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Which of these, if either, is OMI? Which of these underwent emergent angiography and PCI? Which should have?

Dr. Smith's ECG Blog

The cath lab was activated, and then not cancelled, and the angiogram showed 99% TIMI 2 flow proximal LAD culprit lesion, stented in less than 90 minutes of arrival. Cath days later showed complete occlusion of the LAD, stented. Ultimately, cardiac cath was done in Case #2, with stenting of the "culprit" LAD lesion.

AFIB 105
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Morphine + OMI is a bad combination

Dr. Smith's ECG Blog

The patient, albeit very delayed was referred for angiography where a 99% stenosed pRCA was stented. Thoughts about Today's CASE: On occasion — a patient may present for acute care because of CP ( C hest P ain ) due solely to a tachyarrhythmia ( including new AFib, a reentry SVT or VT ). Figure-1: The initial ECG in today's case. (

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Johnson and Johnson to Acquire Shockwave Medical

DAIC

The transaction follows Johnson & Johnson MedTech’s successful acquisitions of Abiomed , a leader in heart recovery, and more recently Laminar, an innovator in left atrial appendage elimination for patients with non-valvular atrial fibrillation (AFib). In addition to its leading IVL platform, Shockwave also recently acquired Neovasc Inc. ,

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A fascinating electrophysiology case. What is this wide complex tachycardia, and how best to manage it?

Dr. Smith's ECG Blog

The patient is female in her 80s with a medical hx of previous MI with PCI and stent placement. The patient also has a history of AFib and HFmrEF ( = H eart F ailure with M inimally- R educed E jection F raction ). She also has a hx of paroxysmal atrial fibrillation and is on oral anticoagulant treatment.

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Arrhythmia? Ischemia? Both? Electricity, drugs, lytics, cath lab? You decide.

Dr. Smith's ECG Blog

Meyers, awareness that this patient had just been started on Flecainide for treatment of AFib, but without concomitant use of an AV nodal blocking agent — greatly increases the likelihood that the SVT rhythm in ECG #1 is the result of a proarrhythmic effect of Flecainide ( ie, conversion of AFib to AFlutter with 1:1 AV conduction ).

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Wide-complex tachycardia that didn’t follow the rules

Dr. Smith's ECG Blog

They had a history of non-ischemic cardiomyopathy (EF 30%), as well as PCI with one stent. Only AFib was induced during EP study. Home medications included metoprolol, but no calcium- or sodium-channel blocking agents. Initial ECG in the ED: Presenting ECG : Wide-complex tachycardia at a rate about 200.

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Best of cardiology in 2024 : Check it out and find the winner.

Dr. S. Venkatesan MD

It is asking for stenting all non-flow limiting lesion , if found, to carry high risk plaques by intracoronary Imaging. Top 10 Clinical Trials Preventive PCI on Stenosis With Functionally Insignificant Vulnerable Plaque PREVENT (ACC.24) 24) Microaxial Flow Pump in Infarct-Related Cardiogenic Shock DanGer Shock (ACC.24)