DAIC

MAY 14, 2024

The impact of this narrowing can ultimately result in angina (chest pain), which has been shown to double the risk of major cardiovascular events,1 as well as myocardial infarction ( heart attack ) or even death. Accessed May 2024. For more information: www.gehealthcare.com References: 1 World Health Federation.

Coronary Artery Disease 111

Coronary Artery Disease Interventional Cardiology Innovation Physiology 111

Dr. Smith's ECG Blog

OCTOBER 8, 2024

She was taken to the cath lab, where she was found to have 100% in-stent restenosis of the proximal LAD. Hyperacute T Wave in the Early Diagnosis of Acute Myocardial Infarction. Interpretation of acute myocardial infarction with persistent “hyperacute T waves” by cardiac magnetic resonance. 2023;82:194–202.

Cardiac Arrest 123

Cardiac Arrest Myocardial Infarction STEMI Cardiogenic Shock 123

Dr. Smith's ECG Blog

APRIL 22, 2024

A comparison of electrocardiographic changes during reperfusion of acute myocardial infarction by thrombolysis or percutaneous transluminal coronary angioplasty. Electrocardiographic diagnosis of reperfusion during thrombolytic therapy in acute myocardial infarction. Am Heart J. 2000;139:430–436. Am J Cardiol.

Chest Pain 118

Chest Pain Myocardial Infarction Anatomy Angina 118

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page A48-A48, February 1, 2024. Objective:To compare the 1-month stroke, myocardial infarction (MI), and/or death rates among symptomatic patients undergoing either CAS or CEA according to the timing of the procedure in Carotid Revascularization Endarterectomy versus Stenting Trial (CREST).Methods:We

Stent 40

Stent Stents Stenosis Myocardial Infarction 40

Dr. Smith's ECG Blog

SEPTEMBER 11, 2024

Electrocardiographic Criteria to Differentiate Acute Anterior ST Elevation Myocardial Infarction from Left Ventricular Aneurysm. Former resident: "Just saw cath report, LAD stent was 100% acutely occluded." They of course opened and stented it. American Journal of Emergency Medicine 2005; 23(3):279-287.

Chest Pain 114

Chest Pain Aneurysm Stents Stent 114

Dr. Smith's ECG Blog

APRIL 18, 2024

Written by Jesse McLaren A 70 year old with prior MIs and stents to LAD and RCA presented to the emergency department with 2 weeks of increasing exertional chest pain radiating to the left arm, associated with nausea. Int J Cardiol 2024 3. Eur Heart J Digital Health 2024 5. Lupu et al. Clin Cardiol 2022 4. McLaren and Smith.

STEMI 121

STEMI Chest Pain Myocardial Infarction Blog 121

Circulation: Cardiovascular Interventions

MARCH 30, 2025

However, whether the addition of OCT to angiography to guide percutaneous coronary intervention (PCI) of complex lesions affects clinical outcomes is debated.Methods:A systematic search for randomized controlled trials (RCTs) was conducted using PubMed, Scopus, and Cochrane databases through September 2024.

Thrombosis 40

Thrombosis Myocardial Infarction Stents Stent 40

Nature Reviews - Cardiology

APRIL 1, 2024

Nature Reviews Cardiology, Published online: 02 April 2024; doi:10.1038/s41569-024-01020-2 In ST-segment elevation myocardial infarction, the role of interventional modification of thrombi in the coronary arteries before stenting is controversial.

STEMI 40

STEMI Myocardial Infarction Embolism Stents 40

DAIC

APRIL 6, 2024

milla1cf Sat, 04/06/2024 - 18:32 April 6, 2024 — The first trial of a novel strategy for removing cholesterol from patients’ arteries did not reduce the risk of death, heart attack or stroke within three months of a prior heart attack, according to research presented at the American College of Cardiology ’s Annual Scientific Session.

Heart Attack 98

Heart Attack Heart attacks Cholesterol Blood Clot 98

Journal of Cardiovascular Pharmacology

OCTOBER 9, 2024

Patients in the combination AP +AC therapy group had a higher prevalence of CAD, myocardial infarction, and coronary/vascular stent placement compared to the AC monotherapy group. Copyright © 2024 Wolters Kluwer Health, Inc. The median follow-up of patients was 57 months. The median follow-up of patients was 57 months.

Atrial Fibrillation 40

Atrial Fibrillation Myocardial Infarction Kidney Disease Stents 40

Journal of Cardiovascular Pharmacology

MAY 2, 2024

The primary outcome was major adverse cardiac and cerebrovascular event (MACCE), namely a composite of death from cardiovascular causes, myocardial infarction (MI), stroke, stent thrombosis within 12 month. Copyright © 2024 Wolters Kluwer Health, Inc. 532 CYP2C19 IM were enrolled in this retrospective single-center study.

Outcomes 40

Outcomes Myocardial Infarction Thrombosis Academic 40

Dr. Smith's ECG Blog

NOVEMBER 3, 2023

A man in his 70s with past medical history of hypertension, dyslipidemia, CAD s/p left circumflex stent 2 years prior presented to the ED with worsening intermittent exertional chest pain relieved by rest. The Queen of Hearts AI app will hopefully be FDA approved in Q1 of 2024. An Impella was placed for cardiac output augmentation.

Chest Pain 83

Chest Pain Cardiogenic Shock Ischemia Myocardial Infarction 83

Stroke: Vascular and Interventional Neurology

AUGUST 4, 2024

Stroke: Vascular and Interventional Neurology, Volume 4, Issue 6 , November 1, 2024. Emergency CEA and carotid stenting procedures were excluded from the analysis. Secondary outcome events were inhospital stroke, major stroke or death, death, myocardial infarction, and major adverse cardiovascular events.

Hospital 40

Hospital Outcomes Myocardial Infarction Stenosis 40

Dr. Smith's ECG Blog

JANUARY 5, 2024

So there is probability of myocardial injury here (and because it is in the correct clinical setting, then myocardial infarction.) On the combined basis of angiography and IVUS, this patient received stents to his mid RCA, proximal PDA, and OM. RCA and PDA before and after, arrows indicating stented regions.

Angina 121

Angina Plaque Document Stents 121

DAIC

APRIL 8, 2024

What we see today is more myocardial infarctions that are smaller and that do not damage the heart muscle to the same extent.”

Heart Attack 52

Heart Attack Heart attacks Heart Failure Myocardial Infarction 52

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP268-AWP268, February 1, 2024. The primary outcomes included 30-day combined stroke and transient ischemic attack (TIA), myocardial infarction (MI), and mortality. Introduction:TCAR is an interventional therapy for symptomatic ICA disease. This was explained in Figure 1.Results:A

Myocardial Infarction 40

Myocardial Infarction Stents Stent Stenosis 40

Dr. Smith's ECG Blog

JULY 11, 2024

Case A 43 year old male with a history of DM II, hyperlipidemia, and a family history of myocardial infarction presented to a family clinic with two days of epigastric pain that started after consuming a meal. All three lesions had TIMI 2 flow prior to stenting. Because: 1) He has been reading this blog for a long time.

Outcomes 113

Outcomes Stenosis Outpatient Echocardiogram 113

Dr. Smith's ECG Blog

AUGUST 6, 2024

The ECG is diagnostic of occlusion myocardial infarction (OMI). This led to immediate cath lab activation — which revealed total occlusion of a large 1st diagonal branch that was stented. == Below is the ECG of Patient #3 — recorded from a 35-year old man with sudden, new-onset CP. Patient #3 — turned out to have myocarditis.

Chest Pain 104

Chest Pain Ischemia Pericarditis Tachycardia 104

The British Journal of Cardiology

APRIL 16, 2024

Intra-procedural data included access route, coronary anatomy, lesion complexity, number of stents deployed, door-to-balloon time for primary PCI, and any intra-procedural complications. and the average number of stents 2.6. The radial approach was used in 544/567 (95.94%), the average SYNTAX score was 34.8 ± 9.6,

Outcomes 40

Outcomes Cardiogenic Shock Angina STEMI 40

Dr. Smith's ECG Blog

NOVEMBER 5, 2023

By Magnus Nossen, edits by Grauer and Smith The patient is a 70-something female with DMII, HTN and an extensive prior history of coronary artery disease and myocardial infarctions. At that visit the patient was found to have an in-stent RCA occlusion. The Queen of Hearts AI app will hopefully be FDA approved in Q1 of 2024.

Chest Pain 111

Chest Pain Pacemaker Ischemia Stents 111

The British Journal of Cardiology

AUGUST 1, 2024

Elevated Lp(a) concentrations in patients with ischaemic heart disease have been linked to higher rates of peri-procedural myocardial infarction (MI) during percutaneous coronary intervention (PCI).

Peripheral Arterial Disease 40

Peripheral Arterial Disease Myocardial Infarction Plaque Cardiovascular Disease 40

Dr. Smith's ECG Blog

OCTOBER 22, 2024

Successful primary angioplasty of the mid-circumflex artery towards the main marginal branch with the implantation of a drug-eluting stent. Immediate and early percutaneous coronary intervention in very high-risk and high-risk non-ST segment elevation myocardial infarction patients. Good angiographic result.

Chest Pain 66

Chest Pain STEMI Myocardial Infarction Angioplasty 66

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Adult Cardiac Surgery Database Lead Author Title Publication Date Jacob Raphael Red Blood Cell Transfusion and Pulmonary Complications: The Society of Thoracic Surgeons Adult Cardiac Surgery Database Analysis The Annals of Thoracic Surgery January 2024 Joseph Sabik Multi-Arterial versus Single-Arterial Coronary Surgery: Ten Year Follow-up of One Million (..)

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Dr. Smith's ECG Blog

NOVEMBER 14, 2024

History of diabetes type II and stent placement in 2018. Let's see how the PMCardio Queen of Hearts AI Model performs: "Acute Occlusive Myocardial Infarction" She gave this a score of 1.0 (100% This was texted to me by a paramedic while I was out running one day: "54 yo male chest pain started at 1pm. What do you think?

Academic 126

Academic Stents Stent Thrombosis 126

Frontiers in Cardiovascular Medicine

JANUARY 6, 2025

MethodsThe clinical data of 209 consecutive patients who underwent PCI through the BA at Fu Wai Hospital between September 2019 and June 2024 were retrospectively collected. In group I, the brachial sheath was removed 4h after the PCI procedure. No severe puncture site-related bleeding occurred.

Myocardial Infarction 52

Myocardial Infarction Thrombosis Stents Stent 52

Dr. Smith's ECG Blog

NOVEMBER 8, 2024

The CAG showed a 99% thrombotic lesion of the proximal RCA, which was stented. This OMI went unrecognized and, had the artery not re-perfused by itself, the patient could have suffered a very large myocardial infarction. Due to rapid spontaneous reperfusion, high sensitivity troponin I peaked at just under 5000 ng/L.

Chest Pain 101

Chest Pain Myocardial Infarction Hypertension Hospital 101

Dr. Smith's ECG Blog

JANUARY 31, 2025

of patients with anterior myocardial infarction ( 1 ). At cath there was a 100% proximal LAD occlusion, which was opened and stented. Tall precordial T waves with depressed ST take-off: an early sign of acute myocardial infarction? 2024, January 31). There is a de Winter T- wave pattern also in lead I.

STEMI 114

STEMI Chest Pain Myocardial Infarction Ischemia 114

Dr. Smith's ECG Blog

NOVEMBER 23, 2024

It was opened and stented. Compared to TTE from 7/3/24: the anterior regional wall motion abnormality is new and is consistent with ischemia/infarction in the LAD territory == MY Comment , by K EN G RAUER, MD ( 11/20 /2024 ): == There are several insightful aspects of today's case. This is then a large MI, but it is subacute.

Blog 63

Blog Chest Pain Myocardial Infarction Critical Care 63

Dr. Smith's ECG Blog

OCTOBER 30, 2024

All of these findings together makes this ECG diagnostic of inferior and posterior occlusion myocardial infarction (OMI) The patient is this case was treated as if he had an ongoing OMI. At cath later the same day, a proximal 99% RCA culprit lesion was stented. He arrived in our ED with the below ECG pain free.

Chest Pain 111

Chest Pain Aortic Myocardial Infarction STEMI 111

Dr. Smith's ECG Blog

OCTOBER 27, 2024

First obtuse marginal also had an 80% stenosis and was stented. Immediate and early percutaneous coronary intervention in very high-risk and high-risk non-ST segment elevation myocardial infarction patients. Thus this was OMI of the LAD distribution, supplied by the culprit RCA.

STEMI 121

STEMI Chest Pain Myocardial Infarction Aneurysm 121