2023, Angina and Myocardial Infarction

Management and outcomes of spontaneous coronary artery dissection: a systematic review of the literature

Frontiers in Cardiovascular Medicine

JANUARY 15, 2024

Methods The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed when we extensively searched three electronic databases: PubMed, ScienceDirect, and Web of Science, for studies that compared conservative vs. invasive revascularization treatment outcomes for patients with SCAD from 2003 to 2023.

SCAD

SCAD Coronary Artery Bypass Graft Outcomes Myocardial Infarction

Long-term outcomes of ischaemia with no obstructive coronary artery disease (INOCA): a systematic review and meta-analysis

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

Coronary Artery Disease Outcomes Angina Myocardial Infarction

Safe Deferral of Coronary Computed Tomography Angiography for Patients With a Low Pretest Probability of Coronary Artery Disease in 2019 European Society of Cardiology Guidelines

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

Coronary Artery Disease Myocardial Infarction Angina Hospital

Why the sudden shock after a few days of malaise?

Dr. Smith's ECG Blog

SEPTEMBER 5, 2024

This is a value typical for a large subacute MI, n ormal value 48 hours after myocardial infarction is associated with Post-Infarction Regional Pericarditis ( PIRP ). Mechanical complications secondary to myocardial infarction are infrequent due to most patients receiving revascularization quite rapidly.

Cardiogenic Shock

Cardiogenic Shock Pericarditis Chest Pain Myocardial Infarction

Dynamic OMI ECG. Negative trops and negative angiogram does not rule out coronary ischemia or ACS.

Dr. Smith's ECG Blog

SEPTEMBER 18, 2024

Thus, it has recently become generally accepted that most plaque ruptures resulting in myocardial infarction occur in plaques that narrow the lumen diameter by 40% of the arterial cross section may be involved by plaque. For more on MINOCA — See My Comment in the November 16, 2023 post in Dr. Smith's ECG Blog ).

Ischemia

Ischemia Plaque Stenosis Myocardial Infarction

American College of Cardiology ACC.24 Late-breaking Science and Guidelines Session Summary

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

Aortic valve Myocardial Infarction Aortic Blood Pressure

Three normal high sensitivity troponins over 4 hours with a "normal ECG"

Dr. Smith's ECG Blog

JANUARY 5, 2024

So there is probability of myocardial injury here (and because it is in the correct clinical setting, then myocardial infarction.) 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. Repeat ECG is shown below.

Angina

Angina Plaque Document Stents

Is OMI an ECG Diagnosis?

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% Clin Cardiol 2022 4. Herman, Meyers, Smith et al. McLaren and Smith.

STEMI

STEMI Chest Pain Myocardial Infarction Stents

Lowering Atherosclerotic Cardiovascular Disease Events by Treating Residual Inflammatory Risk

DAIC

JANUARY 23, 2024

3 Patients with ASCVD are at a higher risk for major adverse cardiovascular events (MACE) including heart attack or myocardial infarction (MI), stroke, and cardiovascular (CV) death.4 As of June 2023, the U.S. The benefit was most significant in reducing the incidence of stroke and angina requiring revascularization.35

Cardiovascular Disease

Cardiovascular Disease Heart Attack Heart attacks Coronary Artery Disease

The “open data” movement runs aground on FOURIER

Dr. Anish Koka

JANUARY 18, 2023

The TIMI (Thrombolysis in Myocardial Infarction) Study Group is a Division of Cardiovascular Medicine at the esteemed Brigham and Women’s Hospital and Harvard Medical School. Anish Koka, MD @anish_koka This was driven almost entirely by myocardial infarction / need for revascularization.

Document

Document Academic Heart Attack Heart attacks

See this "NSTEMI" go unrecognized for what it really is, how it progresses, and what happens

Dr. Smith's ECG Blog

NOVEMBER 3, 2023

A New ST-segment elevation myocardial infarction equivalent pattern? Immediate and early percutaneous coronary intervention in very high-risk and high-risk non-ST segment elevation myocardial infarction patients. He presented with recent angina that evolved into a 3-hour episode of persistent CP unrelieved by rest.

Chest Pain

Chest Pain Cardiogenic Shock Ischemia Myocardial Infarction

Rise of the Lysenkoist Cardiologists

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

Chest Pain Coronary Artery Disease Cancer Heart Attack

A 30-something woman with intermittent CP, a HEART score of 2 and a Negative CT Coronary Angiogram on the same day

Dr. Smith's ECG Blog

MAY 10, 2023

ng/mL This single initial troponin at this level, in the context of chest pain, is high enough to be diagnostic of acute myocardial infarction. I do not have her previous ECGs, but reportedly these T-wave inversions were not present previously. Her initial cTnI returned at 0.25 I'll supplement the excellent presentation by Dr.

Coronary Angiogram

Coronary Angiogram Chest Pain Stenosis STEMI

Cardiovascular Update

Management and outcomes of spontaneous coronary artery dissection: a systematic review of the literature

Long-term outcomes of ischaemia with no obstructive coronary artery disease (INOCA): a systematic review and meta-analysis

Safe Deferral of Coronary Computed Tomography Angiography for Patients With a Low Pretest Probability of Coronary Artery Disease in 2019 European Society of Cardiology Guidelines

Why the sudden shock after a few days of malaise?

Dynamic OMI ECG. Negative trops and negative angiogram does not rule out coronary ischemia or ACS.

American College of Cardiology ACC.24 Late-breaking Science and Guidelines Session Summary

Three normal high sensitivity troponins over 4 hours with a "normal ECG"

Is OMI an ECG Diagnosis?

Lowering Atherosclerotic Cardiovascular Disease Events by Treating Residual Inflammatory Risk

The “open data” movement runs aground on FOURIER

See this "NSTEMI" go unrecognized for what it really is, how it progresses, and what happens

Rise of the Lysenkoist Cardiologists

A 30-something woman with intermittent CP, a HEART score of 2 and a Negative CT Coronary Angiogram on the same day

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