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DAIC
JANUARY 19, 2024
Sumeet Chugh, MD, shown at work in his Cedars-Sinai laboratory, is the recipient of the American College of Cardiology 2024 Distinguished Scientist Award-Clinical Domain. Although “sudden cardiac arrest” and “heart attack” are often mistaken to be the same, the conditions are quite different. Photo by Cedars-Sinai.
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DAIC
JULY 29, 2024
Image courtesy of Takenobu Shimada, Osaka Metropolitan University (CC BY 4.0, [link] mtaschetta-millane Mon, 07/29/2024 - 09:09 July 29, 2024 — When it comes to treating cardiac arrest, acting quickly can mean the difference between life and death. Cardiac arrest can lead to death within minutes.
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DAIC
MARCH 1, 2024
Photo by Cedars-Sinai milla1cf Fri, 03/01/2024 - 08:25 March 1, 2024 — Two new studies by Cedars-Sinai investigators support using artificial intelligence (AI) to predict sudden cardiac arrest-a health emergency that in 90% of cases leads to death within minutes. Sumeet Chugh, MD.
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Medical Xpress - Cardiology
NOVEMBER 11, 2024
Out-of-hospital cardiac arrest survival rates dropped significantly at the onset of the COVID-19 pandemic in 2020 and have continued to remain lower than in the pre-pandemic years of 2015–2019, according to a preliminary study to be presented at the American Heart Association's Scientific Sessions 2024.,
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Medical Xpress - Cardiology
NOVEMBER 11, 2024
16–17, 2024, at the Hilton Chicago Hotel in Chicago.
The New England Journal of Medicine
MARCH 13, 2024
A 55-year-old man had an out-of-hospital cardiac arrest. An evaluation showed 2-mm ST-segment elevations in the inferior leads on electrocardiography, cardiogenic shock, and a new systolic murmur. A diagnosis was made.
Circulation
JANUARY 27, 2025
The 2025 AHA Statistical Update is the product of a full years worth of effort in 2024 by dedicated volunteer clinicians and scientists, committed government professionals, and AHA staff members.
Dr. Smith's ECG Blog
JULY 25, 2024
But cardiac arrest is a period of near zero flow in the coronary arteries and causes SEVERE ischemia. After cardiac arrest, I ALWAYS wait 15 minutes after an ECG like this and record another. See these related cases: Cardiac arrest, defibrillated, diffuse ST depression and ST Elevation in aVR.
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Dr. Smith's ECG Blog
SEPTEMBER 16, 2024
While on telemetry monitoring he suffered cardiac arrest and was resuscitated. What ECG finding may have contributed to (or precipitated) the cardiac arrest? Learning points : Takotsubo can lead to cardiac arrest from ventricular arrhythmia. There are no clear signs of OMI. There is a prolonged QTc.
DAIC
JULY 30, 2024
The Heart Rhythm Society (HRS) is preparing for HRX 2024, the third annual event of its kind, which will be held from September 5-7, 2024, in Atlanta, GA, gathering cardiovascular health innovators together to explore discoveries and advance partnerships between medicine and technology. On Thursday, Sept.
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Circulation
AUGUST 11, 2024
Circulation, Volume 150, Issue 7 , Page 577-579, August 13, 2024.
Cardiology Update
MAY 7, 2024
The impact of chest compression (CC) pause duration on survival outcomes in pediatric in-hospital cardiac arrests remains unclear, despite the American Heart Association’s recommendation to limit pauses to less than 10 seconds for children without solid evidence. Circulation 2024; 149: 1493-1500.
Circulation
NOVEMBER 12, 2024
Drowning generally progresses from initial respiratory arrest due to submersion-related hypoxia to cardiac arrest; thus, it can be challenging to distinguish respiratory arrest from cardiac arrest because pulses are difficult to accurately palpate within the recommended 10-second window.
DAIC
APRIL 17, 2024
Mike Black milla1cf Wed, 04/17/2024 - 16:15 April 17, 2024 — CPR Therapeutics, Inc. Sudden cardiac arrest is one of the leading causes of sudden death worldwide and there are currently no devices more effective than manual chest compressions. Intact survival after cardiac arrest is below 10% in most communities.
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DAIC
MAY 31, 2024
milla1cf Fri, 05/31/2024 - 07:00 May 31, 2024 — In the United States there are over 8 million active athletes. High profile cases of sudden cardiac arrest in elite athletes in recent years has reminded the cardiology community of the challenging questions posed to cardiologists in these settings.
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Circulation
NOVEMBER 11, 2024
Circulation, Volume 150, Issue Suppl_1 , Page ASu505-ASu505, November 12, 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.
Dr. Smith's ECG Blog
JUNE 27, 2024
A patient had a cardiac arrest with ventricular fibrillation and was successfully defibrillated. Coronary Angiography after Cardiac Arrest without ST-Segment Elevation. N Engl J Med [Internet] 2019;Available from: [link] Should all patients with shockable arrest be taken to angiography regardless of STEMI or No STEMI?
113 Circulation
NOVEMBER 11, 2024
Circulation, Volume 150, Issue Suppl_1 , Page ASa901-ASa901, November 12, 2024. Introduction:In the United States, the incidence of in-hospital cardiac arrest (IHCA) ranges from 0.1-0.5% IHCA after cardiac surgery is unique because patients are often monitored closely and arrest etiologies are frequently reversible.
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.
Circulation
NOVEMBER 11, 2024
Circulation, Volume 150, Issue Suppl_1 , Page ASu1107-ASu1107, November 12, 2024. Introduction:Opioid overdose (OD) is a growing cause of cardiac arrest in the US, spurred by the rise of illegally manufactured fentanyl and analogs. Naloxone is a reversal agent that can be administered by bystanders. 22.2%, p<0.00001).Conclusion:Most
Circulation
NOVEMBER 11, 2024
Circulation, Volume 150, Issue Suppl_1 , Page ASu1202-ASu1202, November 12, 2024. C and hypothermia at 33°C had similar outcomes in out-of-hospital post cardiac arrest patients. The median age was 62 years and 105 (66%) patients had cardiac etiology. The median cardiac arrest time was 29 min.
DAIC
MAY 30, 2024
milla1cf Thu, 05/30/2024 - 10:31 May 30, 2024 — Stereotaxis , a pioneer in surgical robotics for minimally invasive endovascular intervention, announced the successful treatment of the first heart rhythm patients by Penn Presbyterian Medical Center (PPMC) utilizing the advanced Genesis Robotic Magnetic Navigation System.
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Circulation
NOVEMBER 11, 2024
Circulation, Volume 150, Issue Suppl_1 , Page ASa1108-ASa1108, November 12, 2024. Background:Patients with diabetes have lower survival and worse neurological outcome after cardiopulmonary resuscitation (CPR) compared with non-diabetes. Previous studies have mentioned the aberrant autophagy in diabetic mice.
Dr. Smith's ECG Blog
JULY 9, 2024
Written by Pendell Meyers A man in his 50s was found by his family in cardiac arrest of unknown duration. His family started CPR and called EMS, who arrived to find him in ventricular fibrillation. 15 minutes after EMS arrival, after at least 6 defibrillations, the patient achieved sustained ROSC.
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DAIC
JUNE 19, 2024
milla1cf Wed, 06/19/2024 - 20:57 June 19, 2024 — When electrophysiologist Eugenio Cingolani, MD , isn’t seeing patients, he can usually be found in his laboratory, investigating improved treatments for heart rhythm disorders. If VT is not treated, it can lead to cardiac arrest, which is when the heart stops beating.
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Cardiometabolic Health Congress
JULY 17, 2024
The first half of 2024 has ushered in a wave of transformative FDA approvals in cardiorenal metabolic health. Edwards EVOQUE Tricuspid Valve Replacement System (Approved: 02/01/2024) This system provides a novel approach to tricuspid valve replacement, potentially benefiting patients with tricuspid regurgitation without open-heart surgery.
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Circulation
NOVEMBER 11, 2024
Circulation, Volume 150, Issue Suppl_1 , Page A4141869-A4141869, November 12, 2024. Introduction:Over 290,000 in-hospital cardiac arrests occur annually in the United States. Survival is about 25% with significant variation across the country.
Dr. Smith's ECG Blog
SEPTEMBER 29, 2024
Although one may have all kinds of ischemic findings as a result of cardiac arrest (rather than cause of cardiac arrest), this degree of ST elevation and HATW is all but diagnostic of acute proximal LAD occlusion. See Discussion in the June 29, 2024 post of Dr. Smith' ECG Blog ). This prompted cath lab activation.
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Circulation
NOVEMBER 11, 2024
Circulation, Volume 150, Issue Suppl_1 , Page ASu507-ASu507, November 12, 2024. Background:Most out-of-hospital cardiac arrest (OHCA) patients who are initially treated with an automated external defibrillator (AED) and present in a non-shockable rhythm never receive a shock.
Circulation
NOVEMBER 11, 2024
Circulation, Volume 150, Issue Suppl_1 , Page A4142421-A4142421, November 12, 2024. Background:Out-of-hospital cardiac arrest (OHCA) is associated with unfavourable survival rates and neurological outcomes.
Circulation
NOVEMBER 11, 2024
Circulation, Volume 150, Issue Suppl_1 , Page ASa505-ASa505, November 12, 2024. Once ROSC was obtained rSO2 and EtCO2 monitoring were continued for 24 hours or until cardiac arrest resumed. Introduction:The effectiveness of cardiopulmonary resuscitation is dependent on maintaining optimal cerebral perfusion.
Circulation
MAY 19, 2024
Circulation, Volume 149, Issue 21 , Page e1217-e1217, May 21, 2024.
Circulation: Cardiovascular Quality & Outcomes
JUNE 17, 2024
Circulation: Cardiovascular Quality and Outcomes, Volume 17, Issue 6 , Page e011076, June 1, 2024.
Circulation
NOVEMBER 11, 2024
Circulation, Volume 150, Issue Suppl_1 , Page A4142374-A4142374, November 12, 2024. Background:Out-of-hospital cardiac arrest (OHCA) typically results in low survival rates and undesirable neurological outcome.
Circulation
MARCH 3, 2024
Circulation, Volume 149, Issue 10 , Page 794-796, March 5, 2024.
Circulation
NOVEMBER 11, 2024
Circulation, Volume 150, Issue Suppl_1 , Page ASa907-ASa907, November 12, 2024.
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Circulation
NOVEMBER 11, 2024
Circulation, Volume 150, Issue Suppl_1 , Page A4137065-A4137065, November 12, 2024. Introduction:Out-of-hospital cardiac arrest (OHCA) remains a significant public health challenge, with conventional cardiopulmonary resuscitation (CPR) often yielding limited success.
Circulation
NOVEMBER 11, 2024
Circulation, Volume 150, Issue Suppl_1 , Page A4137905-A4137905, November 12, 2024. Background:In out-of-hospital cardiac arrest (OHCA) patients with an initial shockable rhythm, epinephrine increases the likelihood of return of spontaneous circulation (ROSC), but its effect on neurological outcome remains uncertain.
Dr. Smith's ECG Blog
OCTOBER 8, 2024
About 45 minutes after the second EKG, the patient was found in cardiac arrest. Later the next day, she went into cardiac arrest again. By the time I saw the repeat EKG, the patient was already in cardiac arrest. She was worked as a full code, and ROSC was achieved. She could not be resuscitated.
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Dr. Smith's ECG Blog
FEBRUARY 2, 2024
Altered Mental Status, Bradycardia == MY Comment , by K EN G RAUER, MD ( 2/2 /2024 ): == Dr. Meyers began today’s case with the clinical challenge of asking you to identify the underlying cause of ECG #2. Is there a long QT? Is the QT appropriate for the temperature? How would you manage this patient?
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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.
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DAIC
JUNE 11, 2024
milla1cf Tue, 06/11/2024 - 18:09 June 11, 2024 — Stereotaxis (NYSE: STXS), a pioneer in surgical robotics for minimally invasive endovascular intervention, today announced that Hospital Santa Maria della Pietà, in Nola in the Metropolitan City of Naples, has established the first robotic cardiac heart program in Southern Italy.
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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 ?
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Frontiers in Cardiovascular Medicine
DECEMBER 23, 2024
The purpose of this study is to summarize the data of 11 patients with high-risk PE treated with VA-ECMO assisted PMT, and propose feasible treatment methods for such patients.MethodsThis multicenter retrospective study included patients with acute high-risk PE who were treated with VA-ECMO-assisted PMT from January 2021 to June 2024.
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