Open Heart

APRIL 27, 2022

Objective Group II pulmonary hypertension (PH) can be challenging to distinguish from Group I PH without proceeding to right heart catheterisation (RHC). The diagnostic accuracy of the H2FPEF and OPTICS scores was investigated in Scotland. The diagnosis from the scores were compared with the MDT consensus diagnosis following RHC.

Pulmonary 52

Pulmonary Hypertension 52

Stroke Journal

FEBRUARY 1, 2024

We aimed to compare in-hospital mortality and predictors in stroke patients with secondary rheumatological conditions.Methods:Using the National Inpatient Sample (NIS), we identified patients ≥18 admitted for stroke (Jan 2019 - Dec 2020), stratified into RA, SLE, scleroderma, or vasculitides groups using ICD-10-CM codes.

Inpatient 40

Inpatient Stroke Strokes Coronary Artery Disease 40

Dr. Smith's ECG Blog

APRIL 12, 2023

She had acute pulmonary edema on exam. On arrival, lung ultrasound confirmed pulmonary edema (B lines). 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

Journal of Cardiothoracic Surgery

OCTOBER 28, 2024

In this retrospective study, a total of 103 patients with lung cancer who received outpatient or inpatient treatment from December 2020 to May 2022 were selected and divided into the lobectomy group (n = 48) and the segmentectomy group (n = 55) according to different surgical methods.

Quality of Life 105

Quality of Life Cancer Outpatient Inpatient 105

Ken Grauer, MD

MARCH 27, 2024

In the context of today's case — these P waves are diagnostic of RAE = P Pulmonale ( See ECG Blog #75 ) and almost certain associated pulmonary hypertension. Working through a case of a regular WCT Rhythm in this 80-something woman — See My Comment in the May 5, 2020 post on Dr. Smith’s ECG Blog.

Blog 187

Blog Congenital Heart Disease Congenital Heart Disease 187

Circulation

NOVEMBER 11, 2024

Introduction:The demographics of patients with pulmonary arterial hypertension (PAH) is shifting towards older age, increased comorbidity burden, and an increase in the risk of left ventricular (LV) diastolic dysfunction. Circulation, Volume 150, Issue Suppl_1 , Page A4146852-A4146852, November 12, 2024. 2022 were included.

Pulmonary 40

Pulmonary Hypertension Preserved Ejection Fraction Outcomes 40

All About Cardiovascular System and Disorders

NOVEMBER 11, 2023

SCAPE is an acronym for sympathetic crash acute pulmonary edema, which can typcially occur in Pickering syndrome with renal artery stenosis [1]. Another term for transient acute pulmonary edema which occurs in renal artery stenosis is flash pulmonary edema. doi: 10.1136/bcr-2020-239421. Flash pulmonary edema.

Pulmonary 52

Pulmonary Stenosis Blood Pressure Risk Factors 52

DAIC

DECEMBER 14, 2023

The PulseSelect PFA system was engineered with differentiated safety features and provides rapid, effective pulmonary vein isolation (PVI) through consistent and predictable energy delivery and catheter maneuverability. Eur Heart J 2020. For more information: www.medtronic.com References: Verma A, et al. Wolf PA, Abbott RD, Kannel WB.

Atrial Fibrillation 105

Atrial Fibrillation Ablation Technology Risk Factors 105

Dr. Smith's ECG Blog

JANUARY 8, 2024

Smith interpretation: This is highly likely to be due to extreme right heart strain and is nearly diagnostic of pulmonary embolism. It is of course pulmonary embolism. No d-dimer or CT pulmonary angiogram was done when they discovered that she had normal coronary arteries. What is the clear diagnosis and reason for arrest?

Chest Pain 75

Chest Pain Pulmonary Embolism STEMI 75

Journal of the American Heart Association

DECEMBER 1, 2023

BackgroundThe modified Blalock‐Taussig‐Thomas shunt is the gold standard palliation for securing pulmonary blood flow in infants with ductal‐dependent pulmonary blood flow.

Pediatrics 40

Pediatrics Pulmonary Stents Stent 40

Ken Grauer, MD

FEBRUARY 28, 2023

These 2 settings are: i ) In patients with severe , often longstanding pulmonary disease ; and / or , ii ) In acutely ill patients with multi-system disease ( ie, sepsis, shock, electrolyte and/or acid-base disorders ). Hypoxic injury ( from pneumonia or other acute pulmonary complication ). Acute pulmonary embolus.

Blog 78

Blog COVID-19 AFIB Pulmonary 78

Open Heart

MAY 9, 2022

All SARS-CoV-2 polymerase chain reaction (PCR) positive patients who underwent a TTE during their inpatient admission between 1 March 2020 and 31 October 2020 were analysed. A raised pulmonary artery systolic pressure (36.8%) andright ventricle (RV) dysfunction (26.4%) were the most common echocardiographic features.

COVID-19 52

COVID-19 Inpatient Risk Factors Echocardiogram 52

Circulation

NOVEMBER 11, 2024

We compared in-hospital outcomes based on the presence versus absence of Group 2 PH. The primary outcome was 30-day readmissions.

Myocardial Infarction 40

Myocardial Infarction Hospital Hypertension Pulmonary 40

Dr. Smith's ECG Blog

OCTOBER 21, 2023

This patient in severe respiratory distress clearly shows sufficient abnormalities on chest X-Ray that could plausibly account for the highly unusual QRS morphology in Figure-2 ( whereas in a patient without such extensive pulmonary disease — such QRS morphology would simply not be consistent with LBBB conduction ).

Tachycardia 136

Tachycardia Pulmonary Blood Pressure Blog 136

Dr. Smith's ECG Blog

OCTOBER 17, 2024

Smith comment: before reading anything else, this case screamed pulmonary embolism to me. I would do bedside ultrasound to look at the RV, look for B lines as a cause of hypoxia (which would support OMI, and argue against PE), and if any doubt persists, a rapid CT pulmonary angiogram.

Chest Pain 77

Chest Pain STEMI Pulmonary Embolism 77

Frontiers in Cardiovascular Medicine

JANUARY 21, 2024

Results 18 studies published after 2020 were included. 0.92), and pulmonary artery (0.92, IQR 0.87–0.93). The DSC scores median achieved for the most commonly segmented structures were left atrium (0.88, IQR 0.83–0.91), 0.91), left ventricle (0.91, IQR 0.89–0.94), 0.94), left ventricle myocardium (0.83, IQR 0.82–0.92),

Pulmonary 59

Pulmonary Research 59

Stroke Journal

FEBRUARY 1, 2024

We used previously validated ICD-10-CM codes for acute ischemic stroke, intracerebral and subarachnoid hemorrhage, cerebral venous thrombosis, acute myocardial infarction, pulmonary embolism, and acute deep venous thrombosis to define our study outcome.Results:We identified a total of 747 patients with OHSS in HCUP.

Thrombosis 40

Thrombosis Inpatient Embolism Myocardial Infarction 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

Ken Grauer, MD

JUNE 6, 2023

I've previously discussed the interesting correlation of a qR pattern in lead V1 in patients with RVH — as strongly suggesting associated pulmonary hypertension ( See ECG Blog #234 and Blog #248 ). The QRS is not wide enough for a complete RBBB — and, lateral limb leads I and aVL both lack terminal S waves.

Blog 78

Blog Pulmonary Hypertension Aortic 78

Frontiers in Cardiovascular Medicine

JANUARY 1, 2025

Patients were divided into four groups based on their average ventricular rate levels from 24h Holter monitoring: Group I (40average rate<60bpm), Group II (60average rate <80bpm), Group III (80average rate<100bpm), and Group IV (average rate100bpm).The Additionally, the use of digoxin could affect changes in left ventricular ejection fraction.

Atrial Fibrillation 52

Atrial Fibrillation Bicuspid/Mitral Coronary Artery Disease BMI 52

Open Heart

DECEMBER 15, 2022

Methods In a retrospective cohort study, patients who underwent isolated TVS at our institution between 2012 and 2020 were screened and followed up to 1 year. It was associated with ECHO-derived right ventricular (RV) free wall strain and RHC-derived RV systolic and diastolic as well as mean pulmonary pressures.

Tricuspid 52

Tricuspid Outcomes Congenital Heart Disease Congenital 52

All About Cardiovascular System and Disorders

FEBRUARY 23, 2024

Leaving a fenestration in the interatrial septum during a Fontan repair is useful in relieving the central venous congestion when pulmonary blood flow is driven by venous pressure in Fontan repair. Subjects were between 2-6 years at Fontan surgery done between 2010 and 2020 with cardiac catheterization done within 1 year prior to the surgery.

Pulmonary 40

Pulmonary Pediatrics Aortic Hospital 40

DAIC

FEBRUARY 2, 2024

The primary endpoint of the analysis was incidence of procedure – or device-related primary adverse events (PAEs) within seven to ninety days of the ablation procedure; the secondary endpoint was the rate of acute pulmonary vein (PV) isolation.1 2020 June;127(1):4-20. Int J Stroke. 2021 Feb;16(2):217-221. Benjamin EJ, Schnabel RB.

Ablation 105

Ablation Atrial Fibrillation AFIB Heart Rhythm 105

Journal of Cardiovascular Electrophysiology

JANUARY 28, 2024

Methods and Results Patients with symptomatic, drug-resistant paroxysmal AF for first ablation were prospectively enrolled from September 2020 to January 2022. First-pass isolation, acute pulmonary vein (PV) reconnections, 1-year arrhythmia recurrence, and major complications were assessed.

Atrial Fibrillation 40

Atrial Fibrillation Ablation Arrhythmia Pulmonary 40

Dr. Smith's ECG Blog

AUGUST 14, 2023

The bedside echo showed a large RV (Does this mean there is a pulmonary embolism as the etiology?) When you suspect pulmonary embolism due to large RV on POCUS, always look for right axis deviation and a large R-wave in V1 because the large RV may be entirely due to chronic RVH, not acute PE. Here is his triage ECG: What do you think?

Chest Pain 52

Chest Pain Pulmonary Sickle Cell Disease Atrial Flutter 52

Circulation

NOVEMBER 11, 2024

This study examines the outcomes of hospitalized AF patients with thrombocytopenia.Methods:The National Inpatient Sample (NIS) from 2016-2020 was analyzed to identify adult patients with AF and thrombocytopenia (using the proper ICD-10 codes). The primary outcome was all-cause inpatient mortality.

Atrial Fibrillation 40

Atrial Fibrillation Outcomes Inpatient Hospital 40

Cardiometabolic Health Congress

JULY 17, 2024

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. Clinical Trial Results: Aprocitentan reduced and maintained lower BP levels over time, both in SiSBP and SiDBP.

Tricuspid 59

Tricuspid Open-Heart Surgery Kidney Disease Pediatrics 59

Dr. Smith's ECG Blog

OCTOBER 23, 2023

Conduction and refractoriness alternans may be seen with WPW-related as well as AV Nodal-dependent reentr y tachycardias — atrial fibrillation — acute pulmonary embolus — myocardial contusion — and severe LV dysfunction. Therefore — identification of QRS alternans during a regular SVT does not prove the existence of an accessory pathway.

Tachycardia 120

Tachycardia Cardiac Arrest ICU Blog 120

Stroke Journal

FEBRUARY 1, 2024

Methods:We analyzed young adult hospitalizations (18-44 years) with known CUD from the 2020 National Inpatient Sample. vs. 22.6%), HTN (17% vs. 14.7%), chronic pulmonary disease (13.2% vs. 27.9%), visiting rural hospitals (13.9% vs. 1.3%), with Medicaid (56.3% vs. 41.1%) as the predominant payer. vs. 58.4%), tobacco use (24.9%

Hospital 40

Hospital Stroke Strokes Medicaid 40

Dr. Smith's ECG Blog

OCTOBER 28, 2023

Further ultrasound showed no B-lines (no pulmonary edema). 23/WCC — 2/21/2020 ). 23/WCC — 2/21/2020 ). 23/WCC — 2/21/2020 ). 23/WCC — 2/21/2020 ). The heart rate is too fast for this poor filling. Preload must be increased and the heart rate slowed in order to allow more LV filling.

Preserved Ejection Fraction 60

Preserved Ejection Fraction Sudden Cardiac Death Heart Failure Chest Pain 60

Open Heart

JULY 17, 2023

Methods Multicentre UK study undertaken 1 March 2020–30 June 2021 during the COVID-19 pandemic. to 1.10 (p<0.01)) and with pulmonary arterial hypertension (PAH; OR 5.99, 95% CI 1.34 Objective Ascertain the impact of COVID-19 on people with CHD and define risk factors for adverse outcomes. to 26.91 (p=0.02)).

COVID-19 40

COVID-19 Congenital Heart Disease Congenital Heart Disease 40

Stroke Journal

FEBRUARY 1, 2024

3) were treated with SARS-CoV-2 (Isolate USA-WA1/2020) or delta variant spike protein for 24h then later exposed to hypoxia for 6h (to model the effects of in vivo pulmonary infection). Cells were pretreated with ATN-16, 1h before SARS-CoV-2 and hypoxia challenge.

COVID-19 40

COVID-19 Pulmonary Stroke Strokes 40

Dr. Smith's ECG Blog

NOVEMBER 12, 2020

and the patient was converted to veno-venous (V-V) ECMO due to persistent pulmonary insufficiency. 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. medRxiv [Internet] 2020;Available from: [link] 8.

Cardiac Arrest 52

Cardiac Arrest COVID-19 Myocardial Infarction Cardiogenic Shock 52

Dr. Smith's ECG Blog

FEBRUARY 28, 2020

My answer: "This is classic for PE, but it can also be present in any hypoxia due pulmonary hypoxic vasoconstriction and resulting acute pulmonary hypertension and acute right heart strain. The ECG of most patients with longstanding pulmonary disease show more r wave progression than I see in ECG #1. This is NOT Wellens.

Chest Pain 52

Chest Pain Pulmonary Tachycardia Embolism 52

Ken Grauer, MD

JULY 9, 2023

ECG Blog #65 — for an example of MAT in a patient with chronic pulmonary disease ( plus more on the differential diagnosis of MAT ). These cases provide insight to assessment for MAT: The January 5, 2020 post in Dr. Smith’s ECG Blog — for an example of MAT. ECG Blog #199 and ECG Blog #366 — for Review of M AT. Smith’s ECG Blog.

Blog 78

Blog Cardiac Arrest Pulmonary AFIB 78

Dr. Smith's ECG Blog

FEBRUARY 12, 2023

This suggests that there is pulmonary hypertension and thus possibly RVH. The estimated pulmonary artery systolic pressure is 31 mmHg + RA pressure. In a patient with RVH — the finding of a qR pattern has been closely correlated with pulmonary hypertension. Right atrial enlargement, severe. Severe tricuspid regurgitation. --The

Pulmonary 40

Pulmonary Chest Pain Hypertension Tricuspid 40

All About Cardiovascular System and Disorders

OCTOBER 25, 2023

CABANA Trial randomized 2204 patients with AF aged 65 years or more and those below 65 years with one or more risk factors for stroke for catheter ablation with pulmonary vein ablation or drug therapy with rate or rhythm control. 2020 Oct 1;383(14):1305-1316. Epub 2020 Aug 29. N Engl J Med. doi: 10.1056/NEJMoa2019422.

Atrial Fibrillation 52

Atrial Fibrillation Heart Failure Ablation Cardiac Arrest 52