Dr. Smith's ECG Blog

DECEMBER 19, 2023

The commonest causes of MINOCA include: atherosclerotic causes such as plaque rupture or erosion with spontaneous thrombolysis, and non-atherosclerotic causes such as coronary vasospasm (sometimes called variant angina or Prinzmetal's angina), coronary embolism or thrombosis, possibly microvascular dysfunction.

Plaque 127

Plaque Angina Blog Stent 127

Dr. Paddy Barrett

DECEMBER 5, 2023

Whether stenting a narrowed coronary artery improves symptoms such as chest pain (angina) or shortness of breath is a very different question. Share Angina The classic definition of angina involves the sensation of tightness in the centre of the chest that is brought on with exertion and is relieved with rest. The result?

Stents 59

Stents Stent Angina Heart Attack 59

Dr. Smith's ECG Blog

JANUARY 5, 2024

Thus, the patient does not (yet) get a formal diagnosis of MI and must be called unstable angina unless further troponins return above the 99th percentile. On the basis of unresolved angina, cardiology decided to perform rescue PCI. Medically refractory angina should have immediate angiography, but this only happens 6.4%

Angina 121

Angina Plaque Document Stent 121

Dr. Smith's ECG Blog

SEPTEMBER 19, 2023

Episodes of angina over past couple of months had been progressive. Procamio randomized trial. == MY Comment , by K EN G RAUER, MD ( 9/20 /2023 ): == Assessment of the regular WCT ( = W ide- C omplex T achycardia ) patient — is one of the most challenging problems in emergency medicine. Repeat cardioversion was then s uccessful.

Tachycardia 139

Tachycardia Cardiogenic Shock Angina Coronary Angiogram 139

Open Heart

OCTOBER 1, 2024

Background The prognosis of myocardial ischaemia with no obstructive coronary artery disease (INOCA) and its underlying vasomotor disorders, vasospastic angina (VSA) and microvascular angina (MVA), is not well defined.

Coronary Artery Disease 52

Coronary Artery Disease Outcomes Angina Myocardial Infarction 52

Frontiers in Cardiovascular Medicine

JULY 14, 2024

Using stratified sampling, individuals who underwent health examinations in Community A and Community B from Shijiazhuang city between May 2023 and August 2023 were randomly selected.

Cardiovascular Disease 52

Cardiovascular Disease Quality of Life Exercise Angina 52

Journal of Cardiovascular Pharmacology

JANUARY 8, 2024

From inception until August 2023, we systematically searched five public literature databases to conduct the umbrella review. The favorable efficacy of CHM was primarily presented on five main conditions, coronary artery disease, hypertension, heart failure, restenosis, and angina pectoris.

Cardiovascular Disease 40

Cardiovascular Disease Coronary Artery Disease Angina Heart Failure 40

Circulation

NOVEMBER 11, 2024

Background:Although intracoronary acetylcholine (ACh) provocation testing is a guideline-recommended invasive standard for the diagnosis of vasospastic angina (VSA), ACh tests are largely underused in clinical practice globally. Circulation, Volume 150, Issue Suppl_1 , Page A4139995-A4139995, November 12, 2024. Recently, Rinaldi et al.

Coronary Artery Bypass Graft 40

Coronary Artery Bypass Graft Chest Pain Angina Cholesterol 40

Dr. Smith's ECG Blog

APRIL 18, 2024

Non-STEMI guidelines call for “urgent/immediate invasive strategy is indicated in patients with NSTE-ACS who have refractory angina or hemodynamic or electrical instability,” regardless of ECG findings.[1] 1] European guidelines add "regardless of biomarkers". But only 6.4% Eur Heart J Digital Health 2024 5. McLaren and Smith.

STEMI 121

STEMI Chest Pain Myocardial Infarction Blog 121

Journal of the American Heart Association

DECEMBER 1, 2023

Journal of the American Heart Association, Volume 12, Issue 23 , December 5, 2023. The overall mortality, cardiac deaths, myocardial infarctions, and hospitalizations for unstable angina were acquired from national registry data for 1 to 10 years of follow‐up (median, 4 years).

Coronary Artery Disease 40

Coronary Artery Disease Myocardial Infarction Angina Hospital 40

DAIC

JANUARY 23, 2024

As of June 2023, the U.S. mg experienced a 23% lower incidence of death from cardiovascular causes, resuscitated cardiac arrest, myocardial infarction, stroke, or urgent hospitalization for angina leading to coronary revascularization in a time-to-event analysis. Accessed November 8, 2023. Accessed January 18, 2023.

Cardiovascular Disease 111

Cardiovascular Disease Heart Attack Heart attacks Coronary Artery Disease 111

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. Some case reports have identified IVIg as potential therapy for vasospasm, while others have implicated it as a causative agent in primarily coronary artery vasospasm and the development of atypical angina.

Angina 40

Angina Aneurysm Hypertension Stroke 40

Stroke Journal

JANUARY 30, 2025

Reduction in admissions for stroke recurrence or related to stroke, (heart attack, angina, peripheral embolism, etc.): Stroke, 30days: -100%; Related to stroke, (365d: -47,7%; 30d: -57,0%).

Stroke 40

Stroke Strokes Atrial Fibrillation Risk Factors 40

Dr. S. Venkatesan MD

AUGUST 11, 2024

There has been many reports of patients with angina in CP (Ref 1). 2017) Now Robots are being tried to assist in this delicate surgery (CTS-NET 2023 Total Robotic Pericardiectomy for Constrictive Pericarditis) Reference 1.Mahé Angina caused by calcific constrictive pericarditis. Fortunately, it escapes in many. Ann Intern Med.

Pericarditis 52

Pericarditis Anatomy Angina Heart Disease 52

Dr. Smith's ECG Blog

SEPTEMBER 5, 2024

Because previous ischemia induces myocardial preconditioning, decreasing the likelihood of transmural myocardial necrosis and myocardial rupture, patients with evidence of diabetes mellitus, chronic angina or previous MI are less likely to experience a rupture.

Cardiogenic Shock 109

Cardiogenic Shock Chest Pain Pericarditis Myocardial Infarction 109

Dr. S. Venkatesan MD

FEBRUARY 14, 2024

2023) Lets go back and learn something from the year 1999 For those cardiologists who still think myocardial viability is an important factor before revascularization, let me pull out a 30 year-old study from the University of Aberdeen, UK, that looked into the humble ECG to detect viability. It is a new lesson from a old paper for me. ,

Angina 52

Angina Electrocardiogram Outcomes 52

Dr. Smith's ECG Blog

SEPTEMBER 18, 2024

For more on MINOCA — See My Comment in the November 16, 2023 post in Dr. Smith's ECG Blog ). Strictly speaking — this case does not at this time qualify as MINOCA — because the negative cath and 2 normal hs-troponins done 6 hours apart failed to document infarction. (

Ischemia 122

Ischemia Plaque Stenosis Myocardial Infarction 122

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

DECEMBER 7, 2023

Serial EKG is very high yield diagnostic test in patients with stuttering angina. My Comment by K EN G RAUER, MD ( 12/7 /2023 ): = The art of serial ECG comparison is masterfully demonstrated by Dr. Frick in today's post, which marks his 1st contribution to Dr.

SCAD 124

SCAD Ischemia Coronary Artery Disease Cardiomyopathy 124

Dr. Anish Koka

MAY 16, 2023

Typical angina was defined as a symptom complex that includes substernal chest pressure or pain that was made worse with exertion/emotional stress, and relieved by rest or nitroglycerin. Atypical angina is classified as having any two of the three symptoms, and non-anginal pain any one of the three symptoms.

Chest Pain 52

Chest Pain Coronary Artery Disease Cancer Heart Attack 52

Dr. Anish Koka

JANUARY 18, 2023

3:36 AM ∙ Jan 15, 2023 As a brief aside: The PCSK9 inhibitor class of drugs were approved by the FDA because of trials like FOURIER, and the drug hit the US market with a list price of $14,000 / year. Anish Koka, MD @anish_koka This was driven almost entirely by myocardial infarction / need for revascularization.

Document 52

Document Academic Heart Attack Heart attacks 52

Dr. Smith's ECG Blog

NOVEMBER 3, 2023

Abstract 556. == MY Comment , by K EN G RAUER, MD ( 11/3 /2023 ): == Distinction between posterior OMI vs deWinter T waves — is sometimes easy, but sometimes surprisingly difficult. He presented with recent angina that evolved into a 3-hour episode of persistent CP unrelieved by rest. Academic Emergency Medicine 27(S1): S220; May 2020.

Chest Pain 83

Chest Pain Cardiogenic Shock Ischemia Myocardial Infarction 83

Ken Grauer, MD

JULY 15, 2023

ECG Blog #337 — The importance of the new OMI ( vs the old STEMI ) Paradigm ( and My Comment in the July 31, 2020 post in Dr. Smith's ECG Blog ). == A DDENDUM ( 7/15/2023 ) : The original 3 ECGs in today's case were recorded using the Cabrera lead format.

Blog 78

Blog Coronary Angiogram Cardiomyopathy Ischemia 78

DAIC

MARCH 25, 2024

Highlights include: Vexing Valves (Session 501) Extreme Makeover, Diet Edition - Debating Controversies in Cardiovascular Health (Session 502) Game of Shones (Session 503) Top Intervention Trials of 2023 (Session 504) The Great ECG Challenge (Session 505) Under Pressure, Debating Hemodynamics With the Experts (Session 506) Critical Care Cardiology (..)

Education 59

Education Cardiogenic Shock Heart Failure Plaque 59

Dr. Smith's ECG Blog

MARCH 4, 2023

This is NOT Wellens because the T-wave inversion is DURING the pain (not after -- Wellens' is a syndrome of TWI after an episode of angina is resolved). My Comment by K EN G RAUER, MD ( 3/4 /2023 ): = How good is the ECG for the diagnosis of acute PE? T-wave inversion in anterior leads can be Wellens. Still more cases are here. =

Chest Pain 52

Chest Pain Embolism Tachycardia Pulmonary 52

The British Journal of Cardiology

NOVEMBER 29, 2023

In this study, we evaluated the change in left ventricular end-diastolic pressure (LVEDP) after primary percutaneous coronary intervention (PCI) and its impact on in-hospital outcomes and 30-day and three-month quality of life (SAQ-7), ejection fraction (EF), and major adverse cardiovascular events (MACE).

Quality of Life 52

Quality of Life Hospital Outcomes Angina 52

Dr. Smith's ECG Blog

MAY 10, 2023

There are other actual uses and potential uses of CTCA, but the above is the most common. == MY Comment , by K EN G RAUER, MD ( 5/10 /2023 ): == Highly interesting case that illustrates a number of important concepts regarding Wellens' Syndrome and related disorders. I'll supplement the excellent presentation by Dr.

Coronary Angiogram 52

Coronary Angiogram Chest Pain Stenosis STEMI 52