Dr. Paddy Barrett

FEBRUARY 27, 2024

mmol/l (130 mg/dl) or below, between 20-50% will already have coronary artery disease. As HBA1c increases, even in the normal range, the probability of coronary artery disease increases. For HBA1c, the trend is similar. Remember, these are all in the ‘normal’ range. JAMA Cardiol. JAMA Cardiol.

Risk Factors 111

Risk Factors Heart Disease Heart Attack Heart attacks 111

Open Heart

JUNE 5, 2024

Patients with coronary artery disease were excluded. Results From 1 January 2005 to 31 December 2020, 2727/18 988 (14.4%) patients were SMuRF less, with the proportion increasing over time. Methods We analysed data from the Melbourne Interventional Group PCI Registry. The primary outcome was 30-day mortality.

Cardiogenic Shock 52

Cardiogenic Shock Myocardial Infarction Outcomes Coronary Artery Disease 52

Frontiers in Cardiovascular Medicine

OCTOBER 7, 2024

This study aims to compare mortality rates within one year of STEMI patients among the public health insurance schemes of Thailand.MethodologyThis study is a single-center retrospective analysis of patients with STEMI treated with primary percutaneous coronary intervention (pPCI).

Public Health 52

Public Health Myocardial Infarction STEMI Coronary Artery Disease 52

Coronary Artery Disease Journal

OCTOBER 31, 2023

Methods We analyzed the data from National Inpatient Sample from 2016 to 2020 and assessed the impact of COVID-19 infection and the COVID-19 pandemic (year 2020) on in-hospital mortality, length of stay (LOS) and hospitalization costs.P reduction in admissions in 2020. In 2020, 3.0% vs. 10.7%; P < 0.001).

COVID-19 52

COVID-19 STEMI Inpatient Hospital 52

Coronary Artery Disease Journal

MAY 26, 2024

Methods The current study was a retrospective analysis of data from the US National (Nationwide) Inpatient Sample from 2020. 2.21) were also significantly higher for COVID-19 hospitalizations with coronary artery disease. Similarly, prolonged hospital length (OR, 1.82; 95% CI, 1.43–2.23),

COVID-19 40

COVID-19 Cardiovascular Disease Hospital Coronary Artery Disease 40

Stroke Journal

FEBRUARY 1, 2024

We conducted a nationwide study to investigate potential predictors for subsequent AIS following CAD.Method:Adult patients diagnosed with non-traumatic CAD, and without any previous or concurrent stroke (2016-2020), were identified from the Nationwide Readmission Database using validated and standard ICD-10 CM codes. P=0.022).

Stroke 40

Stroke Strokes Coronary Artery Disease Risk Factors 40

Dr. Prateek Bhatnagar

SEPTEMBER 14, 2020

Prateek Bhatnagar, Director Cardiac Surgery & Chief Cardiology Surgeon at Care Hospital, Banjara Hills, Hyderabad, has successfully operated & discharged India’s first post Covid 19 recovered patient who on 16th July, 2020, underwent a triple bypass surgery under Dr. Bhatnagar & his team of doctors here.

COVID-19 52

COVID-19 Chest Pain Pulmonary Coronary Artery Disease 52

Stroke Journal

JANUARY 30, 2025

We aim to assess how AI-ECG prediction model outputs, specifically the AF probability and delta age, are associated with adverse vascular outcomes in patients with migraine.Adult patients diagnosed with MwA and MwoA from 2000-2020 with at least one digital, standard 12-lead ECG were identified.

Atrial Fibrillation 40

Atrial Fibrillation Outcomes Coronary Artery Disease Myocardial Infarction 40

Dr. Smith's ECG Blog

APRIL 12, 2023

Mild Plaque no angiographically significant obstructive coronary artery disease. In comparison to the previous study, 11/11/2020, there has been a significant interval deterioration of left ventricular systolic function (previous EF 80%), and there is a new large apical wall motion abnormality.

Echocardiogram 52

Echocardiogram Pulmonary Cardiomyopathy Coronary Artery Disease 52

Dr. Smith's ECG Blog

MAY 19, 2020

MINOCA: Myocardial Infarction in the Absence of Obstructive Coronary Artery Disease). Here is my comment on MINOCA: "Non-obstructive coronary disease" does not necessarily imply "no plaque rupture with thrombus." 2) overlooked obstructive coronary disease (e.g., What is MINOCA? myocarditis).

Defibrillator 52

Defibrillator Circulation Plaque Cardiac Arrest 52

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 109

Coronary Angiogram Plaque Thrombosis STEMI 109

Dr. Smith's ECG Blog

MAY 24, 2022

No angiographically significant obstructive coronary artery disease. I highlight this problem in the July 28, 2020 post in Dr. Smith's ECG Blog — in which I include a Table, LINKS to other of our blog posts with examples of lead reversal — and a number of Pearls to facilitate recognizing when the leads are "off".

Chest Pain 52

Chest Pain Blog Coronary Angiogram Coronary Artery Disease 52

Coronary Artery Disease Journal

OCTOBER 23, 2023

Methods Data from the 2020 California State Inpatient Database was used retrospectively. Background Acute myocardial infarction (AMI) is one of the most lethal complications of COVID-19 hospitalization. In this study, we looked for the occurrence of AMI and its effects on hospital outcomes among COVID-19 patients.

COVID-19 52

COVID-19 Myocardial Infarction Hospital ICU 52

The British Journal of Cardiology

APRIL 16, 2024

We present the cumulative percutaneous coronary intervention (PCI) data of all comers (stable angina and acute coronary syndromes [ACS]) who presented to Hadi Clinic between January 2018 and December 2020. A total of 567 patients underwent coronary catheterisation for the three-year period between January 2018 and December 2020.

Outcomes 40

Outcomes Cardiogenic Shock Angina STEMI 40

Coronary Artery Disease Journal

MAY 29, 2024

Methods A total of 685 patients diagnosed with STEMI, treated with emergency PCI between January 2020 and June 2023, were included in this retrospective observational study. Objective This study aims to assess the relationship between serum iron levels and in-hospital mortality among patients with STEMI undergoing emergency PCI. μmol/L).

Myocardial Infarction 40

Myocardial Infarction Hospital STEMI Risk Factors 40

Dr. Smith's ECG Blog

SEPTEMBER 16, 2024

A coronary angiogram was done that did not show significant coronary artery disease. I have periodically called attention to examples of the Ashman phenomenon as they occur in Dr. Smith's ECG Blog ( See My Comments in the January 5, 2020 post — the June 17, 2020 post — and the March 30, 2023 post , among others ).

Cardiac Arrest 68

Cardiac Arrest Cardiomyopathy Arrhythmia Atrial Fibrillation 68

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

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

Dr. Paddy Barrett

SEPTEMBER 19, 2023

They are also at an increased risk of coronary artery disease (Discussed in more detail here ). 2020 Oct 1;383(14):1317-1327. This one requires some nuance. Carriers of the APOE 4 gene variant are at an increased risk of late-onset Alzheimer’s dementia. Curr Opin Lipidol. 2014 Feb;25(1):40-7. Atherosclerosis.

Dementia 52

Dementia Cholesterol Biomarkers Coronary Artery Disease 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. However, due to LBBB with some typical feature, difficult to rule out SVT completely.

Tachycardia 52

Tachycardia Nursing Heart Disease Dysrhythmia 52

Dr. Smith's ECG Blog

APRIL 29, 2020

Angiogram --Minimal coronary atherosclerosis --No obstructive epicardial coronary artery disease or evidence of plaque rupture noted to explain prolonged QT or ventricular fibrillation cardiacarrest, suspect nonischemic mechanism Echo The estimated left ventricular ejection fraction is 45 %. .

Cardiac Arrest 52

Cardiac Arrest Defibrillator Ischemia Tachycardia 52

Circulation

NOVEMBER 6, 2023

Background:Randomized trials in obstructive coronary artery disease (CAD) have largely shown no prognostic benefit from coronary revascularization. We identified the presence and cause of cardiomyopathy using CMR and coronary angiography data, blinded to clinical outcomes. Circulation, Ahead of Print.

Coronary Artery Disease 40

Coronary Artery Disease Cardiomyopathy Hospital Outcomes 40

Coronary Artery Disease Journal

DECEMBER 28, 2023

Purpose To evaluate the association between osteoporosis and coronary calcification and coronary plaque burden in patients with atherosclerosis and coronary artery disease (CAD). Quantitative computed tomography was used to measure the lumbar vertebra’s bone mineral density (BMD).

Coronary Artery Disease 40

Coronary Artery Disease Plaque Atherosclerosis Research 40

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 128

Cardiogenic Shock Ischemia Chest Pain Cardiac Arrest 128

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

Dr. Paddy Barrett

OCTOBER 11, 2024

Between 2020 and 2023, the rates of obesity dropped by about 2% 2. Inflammation is a key driver of heart disease, specifically coronary artery disease. For over 50 years, the rates of obesity have continued to rise worldwide 1. That is until now. I wonder if they might even reduce social media use? Inflammation.

Obesity 79

Obesity Cancer Dementia Coronary Artery Disease 79

Open Heart

SEPTEMBER 14, 2022

Methods We interrogated data collected in the UK Biobank between 1 January 2000 and 30 June 2020. VHD incidence was determined using International Classification of Disease-10 codes for aortic stenosis (AS), aortic regurgitation (AR), mitral stenosis, mitral regurgitation (MR) and mitral valve prolapse. and AR (5.0). and AR (5.0).

Coronary Artery Disease 52

Coronary Artery Disease Bicuspid/Mitral Atrial Fibrillation Aortic 52

Dr. Paddy Barrett

SEPTEMBER 20, 2024

For every one standard deviation increase of ApoB, the risk of coronary artery disease increases by 65% 2. Lipids and Lipoproteins in 2020. 2 Dose-Response Associations of Lipid Traits With Coronary Artery Disease and Mortality. But My Doctor Has Never Mentioned ApoB? 2020;324(6):595–596.

Heart Disease 111

Heart Disease Cholesterol Atherosclerosis Heart Attack 111

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? The answer is yes.

Heart Disease 105

Heart Disease Blood Pressure Dementia Atherosclerosis 105

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

Dr. Paddy Barrett

NOVEMBER 28, 2023

In general, there is no debate here regarding the need for stenting a coronary artery. Share Stenting In Stable Coronary Artery Disease The real debate relates to the role of stenting in the setting of a severely narrow coronary artery outside the setting of a heart attack. Makes total sense.

Stents 52

Stents Stent Heart Attack Heart attacks 52

Stroke Journal

JANUARY 30, 2025

CADASIL patients had lower rates of hypertension, diabetes, and coronary artery disease (55.0% Descriptive statistics evaluated demographic and clinical characteristics among AIS patients with and without CADASIL.Results:Of a total 1,918,920 weighted AIS hospitalizations, there were 300 patients with CADASIL. in 2018 to 2.8%

Hospital 40

Hospital Stroke Strokes Thrombolysis 40

Journal of the American Heart Association

JANUARY 23, 2024

We estimated adjusted hazard ratios (HRs) and rate ratios (RRs) for the association between age at T2D diagnosis and incident HHF, which was assessed until March 31, 2020. Additional adjustment for mediators (hypertension, coronary artery disease, and chronic kidney disease) marginally attenuated this relationship.

Heart Failure 40

Heart Failure Diabetes Hospital Coronary Artery Disease 40

Cardiology Update

FEBRUARY 14, 2024

In the early years of percutaneous coronary intervention (PCI), studies indicated a heightened risk of major adverse cardiac events (MACE) in patients with reduced left ventricular ejection fraction (LVEF), involving outcomes such as death, Q-wave myocardial infarction (MI), stent thrombosis, and repeat revascularization.

Myocardial Infarction 52

Myocardial Infarction Coronary Artery Disease Thrombosis Research 52

Circulation

NOVEMBER 11, 2024

Consecutive patients admitted to coronary care unit (CCU) were enrolled between January 2011 and December 2020. Among them, 1,129 (28.2%) had acute coronary syndrome, 1,915 (47.8%) had coronary artery disease, 1,039 (25.9%) had arrhythmia, and 1,825 (45.6%) had heart failure.

Outcomes 40

Outcomes Coronary Artery Disease Heart Failure Arrhythmia 40

Dr. Paddy Barrett

JUNE 7, 2024

Heart disease is the presence of plaque or atherosclerosis in the coronary arteries. 3 Associations of Late Adolescent or Young Adult Cardiovascular Health With Premature Cardiovascular Disease and Mortality. 2020 Dec 8;76(23):2695-2707. Am J Cardiol. 2006 Jun 1;97(11):1564-9. 2 J Gerontol A Biol Sci Med Sci.

Heart Disease 93

Heart Disease Heart Attack Heart attacks Plaque 93

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. Smith's ECG Blog — it is rare in practice to see LMCA occlusion, because most such patients die before reaching the hospital.

Arrhythmia 131

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 131