DAIC

JANUARY 25, 2024

Coronary computed tomography angiography (CCTA) is routinely used to diagnose CAD caused by the narrowing (stenosis) or blockage of the coronary arteries that supply the heart with blood. In June 2023, the U.S. More than 8 million Americans visit hospital emergency departments experiencing chest pain every year.

Heart Attack 110

Heart Attack Heart attacks Technology Cardiovascular Disease 110

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

DAIC

FEBRUARY 2, 2024

1 These included one pseudoaneurysm, one PV stenosis and one hematoma.1 Lifetime risk of atrial fibrillation according to optimal, borderline, or elevated levels of risk factors: cohort study based on longitudinal data from the Framingham Heart Study. observed among patients who underwent low fluoroscopy procedures and 0.3%

Ablation 105

Ablation Atrial Fibrillation AFIB Heart Rhythm 105

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. However, CTA head and neck 4 days later demonstrated 90 percent stenosis of the mid left V2 at the C3‐4 level and a 75‐90 percent stenosis of the left mid V2 segment at the C5‐6 level (hard and soft plaque in these areas).

Stenosis 40

Stenosis Peripheral Arterial Disease Pacemaker Atherosclerosis 40

Dr. Smith's ECG Blog

DECEMBER 7, 2023

I quickly reviewed the patient’s records and saw that she was a 53 year old woman with a history of BMI 40, but no other identifiable risk factors for coronary artery disease. The absence of risk factors for coronary artery disease does not mean a patient is not at risk for OMI. But it is a diagnosis of exclusion.

SCAD 124

SCAD Ischemia Coronary Artery Disease Cardiomyopathy 124

Stroke Journal

JANUARY 30, 2025

Background:The secondary prevention of symptomatic intracranial atherosclerotic stenosis (sICAS) remains a significant challenge. In addition, coronary heart disease (adjusted HR=1.674, 95% CI: 1.013-2.766, P=0.044) was identified as a risk factor associated with composite outcome during the 1-year follow-up.

Atherosclerosis 40

Atherosclerosis Strokes Stroke Stenosis 40

Dr. Smith's ECG Blog

SEPTEMBER 25, 2024

The red arrow points to a 90% stenosis in the proximal segment of the LAD. Consider the scenario in today's CASE: This 56-year old man with risk factors including diabetes and known coronary disease — presented to the ED on Day #1 with new weakness , fatigue , lethargy and confusion. No ECG was ordered on Day #1.

Chest Pain 120

Chest Pain Blog Hospital Tachycardia 120

Dr. Smith's ECG Blog

DECEMBER 19, 2023

link] A 62 year old man with a history of hypertension, type 2 diabetes mellitus, and carotid artery stenosis called 911 at 9:30 in the morning with complaint of chest pain. A DDENDUM ( 12/19/2023 ) : By way of review — I've excerpted the following material regarding T-QRS-D and MINOCA.

Plaque 127

Plaque Angina Blog Stents 127

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

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Aortic valve Myocardial Infarction Aortic Blood Pressure 103

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. Computed tomography angiography (CTA) of the brain and neck did not show significant stenosis or occlusion. It can occasionally present primarily with neurological conditions such as ischemic strokes, encephalopathy, or sensory neuropathy.

Strokes 40

Strokes Stroke Laboratory Thrombosis 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. 6 However, multiple studies have suggested that medical management alone is likely not sufficient in reducing the recurrent stroke risk caused by CaWs.5,7

Atherosclerosis 40

Atherosclerosis Stent Stents Strokes 40

Dr. Smith's ECG Blog

APRIL 29, 2023

A 50-something with no previous cardiac history and no risk factors presented to the ED with acute chest pain (pressure) that radiated to the left arm. An ECG was immediately recorded: Computer read: Normal ECG What do you think? There is ST depression in V1-V3. We showed that this is diagnostic of OMI (of the posterior wall).

Chest Pain 52

Chest Pain Blog Stenosis Critical Care 52

Dr. Smith's ECG Blog

APRIL 9, 2023

Angiogram happened soon after: LAD (mid): 80% stenosis OM1 (prox): 80% Ramus (ostial): 80% stenosis RCA: 99% stenosis, no TIMI flow reported, felt to be culprit lesion, but for some technical reason unable to perform PCI and deemed more favorable for delayed CABG. ECG #1 is not diagnostic of acute occlusion.

Chest Pain 52

Chest Pain Ischemia Stenosis Pulmonary 52

Dr. Anish Koka

MAY 16, 2023

Marked differences can be seen in the prevalence of coronary artery stenosis at autopsy by age and gender. In 30-39 year old women the rate of coronary stenosis at autopsy was 5/1,545 (0.3%) while 60-69 year old men had a prevalence of 12%, almost 40 times higher. The results of this dataset by age and gender follow.

Chest Pain 52

Chest Pain Coronary Artery Disease Cancer Heart Attack 52

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Published Research kschukar Thu, 04/20/2023 - 11:12 Recently published (2016 – present) manuscripts utilizing STS data: Adult Cardiac Surgery, General Thoracic Surgery, Congenital Heart Surgery, and Intermacs/Pedimacs.

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. Patients with ICAD more frequently presented with vascular risk factors. ICAD strokes had higher ASPECTS, and more frequently had calcifications at the carotid siphon as well as multifocal intracranial stenosis on CTA.

Stenosis 40

Stenosis Risk Factors Atrial Fibrillation Strokes 40

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Published Research kschukar Thu, 04/20/2023 - 11:12 Recently published (2016 – present) manuscripts utilizing STS data: Adult Cardiac Surgery, General Thoracic Surgery, Congenital Heart Surgery, and Intermacs/Pedimacs.

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Stroke Journal

FEBRUARY 1, 2024

Introduction:It is known that past the age of 35, the prevalence of large artery atherosclerosis (LAA) related strokes increases with a cardiovascular risk factor (CVRF) profile beginning to resemble that of elderly patients. Stroke, Volume 55, Issue Suppl_1 , Page AWP276-AWP276, February 1, 2024. vs. 38.2 ± 8.0 vs. 20.7%; 2.82 [0.9-9.0])

Atherosclerosis 40

Atherosclerosis Strokes Stroke Obesity 40

DAIC

FEBRUARY 7, 2024

FAHA, a past president of the American Heart Association and American Stroke Association, who passed away in January 2023. Meschia is a pioneer in the study of inherited risk factors for ischemic stroke and has had a longstanding commitment to providing the latest evidence for carotid revascularization as a means for stroke prevention.

Strokes 105

Strokes Stroke Research Health Disparities 105

Frontiers in Cardiovascular Medicine

DECEMBER 8, 2024

Demographic characteristics, vascular risk factors, and the results of preoperative serum biochemistry were measured and collected. The risk factors for vulnerable carotid plaque were analyzed. A Lasso-logistic regression prediction model was developed and compared with traditional logistic regression models.

Plaque 52

Plaque Stenosis Risk Factors Hospital 52