DAIC

FEBRUARY 3, 2025

2022 Aug, 80 (9) 934946 Kronenberg F. et al, Lipoprotein(a) in atherosclerotic cardiovascular disease and aortic stenosis: a European Atherosclerosis Society consensus statement , European Heart Journal, Volume 43, Issue 39, 14 October 2022, Pages 39253946 Koschinsky ML et al.

Cardiovascular Disease 52

Cardiovascular Disease Aortic valve Biomarkers Innovation 52

Ken Grauer, MD

FEBRUARY 3, 2024

BUT — Cardiac catheterization done a little later did not reveal any significant stenosis. Despite the absence of significant coronary stenosis on her post-arrest cath — the ECG in Figure-1 is clearly diagnostic of an extensive anterolateral STEMI ( presumably from acute LAD [ L eft A nterior D escending ] coronary artery occlusion).

Blog 163

Blog Cardiac Arrest STEMI Plaque 163

Dr. Smith's ECG Blog

APRIL 22, 2024

Despite description of Wellens’ Syndrome over 40 years ago — this syndrome remains misunderstood by all-to-many clinicians ( See My Comment at the bottom of the page in the August 12, 2022 post in Dr. Smith’s ECG Blog ). Angiography : --Culprit for the patient's unstable angina/Wellen syndrome is a ruptured plaque in the mid LAD. --As

Chest Pain 117

Chest Pain Myocardial Infarction Anatomy Angina 117

Circulation

OCTOBER 23, 2024

BACKGROUND:This study aimed to compare the incidence and prognostic implications of new-onset conduction disturbances after surgical aortic valve replacement (SAVR) in patients with bicuspid aortic valve (BAV) aortic stenosis (AS) versus patients with tricuspid aortic valve (TAV) AS (ie, BAV-AS and TAV-AS, respectively).

Aortic valve 40

Aortic valve Bicuspid/Mitral Aortic Tricuspid 40

Circulation: Cardiovascular Interventions

OCTOBER 17, 2023

BACKGROUND:Data concerning the outcomes of transcatheter aortic valve replacement in type 0 bicuspid aortic stenosis (AS) are scarce.

Aortic valve 40

Aortic valve Bicuspid/Mitral Aortic Tricuspid 40

Frontiers in Cardiovascular Medicine

FEBRUARY 21, 2024

Materials and methods This retrospective, institutional-review board approved study included consecutive patients with calcified coronary artery plaques undergoing CCTA with PCD-CT and invasive coronary angiography between July and December 2022. Virtual monoenergetic images (VMI) and VNCa images were reconstructed. 68, ICC: 94 and 1%, p  = .07,

Plaque 69

Plaque Stenosis 69

DAIC

FEBRUARY 13, 2024

Coronary CTA With AI-QCT Interpretation: Comparison With Myocardial Perfusion Imaging for Detection of Obstructive Stenosis Using Invasive Angiography as Reference Standard. AJR Am J Roentgenol 2022 Sep;219(3):407-419. Journal of Cardiovascular Computed Tomography Vol. 7 Bär S, Nabeta T, Maaniitty T.

Coronary Artery Disease 103

Coronary Artery Disease Ischemia Atherosclerosis Cardiovascular Imaging 103

Open Heart

SEPTEMBER 18, 2024

Methods We retrospectively analysed data from 745 consecutive patients who underwent TAVI for severe aortic stenosis from November 2013 to July 2022. To seek the predictors and clinical impacts of PPMI and investigate the recovery rate from conduction disorders. Results Postoperative PPMI was performed in 7.1% (53/745) of patients.

Aortic valve 52

Aortic valve Pacemaker Aortic Heart Failure 52

Journal of the American Heart Association

FEBRUARY 26, 2025

Percentage of stenosis was 50% (IQR, 36%58%). mm (IQR, 7.59.5) (P<0.001), with median stenosis expansion at 103% (IQR, 51%146%). ConclusionsOptimusL stents can safely treat arterial and venous stenosis in infants and small children via a lowprofile approach with good outcomes. male) with median age and weight of 3.4

Stents 45

Stents Stent Stenosis Congenital 45

Stroke Journal

FEBRUARY 1, 2024

However, it has not been clinically investigated in patients with asymptomatic CASO.Methods:A cross-sectional observational study was conducted between January 2017 and March 2022.

Stenosis 40

Stenosis Risk Factors Circulation Stroke 40

Circulation: Cardiovascular Interventions

APRIL 7, 2025

However, the association between the extent of cardiac damage at the time of AVR and health care costs and resource utilization has never been described.METHODS:The Optum de-identified Market Clarity database was used to identify patients with aortic stenosis treated with AVR between 2016 and 2022.

Aortic valve 40

Aortic valve Aortic Heart Failure Quality of Life 40

Dr. Smith's ECG Blog

NOVEMBER 15, 2023

Even in patients whose moderate stenosis undergoes thrombosis, most angiograms show greater than 50% stenosis after the event. However, one can certainly imagine that many thromboses of non-obstructive lesions completely lyse and do not leave a stenosis on same day or next day angiogram.

Coronary Angiogram 109

Coronary Angiogram Plaque Thrombosis STEMI 109

Frontiers in Cardiovascular Medicine

DECEMBER 12, 2024

33 preoperative clinical features and 4 postoperative complications were collected in each group. LASSO is a regression analysis method that performs both variable selection and regularization to enhance model prediction accuracy and interpretability.

Coronary Artery Bypass Graft 52

Coronary Artery Bypass Graft Stroke Strokes Aortic 52

Stroke Journal

FEBRUARY 1, 2024

Unless there is a hemodynamically significant stenosis, neuroradiology reports tend to be rarely descriptive of these features.Methods:In our previous study published in September 2022, we analyzed a patient sample drawn from the stroke registry of the HFHS between June 2016 and June 2021.

Plaque 40

Plaque Stenosis Embolism Stroke 40

Heart BMJ

DECEMBER 15, 2023

Transcatheter aortic valve implantation (TAVI) is a minimally invasive surgical procedure that has revolutionised the treatment of severe aortic stenosis (AS). However, the presence of PH in patients undergoing TAVI has been identified as a critical factor that can influence clinical outcomes, both in the short and long terms.

Aortic valve 40

Aortic valve Pulmonary Aortic Quality of Life 40

Circulation

NOVEMBER 11, 2024

The study took place between October 2019 and December 2022. In addition, CAVI has a statistically significant increase in severe stenosis (≥75%) and multivessel coronary artery disease. In chronic CAD, CAVI is higher in severe stenosis and multivessel coronary artery disease. CAVI in the CVD events group (9.77±1.06)

Coronary Artery Disease 40

Coronary Artery Disease Cardiovascular Disease Stenosis Blood Pressure 40

Coronary Artery Disease Journal

JUNE 13, 2024

We reviewed English case reports of cardiac cephalalgia from 1982 to 2022 using PubMed ([link] Results A 69-year-old man presented with a sudden headache without triggers or typical symptoms. Coronary computed tomography angiography (CTA) showed diffuse stenosis in the left anterior descending and the first diagonal branch arteries.

Myocardial Infarction 40

Myocardial Infarction Chest Pain Coronary Artery Disease Electrocardiogram 40

The British Journal of Cardiology

AUGUST 1, 2024

Genome-wide association and Mendelian randomisation studies have identified lipoprotein(a) (Lp[a]) as an emerging risk factor for calcific aortic stenosis and a causal risk factor for atherosclerotic cardiovascular disease (ASCVD) in different ethnicities. HEART UK recommends Lp(a) measurement in specific ‘at-risk’ cohorts.

Risk Factors 40

Risk Factors Atherosclerosis Laboratory Stenosis 40

Stroke Journal

FEBRUARY 1, 2024

Patients were included if they met VERiTAS criteria (≥50% vertebrobasilar stenosis). The DHV sign was defined as positive when the increased intensity in the basilar artery distal to stenosis was higher than the surrounding CSF signal. The DHV sign was evaluated by blinded vascular neurologists and neuro-radiologists.

Circulation 40

Circulation Outcomes Stenosis Stroke 40

Dr. Smith's ECG Blog

OCTOBER 30, 2023

The first hs troponin I returned at 1100 ng/L Angiogram Lesion on 1st Obtuse Marginal : Proximal subsection = 90% stenosis Stented. [link] Case continued The cath lab was activated rapidly. DBT was 120 minutes, pretty good for a Non-STEMI OMI. Pre procedure TIMI III flow was noted. Post Procedure TIMI III flow was present.

STEMI 123

STEMI Heart Failure Stent Stents 123

Dr. Smith's ECG Blog

OCTOBER 15, 2024

It should be treated as such unless there is more information such as old or serial EKGs that can confirm a benign diagnosis, as BTWI patterns can mimic the South Africa Flag Sign (Compare this EKG to case 4 here: [link] com/2022/05/quiz-post-which- of-these-if-any-are-omi.html ). Patient 1 remained in the hospital overnight.

Chest Pain 116

Chest Pain STEMI Echocardiogram Stent 116

Dr. S. Venkatesan MD

SEPTEMBER 23, 2024

Likelihood of truth : High The flamboyant genius of Andreas Roland Gruntzig, from Zurich gifted us the path-breaking treatment modality for coronary stenosis five decades ago. Transluminal dilatation of coronary-artery stenosis. * Caution : Language -Harsh. In whatever angle we look , ORBITA-2 looks a redundant one ( EuroIntervention.

Angina 52

Angina Academic Stenosis Article 52

Dr. Smith's ECG Blog

SEPTEMBER 29, 2024

On follow up angiography, there was a large OM1 and small AV groove Cx/LPL visible as the vessel re-canalized LAD is noted to have diffuse 50% stenosis in the proximal segment and is occluded immediately beyond a small D1 RCA is a medium-large caliber vessel and supplies a medium rPDA, medium rPLA1, and three small rPLA branches. TIMI-0 flow.

Cardiac Arrest 109

Cardiac Arrest STEMI Ischemia SCAD 109

Dr. Smith's ECG Blog

DECEMBER 14, 2022

Cath at approximately 0945: "The LAD had a 90% proximal stenosis with TIMI 3 flow which corresponds to his ECG although LV function remains preserved. With nitroglycerin there is improvement in the 90% stenosis but still persistent stenosis consistent with the dynamic nature of his presentation.

Chest Pain 52

Chest Pain STEMI Blog Stenosis 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

J Electrocardiol [Internet] 2022;Available from: [link] Cardiology opinion: Takotsubo Cardiomyopathy (EF 30-35%) V Fib Cardiac arrest Prolonged QTC NSTEMI (Smith comment: is it NSTEMI or is it Takotsubo? -- these are entirely different) Moderate single-vessel CAD. Reference on Troponins: Xenogiannis I, Vemmou E, Nikolakopoulos I, et al.

Plaque 52

Plaque Chest Pain Thrombosis Stenosis 52

Circulation: Cardiovascular Interventions

OCTOBER 22, 2023

Background:Atherosclerotic cardiovascular disease (ASCVD) is highly prevalent in patients with severe aortic stenosis undergoing transcatheter aortic valve replacement (TAVR). Circulation: Cardiovascular Interventions, Ahead of Print. Exposure of interest was PVD. Primary outcome was all-cause mortality.

Aortic valve 40

Aortic valve Aortic TAVR Outcomes 40

Stroke: Vascular and Interventional Neurology

SEPTEMBER 13, 2023

This study aimed to evaluate the long‐term clinical and radiological outcomes of patients who underwent PAO.MethodsThe patients who underwent endovascular PAO of their internal carotid or vertebral artery (VA) between April 2011 and March 2022 were included in this observational study. During an average follow‐up period of 45.8±25.8

Aneurysm 40

Aneurysm Stroke Strokes Stenosis 40

Stroke Journal

JANUARY 30, 2025

Patients were then divided into two cohorts with or without carotid-cerebral artery disease (defined as stenosis of any carotid, vertebral or intracranial artery50%). Computed tomography angiography (CTA) was performed preoperatively. vertebral artery (19.5%, 390/2004). and common carotid artery (17.3%, 347/2004).

Coronary Artery Bypass Graft 40

Coronary Artery Bypass Graft ICU Stroke Strokes 40

CardiacWire

JANUARY 31, 2024

The researchers analyzed 200k nationwide adults who underwent SAVR between 2011 and 2022, finding that… Annual SAVR volumes decreased by 45% (19,560 to 10,851). A second study in The Annals of Thoracic Surgery further detailed SAVR’s rapid volume declines, while highlighting certain patients who remain better off with surgery. to 1.9%).

TAVR 69

TAVR Aortic valve Bicuspid/Mitral Aortic 69

Stroke Journal

FEBRUARY 1, 2024

Inclusion criteria: patients with anterior circulation stroke with concomitant extracranial internal carotid artery (ICA) disease with 70-100% stenosis per NASCET criteria and patients who underwent computed tomography perfusion (CTP) before EVT.

Atherosclerosis 40

Atherosclerosis Stroke Strokes Stenosis 40

Circulation

JANUARY 27, 2025

RESULTS:From 2020 through 2022, 172 patients were screened, 169 were randomized, and 162 were included in the full analysis set, receiving either aspirin plus rivaroxaban (n=80) or rivaroxaban alone (n=82) for 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 10, 2024

Angiogram showed no significant disease of the left main, LAD, or LCX, but acute culprit lesion of the proximal RCA with "99% stenosis" and TIMI 2 flow. For review on how I apply the Mirror Test I devised — See My Comment in the September 21, 2022 post in Dr. Smith's ECG Blog ). =

Chest Pain 108

Chest Pain STEMI Blog Stenosis 108

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Neurologic history is significant for right upper extremity weakness from 9/2022‐12/2022 that self‐resolved and was believed to be a peripheral nerve pathology. Admission exam without focal deficits. Admission CT of his head showed multifocal confluent hypodensities in the subcortical right frontal lobe.

Physiology 40

Physiology Ischemia Stenosis Stroke 40

Circulation: Cardiovascular Quality & Outcomes

DECEMBER 13, 2023

The primary outcome was a composite of all-cause mortality or hospital readmission within 1 year.

TAVR 40

TAVR Aortic valve Aortic Outcomes 40

Stroke Journal

JANUARY 30, 2025

We report the outcomes of a 12-hour targeted-intensity monitoring (TIM) pathway for low-risk post-IVT patients.Methods:Post-IVT patients were considered low-risk if their NIHSS < 10, blood pressure < 180/105 without medical intervention, level of consciousness was preserved, and no high-risk vessel stenosis/occlusion was present.

Thrombolysis 40

Thrombolysis ICU Stroke Strokes 40

Circulation

NOVEMBER 11, 2024

Conclusion:Patients with 22q11 deletion syndrome are more likely to have reduced LPA to RPA ratio and need intervention on the LPA at the initial surgery, despite Tetralogy of Fallot (the only of the three lesions known to be associated with LPA stenosis) being over represented in the control group.

Pulmonary 40

Pulmonary Risk Factors Heart Disease Echocardiogram 40

Dr. Smith's ECG Blog

MARCH 6, 2023

Left main: no significant stenosis. LAD: proximal 60% eccentric stenosis the hemodynamic significance of which is indeterminate. RCA: Dominant: Mid 50-60% stenosis. For more on the Mirror Test for recognizing posterior OMI — See My Comment in the September 21, 2022 post in Dr. Smith's ECG Blog ). 2022.08.750 Section 5.2.2,

Chest Pain 52

Chest Pain STEMI Stenosis Blog 52