Dr. Smith's ECG Blog

MAY 31, 2023

Opiates are associated with worse outcomes in Myocardial Infarction. Association between opioid analgesia and delays to cardiac catheterization of patients with occlusion Myocardial Infarctions. Academic Emergency Medicine 27(S1): S220; May 2020. See this case: A man his 50s with chest pain. Abstract 556.

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STEMI Chest Pain Myocardial Infarction Ischemia 96

Dr. Smith's ECG Blog

SEPTEMBER 10, 2023

Triage ECG (no prior for comparison): Computer algorithm read: "Sinus rhythm, low voltage QRS, inferior myocardial infarction, probably old." Association between opioid analgesia and delays to cardiac catheterization of patients with occlusion Myocardial Infarctions. Academic Emergency Medicine 27(S1): S220; May 2020.

STEMI 77

STEMI Myocardial Infarction Ischemia Academic 77

Dr. Smith's ECG Blog

JUNE 12, 2017

Academic Emergency Medicine 24(1):120-124. The Comparison of Physician to Computer Interpreted Electrocardiograms on ST-elevation Myocardial Infarction Door-to-balloon Times. References : 1. Hug hes KE., Laurence Katz and Jonathan Jones Safety of Computer Interpretation of Normal Triage Electrocardiograms (pages 120–124).

Chest Pain 52

Chest Pain STEMI Myocardial Infarction Electrocardiogram 52

Journal of the American Heart Association

JANUARY 16, 2024

This study is designed to evaluate the Corrie Hybrid CR, a technology‐based, multicomponent health equity‐focused intervention as an alternative to traditional in‐center CR among patients recovering from a cardiac event, surgery, or procedure compared with usual care alone.MethodsThe mTECH‐Rehab (Impact of a Mobile Technology Enabled Corrie CR Program) (..)

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Coronary Artery Bypass Graft Technology Cardiac Rehabilitation Quality of Life 40

Dr. Smith's ECG Blog

NOVEMBER 3, 2023

A New ST-segment elevation myocardial infarction equivalent pattern? Immediate and early percutaneous coronary intervention in very high-risk and high-risk non-ST segment elevation myocardial infarction patients. Academic Emergency Medicine 27(S1): S220; May 2020. Eur J Emerg Med. 2017;24:236–242. Am J Emerg Med.

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Chest Pain Cardiogenic Shock Ischemia Myocardial Infarction 81

EMS 12-Lead

MARCH 19, 2023

He denied any known medical history, specifically: coronary artery disease, hypertension, dyslipidemia, diabetes, heart failure, myocardial infarction, or any prior PCI/stent. Breath sounds were clear in all lung fields. No appreciable skin pallor. He reported to be a social drinker, but used tobacco products daily.

Myocardial Infarction 52

Myocardial Infarction STEMI Coronary Angiogram Coronary Artery Disease 52

Dr. Smith's ECG Blog

AUGUST 26, 2009

Published in Academic Emergency Medicine, vol. Smith Background : A previous study found that reciprocal ST depression (rSTD) is present in only 82% of inferior ST elevation (STE) acute myocardial infarction (MI). Also, remember the value of lead aVL: see this post. Research presented at 2011 SAEM in Boston.

STEMI 52

STEMI Catheterization Laboratory Chest Pain Myocardial Infarction 52

Dr. Smith's ECG Blog

DECEMBER 11, 2023

Occlusion myocardial infarction is a clinical diagnosis Written by Willy Frick (@Willyhfrick). St depression in lead AVL differentiates inferior st-elevation myocardial infarction from pericarditis. link] Opiates are associated with worse outcomes in Myocardial Infarction. Circulation , 130 (25). Worrall, C.,

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Myocardial Infarction Chest Pain STEMI Blood Pressure 122

Dr. Smith's ECG Blog

DECEMBER 19, 2018

ng/ml , a three-fold increase from troponin #2, also confirming acute myocardial infarction. In the interest of academic discussion — I’ll add the following thoughts: The computer interpretation was obviously wrong. This confirms that there were dynamic signs of ischemia on the initial ECG. It was not normal! No echo was done.

Chest Pain 52

Chest Pain Ischemia Myocardial Infarction Angina 52

Dr. Smith's ECG Blog

JANUARY 6, 2023

Association between opioid analgesia and delays to cardiac catheterization of patients with occlusion Myocardial Infarctions. Academic Emergency Medicine 27(S1): S220. Smith comment: We have shown that use of opiates is associated with worse outcomes in ACS: Bracey, A. Abstract 556.

Chest Pain 52

Chest Pain Ischemia Myocardial Infarction ICU 52

Circulation

FEBRUARY 26, 2024

Patients with ST-segment–elevation myocardial infarction undergoing primary percutaneous coronary intervention were randomly assigned by center to receive low-dose PPA or matching placebo for at least 48 hours. Circulation, Ahead of Print. mg·kg·h of bivalirudin intravenously). mg·kg·h of bivalirudin intravenously).

Myocardial Infarction 40

Myocardial Infarction Academic Thrombosis STEMI 40

DAIC

DECEMBER 14, 2023

The NCSI study involved cardiologists at both community hospitals, where many patients with heart attack first present, and large academic centers. Of the more than 1,100 patients who were screened, 406 were enrolled into the study. Division Head of Cardiology at Henry Ford Health.

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Cardiogenic Shock Heart Attack Heart attacks Myocardial Infarction 105

DAIC

APRIL 2, 2025

Dr. Stone is Director of Academic Affairs for the Mount Sinai Health System and Professor of Medicine (Cardiology) and Professor of Population Health Science and Policy at the Icahn School of Medicine at Mount Sinai, and the study chair of the ECLIPSE trial. These results extend the strong recommendations from recent U.S.

Stents 40

Stents Stent Outcomes Coronary Angiogram 40

Journal of the American Heart Association

MARCH 21, 2025

The primary efficacy end point is the incidence of bleeding events, defined by the VARC3 (Valve Academic Research Consortium3) criteria, at 1year postrandomization. The primary safety end point is a composite of cardiac death, myocardial infarction, and ischemic stroke at 1 year.

Aortic valve 40

Aortic valve Aortic Myocardial Infarction TAVR 40

Journal of the American Heart Association

JANUARY 12, 2024

The primary end point was a composite of cardiac death, myocardial infarction, or stent thrombosis up to 1 year (Academic Research Consortium definite and probable). Stent thrombosis (Academic Research Consortium definite and probable) occurred in 2 patients (0.6%). presented with acute coronary syndrome; 33.7%

Stents 40

Stents Stent Academic Thrombosis 40

Dr. Smith's ECG Blog

JUNE 13, 2024

After being transferred to an academic center, she was taken to the cath lab: Proximal RCA occlusion (causing inferior and RV OMI) Unfortunately, she continued to decline despite aggressive measures. The following morning, the patient collapsed in the kitchen in front of her family. EMS arrived to a pulseless patient in V fib.

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Chest Pain Document STEMI Defibrillator 91

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. The secondary outcome was Bleeding Academic Research Consortium (BARC) scale bleeding events within 12 months.

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Outcomes Myocardial Infarction Thrombosis Academic 40

Circulation

NOVEMBER 23, 2023

Aspirin-free strategy might result in lower bleeding early after PCI without increasing cardiovascular events, but its efficacy and safety have not yet been proven in randomized trials.METHODS:We randomly assigned 6002 patients with acute coronary syndrome or high bleeding risk just before PCI either to prasugrel (3.75

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Stents Stent Thrombosis Myocardial Infarction 40

Wellnest

JUNE 1, 2023

And, addressing myocardial infarction, recent studies have shown that 1-4% of Athletes untimely die due to myocarditis caused by COVID-19. Covid-19 and Risk of Myocarditis in Athletes: Recent Studies There is growing evidence that the SARS-CoV-2 version of the Covid-19 virus can directly infiltrate myocardial cells.

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COVID-19 Myocardial Infarction Thrombosis Electrocardiogram 52

Circulation

OCTOBER 22, 2023

The primary outcome was Bleeding Academic Research Consortium (BARC) type 3 or 5 bleeding occurring between 3 and 12 months after index PCI. The key secondary endpoint was the composite of death, myocardial infarction (MI), or stroke. years, 23.2% of patients were female and 55% presented with biomarker positive ACS.

Myocardial Infarction 40

Myocardial Infarction Biomarkers Academic Stroke 40

Dr. Anish Koka

JANUARY 18, 2023

The open-data movement seeks to liberate the massive amount of data generated in running clinical trials from the grasp of the academic medical-pharmaceutical industrial complex that mostly runs the most important trials responsible for bringing novel therapeutics to market. But first, some background.

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Document Academic Heart Attack Heart attacks 52

Cardiology Update

APRIL 9, 2024

EMPACT-MI 1 ( NCT04509674 ) studied the effects of empagliflozin in patients who have experienced myocardial infarction (MI). The primary superiority endpoint was clinically relevant bleeding (Bleeding Academic Research Consortium [known as BARC] types 2, 3, or 5). Here is our curated list of the top sessions. April 6, 2024.

Angina 52

Angina Myocardial Infarction Aortic valve Coronary Artery Disease 52

Dr. Smith's ECG Blog

JULY 21, 2024

Troponin T peaked at 38,398 ng/L ( = a very large myocardial infarction, but not massive-- thanks to the pre-PCI spontaneous reperfusion, and rapid internvention!! ). Distinction of PMVT vs VFib is an academic one in this case ). Over the next couple of days the patient was weaned off of mechanical circulatory support.

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Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 130

Dr. Anish Koka

FEBRUARY 6, 2023

(Public health messaging about COVID appears to have kept people away from hospitals, and autopsy series of deaths during the pandemic found that reduced access to health care systems (for conditions such as myocardial infarction) was more far likely to be identified as a contributory factor to death than undiagnosed COVID-19).

COVID-19 52

COVID-19 Chest Pain Academic Hospital 52

Dr. Smith's ECG Blog

NOVEMBER 26, 2018

I limit my comments to a number of academic and semantic concepts relating to the arrhythmia in this case: What is an “SVT”? Atrial Flutter Mimicking ST Depression Inferolateral ST elevation, vomiting, and elevated troponin My Comment by K EN G RAUER, MD ( 11/26/2018 ): Excellent discussion by Drs.

Ischemia 52

Ischemia Atrial Flutter Arrhythmia Tachycardia 52

Dr. Smith's ECG Blog

NOVEMBER 11, 2022

Primary angioplasty in acute myocardial infarction with right bundle branch block: should new onset right bundle branch block be added to future guidelines as an indication for reperfusion therapy? From an academic standpoint — I found several subtle ECG findings from the 2 tracings in this case to be especially interesting.

Chest Pain 52

Chest Pain Cardiogenic Shock Tachycardia Ischemia 52

Dr. Anish Koka

MAY 16, 2023

To conclude, an objective summary of the data on gender and cardiac disease suggests that critical heart disease of the kind that may kill you is more prevalent in men, despite the best effort of today’s cardiac Lysenkoist’s working tirelessly to create an academic paper trail that says otherwise.

Chest Pain 52

Chest Pain Coronary Artery Disease Cancer Heart Attack 52

American College of Cardiology

FEBRUARY 1, 2025

The toolkit covers every aspect of starting a specialized program from developing a mission statement, identifying funding, structure for academic and private practice clinics, specialties, areas of focus and infrastructure as well as setting performance metrics research and advocacy. Acute Myocardial Infarctions in Women.

Cardiovascular Disease 43

Cardiovascular Disease Education Coronary Artery Disease Risk Factors 43

Dr. Smith's ECG Blog

NOVEMBER 14, 2024

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% There are hyperacute T-waves in V3 and V4, further evidence of RV MI. there is a bit of STD in V6 which is identical to "precordial swirl" which can be due to LAD OMI involving the septu, or to RV MI.

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Academic Stents Stent Thrombosis 125

Dr. Smith's ECG Blog

APRIL 8, 2015

Academic Emergency Medicine., to 1.64) for myocardial infarction or death from coronary heart disease, and 1.06 (95 percent confidence interval, 0.77 Academic Emergency Medicine, 2003 Volume 10, Number 5 539-540. Old myocardial infarction, 6. Thiruganasambandamoorthy, V., Sivilotti, M., Mukarram, M.,

Arrhythmia 52

Arrhythmia Outcomes Chest Pain Risk Factors 52

Dr. Smith's ECG Blog

MARCH 14, 2025

ECG #3 is easily recognized as OMI and the AI model recommends immediate revascularization The patient in today's case received suboptimal care and suffered a substantial myocardial infarction. Here is evidence for this: Opiates are associated with worse outcomes in Myocardial Infarction. Abstract 556.

Chest Pain 105

Chest Pain STEMI Myocardial Infarction Ischemia 105

Dr. Smith's ECG Blog

APRIL 9, 2025

REFERENCE Prevention of primary ventricular fibrillation in acute myocardial infarction with prophylactic lidocaine [link] Primary ventricular fibrillation (VF) during an acute myocardial infarction (AMI) occurs with a high incidence and mortality rate with or without thrombolysis.

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Defibrillator Cardiac Arrest Myocardial Infarction STEMI 62