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?

Defibrillator 113

Defibrillator Cardiac Arrest STEMI Chest Pain 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.

Cardiac Arrest 40

Cardiac Arrest Hospital Outcomes Inpatient 40

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.

Cardiac Arrest 40

Cardiac Arrest Circulation Hospital Education 40

Circulation

JANUARY 24, 2024

Circulation, Ahead of Print. 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 Stroke Strokes 81

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.

Cardiac Arrest 40

Cardiac Arrest Outcomes Hospital Circulation 40

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.

Cardiac Arrest 40

Cardiac Arrest Education Circulation 40

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.

Cardiac Arrest 45

Cardiac Arrest Diabetes Diet Risk Factors 45

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.

Cardiac Arrest 110

Cardiac Arrest STEMI Ischemia SCAD 110

Circulation

MAY 19, 2024

Circulation, Volume 149, Issue 21 , Page e1217-e1217, May 21, 2024.

Cardiac Arrest 49

Cardiac Arrest Hospital Circulation 49

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.

Cardiac Arrest 45

Cardiac Arrest Defibrillator Hospital Heart Rhythm 45

Circulation: Cardiovascular Quality & Outcomes

JUNE 17, 2024

Circulation: Cardiovascular Quality and Outcomes, Volume 17, Issue 6 , Page e011076, June 1, 2024.

Cardiac Arrest 40

Cardiac Arrest Circulation Outcomes 40

Circulation

MARCH 3, 2024

Circulation, Volume 149, Issue 10 , Page 794-796, March 5, 2024.

Cardiac Arrest 40

Cardiac Arrest Circulation 40

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.

Blood Pressure 40

Blood Pressure Cardiac Arrest Hospital Outcomes 40

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.

Cardiac Arrest 40

Cardiac Arrest Hospital Outcomes Circulation 40

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.

Blood Pressure 40

Blood Pressure Cardiac Arrest Outcomes Hospital 40

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.

Cardiac Arrest 40

Cardiac Arrest Hospital Outcomes Pharmacology 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page ASa907-ASa907, November 12, 2024.

COVID-19 40

COVID-19 Cardiac Arrest Outcomes Hospital 40

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.

Cardiac Arrest 40

Cardiac Arrest Hospital Public Health Outcomes 40

Dr. Smith's ECG Blog

OCTOBER 8, 2024

Given that this is before it is released into the circulation by reperfusion therapy, this is a massively elevated troponin. About 45 minutes after the second EKG, the patient was found in cardiac arrest. Later the next day, she went into cardiac arrest again. Here is that 2nd ECG 16 hours later: What do you think?

Cardiac Arrest 123

Cardiac Arrest Myocardial Infarction STEMI Cardiogenic Shock 123

Dr. Smith's ECG Blog

JUNE 23, 2024

They shocked him twice before return of spontaneous circulation. Simply by correlating the history of cardiac arrest with serial ECGs recorded after the event — it became obvious that the 60% lesion on cardiac cath, despite its surprisingly good TIMI 3 flow — was indeed the "culprit" artery that had spontaneously reperfused after the event.

Chest Pain 118

Chest Pain Cardiac Arrest Sudden Cardiac Death Blog 118

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page ASa603-ASa603, November 12, 2024. To evaluate the role of the cGAS-STING pathway in brain injury after cardiac arrest in Sting-deficiency (Sting-/-) mice.

Cardiac Arrest 40

Cardiac Arrest Circulation Stroke Strokes 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4114705-A4114705, November 12, 2024. Total 494 patients had cardiac arrest and 191 patients out of this 494 had died. Incidence of Cardiac Arrest was 4.7% We have used the ICD 10 code I51.81 followed by female gender with an odd ratio of 4.1,

Cardiomyopathy 40

Cardiomyopathy Cardiac Arrest Risk Factors Hemorrhage 40

Circulation: Cardiovascular Interventions

JANUARY 20, 2025

Circulation: Cardiovascular Interventions, Volume 18, Issue 1 , Page e014499, January 1, 2025. METHODS:This retrospective cohort study analyzed data from 2 academic centers involving patients with intermediate-risk PE from January 2020 to January 2024.

Embolism 40

Embolism Pulmonary Outcomes Cardiac Arrest 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4145983-A4145983, November 12, 2024. One patient experienced two intraoperative cardiac arrests, with the OBPM demonstrating signatures of significant cerebral hypoxia during both episodes.

Coronary Artery Bypass Graft 40

Coronary Artery Bypass Graft Cardiac Arrest Bicuspid/Mitral Technology 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4139677-A4139677, November 12, 2024. Background:Epicardial patch defibrillators (EPDs) were commonly implanted in the 1990s for secondary prevention of sudden cardiac death. She experienced massive hemoptysis, leading to respiratory and cardiac arrest, but was resuscitated.

Defibrillator 40

Defibrillator Cardiac Arrest Sudden Cardiac Death Coronary Angiogram 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4118341-A4118341, November 12, 2024. Background:Opioid use has increased significantly in the past few decades, impacting cardiac and non-cardiac patients. p=0.35) and cardiac arrest (aOR 1.05, 95% CI 0.8 - 1.36, p=0.74) in patients on chronic opioids.

Preserved Ejection Fraction 40

Preserved Ejection Fraction Inpatient Cardiogenic Shock Heart Failure 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page ASu404-ASu404, November 12, 2024. Background:Out-of-hospital cardiac arrest (OHCA) cause significant patient morbidity and mortality.

Defibrillator 40

Defibrillator BMI Cardiac Arrest Circulation 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page ASu104-ASu104, November 12, 2024. Background:The incidence of cardiac arrest (CA) increases with age, leading to poorer neurological outcomes after the return of spontaneous circulation (ROSC) in the elderly.

Ischemia 40

Ischemia Cardiac Arrest Circulation Outcomes 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page ASa310-ASa310, November 12, 2024. Introduction:Developing multi-modal cardiopulmonary resuscitation (CPR) in animal models of cardiac arrest is challenging because of the exponential increase in the number of possible combinations of n modalities.

Cardiac Arrest 40

Cardiac Arrest Aortic Circulation 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4144734-A4144734, November 12, 2024. Background:Corticosteroids are widely used in neonatal cardiac surgery for anti-inflammatory purposes. Previous research has demonstrated that perioperative use of methylprednisolone (MP) leads to a reduced inflammatory response.

Outcomes 40

Outcomes Cardiac Arrest Circulation Research 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4113864-A4113864, November 12, 2024. They had more inpatient complications including ventricular fibrillation and cardiac arrest (p <0.001) with longer mean lengths of stay (7 days vs. 5 days, p <0.001) and 30-day readmissions (28% vs. 22%, p<0.001).

Inpatient 40

Inpatient Heart Failure Outcomes Cardiac Arrest 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page ASa404-ASa404, November 12, 2024. The four main metrics include time to shock (TTS), time to epinephrine administration, confirmation of airway (COA), and arrest monitored/witnessed. Introduction:Healthcare organizations evaluate resuscitation using a wide array of methods.

Nursing 40

Nursing COVID-19 Education Document 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4147424-A4147424, November 12, 2024. Systemic inflammatory diseases (SID) are associated with adverse cardiovascular (CV) events, due to derangement in innate immunity. Six SID were selected based on HLA antigen distribution.

Hospital 40

Hospital Outcomes Cardiac Arrest Heart Failure 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4147972-A4147972, November 12, 2024. Ischemic heart disease (AAMR 2.0), hypertensive disease (AAMR 1.7), and cardiac arrest (AAMR 1.4) Introduction:Recent studies have highlighted the cardiotoxic effects of novel androgen deprivation therapy for prostate cancer.

Cancer 40

Cancer Cardiovascular Disease Cardiac Arrest Heart Disease 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4146863-A4146863, November 12, 2024. Introduction:The treatment of heart failure (HF) with hydralazine-isosorbide dinitrate (H-ISDN) in African Americans (AA) with New York Heart Association (NYHA) III-IV who remain symptomatic despite optimal medical therapy is a class Ia indication.

Heart Failure 40

Heart Failure Cardiac Arrest Kidney Disease Atrial Fibrillation 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4135360-A4135360, November 12, 2024. Initial evaluation showed elevated cardiac enzymes (CE) and normal eosinophil count. He had a cardiac arrest during the procedure and was placed back on ECMO. Case presentation:A 64-year-old man presented with one day of chest pain.

Myocardial Infarction 40

Myocardial Infarction Coronary Angiogram Echocardiogram Chest Pain 40

DAIC

JANUARY 23, 2024

Inflammation driven by signaling cytokines, circulating immune cells, adhesion molecules, and oxidized low-density lipoprotein cholesterol (LDL-C) leads to atherosclerotic plaque development, plaque progression, and eventual rupture.14,15 2019 Sep 10;140(11):e649-e650] [published correction appears in Circulation. Circulation.

Cardiovascular Disease 111

Cardiovascular Disease Heart Attack Heart attacks Coronary Artery Disease 111