American College of Cardiology

JUNE 28, 2024

Here are my takeaways for what's likely to affect practice in the short and medium-term.

Peripheral Arterial Disease 40

Peripheral Arterial Disease Embolism Technology Pulmonary 40

Dr. Smith's ECG Blog

SEPTEMBER 23, 2024

In patients with narrow QRS ( not this patient), this pattern is highly suggestive of acute pulmonary embolism. Although it was technically difficult and the quality therefore leaves a lot to be desired, you can still make out RV dilation and septal flattening which is much more suggestive of pulmonary embolism than OMI.

Cardiogenic Shock 128

Cardiogenic Shock Ultrasound Tachycardia Pulmonary 128

The American Journal of Cardiology

OCTOBER 29, 2024

Publication date: Available online 28 October 2024 Source: The American Journal of Cardiology Author(s): Aryan Mehta, Mridul Bansal, Siddhant Passey, Saurabh Joshi, Carlos L Alviar, Jason N Katz, J Dawn Abbott, Saraschandra Vallabhajosyula

Embolism 40

Embolism Pulmonary Outcomes 40

The American Journal of Cardiology

DECEMBER 13, 2023

Publication date: 15 January 2024 Source: The American Journal of Cardiology, Volume 211 Author(s): Esra Dönmez, Sevgi Özcan, İrfan Sahin, Murat Ziyrek, Ertugrul Okuyan

Embolism 52

Embolism Pulmonary 52

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. Clinical Cases and Poster Presentations The following list provides a brief look at the clinical cases and posters to be presented during the ACC Care of the Athletic Heart 2024 conference.

Cardiac Arrest 111

Cardiac Arrest Exercise Thrombosis Diet 111

The American Journal of Cardiology

OCTOBER 31, 2024

Publication date: Available online 31 October 2024 Source: The American Journal of Cardiology Author(s): Marouane Boukhris, Thomas Madelrieux, Guillaume Signoret, Cyrille Boulogne, Paul Gendrin, Aymeric Rouchaud, Victor Aboyans

Pulmonary 40

Pulmonary Embolism 40

The American Journal of Cardiology

JANUARY 1, 2025

Publication date: Available online 31 December 2024 Source: The American Journal of Cardiology Author(s): Aryan Mehta, Mridul Bansal, Abhishek Singh, Ritika Kompella, Anindita Chanda, Chirag Mehta, Christopher J Mullin, J Dawn Abbott, Saraschandra Vallabhajosyula

Embolism 40

Embolism Pulmonary Hospital Outcomes 40

The American Journal of Cardiology

NOVEMBER 5, 2024

Publication date: Available online 4 November 2024 Source: The American Journal of Cardiology Author(s): Eugene Yuriditsky, Robert S. Zhang, Peter Zhang, Radu Postelnicu, Allison A. Greco, James. M Horowitz, Samuel Bernard, Orly Leiva, Vikramjit Mukherjee, Kerry Hena, Lindsay Elbaum, Carlos L. Alviar, Norma M. Keller, Sripal Bangalore

Pulmonary 40

Pulmonary Embolism 40

The American Journal of Cardiology

APRIL 6, 2024

Publication date: Available online 6 April 2024 Source: The American Journal of Cardiology Author(s): Natalie Hickerson, Ramzi Ibrahim, Enkhtsogt Sainbayar, Hoang Nhat Pham, Sabrina Soin, Mohammed Salih, João Paulo Ferreira, See-Wei Low, Mamas A.

Embolism 40

Embolism Pulmonary 40

Dr. Smith's ECG Blog

JANUARY 2, 2025

CT of the chest showed no pulmonary embolism but bibasilar infiltrates. 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 ). She was intubated. Bedside cardiac ultrasound showed moderately decreased LV function. J Am Coll Cardiol.

Tachycardia 116

Tachycardia Cardiomyopathy Blog Bradycardia 116

The American Journal of Cardiology

JUNE 12, 2024

Publication date: Available online 11 June 2024 Source: The American Journal of Cardiology Author(s): Anas Noman, Brian Stegman, Aaron R DuCoffe, Ambarish Bhat, Kyle Hoban, Matthew C Bunte

Embolism 40

Embolism Pulmonary 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4145271-A4145271, November 12, 2024. Given ongoing embolic phenomena, likely from LSE, she underwent MVR with mechanical valve and LA appendage ligation and continued mycophenolate and warfarin. Acute stroke workup was negative, and syncope was attributed to possible brief seizure.

Embolism 40

Embolism Thrombosis Stroke Strokes 40

American College of Cardiology

OCTOBER 29, 2024

Findings from the PEERLESS study presented at TCT 2024 showed that patients at intermediate risk of pulmonary embolism (PE) who were treated with large-bore mechanical thrombectomy (LBMT) had significantly lower risk of all-cause mortality.

Embolism 40

Embolism Pulmonary Article 40

Dr. Smith's ECG Blog

OCTOBER 17, 2024

Smith comment: before reading anything else, this case screamed pulmonary embolism to me. I would do bedside ultrasound to look at the RV, look for B lines as a cause of hypoxia (which would support OMI, and argue against PE), and if any doubt persists, a rapid CT pulmonary angiogram.

Chest Pain 73

Chest Pain STEMI Pulmonary Embolism 73

The American Journal of Cardiology

JANUARY 12, 2024

Publication date: Available online 11 January 2024 Source: The American Journal of Cardiology Author(s): Marco Zuin, Gregory Piazza, Gianluca Rigatelli, Claudio Bilato, Amedeo Bongarzoni, Stanislav Henkin, Pietro Zonzin, Franco Casazza, Loris Roncon

Embolism 40

Embolism Pulmonary 40

Dr. Smith's ECG Blog

SEPTEMBER 29, 2024

In other words: 1) infarct of the LAD territory (much of which could be old) and 2) inferior-posterior-lateral infarct. == MY Comment , by K EN G RAUER, MD ( 9/27 /2024 ): == I found today's case insightful for a number of reasons. See Discussion in the June 29, 2024 post of Dr. Smith' ECG Blog ). But because Dr.

Cardiac Arrest 110

Cardiac Arrest STEMI Ischemia SCAD 110

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4131838-A4131838, November 12, 2024. CT Abdomen and Pelvis showed an enhancing heterogenous lesion at the left superior renal pole, left adrenal gland lesion, and a pulmonary artery filling defect. A 66-year-old male presented with 5 months of worsening left flank and lower back pain.

Pulmonary 40

Pulmonary Echocardiogram Embolism Circulation 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page A134-A134, February 1, 2024. There were 20 (1%) pulmonary embolisms and 35 (1.8%) acute deep venous thromboses, but no other stroke/thrombotic complications in NIS.Conclusions:We found very few thrombotic events shortly after OHSS diagnosis using two large datasets.

Thrombosis 40

Thrombosis Inpatient Embolism Myocardial Infarction 40

Dr. Smith's ECG Blog

JUNE 17, 2024

He was started on a heparin drip and CTA of the chest was ordered to rule out pulmonary embolism. This is a case like many others posted (see list below) and the EKG from the patient’s original presentation can be quickly recognized as diagnostic for pulmonary embolism. Accessed May 28, 2024. In fact, Kosuge et al.

Chest Pain 139

Chest Pain Embolism Pulmonary Tachycardia 139

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4140751-A4140751, November 12, 2024. this clinical case, we discussed sub-massive pulmonary embolism (PE) complicated by a right heart clot-in-transit presenting insidiously. On arrival, his troponins were elevated 373, elevated BNP 934.

Embolism 40

Embolism Pulmonary Ultrasound ICU 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4139677-A4139677, November 12, 2024. She had idiopathic ventricular fibrillation in 1992, treated with an EPD (Picture 1A), later replaced by a transvenous ICD.She was diagnosed with left femoral deep venous thrombosis and bilateral pulmonary embolism and started on therapeutic anticoagulation.

Defibrillator 40

Defibrillator Cardiac Arrest Sudden Cardiac Death Coronary Angiogram 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP153-AWP153, February 1, 2024. days, P<0.001) and ICU complications such as pulmonary embolism (PE) and pneumonia (10 vs 4 days; p <0.001) significantly increased the ICU LoS. Patients with mRS 0-2 at discharge (33%) had shorter ICU LoS (2.8 P<0.001).

ICU 40

ICU Stroke Strokes Embolism 40

DAIC

MAY 7, 2024

Women and black patients were less frequently treated with minimally invasive therapy compared to men or non-Black patients, according to new data from the REAL-PE analysis which investigated catheter-based pulmonary embolism (PE) treatment. Its SCAI Scientific Sessions 2024 were held May 2-4 in Long Beach, CA.

Embolism 122

Embolism Pulmonary Blood Clot Interventional Cardiology 122

Dr. Smith's ECG Blog

JANUARY 17, 2024

Eur Heart J Dig Health 2023 == MY Comment , by K EN G RAUER, MD ( 1/17/ 2024 ): == Today’s post by Dr. McLaren once again emphasizes the importance of “ proportionality ” — for assessing the clinical significance of ST-T wave appearance in a patient who presents with CP ( C hest P ain ). But ECG #1 is not "normal".

Chest Pain 118

Chest Pain STEMI Myocardial Infarction Blog 118

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4140255-A4140255, November 12, 2024. Pulmonary embolism (PE) is the third leading cause of cardiovascular death. We conducted a prospective observational study examining 188 PE patients attending a dedicated Pulmonary Embolism Response Team (PERT) Clinic.

Embolism 40

Embolism Pulmonary Circulation 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWMP49-AWMP49, February 1, 2024. Acute ischemic stroke (AIS), intracerebral hemorrhage (ICH), subarachnoid hemorrhage (SAH), epilepsy, deep vein thrombosis and pulmonary embolism were secondary outcomes. All-cause mortality was the primary outcome. vs 13.6%; HR=1.51; 95% CI=1.04-2.20)

COVID-19 40

COVID-19 Outcomes Thrombosis Embolism 40

DAIC

NOVEMBER 7, 2024

tim.hodson Thu, 11/07/2024 - 09:42 Nov. 5, 2024 —Penumbra, Inc. The late-breaking study was presented this week at the Vascular Interventional Advances (VIVA) 2024 Conference. This data was presented separately in a symposium during the VIVA 2024 Conference. Patel, M.D.,

Hospital 59

Hospital Technology Inpatient Thrombolysis 59

Dr. Smith's ECG Blog

DECEMBER 3, 2024

His initial high sensitivity troponin I returned at 1300 ng/L and given that his cardiac workup was otherwise unremarkable, a CT was obtained to evaluate for pulmonary embolism and aortic aneurysm or dissection but this too was unrevealing. Also: electrical instability, pulmonary edema, or hypotension.

Catheterization Laboratory 111

Catheterization Laboratory STEMI Blog Ischemia 111

Dr. Smith's ECG Blog

DECEMBER 6, 2024

By itself seeing this ECG pattern does not necessarily mean that the patient has a pulmonary embolism. Today's discussion by Dr. Smith is highly insightful in showing how dramatically the timing of the ECG ( or hopefully ECGs ) that we obtain may be with respect to the ECG picture that we receive.

Coronary Artery Bypass Graft 107

Coronary Artery Bypass Graft Ischemia Chest Pain Stenosis 107

Dr. Smith's ECG Blog

NOVEMBER 21, 2024

Smith : This is classic for pulmonary embolism (PE). Acute pulmonary embolism was confirmed on CT angiogram: The patient did well. Cardiac Ultrasound may be a surprisingly easy way to help make the diagnosis Answer: pulmonary embolism. Vitals were within normal limits. Now another, with ultrasound.

Chest Pain 113

Chest Pain Embolism Pulmonary Tachycardia 113

Dr. Smith's ECG Blog

OCTOBER 27, 2024

No pulmonary embolism is identified. 2022;Available from: [link] Click here to sign up for Queen of Hearts Access. == MY Comment, by K EN G RAUER, MD ( 10/27/2024 ): == I view today's case as unfortunate. While in the ED, patient's pain worsened to previous severity of 6/10 pain and improved to 3/10 on NTG drip.

STEMI 121

STEMI Chest Pain Myocardial Infarction Aneurysm 121