Circulation

NOVEMBER 11, 2024

The incidence of no-reflow was higher in patients with attenuated plaque ≥5 mm in length as evaluated by intravascular ultrasound (IVUS).Objective:The The incidence of no-reflow was higher in patients with attenuated plaque ≥5 mm in length as evaluated by intravascular ultrasound (IVUS).Objective:The

Ultrasound 40

Ultrasound Plaque Blood Pressure Myocardial Infarction 40

Frontiers in Cardiovascular Medicine

OCTOBER 8, 2024

Diaphragmatic dysfunction was defined as a diaphragmatic excursion of less than 9 mm in women and less than 10 mm in men at rest, with an average thickening fraction of less than 20%.

ICU 52

ICU Ultrasound Risk Factors Hospital 52

All About Cardiovascular System and Disorders

FEBRUARY 22, 2024

A retrospective single centre cohort analysis of attempted fetal aortic valvuloplasty from a pioneering centre, of cases from 2000 to 2020 has been published [1]. Currently all procedures are done percutaneously under ultrasound guidance following maternal spinal or epidural anaesthesia. Reference Ryan Callahan, Kevin G. Esch, Lynn A.

Aortic 52

Aortic Ultrasound Pediatrics Nursing 52

DAIC

APRIL 9, 2024

Before the procedure, patients should have an electrocardiogram (ECG) and echocardiogram (ultrasound of the heart) to check the heart’s rhythm and function. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association of Cardio-Thoracic Surgery (EACTS).

Atrial Fibrillation 105

Atrial Fibrillation Ablation Heart Rhythm Blood Clot 105

Circulation: Cardiovascular Interventions

JANUARY 24, 2025

IVI was defined as intravascular ultrasound or optical coherence tomography. A contemporary subset of PCIs from 2020 to 2022 was used to examine clinical characteristics associated with IVI use and test the reliability of IVI as a pass/fail performance measure.

Hospital 45

Hospital Ultrasound Cardiovascular Interventions Outcomes 45

Dr. Smith's ECG Blog

JULY 5, 2024

A formal ultrasound later showed reasonably good LV function, and so he later received carvedilol and diltiazem, Unfortunately, those led to hypotension at 80/40 with a HR 40. Several hours later, this was the effect: NT pro-BNP elevated to 7000 Furosemide was also given. I'd add the following thoughts to Dr. Smith's discussion.

Atrial Flutter 112

Atrial Flutter Tachycardia Atrial Fibrillation AFIB 112

DAIC

FEBRUARY 2, 2024

The updated workflow indicates that direct imaging guidance, such as ultrasound, may be used as an alternative to fluoroscopy. "As 2020 June;127(1):4-20. This is the most commonly used ablation catheter in the world for RF ablation and is fully integrated with the CARTO 3 System. Int J Stroke. 2021 Feb;16(2):217-221.

Ablation 105

Ablation Atrial Fibrillation AFIB Heart Rhythm 105

DAIC

FEBRUARY 29, 2024

24: Joint American College of Cardiology/Journal of the American College of Cardiology Late-Breaking Clinical Trials (Session 402) Saturday, April 6 9:30 – 10:30 a.m.

Aortic valve 103

Aortic valve Myocardial Infarction Aortic Blood Pressure 103

Dr. Smith's ECG Blog

MAY 13, 2020

This was a point of care ultrasound, not a bubble contrast echo. On echo, OMI has a wall motion abnormality, but SI usually does not. == MY Comment by K EN G RAUER, MD ( 5/13/2020 ): == It’s good to periodically review the differential diagnosis of the diffuse subendocardial ischemia. What do you think the echocardiogram shows?

Echocardiogram 52

Echocardiogram Ischemia Chest Pain Blog 52

Dr. Smith's ECG Blog

MAY 30, 2023

Case continued A bedside ultrasound showed diminished LV EF and of course bradycardia. The February 11, 2020 post ( LA-RA reversal ). The March 18, 2020 post ( LA-RA reversal ). The August 28, 2020 post ( LA-LL reversal ). The November 19, 2020 post ( LA-LL reversal ). RVMI explains part of the shock.

Chest Pain 97

Chest Pain Myocardial Infarction STEMI Cardiogenic Shock 97

Circulation

JANUARY 27, 2025

The primary efficacy outcome was the composite of no occlusion in the treated segment assessed at serial duplex ultrasound examinations or no reintervention needed to maintain patency within 6 months. Secondary outcomes, including Villalta score, quality of life, and safety outcomes, were also assessed.

Thrombosis 40

Thrombosis Stents Stent Quality of Life 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 ). There is very little filling, and thus very poor stroke volume. The heart rate is too fast for this poor filling.

Preserved Ejection Fraction 57

Preserved Ejection Fraction Sudden Cardiac Death Chest Pain Heart Failure 57

Circulation

NOVEMBER 11, 2024

To address this issue, we propose a novel approach using Superb Microvascular Imaging (SMI), an ultrasound method that that enables detailed visualization of microvascular flow, to assess renal microcirculation.Methods:We retrospectively analyzed 78 patients who underwent renal ultrasonography using SMI from October 2020 to May 2023.

Heart Failure 40

Heart Failure Ultrasound Circulation Hospital 40

Dr. Smith's ECG Blog

JULY 21, 2024

Another approach is sympathetic chain (stellate ganglion) blockade if you have the skills to do it: it requires some expertise and ultrasound guidance. As I review in My Comment in the January 16, 2020 post of Dr. Smith's ECG Blog ( and have reproduced in Figure-2 below ) — the ECG of patients with acute LMCA occlusion may be varied.

Arrhythmia 131

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 131

Dr. Smith's ECG Blog

APRIL 12, 2023

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. This is proximal LAD Occlusion until proven otherwise.

Echocardiogram 52

Echocardiogram Pulmonary Cardiomyopathy Coronary Artery Disease 52

Dr. Smith's ECG Blog

APRIL 22, 2024

EKG from triage: Here is his previous ECG: Normal ST Elevation Resident's interpretation: Reperfusion pattern/Wellens' with biphasic T waves in V2 and V3, and in comparison to an EKG in 2020 this is new. Bedside ultrasound with no apparent wall motion abnormalities, no pericardial effusion, no right heart strain.

Chest Pain 117

Chest Pain Myocardial Infarction Anatomy Angina 117

Dr. Smith's ECG Blog

MAY 19, 2020

The ways to tell for certain include intravascular ultrasound (to look for extra-luminal plaque with rupture) or "optical coherence tomography," something I am entirely unfamiliar with. The authors recommend using optical coherence tomography or intravascular ultrasound imaging in patients with evidence of nonobstructive CAD by angiogram.

Defibrillator 52

Defibrillator Circulation Plaque Cardiac Arrest 52

Dr. Smith's ECG Blog

NOVEMBER 12, 2020

A bedside cardiac ultrasound was normal, with no effusion. 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. JAMA Cardiol [Internet] 2020;Available from: [link] 4. Guo T, Fan Y, Chen M, et al.

Cardiac Arrest 52

Cardiac Arrest COVID-19 Myocardial Infarction Cardiogenic Shock 52

Dr. Smith's ECG Blog

OCTOBER 2, 2021

After rethinking the case, he remained concerned about ACS and subsequently performed a point-of-care ultrasound in order to evaluate for regional wall motion abnormality. In equivocal cases, point-of-care ultrasound may be the difference between taking the patient to the lab or not. 1] Wereski, R., Chapman, A. Gray, A., &

Chest Pain 52

Chest Pain Ultrasound STEMI Myocardial Infarction 52

Dr. Smith's ECG Blog

NOVEMBER 15, 2023

The problem is difficult to study because angiographic visualization of arteries is not perfect, and not all angiograms employ intravascular ultrasound (IVUS) to assess for unseen plaque or for plaque whose rupture and ulceration cannot be seen on angiogram. Thus, intracoronary imaging modalities are crucial in this setting.

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Coronary Angiogram Plaque Thrombosis STEMI 109

Dr. Smith's ECG Blog

DECEMBER 19, 2023

Two thirds of MINOCA cases are due to atherosclerotic causes One way to prove the diagnosis in this case would have been with intravascular imaging such as optical coherence tomography (OCT) or intravascular ultrasound (IVUS). Fortunately, that is exactly what happened. This is not the case.

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Plaque Angina Blog Stents 127

SoftCath

JUNE 20, 2021

Billion in 2020. Magnetic Resonance-Guided Ultrasound It is an MRI-based therapeutic technique that makes use of ultrasonic pulses to remove the target tissue. It has greatly enhanced the methods of diagnostics and has made the treatment of several medical conditions more efficient and effective.

Technology 52

Technology Cancer COVID-19 Blood Clot 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

The sheep were anesthesitized and handled under approval of the Animal Research Committee at UCLA (protocol ARC 2020‐19). Femoral artery and external jugular vein access were obtained using the Seldinger technique under ultrasound guidance and did not require a surgical cut down.

Laboratory 40

Laboratory Ultrasound Research Stenosis 40

Dr. Anish Koka

JULY 23, 2023

In 2020, the state medical board investigated Dr. Mustapha and referred him to the Michigan attorney general. A lower extremity arterial ultrasound revealed elevated velocities in the right proximal superficial femoral artery. A second opinion from another physician at another facility resulted in a normal ultrasound.

Vascular Care 52

Vascular Care Outpatient Peripheral Arterial Disease Stents 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. Takotsubo is a sudden event, not one with crescendo angina.

Plaque 52

Plaque Chest Pain Thrombosis Stenosis 52

Dr. Smith's ECG Blog

OCTOBER 17, 2024

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. As for the ECG, it could represent OMI, but RBBB is also a clue that it may be PE.

Chest Pain 73

Chest Pain STEMI Pulmonary Embolism 73

Dr. Smith's ECG Blog

FEBRUARY 23, 2023

Dr. Nossen performed a bedside ultrasound which was interpreted as normal. As emphasized in My Comment at the bottom of the page of the June 3, 2020 post in Dr. Smith's ECG Blog — Almost everyone gets fooled the 1st time they see this phenomenon. The KEY to interpreting today's case — is to be aware of the Emery Phenomenon.

Blog 52

Blog Bradycardia Ischemia Exercise 52

Dr. Smith's ECG Blog

APRIL 25, 2023

No pericardial effusion on ultrasound." Smith's ECG Blog how difficult it may sometimes be to distinguish between acute myocarditis vs acute OMI on the basis of ECG findings and the clinical history ( See My Comments in the July 21, 2019 — December 10, 2019 — and January 10, 2020 posts). What do you think?

Chest Pain 52

Chest Pain Pericarditis Blog Cardiomyopathy 52

Dr. Smith's ECG Blog

JANUARY 15, 2024

A bedside ultrasound should be done to assess volume and other etiologies of tachycardia, but if no cause of type 2 MI is found, the cath lab should be activated NOW. The November 10, 2020 post — for PTA. The October 17, 2020 post — for a 70-year old woman with " Artifactual VT ". The March 17, 2023 post — for PTA.

Chest Pain 64

Chest Pain Blog Arrhythmia Critical Care 64

Dr. Smith's ECG Blog

NOVEMBER 28, 2022

A bedside cardiac ultrasound was performed with a parasternal long axis view demonstrated below: There is a large pericardial effusion with collapse of the right ventricle during systole. Figure reproduced from My Comment at the bottom of the page in the September 7, 2020 post in Dr. Smith's ECG Blog ). She has already had syncope.

Tachycardia 40

Tachycardia Pericarditis Ultrasound Blood Pressure 40

Dr. Smith's ECG Blog

APRIL 24, 2020

In other words, I believe this ultrasound result refers to the lateral wall that is recorded by I, aVL, V5, V6; terminology has changed such that anything that is either posterior or lateral is now called "lateral."

Ischemia 52

Ischemia Chest Pain Stenosis STEMI 52

Dr. Smith's ECG Blog

JANUARY 10, 2020

Here is the parasternal short axis, performed by a real expert in emergency department point of care cardiac ultrasound: There does not appear to be an anterior wall motion abnormality. Beware a negative Bedside ultrasound. Exam revealed no friction rub What do you want to do? A bedside echo was done immediately. Pericarditis?

Chest Pain 40

Chest Pain Pericarditis Ultrasound Download 40

Dr. Anish Koka

SEPTEMBER 24, 2022

The vaccine efficacy data for the original data was from thousands of patients and I certainly felt given the devastation wreaked on many of my patients in 2020 that the vaccines were the best chance of avoiding morbidity and mortality.

COVID-19 52

COVID-19 Hospital Chest Pain Quality of Life 52

Dr. Smith's ECG Blog

JANUARY 6, 2023

Smith comment: Point of Care ultrasound is not adequate to rule out wall motion abnormality; moreover, diffuse subendocardial ischemia often has no wall motion abnormality because the epicardium is still contracting. Association between opioid analgesia and delays to cardiac catheterization of patients with occlusion Myocardial Infarctions.

Chest Pain 52

Chest Pain Ischemia Myocardial Infarction ICU 52

Dr. Smith's ECG Blog

MARCH 6, 2023

Regional wall motion abnormality-inferolateral (this is the formal ultrasound location of a posterior wall motion abnormality). Formal contrast echo: The estimated left ventricular ejection fraction is 44%. Regional wall motion abnormality-anterolateral. Is the ability to diagnose posterior reperfusion a useful skill? 2022.08.750 Section 5.2.2,

Chest Pain 52

Chest Pain STEMI Stenosis Blog 52

Dr. Smith's ECG Blog

JULY 12, 2020

So I immediately left the room to get an ultrasound machine. While calling for some help and arranging to have her transported to our critical care zone, I got this quick ultrasound which confirmed my suspicion: This quick view was all I was able to obtain in the circumstances.

Pericarditis 40

Pericarditis Hospital Ultrasound Blood Pressure 40

Dr. Smith's ECG Blog

SEPTEMBER 29, 2018

This is a case written by Dan Lee (One of our fantastic Hennepin Residents, class of 2020 ) edits by Smith A 60 something-year-old man with a history of ESRD, LVH and prior CABG presented after an episode of hypotension during his hemodialysis, run followed by a syncopal episode which caused his run to be terminated early.

Chest Pain 52

Chest Pain Myocardial Infarction Cardiac Arrest Ischemia 52