Dr. Smith's ECG Blog

OCTOBER 23, 2023

Edited by Bracey, Meyers, Grauer, and Smith A 50-something-year-old female with a history of an unknown personality disorder and alcohol use disorder arrived via EMS following cardiac arrest with return of spontaneous circulation. 2022 Jul;27(4):e12939. Epub 2022 Feb 11. Circulation. doi: 10.1111/anec.12939.

Tachycardia 130

Tachycardia Cardiac Arrest ICU Blog 130

Circulation: Cardiovascular Quality & Outcomes

JANUARY 5, 2024

Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. Admissions to CICUs with the highest tertile of CCRx utilization had a greater burden of comorbidities, had more diagnoses of ST–elevation myocardial infarction, cardiac arrest, or cardiogenic shock, and had higher Sequential Organ Failure Assessment scores.

Critical Care 40

Critical Care Cardiogenic Shock Academic Cardiac Arrest 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page ASa404-ASa404, November 12, 2024. The four main metrics include time to shock (TTS), time to epinephrine administration, confirmation of airway (COA), and arrest monitored/witnessed. Introduction:Healthcare organizations evaluate resuscitation using a wide array of methods.

Nursing 40

Nursing COVID-19 Education Document 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] Circulation 2007 2. Khan et al. For clarity in Figure-1 — I've labeled today's initial tracing.

Chest Pain 98

Chest Pain STEMI Myocardial Infarction Blog 98

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. Circulation [Internet] 2017;135(16):1481–9. Circulation. Then she began complaining of severe dizziness and quickly went into ventricular fibrillation and resuscitation was initiated by hospital staff.

Plaque 52

Plaque Chest Pain Thrombosis Stenosis 52

Dr. Smith's ECG Blog

JUNE 23, 2024

They shocked him twice before return of spontaneous circulation. Simply by correlating the history of cardiac arrest with serial ECGs recorded after the event — it became obvious that the 60% lesion on cardiac cath, despite its surprisingly good TIMI 3 flow — was indeed the "culprit" artery that had spontaneously reperfused after the event.

Chest Pain 117

Chest Pain Cardiac Arrest Sudden Cardiac Death Blog 117

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4147972-A4147972, November 12, 2024. The AAMR declined from 1999 to 2016 (APC -3.0 [-3.3, -2.8]) and rose till 2022 (APC 4.6 [3.4, 17.9]) and NH American Indian or Alaska Native men (1999-2022, APC (-0.6 [-1.6, to 2022, respectively, after an initial decline. 100000 people).

Cancer 40

Cancer Cardiovascular Disease Cardiac Arrest Heart Disease 40

DAIC

JANUARY 23, 2024

Inflammation driven by signaling cytokines, circulating immune cells, adhesion molecules, and oxidized low-density lipoprotein cholesterol (LDL-C) leads to atherosclerotic plaque development, plaque progression, and eventual rupture.14,15 2019 Sep 10;140(11):e649-e650] [published correction appears in Circulation. Circulation.

Cardiovascular Disease 111

Cardiovascular Disease Heart attacks Heart Attack Coronary Artery Disease 111

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]. Circulation. 2022 Nov 22;146(21):1561-1563. Epub 2022 Nov 21. Circulation. N Engl J Med. 2008 Jun 19;358(25):2667-77. 122.060243.

Atrial Fibrillation 52

Atrial Fibrillation Heart Failure Ablation Cardiac Arrest 52

Dr. Smith's ECG Blog

JULY 21, 2024

Meyers and Smith illustrate 20 example cases vs "look-alikes" of Swirl ( with my synthesis of "Swirl" ECG findings in My Comment on that post ) from October 15, 2022. The decision was made to try Quinidine ( as this case was felt to represent conditions consistent with Quinidine-responsive PMVT ).

Arrhythmia 130

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 130

Dr. Smith's ECG Blog

JULY 22, 2023

Circulation, 117, 1890–1893. [3]: These include ( among others ) — acute febrile illness — variations in autonomic tone ( as may occur with syncope ) — hypothermia — ischemia or infarction — cardiac arrest — and electrolyte disorders ( especially hyperkalemia — but also hypokalemia/hyponatremia ).

Chest Pain 92

Chest Pain Heart Rhythm Sudden Cardiac Death Dysrhythmia 92

DAIC

JANUARY 30, 2024

Getty Images milla1cf Tue, 01/30/2024 - 19:57 January 30, 2024 — Only 10% of people who experience a cardiac arrest survive. [1] Currently, 90% of people who experience cardiac arrest outside of a hospital die, in part because they do not receive CPR more than half of the time. [2]

Cardiac Arrest 102

Cardiac Arrest Defibrillator Hospital Outcomes 102