with STEMI, those on dialysis experienced delayed reperfusion and double the mortality.[2] They were less likely to have STEMI on ECG, and more likely to be initially diagnosed as non-ACS. Circulation 2007 2.

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Chest Pain STEMI Myocardial Infarction Blog 98

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. A mysterious case.

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STEMI Hospital Blog Defibrillator 52

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.

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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

Cardiac Troponin Testing in Patients with COVID-19: A Strategy for Testing and Reporting Results. Clin Chem [Internet] 2020;Available from: [link] Smith mini-review: Troponin in Emergency Department COVID patients Cardiac Troponin (cTn) is a nonspecific marker of myocardial injury. 3–8 Shi et al. Guo T, Fan Y, Chen M, et al.

Cardiac Arrest 52

Cardiac Arrest COVID-19 Myocardial Infarction Cardiogenic Shock 52

Frontiers in Cardiovascular Medicine

JANUARY 3, 2024

Background Research has described differences in the provision of prehospital treatment for women who experience out-of-hospital cardiac arrest. However, studies have reported conflicting results regarding survival outcomes or in-hospital interventions between sexes.

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Cardiac Arrest Hospital Outcomes Research 59

Journal of the American Heart Association

JANUARY 3, 2024

BackgroundPediatric out‐of‐hospital cardiac arrest (POHCA) is associated with significant mortality and poor neurological outcomes. The case group included children (aged 1 day to 17 years) who experienced an out‐of‐hospital cardiac arrest between 2004 and 2020.

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Cardiac Arrest Hospital Pediatrics Outcomes 45

Journal of Cardiovascular Electrophysiology

NOVEMBER 3, 2023

Graphical abstract depicting cardiac arrest mortality disparities in the young, temporal trends, and its correlation with the social vulnerability index. Abstract Background Cardiac arrest (CA) is a leading cause of death in the United States (US). Social determinants of health may impact CA outcomes.

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Cardiac Arrest Certification Outcomes Article 40

Journal of the American Heart Association

FEBRUARY 19, 2025

BackgroundInhospital cardiac arrest (IHCA) is associated with significant morbidity and mortality. The primary outcome was inhospital mortality. Secondary outcomes included rates of inhospital procedures. Journal of the American Heart Association, Volume 14, Issue 4 , February 18, 2025.

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Cardiac Arrest Coronary Artery Bypass Graft Outcomes Tachycardia 45

Journal of the American Heart Association

MARCH 21, 2025

However, the association of socioeconomic vulnerability and outcomes after hospitalization is uncertain.Methods and ResultsAmerican Heart Association COVID19 Cardiovascular Disease Registry hospitalizations between March 1, 2020, and June 30, 2022, linked with Medicare feeforservice claims, were analyzed.

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COVID-19 Medicare Cardiogenic Shock Hospital 40

Circulation

NOVEMBER 11, 2024

Nevertheless, the benefit of MP for postoperative clinical outcomes is controversial, especially in neonates. This study aimed to evaluate the effect of MP on postoperative inflammation and outcomes in neonatal cardiac surgery with cardiopulmonary bypass (CPB).Methods:From

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Outcomes Cardiac Arrest Circulation Research 40

Cardiometabolic Health Congress

JULY 17, 2024

Join us as we examine the landmark approvals that are revolutionizing patient outcomes. Notes: Approved after initial rejection two years prior based on safety data from Japan, where the drug had been used since 2020 It can only be used in kidney disease patients on dialysis for at least 3 months.

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Tricuspid Open-Heart Surgery Kidney Disease Defibrillator 59

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]. 2020 Oct 1;383(14):1305-1316. Epub 2020 Aug 29. The study was stopped for efficacy at the third interim analysis after a median of 5.1

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Atrial Fibrillation Heart Failure Ablation Cardiac Arrest 52

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 2020 Jan 28;141(4):e60] [published correction appears in Circulation.

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Cardiovascular Disease Heart Attack Heart attacks Coronary Artery Disease 111

Dr. Smith's ECG Blog

OCTOBER 11, 2020

About two hours after admission, he suffered a cardiac arrest (whether it was VF/VT or PEA is not available) and expired. Could this outcome have been prevented with emergent cath? And a complication. == MY Comment by K EN G RAUER, MD ( 10/11/2020 ): == It cannot be stated any clearer than what Dr. Meyers states above.

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Chest Pain STEMI Blog Tachycardia 52

Dr. Smith's ECG Blog

FEBRUARY 2, 2025

Smith comment: The patient was lucky to have a cardiac arrest. By undergoing an arrest, providers became aware of his OMI which had not been noticed on his diagnostic ECG, and he thus has a chance at some myocardial salvage. Had he not had one, he would have sat in the waiting room until his entire myocardium at risk infarcted.

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Cardiac Arrest STEMI Blog Ischemia 85

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.

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Bradycardia Cardiac Arrest Hypertension ICU 118

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