Dr. Smith's ECG Blog

MAY 30, 2023

We recorded an ECG in which V1-V3 were put in the position of V4R-V6R, and V4-6 were placed in V7-9 to (academically) confirm posterior OMI. I say academically because the STD in V2 is diagnostic -- posterior leads are NOT necessary. Angiogram: Culprit Lesion (s): Thrombotic occlusion of the proximal RCA -- stented. What to do?

Chest Pain 97

Chest Pain Myocardial Infarction STEMI Cardiogenic Shock 97

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. No appreciable skin pallor. He reported to be a social drinker, but used tobacco products daily. Here is the time-zero 12 Lead ECG.

Myocardial Infarction 52

Myocardial Infarction STEMI Coronary Angiogram Coronary Artery Disease 52

DAIC

APRIL 2, 2025

Stone, MD Mount Sinai Health System tim.hodson Wed, 04/02/2025 - 15:26 March 31, 2025 Using intravascular imaging (IVI) to guide stent implantation during complex stenting procedures is safer and more effective for patients with severely calcified coronary artery disease than conventional angiography, the more commonly used technique.

Stents 40

Stents Stent Outcomes Coronary Angiogram 40

Dr. Smith's ECG Blog

JANUARY 6, 2023

Smith comment: We have shown that use of opiates is associated with worse outcomes in ACS: Bracey, A. Academic Emergency Medicine 27(S1): S220. A single DES stent was placed, and the patient did well post-procedure. Abstract 556. Most other arteries had scattered 20-30% stenoses.

Chest Pain 52

Chest Pain Ischemia Myocardial Infarction ICU 52

Dr. S. Venkatesan MD

APRIL 8, 2025

The goal was to determine whether using FFR to identify functionally significant stenoses (FFR 0.80) for stenting, rather than relying solely on angiographic appearance. Inference Established that FFR-guided PCI is superior to angiography-guided PCI in multivessel CAD, reducing unnecessary revascularizations and improving outcomes.

Academic 40

Academic Coronary Artery Bypass Graft Coronary Artery Disease Stent 40

Circulation

NOVEMBER 23, 2023

There was no difference in net adverse clinical outcomes and each component of coprimary cardiovascular end point. 3.30]) and subacute definite or probable stent thrombosis (0.58% and 0.17%; hazard ratio, 3.40 [95% CI, 1.26–9.23]) mg/day) monotherapy or to DAPT with aspirin (81–100 mg/day) and prasugrel (3.75

Stents 40

Stents Stent Thrombosis Myocardial Infarction 40

Dr. Anish Koka

JULY 23, 2023

The Times also briefly touches on some other patients of Mustapha who had bad outcomes. Based on these results, Dormu performed a percutaneous transluminal balloon angioplasty and a mechanical atherectomy and stenting of the right superficial femoral artery and stenting of the right superficial femoral artery. 4.2.2017.

Vascular Care 52

Vascular Care Outpatient Peripheral Arterial Disease Stent 52

Journal of Cardiovascular Pharmacology

MAY 2, 2024

Patient characteristics and clinical outcomes were collected via electronic medical record system. 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.

Outcomes 40

Outcomes Myocardial Infarction Thrombosis Academic 40

DAIC

DECEMBER 14, 2023

have also prompted the use of our protocol in Japan where they are experiencing similar great outcomes.” Doctors then treat the cause of the heart attack, either inserting a stent, removing a clot or taking other necessary action. The impressive results from our study in the U.S. Division Head of Cardiology at Henry Ford Health.

Cardiogenic Shock 105

Cardiogenic Shock Heart Attack Heart attacks Myocardial Infarction 105

Dr. Smith's ECG Blog

DECEMBER 11, 2023

We have shown that morphine is associated with worse outcomes (see learning points below) and have published many blog posts about it , such as this one: Another myocardial wall is sacrificed at the altar of the STEMI/NonSTEMI mass delusion (and Opiate pain relief). Here is the angiogram after stent placement. link] Milosevic, A.,

Myocardial Infarction 123

Myocardial Infarction Chest Pain STEMI Blood Pressure 123

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

In the present study, we investigated clinical and procedural characteristics predictive of MT success and failure.MethodsWe conducted a retrospective analysis of MT patients with LVO presenting to our academic comprehensive stroke center from 2015‐2020. Recanalization failure was defined as TICI 0‐2a and success as TICI 2b‐3.

Atherosclerosis 40

Atherosclerosis Stent Stents Academic 40

Cardiology Update

APRIL 9, 2024

The percent change from baseline in fasting triglycerides (TG) at six months served as the primary outcome measure. The percent change from baseline in fasting TG at six months served as the primary outcome measure. Among patients with HFpEF, those who received the shunt experienced poor outcomes than those who did not.

Angina 52

Angina Myocardial Infarction Aortic valve Coronary Artery Disease 52

Dr. Anish Koka

MAY 16, 2023

Soviet biologist Trofim Lysenko famously rejected the objective reality of Mendelian genetics because it clashed with the Marxist philosophy that the environment, not genetics, was the primary determinant of outcomes. But what should matter is outcomes not diagnoses. Subscribe for free to receive new posts and support my work.

Chest Pain 52

Chest Pain Coronary Artery Disease Cancer Heart Attack 52

Dr. Smith's ECG Blog

NOVEMBER 26, 2018

Again, not an expected outcome with diltiazem). I limit my comments to a number of academic and semantic concepts relating to the arrhythmia in this case: What is an “SVT”? Diltiazem is not terribly effective for conversion of atrial flutter to sinus, so this should not be an expected result. ng/mL over the next 10 hours.

Ischemia 52

Ischemia Atrial Flutter Arrhythmia Tachycardia 52

Dr. Smith's ECG Blog

MARCH 14, 2025

He eventually underwent CAG, where a circumflex occlusion was stented. Here is evidence for this: Opiates are associated with worse outcomes in Myocardial Infarction. Association of intravenous morphine use and outcomes in acute coronary syndromes: Results from the CRUSADE Quality Improvement Initiative. Am Heart J.

Chest Pain 106

Chest Pain STEMI Myocardial Infarction Ischemia 106