Wellnest

DECEMBER 31, 2023

As India concludes 2023, the final fortnight of December has witnessed nearly 8,500 Covid-19 cases. Electrocardiograms (EKG or ECG): This diagnostic method effectively detects irregular heartbeats or arrhythmias by analyzing the electrical signals in the heart. 1 is a sub-variant recently developed from the BA.2.86

COVID-19 52

COVID-19 Heart Attack Heart attacks Exercise 52

Circulation

NOVEMBER 11, 2024

Background:Despite the role of cardiac catheterization for hemodynamic assessment and endomyocardial biopsy (EMB) in children with cardiomyopathy, data on procedure-related major adverse events (MAE) in this population is lacking. We aim to describe the rate of MAE in children with cardiomyopathy undergoing cardiac catheterization.

Cardiomyopathy 40

Cardiomyopathy Pediatrics Heart Transplant Heart Failure 40

Circulation: Arrhythmia and Electrophysiology

NOVEMBER 3, 2023

Circulation: Arrhythmia and Electrophysiology, Volume 16, Issue 11 , Page e012543, November 1, 2023.

Cardiomyopathy 40

Cardiomyopathy Electrophysiology Arrhythmia Circulation 40

DAIC

JUNE 19, 2024

While the spotlight in 2023 shone on developments around Generative Artificial Intelligence (AI), away from the limelight a quiet revolution in AI was taking place, which promises to transform the way we diagnose, manage, and treat cardiovascular diseases, the world’s leading cause of death.

AFIB 105

AFIB Reimbursement Research Atrial Fibrillation 105

Dr. S. Venkatesan MD

MARCH 19, 2024

Brandão M, Desmoplakin Cardiomyopathy: Comprehensive Review of an Increasingly Recognized Entity. 2023 ) Falling on EP’s shoulder That was enough for me to make a compelling call to my EP colleague, for a quick chat about this unique patient. J Clin Med. Reference 1. J Clin Med. 2022 Jan 5;11(1):279. doi: 10.3390/jcm11010279.

Arrhythmia 52

Arrhythmia Sudden Cardiac Death Electrophysiology Cardiomyopathy 52

Circulation: Arrhythmia and Electrophysiology

OCTOBER 25, 2023

Circulation: Arrhythmia and Electrophysiology, Volume 16, Issue 11 , Page e012191, November 1, 2023. BACKGROUND:The cause of hypertrophic cardiomyopathy (HCM) in the young is highly varied. METHODS:Retrospective cohort study of patients <21 years of age with HCM/preexcitation from 2000 to 2022.

Cardiomyopathy 40

Cardiomyopathy Atrial Fibrillation Electrophysiology Ablation 40

Dr. Smith's ECG Blog

JULY 25, 2024

VF should make you think of ischemia, cardiomyopathy (especially scar from old MI), or one many other cardiac but non-ischemic etiologies. As we have often emphasized on Dr. Smith's ECG Blog ( See My Comment in the March 1, 2023 post) — DSI does not indicate acute coronary occlusion!

Cardiac Arrest 124

Cardiac Arrest Ischemia Tachycardia Defibrillator 124

Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

There are a number of things to look for in an ECG that can hint at arrhythmia as the cause of an apparent seizure. Arrhythmogenic cardiomyopathy Long QT syndrome Hypertrophic cardiomyopathy. Below are some of the conditions to be aware of: Preexcitation Brugada syndrome. Learning Points: LQTS can have normal QTc.

Tachycardia 113

Tachycardia Blog Sudden Cardiac Death Arrhythmia 113

Dr. Smith's ECG Blog

NOVEMBER 11, 2023

It turns out that she has hypertrophic cardiomyopathy. Here is the echo report for this visit (after the negative angiogram): Hypertrophic cardiomyopathy with asymmetric septal hypertrophy. I added, "Makes me wonder if this could be myocarditis in a younger adult — maybe even with sinus arrhythmia."

Strokes 70

Strokes Stroke Chest Pain Cardiomyopathy 70

Dr. Smith's ECG Blog

JANUARY 23, 2024

The granulomatous inflammation affects the heart, causing an infiltrative cardiomyopathy The most common manifestations of cardiac sarcoidosis are atrioventricular (AV) block and ventricular tachyarrhythmias (VT). VT is the second most common presenting arrhythmia. AV block is the first manifestation of CS in more than 30% of patients.

Tachycardia 107

Tachycardia Arrhythmia Heart Disease Sudden Cardiac Death 107

Circulation: Cardiovascular Imaging

DECEMBER 18, 2023

Circulation: Cardiovascular Imaging, Volume 16, Issue 12 , Page e015671, December 1, 2023. BACKGROUND:Imaging evaluation of arrhythmogenic right ventricular cardiomyopathy (ARVC) remains challenging.

Cardiomyopathy 40

Cardiomyopathy Heart Transplant Cardiovascular Imaging Transplant 40

Dr. Smith's ECG Blog

JUNE 2, 2023

Overall CMR findings are consistent with arrhythmogenic cardiomyopathy. Here is a 2017 review article on ARVD in the New England Journal There is a 2010 publication by the Task Force in Diagnosis of ARVD: Diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia: proposed modification of the task force criteria.

Tachycardia 96

Tachycardia Cardiomyopathy Electrocardiogram Article 96

Dr. Smith's ECG Blog

DECEMBER 26, 2023

This is a very typical ECG for Hypertrophic Cardiomyopathy. The most recent previous was 4 years prior, and was in the normal range) Elderly patients, and patients with cardiomyopathy (including HOCM), may have troponin values in this range chronically ("chronic myocardial injury"). WPW Cardiac arrhythmias ( including AFib ).

Chest Pain 94

Chest Pain Cardiomyopathy Blog AFIB 94

Dr. Smith's ECG Blog

OCTOBER 23, 2023

T-wave alternans and the susceptibility to ventricular arrhythmias. Chronic amiodarone evokes no torsade de pointes arrhythmias despite QT lengthening in an animal model of acquired long-QT syndrome. Both ST segment and T wave alternans have been known to precede malignant ventricular arrhythmias. Pacing Clin Electrophysiol.

Tachycardia 131

Tachycardia Cardiac Arrest ICU Blog 131

Dr. Smith's ECG Blog

JUNE 23, 2023

A 50-something male with unspecified history of cardiomyopathy presented in diabetic ketoacidosis (without significant hyperkalemia) with a wide complex tachycardia and hypotension. The fact that he has a cardiomyopathy argues for a more typical ventricular tachycardia, as does the absence of rSR' in lead V1. It is regular.

Tachycardia 52

Tachycardia Cardiomyopathy Arrhythmia Diabetes 52

Dr. Smith's ECG Blog

SEPTEMBER 16, 2024

The patient was diagnosed with stress cardiomyopathy. Widespread T wave inversions and prolongation of the QT interval is not uncommon in Takotsubo cardiomyopathy. The QTc then gradually shortened over the course of several days as is usual for stress cardiomyopathy. Potassium was 4,8 mmol/l. ( ref 3,5-4,6 mmol/l ).

Cardiac Arrest 68

Cardiac Arrest Cardiomyopathy Arrhythmia Atrial Fibrillation 68

BoardVitals - Cardiovascular

MAY 15, 2022

The Cardiology MOC exam will be offered on April 3, 2023, and October 11, 2023. The Cardiology MOC exam covers the following subjects : Arrhythmias 15% Coronary Artery Disease 21.5% What are some things you need to know before you sit for the exam? How much does the exam cost? What does the exam cover?

Certification 52

Certification Congenital Heart Disease Coronary Artery Disease Cardiovascular Disease 52

Ken Grauer, MD

JANUARY 13, 2024

A bout H CM ( Different Forms of this Entity ): I've excerpted what appears below from My Comment in the December 26, 2023 post in Dr. Smith's ECG Blog. WPW Cardiac arrhythmias ( including AFib ). Clinically — Overall management of the above different morphological forms of HCM is similar for the emergency provider.

Blog 160

Blog Ischemia AFIB Hypertension 160

Circulation

NOVEMBER 11, 2024

Data was obtained from the Hospital Corporation of America (HCA) enterprise-wide database from January 2020 to September 2023 using the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM).

Heart Failure 40

Heart Failure Cardiac Arrest Kidney Disease Atrial Fibrillation 40

Dr. Smith's ECG Blog

JUNE 28, 2023

It was ablated. == MY Comment , by K EN G RAUER, MD ( 6/28 /2023 ): == There is a tendency for clinicians to interpret cardiac arrhythmias in binary fashion. In my opinion — it is a mistake to interpret arrhythmias in strict "binary" fashion — since rather than "either/or" — optimal interpretation is more of a probability statement.

Tachycardia 98

Tachycardia Ultrasound Heart Disease Atrial Fibrillation 98

Circulation

OCTOBER 19, 2023

Circulation, Volume 148, Issue 24 , Page 1932-1944, December 12, 2023. This study aimed to assess the association between PVC burdens during submaximal exercise and major adverse cardiovascular events (MI/HF/LTVA: myocardial infarction [MI], heart failure [HF], and life-threatening ventricular arrhythmia [LTVA]), and all-cause mortality.

Exercise 40

Exercise Myocardial Infarction Heart Failure Cardiomyopathy 40

Dr. S. Venkatesan MD

FEBRUARY 20, 2024

In myocardial pathology, the genesis and sustainability of ventricular arrhythmia are intricately related to the degree of LV dysfunction of any cause. 2020) The un-disputable fact is ischemic DCM has a target to treat, though it is termed as cardiomyopathy. 2023 Nov-Dec;23(6):171-176. Circulation. 2022 Feb 8;145(6):427-436.

Defibrillator 52

Defibrillator Heart Failure Sudden Cardiac Death Cardiomyopathy 52

Ken Grauer, MD

FEBRUARY 28, 2023

A DDENDUM ( 3/1/2023 ) — Additional material relevant to today's case: How Covid-positivity in today's case may affect the heart. Takotsubo (ie, Stress ) Cardiomyopathy. Realistically — optimal rate control of this patient's MAT may not be possible until improvement of his pulmonary disease and underlying conditions. =

Blog 78

Blog COVID-19 AFIB Pulmonary 78

Ken Grauer, MD

JULY 15, 2023

The finding of all negative QRS complexes in leads V3-thru- V6 therefore strongly suggests that the arrhythmia-associated impulse is not traveling over an AP ( Steurer et al — Clin. Subsequent testing supported the presumption of apical cardiomyopathy as the cause of this patient's sustained VT. Cardiol 17:306-308, 1994 ).

Blog 78

Blog Coronary Angiogram Cardiomyopathy Ischemia 78

Dr. Smith's ECG Blog

JANUARY 9, 2024

There is almost always the possibility of exceptions ( ie, prior infarction or cardiomyopathy that might result in a very abnormal baseline tracing ). the most commonly overlooked arrhythmia ( See My Comment at the bottom of the page in the May 1, 2023 — and the November 12, 2019 post , among others ).

Tachycardia 119

Tachycardia Electrophysiology Atrial Flutter Ischemia 119

Dr. Smith's ECG Blog

JULY 5, 2023

Instead — my thoughts were as follows: The rhythm is sinus , with marked bradycardia and a component of sinus arrhythmia. WPW Cardiac arrhythmias ( especially AFib ). In this case, QOH was incorrect , saying "OMI High confidence." QRS amplitude is dramatically increased in a number of leads. Abnormal ST-T wave abnormalities.

Chest Pain 52

Chest Pain STEMI Congenital Heart Disease Heart Disease 52

Dr. Smith's ECG Blog

OCTOBER 28, 2023

See this even more interesting and more dramatic and fascinating case: History of Hypertrophic Cardiomyopathy (HOCM), with Tachycardia and High Lactate = My Comment by K EN G RAUER, MD ( 10/28 /2023 ): = QUESTION: For clarity in Figure-1 — I've reproduced today's ECG without the long lead rhythm strip. Abnormal ST-T wave abnormalities.

Preserved Ejection Fraction 57

Preserved Ejection Fraction Sudden Cardiac Death Heart Failure Chest Pain 57

Circulation

FEBRUARY 13, 2025

The cohort was followed until June 30, 2023. Using the nationwide registries, we obtained information on admissions, prescriptions, educational length, and occupational status for both the AAS users and controls.

Coronary Artery Bypass Graft 84

Coronary Artery Bypass Graft Cardiovascular Disease Cardiac Arrest Myocardial Infarction 84

Circulation

NOVEMBER 11, 2024

They increase the risk of hypertension, coronary artery disease, coronary vasospasm, arrhythmias, cardiomyopathy, cardiac arrest, and stroke. Introduction:Cocaine and methamphetamine, stimulants with potent central nervous system effects, are known to be cardiotoxic. decline in overall CVD mortality rates (Table).

Cardiovascular Disease 40

Cardiovascular Disease Coronary Artery Disease Cerebrovascular Disease Cardiac Arrest 40

Circulation: Arrhythmia and Electrophysiology

FEBRUARY 20, 2025

Circulation: Arrhythmia and Electrophysiology, Ahead of Print. BACKGROUND:Sudden cardiac death is the most common cause of death in childhood hypertrophic cardiomyopathy (HCM). Recently, 2 risk scores have been developed to estimate the 5-year risk of sudden cardiac death. males), with a mean follow-up of 8.65.5

Arrhythmia 40

Arrhythmia Cardiomyopathy Pediatrics Sudden Cardiac Death 40

Circulation: Genomic and Precision Medicine

SEPTEMBER 6, 2023

Circulation: Genomic and Precision Medicine, Volume 16, Issue 5 , Page 421-430, October 1, 2023. Background:Variants in theDMDgene, that encodes the cytoskeletal protein, dystrophin, cause a severe form of dilated cardiomyopathy (DCM) associated with high rates of heart failure, heart transplantation, and ventricular arrhythmias.

Cardiomyopathy 40

Cardiomyopathy Heart Transplant Transplant Heart Failure 40

Circulation: Genomic and Precision Medicine

AUGUST 18, 2023

Circulation: Genomic and Precision Medicine, Volume 16, Issue 5 , Page 434-441, October 1, 2023. BACKGROUND:Variants inRBM20are reported in 2% to 6% of familial cases of dilated cardiomyopathy and may be associated with fatal ventricular arrhythmia and rapid heart failure progression.

Heart Failure 40

Heart Failure Arrhythmia Cardiomyopathy Circulation 40

Stroke Journal

FEBRUARY 7, 2024

The primary outcome was a composite of all-cause death, heart failure, atrial fibrillation, ventricular arrhythmias, myocardial infarction, and Takotsubo cardiomyopathy 30 days from the stroke. 1.13]), ventricular arrhythmias (HR, 1.38 [95% CI, 1.30–1.46]), 1.65]), and Takotsubo cardiomyopathy (HR, 1.51 [95% CI, 1.26–1.82]).

Myocardial Infarction 40

Myocardial Infarction Strokes Stroke Atrial Fibrillation 40

Wellnest

DECEMBER 11, 2023

World AIDS Day 2023 Introduction: World AIDS Day 2023 serves as a poignant reminder of the ongoing global battle against HIV/AIDS, urging us to reflect on the progress made and the challenges that persist. Hence, despite the transformative impact of ART on reducing cardiomyopathy and heart failure in PLWH, concerns persist!

Quality of Life 52

Quality of Life Myocardial Infarction Public Health Arrhythmia 52

Dr. Smith's ECG Blog

JANUARY 21, 2023

While traditionally described as “benign early repolarization”, they have been associated with J wave syndromes along with Brugada syndrome, causing ventricular arrhythmias (1, 2). The relationship between J wave and ventricular tachycardia during Takotsubo cardiomyopathy. Indian Pacing Electrophysiol J 2004 Antzelevitch C, Yan G.

STEMI 52

STEMI Bradycardia Arrhythmia Cardiac Arrest 52

Dr. Smith's ECG Blog

FEBRUARY 6, 2025

Whenever I see PVCs with the morphology and axis seen in todays case I always look for signs of AC ( Arrhythmogenic Cardiomyopathy ). Arrhythmogenic cardiomyopathy often manifests with PVCs from the RV. The ECG in Figure-1 however, shows no signs of arrhythmogenic cardiomyopathy. What will be your next measure?

Tachycardia 72

Tachycardia Arrhythmia Atrial Flutter Ablation 72

Dr. Smith's ECG Blog

DECEMBER 27, 2024

This is an arrhythmia until proven otherwise. As I've noted on a number of occasions in Dr. Smith's ECG Blog ( See My Comments in the posts from September 20, 2023 January 10, 2024 and April 2, 2022 to name just a few ) I am aware of many cases of sustained VT in which the patient remained awake and alert for hours.

Tachycardia 121

Tachycardia Stent Stents Arrhythmia 121