Frontiers in Cardiovascular Medicine

NOVEMBER 19, 2024

BackgroundEarly coronary angiography (CAG) in post-cardiac arrest patients without ST-segment elevation is a topic of debate. A random-effects model pooled odds ratios (ORs) with 95% confidence intervals (CIs). Early CAG significantly reduced long-term mortality [OR: 0.66 (0.51–0.85)], Interpretation should be cautious.

Cardiac Arrest 59

Cardiac Arrest Myocardial Infarction Hospital Diabetes 59

American College of Cardiology

DECEMBER 12, 2023

This year's American Heart Association Scientific Sessions (AHA 2023) in Philadelphia featured several sessions dedicated to exercise and sports cardiology, including an expert-led session on sudden cardiac arrest (SCA) on the athletic field and two major sports cardiology studies.

Cardiac Arrest 58

Cardiac Arrest Exercise Article 58

Circulation

NOVEMBER 11, 2024

The targeted Automated External Defibrillator (AED) program in the Sao Paulo Metro has yielded promising results in improving survival rates for individuals experiencing out-of-hospital cardiac arrest (OHCA) due to ventricular arrhythmias.

Cardiac Arrest 69

Cardiac Arrest Defibrillator Public Health Arrhythmia 69

CardiacWire

JANUARY 22, 2025

To tackle this problem, researchers compared Veterans Affairs data on 2 million T2D patients (2017-2023) taking either GLP-1s , DPP4is, SGLT2is, or usual care antihyperglycemics over a 3.68 As expected, GLP-1s reduced MI risk by 9%, cardiac arrest by 22%, incident HF by 11%, ischemic stroke by 7%, and hemorrhagic stroke by 14%.

Obesity 59

Obesity Cardiac Arrest Dementia Outcomes 59

Journal of the American Heart Association

DECEMBER 18, 2024

BackgroundAlthough they are fastgrowing populations in the United States, little is known about survival outcomes of Hispanic and Asian patients after inhospital cardiac arrest.Methods and ResultsIn Get With The GuidelinesResuscitation, we identified Asian, Hispanic, and White adults with inhospital cardiac arrest during 2005 to 2023.

Cardiac Arrest 40

Cardiac Arrest Hospital Circulation Outcomes 40

Circulation

NOVEMBER 11, 2024

Introduction:Over 290,000 in-hospital cardiac arrests occur annually in the United States. Evidence supports high-quality chest compressions as a vital factor to achieving return of spontaneous circulation (ROSC) and improving outcomes after cardiac arrest.

Cardiac Arrest 40

Cardiac Arrest Circulation Hospital Education 40

Dr. Smith's ECG Blog

JUNE 5, 2024

As per my review of this subject ( Check out My Comment at the bottom of the page in the November 16, 2023 post in Dr. Smith's ECG Blog ) — the 3 most common Causes of ACS ( A cute C oronary S yndrome ) with a "negative" cath are: i ) Myocarditis; ii ) Takotsubo cardiomyopathy; and , iii ) MINOCA.

Chest Pain 122

Chest Pain Blog Cardiac Arrest Cardiomyopathy 122

Ken Grauer, MD

FEBRUARY 3, 2024

Shortly after arrival in the ED ( E mergency D epartment ) — she suffered a cardiac arrest. BUT — Cardiac catheterization done a little later did not reveal any significant stenosis. Figure-1: The initial ECG in today's case — obtained after successful resuscitation from cardiac arrest. ( No CP ( C hest P ain ).

Blog 163

Blog Cardiac Arrest STEMI Plaque 163

Ken Grauer, MD

DECEMBER 29, 2023

The H ISTORY in T oday's C ASE: The patient in today's case is a teenager who presented to the ED ( E mergency D epartment ) in cardiac arrest after electrocution. Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ). =

Blog 173

Blog Cardiac Arrest Ischemia Hospital 173

Circulation

NOVEMBER 11, 2024

Introduction:Out-of-hospital cardiac arrest (OHCA) remains a significant public health challenge, with conventional cardiopulmonary resuscitation (CPR) often yielding limited success. Circulation, Volume 150, Issue Suppl_1 , Page A4137065-A4137065, November 12, 2024.

Cardiac Arrest 40

Cardiac Arrest Hospital Public Health Outcomes 40

Circulation

NOVEMBER 9, 2023

Circulation, Volume 148, Issue 24 , Page e187-e280, December 12, 2023. The International Liaison Committee on Resuscitation engages in a continuous review of new, peer-reviewed, published cardiopulmonary resuscitation and first aid science.

Cardiac Arrest 40

Cardiac Arrest Education Defibrillator Pediatrics 40

Dr. Smith's ECG Blog

JULY 14, 2023

Two recent interventions have proven in randomized trials to improve neurologic survival in cardiac arrest: 1) the combination of the ResQPod and the ResQPump (suction device for compression-decompression CPR -- Lancet 2011 ) and 2) Dual Sequential defibrillation. The patient had a volatile clinical course but awoke neuro intact.

Cardiac Arrest 98

Cardiac Arrest Chest Pain Defibrillator Atrial Flutter 98

Circulation: Cardiovascular Quality & Outcomes

NOVEMBER 10, 2023

Circulation: Cardiovascular Quality and Outcomes, Volume 16, Issue 11 , Page e010491, November 1, 2023.

Cardiac Arrest 40

Cardiac Arrest Outcomes Hospital Circulation 40

Dr. Smith's ECG Blog

FEBRUARY 2, 2024

We periodically review this intriguing ECG finding that is best known for its association with hypothermia — but which may also be seen in association with a number of other entities, including acute infarction and cardiac arrest. My Comment addresses a few additional aspects of this phenomenon.

Blog 137

Blog Cardiac Arrest Atrial Fibrillation Bradycardia 137

Ken Grauer, MD

JUNE 14, 2024

The ECG in Figure-1 — was obtained from a middle-aged man who presented to the ED ( E mergency D epartment ) in cardiac arrest. C ASE C onclusion: As noted above — the middle-aged man in today's case presented to the ED in cardiac arrest. In view of this history — How would YOU interpret the ECG in Figure-1 ?

Blog 161

Blog STEMI Cardiac Arrest Tachycardia 161

Circulation

JANUARY 24, 2024

The 2024 AHA Statistical Update is the product of a full year’s worth of effort in 2023 by dedicated volunteer clinicians and scientists, committed government professionals, and AHA staff members.

Heart Disease 81

Heart Disease Peripheral Arterial Disease Strokes Stroke 81

DAIC

DECEMBER 27, 2023

When left untreated, arrhythmias may significantly increase the risk of stroke, heart failure, and sudden cardiac arrest. Tens of millions of individuals worldwide suffer from arrhythmias – abnormal heart rhythms that result when the heart beats too quickly, too slowly, or with an irregular pattern.

Technology 105

Technology Heart Disease Heart Rhythm Arrhythmia 105

Dr. Smith's ECG Blog

JANUARY 2, 2025

See this post: How a pause can cause cardiac arrest 2. For more on Torsades de Pointes vs PMVT See My Comment in the October 18, 2023 post and the September 2, 2024 post in Dr. Smith's ECG Blog ). There is ventricular bigeminy with bizarre appearing wide T-waves See even more striking cases of this at the bottom of the post.

Tachycardia 116

Tachycardia Cardiomyopathy Blog Bradycardia 116

Ken Grauer, MD

JULY 9, 2023

Blood was drawn , and the patient was promptly placed in a room to be seen — but on entering, the ED physician found her unresponsive in cardiac arrest. Do you see any indication on this ECG of WHY this patient was about to arrest? Is there any indication on this ECG of WHY this patient shortly after had a cardiac arrest?

Blog 78

Blog Cardiac Arrest Pulmonary AFIB 78

Journal of the American Heart Association

DECEMBER 1, 2023

Journal of the American Heart Association, Volume 12, Issue 23 , December 5, 2023.

Research 40

Research Cardiac Arrest 40

Dr. Smith's ECG Blog

SEPTEMBER 12, 2023

Followup: he was found to have hyperparathyroidism == MY Comment , by K EN G RAUER, MD ( 9/12 /2023 ): == Today's ECG is remarkable for an uncommon but important finding that we periodically review, because it otherwise is all-too-easy to overlook. Thus, the patient's chemistry was done and revealed ionized hypercalcemia of 6.3

Cardiac Arrest 68

Cardiac Arrest Blog Atrial Fibrillation AFIB 68

Dr. Smith's ECG Blog

DECEMBER 13, 2023

link] == MY Comment , by K EN G RAUER, MD ( 12/11 /2023 ): == As per Dr. Smith — the KEY concept in today's case is proportionality. (THE PM CARDIO OMI AI APP) If you want this bot to help you make the early diagnosis of OMI and save your patient and his/her myocardium, you can sign up to get an early beta version of the bot here.

Blog 123

Blog Chest Pain Cardiac Arrest Hemorrhage 123

Journal of the American Heart Association

NOVEMBER 28, 2023

Journal of the American Heart Association, Volume 12, Issue 23 , December 5, 2023. Mechanical circulatory support (MCS) devices increase systemic blood pressure and end organ perfusion while reducing cardiac filling pressures.Methods and ResultsThe National Cardiogenic Shock Initiative (NCT03677180) is a single‐arm, multicenter study.

Cardiogenic Shock 40

Cardiogenic Shock Myocardial Infarction Blood Pressure Cardiac Arrest 40

The British Journal of Cardiology

NOVEMBER 29, 2023

We present the case of a man in his 50s, admitted with cardiac arrest secondary to inferolateral STEMI. However, it is associated with rare, but life-threatening, complications such as perforation, leading to retroperitoneal haemorrhage.

STEMI 52

STEMI Cardiac Arrest Myocardial Infarction Ultrasound 52

Dr. Smith's ECG Blog

OCTOBER 23, 2023

Edited by Bracey, Meyers, Grauer, and Smith A 50-something-year-old female with a history of an unknown personality disorder and alcohol use disorder arrived via EMS following cardiac arrest with return of spontaneous circulation. The described rhythm was an irregular, wide complex rhythm. Circulation. 2001 Nov 27;104(22):2722-7.

Tachycardia 130

Tachycardia Cardiac Arrest ICU Blog 130

European Journal of Heart Failure

DECEMBER 19, 2024

Methods and results Among 657 patients enrolled from March 2020 to November 2023, 198 (30.1%) received oxygen therapy (OT), 96 (14.6%) underwent non-invasive ventilation (NIV), and 363 (55.3%) underwent invasive mechanical ventilation (iMV). for the NIV group ( p =0.005), even after excluding patients with cardiac arrest at presentation.

Cardiogenic Shock 40

Cardiogenic Shock Cardiac Arrest Outcomes Research 40

Journal of the American Heart Association

FEBRUARY 19, 2025

We sought to describe current treatment selection patterns and hospitallevel variability.Methods and ResultsWe identified patients presenting with STEMI with a culprit lesion on coronary angiography between January 1, 2019, and March 31, 2023, using the NCDR (National Cardiovascular Data Registry) CPMI (Chest PainMyocardial Infarction) registry.

Myocardial Infarction 40

Myocardial Infarction Hospital STEMI Cardiac Arrest 40

Dr. Smith's ECG Blog

JANUARY 8, 2024

A man in his 30s with cardiac arrest and STE on the post-ROSC ECG == MY Comment , by K EN G RAUER, MD ( 12/31 /2023 ): == My only hope about today's tragic case — is that the involved providers learn from mistakes made. The 2 ECGs that were recorded in today's case are insightful.

Chest Pain 71

Chest Pain Pulmonary Embolism STEMI 71

Circulation

NOVEMBER 11, 2024

The Institute now collects data across the AHS on resuscitation events, and collaborates with NPD practitioners, leaders, providers, and emergency responders.Results:Since implementation of the Institute in 2023-2024 percentage increases revealed an improvement in survivability metrics: COA 87%, TTS 79%, and survival to discharge 37%.Conclusion:The

Nursing 40

Nursing COVID-19 Education Document 40

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

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionThe 2015 American Heart Association Guidelines recommended mechanical thrombectomy with stent‐retriever devices.

Strokes 40

Strokes Stroke Cardiac Arrest Inpatient 40

Circulation

NOVEMBER 11, 2024

The most common MAE was arrhythmia, representing 46% of MAE, followed by cardiac arrest and bleeding each 20%. We collected demographic, pre-procedural, procedural, and outcome-related variables. were females. MAE was present in 1.6%. EMB was associated with a lower rate of MAE in univariate analysis p<0.001.

Cardiomyopathy 40

Cardiomyopathy Pediatrics Heart Transplant Heart Failure 40

Dr. Smith's ECG Blog

MAY 26, 2023

Severely ill patients from any etiology can have very abnormal ECGs = My Comment by K EN G RAUER, MD ( 5/26 /2023 ): = There are more questions than answers in today's case. If the situation is not right for acute coronary occlusion, then the ECG findings probably do not represent acute coronary occlusion.

Cardiogenic Shock 98

Cardiogenic Shock Arrhythmia Blog Education 98

Ken Grauer, MD

OCTOBER 21, 2023

PEARL # 1: Although seeing an elevated Troponin would provide additional support for immediate cardiac catheterization — the clinical reality is that the initial Troponin reading will not always be elevated in patients with acute coronary occlusion ( See March 24, 2023 post in Dr. Smith's ECG Blog ).

Blog 98

Blog Chest Pain Ischemia STEMI 98

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionSubarachnoid Hemorrhage (SAH) resulting from the spontaneous rupture of an aneurysm is a rare and highly debilitating condition.

Hemorrhage 40

Hemorrhage Aneurysm Cardiac Arrest Myocardial Infarction 40

Dr. Smith's ECG Blog

DECEMBER 13, 2024

Regarding AFib with WPW: The very rapid heart rate and at times extremely short R-R intervals put the patient with AFib and WPW at risk of cardiac arrest from VFib. 2023, January 31). The risk of the rhythm deteriorating to VFib appears to be inversely proportional to R-R interval duration. 2) Klein, G. Bashore, T.

AFIB 103

AFIB Atrial Fibrillation Tachycardia Blog 103

Dr. Smith's ECG Blog

AUGUST 19, 2023

They had had twice the rate of cardiac arrest and twice the in-hospital mortality[1] In another study of patients diagnosed with STEMI, those on dialysis experienced delayed reperfusion and double the mortality.[2] They were less likely to have STEMI on ECG, and more likely to be initially diagnosed as non-ACS.

Chest Pain 98

Chest Pain STEMI Myocardial Infarction Blog 98