Dr. Smith's ECG Blog

MARCH 15, 2023

Her Apple Watch suddenly told her that she is in atrial fibrillation. Patients with healthy AV nodes who are not on AV nodal blockers and who are not hyperkalemic should have a rapid ventricular response if they have paroxysmal Atrial fibrillation. 25, 2022 ). Here is her EKG: What is unusual about this?

Atrial Fibrillation 52

Atrial Fibrillation AFIB Arrhythmia Exercise 52

Stroke Journal

JANUARY 4, 2024

Stroke, Ahead of Print. BACKGROUND:Atrial fibrillation (AF) is a frequent underlying cause of cryptogenic stroke (CS) and its detection can be increased using implantable cardiac monitoring (ICM). Finally, stroke recurrence was documented in 5.6%

Atrial Fibrillation 40

Atrial Fibrillation Stroke Strokes Document 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page ATP283-ATP283, February 1, 2025. Introduction:Catheter ablation (CA) is superior to medical therapy in the management of atrial fibrillation (AF). Of the 32 who had a stroke event, 24 had ischemic strokes, 7 hemorrhagic, and 1 of unknown mechanism.

Ablation 40

Ablation Stroke Strokes Peripheral Arterial Disease 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page ATP152-ATP152, February 1, 2025. Introduction:Effective care transition for ischemic or hemorrhagic stroke patients post-hospital discharge is critical. Early follow-up helps adjust treatment plans, reducing stroke recurrence.

Stroke 40

Stroke Strokes Risk Factors Hemorrhage 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATP249-ATP249, February 1, 2024. Introduction:Over the past decade, the concept of Patent Foreman Ovale (PFO)-related stroke has been evolving. Current guidelines recommend PFO closure in young patients who had a non-lacunar ischemic stroke of undetermined cause and related to a high-risk PFO.

Stroke 40

Stroke Strokes Atrial Fibrillation Embolism 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page ATP332-ATP332, February 1, 2025. Introduction:Subclinical hyperthyroidism has been linked to an increased risk of atrial fibrillation, which elevates the likelihood of cardioembolism, cryptogenic stroke (CS), and embolic stroke of undetermined source (ESUS). 4.2uIU/mL).

Stroke 40

Stroke Strokes Atherosclerosis Atrial Fibrillation 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page A96-A96, February 1, 2024. Introduction:While ischemic stroke (IS) in the young (18-55) is thought to have different etiologies than in older patients, a rise in vascular risk factors (VRFs) among young adults may translate to an IS risk profile similar to the older population. p <0.001).VRF

Risk Factors 40

Risk Factors Stroke Strokes Coronary Artery Disease 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page ATP90-ATP90, February 1, 2025. 4 process measures were defined a priori: antithrombotic (AT) medication, high or medium potency statin, anticoagulation for atrial fibrillation (AF), and dual antiplatelet therapy (DAPT) 90 days or less after the consult completion.

Outpatient 40

Outpatient Stroke Strokes Atrial Fibrillation 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATP236-ATP236, February 1, 2024. Introduction:A rising prevalence of stroke in young patients was noticed in recent years. Studies have reported racial disparities in young stroke patients and less desired outcomes of minorities. were male, and 60.4% vs. Hispanic 12.4%).

Stroke 40

Stroke Strokes Coronary Artery Disease Risk Factors 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP19-AWP19, February 1, 2024. Objective:The presence of left atrial thrombus (LAT) in acute stroke patients with nonvalvular atrial fibrillation (NVAF) is the major embolic source for recurrent stroke.

Stroke 40

Stroke Strokes Atrial Fibrillation Embolism 40

Dr. Smith's ECG Blog

FEBRUARY 18, 2024

Many ECG readers will not comment any further on rhythm once ventricular pacing has been identified, but it is still critical to determine the atrial rhythm. In this case, it is atrial fibrillation. The October 21, 2022 post — for " artifactual VT". Figure-1: I've labeled the artifact in today's initial ECG.

Pacemaker 108

Pacemaker Blog Atrial Fibrillation Electrophysiology 108

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. Diabetes is a risk factor for acute ischemic stroke and also a poor predictor of outcome for many interventional surgeries. vs 45.3%, p=0.05) after adjusting for age, NIHSS, and atrial fibrillation. or greater.

Outcomes 40

Outcomes Angioplasty Atrial Fibrillation Diabetes 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP23-AWP23, February 1, 2024. Introduction:Hemorrhagic transformation (HT) following acute ischemic stroke (AIS) is a common consideration especially when therapeutic anticoagulation is indicated in cases such as left ventricular or left atrial appendage thrombi.

Hemorrhage 40

Hemorrhage Stroke Strokes Atrial Fibrillation 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionThe mantra ‘time is brain’ cannot be overstated for patients suffering from acute ischemic stroke. DIDO was defined as the time between spoke hospital door in arrival and door out exit.

Stroke 40

Stroke Strokes Thrombolysis Atrial Fibrillation 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP191-AWP191, February 1, 2024. Introduction:The mantra ‘time is brain’ cannot be overstated for patients suffering from acute ischemic stroke. This is especially true for those with large vessel occlusions (LVO) requiring transfer to an endovascular thrombectomy (EVT) capable center.

Stroke 40

Stroke Strokes Thrombolysis Atrial Fibrillation 40

Journal of the American Heart Association

DECEMBER 24, 2024

BackgroundThis realworld evidence study compared risks of cardiovascular events in hospital settings among patients with chronic kidney disease (CKD) with and without hyperkalemia.Methods and ResultsAdults with CKD stages 3b/4 with and without hyperkalemia were identified from Optum's deidentified Market Clarity Data (January 2016August 2022).

Kidney Disease 45

Kidney Disease Arrhythmia Myocardial Infarction Atrial Fibrillation 45

DAIC

FEBRUARY 29, 2024

24 will focus on the following three current guideline updates: American College of Cardiology (ACC)/American Heart Association (AHA) Guidelines 2023 Atrial Fibrillation Guideline - Pharmacology II: Strokes vs. Bleeds, What Do the Guidelines Tell Us About Practical Management in A-fib? The Guidelines Sessions at ACC.24

Aortic valve 103

Aortic valve Myocardial Infarction Aortic Blood Pressure 103

Dr. Smith's ECG Blog

JANUARY 9, 2024

She also has a hx of paroxysmal atrial fibrillation and is on oral anticoagulant treatment. Slow VT below the detection rate of the ICD lead to worsening heart failure and low stroke volume. After atrial rhythm/SR was restored the patient slowly improved. The last echocardiography 12 months ago showed HFmrEF.

Tachycardia 118

Tachycardia Electrophysiology Atrial Flutter Ischemia 118

Dr. Smith's ECG Blog

MAY 30, 2023

What is the atrial activity? Or is it atrial fibrillation with complete AV block and junctional escape? The April 17, 2022 post ( Leads V1,V2 misplacement ). The May 24, 2022 post ( LA-LL reversal ). The May 26, 2022 post ( LA-LL reversal ). The August 17, 2022 post ( LA-RA reversal ).

Chest Pain 97

Chest Pain Myocardial Infarction STEMI Cardiogenic Shock 97

Dr. Smith's ECG Blog

NOVEMBER 19, 2022

Written by Bobby Nicholson MD, with edits by Meyers A woman in her 50s with past medical history of heart failure, prior stroke, atrial fibrillation on Eliquis, lung cancer in remission, and CKD, presented to the emergency department for evaluation of cough and shortness of breath. What do you think? J Electrocardiol.

Tachycardia 52

Tachycardia RN Atrial Fibrillation Heart Failure 52

DAIC

MARCH 31, 2025

AF Often Asymptomatic: Even for atrial fibrillation (AF)the most commonly symptomatic arrhythmiaover half of all cases were asymptomatic. If left untreated, certain arrhythmias can damage the heart, brain, or other organs 4 and increase the risk of stroke or death. Published March 24, 2022. www.nhlbi.nih.gov. 2016;11(8).

Arrhythmia 52

Arrhythmia Atrial Fibrillation Tachycardia Heart Failure 52

All About Cardiovascular System and Disorders

OCTOBER 25, 2023

Rate vs Rhythm Control in Atrial Fibrillation Rate vs rhythm control as a management strategy in atrial fibrillation has been a long standing topic for debate. EAST-AFNET 4 trial had 2789 patients with early atrial fibrillation and cardiovascular conditions [8].

Atrial Fibrillation 52

Atrial Fibrillation Heart Failure Ablation Cardiac Arrest 52

Journal of the American Heart Association

APRIL 16, 2025

BackgroundNewonset atrial fibrillation (NOAF) is a common complication after acute myocardial infarction (AMI) and is associated with poor survival. Atrial fibrillation (AF) burden is used to characterize the severity of AF. Journal of the American Heart Association, Ahead of Print. years; 552 men) were included.

Atrial Fibrillation 40

Atrial Fibrillation Myocardial Infarction Outcomes Document 40

Open Heart

JULY 16, 2024

Aims Women with atrial fibrillation (AF) are under-represented in randomised controlled trials (RCTs) of direct oral anticoagulants (DOACs). Methods PubMed, Embase, Web of Science and Cochrane Library were searched from January 2008 to November 2022. RCTs and observational studies were meta-analysed separately.

Atrial Fibrillation 98

Atrial Fibrillation Outcomes Embolism Stroke 98

DAIC

JUNE 19, 2024

In Europe, a consortium of 18 member organizations under the EU-funded Machine Learning Artificial Intelligence Early Detection Stroke Atrial Fibrillation (MAESTRIA) project is supporting the development of novel therapeutics for AFib and Stroke care, utilizing data from ECG, echocardiography, MRI, and CT.

AFIB 105

AFIB Reimbursement Research Atrial Fibrillation 105

Journal of Cardiovascular Electrophysiology

JANUARY 28, 2024

Abstract Introduction The optimized ablation index (AI) value for catheter ablation of atrial fibrillation (AF) remains to be defined. Methods and Results Patients with symptomatic, drug-resistant paroxysmal AF for first ablation were prospectively enrolled from September 2020 to January 2022. At 1 year, 86.4%

Atrial Fibrillation 40

Atrial Fibrillation Ablation Arrhythmia Pulmonary 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP277-AWP277, February 1, 2024. Substance use has been associated with an increased risk of stroke, and specifically, cocaine use is known to more likely cause lacunar and cardioembolic strokes. There were no significant differences in age at time of stroke (36.9 ± 7.1

Stroke 40

Stroke Strokes Atrial Fibrillation Public Health 40

Journal of the American Heart Association

FEBRUARY 26, 2024

We sought to clarify the relationship of schizophrenia with the risk of developing CVDs and to explore the potential modification effect of sex differences.Methods and ResultsWe conducted a retrospective analysis using the JMDC Claims Database between 2005 and 2022.

Cardiovascular Disease 76

Cardiovascular Disease Angina Myocardial Infarction Heart Failure 76

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP200-AWP200, February 1, 2024. Background and Study Purpose:Existing guidelines on endovascular treatment (EVT) of acute ischemic stroke do not include isolated cervical internal carotid artery occlusions (CICAO). These occlusions are still treated, but the effect remains unclear.

Atrial Fibrillation 40

Atrial Fibrillation Stroke Strokes Outcomes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. Patients who received thrombolysis and subsequently underwent endovascular therapy for acute ischemic stroke between 2012 and 2022 were included. vs 40%, p=0.03) and lower rate of atrial fibrillation (12.1% vs 26.6%, p=0.01).

Angioplasty 40

Angioplasty Thrombolysis Hemorrhage Stents 40

Stroke Journal

JANUARY 21, 2024

Stroke, Volume 55, Issue 2 , Page 278-287, February 1, 2024. BACKGROUND:The association between sex and outcome after endovascular thrombectomy of acute ischemic stroke is unclear. The primary outcome was the 90-day ordinal modified Rankin Scale score. 1.21]), FI or RoR (odds ratio, 0.98 [95% CI, 0.78–1.22]),

Outcomes 40

Outcomes Stroke Strokes Atrial Fibrillation 40

Cardiometabolic Health Congress

DECEMBER 7, 2023

The American College of Cardiology (ACC) and the American Heart Association (AHA) recently published new guidelines for the diagnosis and management of patients with atrial fibrillation (AF). By 2030, it is estimated that AF prevalence in the United States will rise to 12.1 million.

Atrial Fibrillation 111

Atrial Fibrillation Risk Factors Ablation Stroke 111

Open Heart

MARCH 22, 2025

This study describes secular trends in CVD events by individual condition from 2012 to 2022. However, on subgroup analysis, the RRs increased between 2012 and 2022 among those aged 51–64 years for HF (RR 1.5), stroke (RR 1.4) and PAD (RR 1.8).

Cardiovascular Disease 52

Cardiovascular Disease Peripheral Arterial Disease Myocardial Infarction Atrial Fibrillation 52

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Institutional Coronary Artery Bypass Case Volumes and Outcomes European Journal of Heart Failure October 2023 Makoto Mori Robotic Mitral Valve Repair for Degenerative Mitral Regurgitation The Annals of Thoracic Surgery August 2023 Carlos Diaz-Castrillion Volume-Failure to Rescue Relationship in Acute Type A Aortic Dissections: An Analysis of The Society (..)

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Institutional Coronary Artery Bypass Case Volumes and Outcomes European Journal of Heart Failure October 2023 Makoto Mori 1 Robotic Mitral Valve Repair for Degenerative Mitral Regurgitation The Annals of Thoracic Surgery August 2023 Carlos Diaz-Castrillion 2 Volume-Failure to Rescue Relationship in Acute Type A Aortic Dissections: An Analysis of The (..)

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52