Journal of the American Heart Association

DECEMBER 29, 2023

We aimed to determine possible echocardiographic parameters to predict the presence of PH in patients with HFpEFMethods and ResultsA total of 113 patients with HFpEF were prospectively enrolled from November 2017 to July 2022. TAPSE/PASP and TAS’/PASP can be useful parameters to detect PH in patients with HFpEF.

Preserved Ejection Fraction 40

Preserved Ejection Fraction Pulmonary Heart Failure Hypertension 40

European Journal of Heart Failure

DECEMBER 13, 2023

Patients with significant pulmonary oedema or aortic valve (AV) closure during venoarterial extracorporeal membrane oxygenation (VA-ECMO) were randomized to early left ventricular (LV) unloading or conventional strategy groups (1:1). The primary endpoint was the rate of weaning from VA-ECMO during index admission. vs. 1.7 ± 0.6

Aortic valve 75

Aortic valve Cardiac Arrest Heart Transplant Pulmonary 75

DAIC

JULY 17, 2024

a company focused on cellular and cell-derived therapeutics for the treatment of cardiovascular and pulmonary diseases announced that the Unites States Patent Office has granted Patent No: 12,036,371 titled “Method of Accessing the Left Atrium with a Multi-Directional Steerable Catheter,” with a patent term that will expire in 2035.

Myocardial Infarction 105

Myocardial Infarction Atrial Fibrillation Angina Technology 105

Circulation: Cardiovascular Interventions

DECEMBER 28, 2023

BACKGROUND:Maldistribution of pulmonary blood flow in patients with congenital heart disease impacts exertional performance and pulmonary artery growth. Currently, measurement of relative pulmonary perfusion can only be performed outside the catheterization laboratory. Circulation: Cardiovascular Interventions, Ahead of Print.

Catheterization Laboratory 40

Catheterization Laboratory Congenital Heart Disease Laboratory Pulmonary 40

Frontiers in Cardiovascular Medicine

FEBRUARY 1, 2024

Phase II and III randomized clinical trials were identified by searching the MEDLINE/PubMed, Cochrane Library and ASCO Meeting abstracts, from inception to June 2022. 1.53), but no significant difference was found for any-grade hypertension, and for vascular events.

Myocardial Infarction 64

Myocardial Infarction Hypertension Embolism Pulmonary 64

Ken Grauer, MD

SEPTEMBER 22, 2023

KEY Point: Although true that patients with longstanding, severe pulmonary disease may manifest a QRST complex in standard lead I with marked overall reduction in QRST amplitude ( See ECG Blog #65 — regarding Schamroth’s Sign ) — you should never normally see a completely flat line in any of the standard limb leads.

Blog 168

Blog Chest Pain Bradycardia Physiology 168

Heart BMJ

DECEMBER 20, 2023

Methods From January 2003 to June 2022, consecutive patients with liver metastases of midgut NETs and severe CHD (severe valve disease with symptoms and/or right ventricular enlargement) were included at Beaujon and Bichat hospitals. Epicardial pacemakers were systematically implanted in operated patients and 25% were permanently paced.

Heart Disease 40

Heart Disease Tricuspid Outcomes Heart Failure 40

Frontiers in Cardiovascular Medicine

FEBRUARY 29, 2024

Method Between June 2018 and December 2022, 62 patients with type A aortic dissection (TAAD) underwent reoperation after previous surgical treatment. Outcome In the EVAR group, 47 patients (95.92%) were successfully implanted with overlapping stents, and 2 patients died in the perioperative period.

Aortic 49

Aortic Quality of Life Stents Stent 49

Open Heart

NOVEMBER 28, 2023

Methods MEDLINE and EMBASE were systematically searched up to 4 November 2022. to 10)), pulmonary embolism (24.6 This systematic review and meta-analysis aimed to estimate the causal effects of RTIs on occurrence of cardiovascular diseases in the general population. Evidence was pooled using random-effects models if data allowed.

Myocardial Infarction 52

Myocardial Infarction COVID-19 Cardiovascular Disease Thrombosis 52

Wellnest

JANUARY 24, 2024

Unlike traditional approaches relying on non-viable cadaver grafts, this procedure involved the transplantation of a portion of the heart, specifically containing the aorta and pulmonary valves, sourced from an infant donor upon cardiac death. Finally, the pulmonary root was transplanted, completing the intricate procedure.

Heart Transplant 52

Heart Transplant Transplant Pediatrics Congenital 52

Frontiers in Cardiovascular Medicine

FEBRUARY 7, 2024

Methods From January 2019 to September 2022, a total of 354 consecutive patients with NVAF were enrolled in this cross-sectional study at the First Affiliated Hospital of Guangxi Medical University. To identify the optimal predictive features, we employed least absolute shrinkage and selection operator (LASSO) regression.

Atrial Fibrillation 64

Atrial Fibrillation Stroke Strokes Pulmonary 64

EMS 12-Lead

MARCH 30, 2024

The receiving staff suspects pulmonary embolism due to S1Q3T3 on the ECG and administers TPA. The patient did have massive pulmonary emboli, but he also had profound intraventricular and subarachnoid hemorrhages. On ED arrival ROSC is achieved. The patient was ultimately discharged with a poor neurologic outcome.

Cardiac Arrest 124

Cardiac Arrest Pacemaker Pulmonary Bradycardia 124

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

Frontiers in Cardiovascular Medicine

JANUARY 15, 2024

Methods We retrospectively analysed the data of 377 consecutive patients treated for OHCA using eCPR in our cardiac arrest centre from January 2016 to December 2022. We evaluated the prognostic influence of gender in patients presenting with out-of-hospital cardiac arrest (OHCA) treated with eCPR.

Cardiogenic Shock 64

Cardiogenic Shock Cardiac Arrest BMI Coronary Artery Disease 64

Journal of Cardiovascular Electrophysiology

NOVEMBER 17, 2023

Abstract Introduction Esophageal injury is one of the most serious complications of pulmonary vein isolation (PVI) with thermic energy sources. Better tissue selectivity of primarily non-thermic pulsed field ablation (PFA) may eliminate collateral injury, particularly the risk of atrio-esophageal fistula (AEF).

Atrial Fibrillation 40

Atrial Fibrillation Ablation Ultrasound Pulmonary 40

Dr. Smith's ECG Blog

OCTOBER 23, 2023

2022 Jul;27(4):e12939. Epub 2022 Feb 11. I last reviewed the phenomenon of electrical alternans in My Comment at the bottom of the page in the November 28, 2022 post of Dr. Smith's ECG Blog. Prolonged ST segment and T-wave alternans with torsade de pointes secondary to hypocalcemia due to hypoparathyroidism: A case report.

Tachycardia 123

Tachycardia Cardiac Arrest ICU Blood Pressure 123

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Retrieved July 2, 2022, from [link] Moyé, D. Retrieved July 2, 2022, from [link] Sybrandy, K. Retrieved July 2, 2022, from [link] == MY Comment , by K EN G RAUER, MD ( 2/4 /2024 ): == Today's case by Dr. Small-but-present initial Q waves are seen in 4/6 chest leads ( ie, in leads V2,V3,V4,V5 — as per the RED arrows in Figure-1 ).

Tachycardia 109

Tachycardia Dysrhythmia Atrial Fibrillation Bradycardia 109

BoardVitals - Cardiovascular

MAY 15, 2022

In early 2022, the ABIM updated its fee structure to help physicians pay less over time to maintain their certifications. Pulmonary Circulation Disorders 3% Systemic Disorders Affecting the Circulatory System 7% How is the exam scored? The Cardiology MOC exam will be offered on April 3, 2023, and October 11, 2023.

Certification 52

Certification Congenital Heart Disease Coronary Artery Disease Cardiovascular Disease 52

DAIC

JULY 25, 2024

In 2022, the American Heart Association report on heart disease statistics estimated that 3 million American adults ages 20 and older have heart failure of reduced ejection fraction with a prevalence expected to increase to more than 4 million people by 2030. mtaschetta-millane Thu, 07/25/2024 - 09:08 July 25, 2024 — BioCardia, Inc. ,

Heart Failure 111

Heart Failure Quality of Life CMS Reimbursement 111

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

In this study, we investigated outcomes of MT in AIS due to LVO as a function of the timing of extubation and explored variables that could delay extubation.MethodsWe performed a retrospective analysis of collected data gathered during a 5‐year period (2018‐2022) for all our patients with AIS due to LVO who received MT.

Outcomes 40

Outcomes BMI Stroke Strokes 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. 2022 Nov 22;146(21):1561-1563. Epub 2022 Nov 21. N Engl J Med. 2008 Jun 19;358(25):2667-77.

Atrial Fibrillation 52

Atrial Fibrillation Heart Failure Ablation Cardiac Arrest 52

European Journal of Heart Failure

FEBRUARY 26, 2024

CI, cardiac index; FC, functional class; IQR, interquartile range; NT-proBNP, N-terminal pro-brain natriuretic peptide; PVR, pulmonary vascular resistance; sPAP, systolic pulmonary artery pressure; TAPSE, tricuspid annular plane systolic excursion; WHO, World Health Organization.

Pulmonary 40

Pulmonary Heart Failure Hypertension Ultrasound 40

Dr. Smith's ECG Blog

DECEMBER 24, 2023

Smith's ECG Blog — the presence of an almost “null vector” in standard lead I ( ie, P wave, QRS complex and T wave all under 2mm in size ) — is highly suggestive of longstanding and severe pulmonary disease. For more on ECG recognition of RVH — See My Comment at the bottom of the page in the March 6, 2022 post of Dr. Smith's ECG Blog ).

Atrial Flutter 128

Atrial Flutter Blog Aortic Aortic valve 128

All About Cardiovascular System and Disorders

OCTOBER 26, 2023

They include myocardial ischemia, acute pericarditis, pulmonary embolism, external compression due to mass over the right ventricular outflow tract region, and metabolic disorders like hyper or hypokalemia and hypercalcemia. 2022 Mar;8(3):386-405. According to a recent systematic review and meta-analysis, spontaneous type 1 ECG had 2.4%

Sudden Cardiac Death 52

Sudden Cardiac Death Atrial Fibrillation Electrophysiology Arrhythmia 52

Dr. Smith's ECG Blog

DECEMBER 22, 2022

On his physical examination, cardiac and pulmonary auscultation was completely normal. Bi-phasic scan showed no dissection or pulmonary embolism. Comment by K EN G RAUER, MD ( 12/22 /2022 ): = Brilliant post by Dr. Aslanger — with emphatic illustration of "the difference in OMI vs STEMI philosophy" — in action! 2021.21026.

STEMI 52

STEMI Chest Pain Myocardial Infarction Electrocardiogram 52

Ken Grauer, MD

APRIL 13, 2024

NOTE: For more on ECG recognition of RVH and/or pulmonary hypertension ( re the qR pattern in lead V1 ) — See ECG Blog #234 and Blog #248.

Blog 120

Blog Tachycardia Pulmonary Arrhythmia 120

Dr. Smith's ECG Blog

JULY 7, 2023

An old formal echo was found from 6 mo ago: Dilated right ventricle with septal flattening and estimated right ventricular systolic pressure of 70 mmHg (significant pulmonary hypertension). She ruled out for acute MI by troponins. See further discussion of R/S ratio greater than 1 in lead V1 by Ken below.

Chest Pain 52

Chest Pain AFIB Blog Atrial Fibrillation 52

Society of Thoracic Surgeons - Allied Health

NOVEMBER 15, 2022

Event 2023 STS Coding Workshop kchalko Tue, 11/15/2022 - 16:12 Event dates Feb 10–11, 2023 Location Virtual Registrants : To access the library of on-demand content, log into the STS Learning Center. Then go to “In Progress” courses on the dashboard or look in the “My Activities” tab. hours total) Joseph Turek, MD, Jeffrey P.

Reimbursement 52

Reimbursement Cardiothoracic Document Congenital 52

Dr. Smith's ECG Blog

JANUARY 12, 2023

Here is the South African Flag sign ( Figure by Ken Grauer — with the original 12-lead from Patient 1 attached below — See his Comment from the April 8, 2022 post in Dr. Smith's ECG Blog for more on this sign ). CT pulmonary angiogram was negative for pulmonary embolism. Second troponin T resulted at 1,318 ng/L. Reocclusion!

Chest Pain 52

Chest Pain STEMI Blog Stenosis 52

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 8, 2023

This study reports our experience using the CardioMEMS HF system in adults with Fontan circulation.Methods and ResultsThis single‐center, retrospective study evaluated heart failure hospitalizations, procedural complications, and device‐related complications in patients with Fontan circulation referred for IHM placement (2015–2022).

Circulation 49

Circulation Heart Failure Pulmonary Hospital 49

DAIC

JUNE 19, 2024

The pipeline of algorithms likely to clear regulatory hurdles and enter the cardiac market over the next 12-18 months include those for Pulmonary Hypertension, Cardiac Amyloidosis, Diastolic dysfunction, and Hyperkalaemia. In April 2022 BMS had received FDA approval for Camzyos, the first drug developed specifically for targeting HCM.

AFIB 105

AFIB Reimbursement Research Atrial Fibrillation 105

European Journal of Heart Failure

DECEMBER 13, 2023

6MWD, 6-min walk distance; CI, cardiac index; CPI, cardiac power index; LVEF, left ventricular ejection fraction; PA, pulmonary artery; PCW, pulmonary capillary wedge; RA, right atrial; TAPSE, tricuspid annular plane systolic excursion; TSAT, transferrin saturation; VO 2 , oxygen consumption.

Heart Failure 40

Heart Failure Heart Transplant Transplant Tricuspid 40

Dr. S. Venkatesan MD

DECEMBER 29, 2023

A subset of NSTEMI precipitated by acute severe HT and flash pulmonary edema has excellent prognosis if BP is reduced promptly. 2022 Jun 20;11(12):3558. SCAI 2022 consensus update. Global ST depression (AVR.V1 might show little elevation with considerable overlap of left main STEMI vs NSTEMI ) 2.Onset Reference 1.Martínez

Cardiogenic Shock 52

Cardiogenic Shock STEMI Myocardial Infarction Outcomes 52

Dr. Smith's ECG Blog

MARCH 4, 2023

The ECG is rather classic for pulmonary embolism, and indeed this was a large acute PE. More on the ECG in pulmonary embolism: The ECG in this patient has both precordial T-wave inversions AND T-wave inversion in lead III. this is highly suggestive of pulmonary embolism. This is a classic S1Q3T3. Most S1Q3T3 is not due to PE.

Chest Pain 52

Chest Pain Embolism Tachycardia Pulmonary 52

Stroke Journal

FEBRUARY 1, 2024

Methods:Adult patients with CVT diagnosis from 2020-2022 in TriNetX COVID research network were included in the study. Acute ischemic stroke (AIS), intracerebral hemorrhage (ICH), subarachnoid hemorrhage (SAH), epilepsy, deep vein thrombosis and pulmonary embolism were secondary outcomes. All-cause mortality was the primary outcome.

COVID-19 40

COVID-19 Outcomes Thrombosis Embolism 40

Dr. Smith's ECG Blog

OCTOBER 10, 2022

The morphology of V2-V4 is very specific in my experience for acute right heart strain (which has many potential etiologies, but none more common and important in EM than acute pulmonary embolism). CT angiogram showed extensive saddle pulmonary embolism. He had multiple cardiac arrests with ROSC regained each time. This is a quiz.

Cardiac Arrest 52

Cardiac Arrest Chest Pain Embolism Pulmonary 52