HeartRhythm

SEPTEMBER 7, 2024

Compared to a standard adult population, there are special considerations when planning device implantation in ACHD patients, especially those with complex anatomy.

Congenital Heart Disease 40

Congenital Heart Disease Congenital Heart Disease Article 40

Stroke Journal

JANUARY 30, 2025

Mechanical thrombectomy (MT) is an established treatment for anterior circulation stroke due to large vessel occlusion. The primary navigation challenge stems from the interaction between devices (catheters, guidewires) and arterial anatomy. Stroke, Volume 56, Issue Suppl_1 , Page AWP261-AWP261, February 1, 2025.

Anatomy 45

Anatomy Stroke Strokes Circulation 45

Circulation: Cardiovascular Interventions

OCTOBER 17, 2023

Circulation: Cardiovascular Interventions, Ahead of Print. BACKGROUND:Data concerning the outcomes of transcatheter aortic valve replacement in type 0 bicuspid aortic stenosis (AS) are scarce. Self-expanding transcatheter heart valves were used in the majority of patients (n=1160; 91.4%). Poverall=0.522; 1 year: 10% versus 2.3%

Aortic valve 40

Aortic valve Bicuspid/Mitral Aortic Tricuspid 40

Circulation: Cardiovascular Interventions

MARCH 20, 2025

Circulation: Cardiovascular Interventions, Ahead of Print. CONCLUSIONS:The AltaValve system shows promising early procedural and clinical results for the unique anatomy of patients with atrial functional mitral regurgitation. Long-term clinical studies to demonstrate the benefit of this system are warranted.

Bicuspid/Mitral 40

Bicuspid/Mitral Atrial Fibrillation Anatomy Echocardiogram 40

Wellnest

AUGUST 8, 2023

To their success, they discovered that this device could be fitted and expanded in sync with the growth of the heart anatomy. Before implantation, doctors can adjust the valve diameter to match the patient’s heart anatomy.

Heart Valves 52

Heart Valves Artificial Heart Anatomy Pulmonary 52

Cardiology Update

JUNE 24, 2024

Recently published in Circulation , Gregory Hundley reviews CMR’s evolution and its current pivotal role in cardiovascular care. Cardiovascular magnetic resonance (CMR) has developed over the past 50 years as an advantageous noninvasive imaging modality.

Myocardial Infarction 52

Myocardial Infarction Anatomy Cardiovascular Imaging Research 52

MIBHS

OCTOBER 31, 2024

Regular physical activity can strengthen the heart and improve circulation. Lifestyle Changes Making certain lifestyle adjustments can also improve heart function and reduce the risk of further enlargement: Maintain a healthy diet low in salt and saturated fats. Avoid smoking and limit alcohol intake.

Blood Pressure 52

Blood Pressure Blood Clot Heart Valves Heart Rhythm 52

Dr. Smith's ECG Blog

OCTOBER 8, 2024

Given that this is before it is released into the circulation by reperfusion therapy, this is a massively elevated troponin. Prompt cath to define the anatomy should be expedited. The EKG was not repeated until 7 AM the next morning, about 16 hours later. High-sensitivity troponin I went from 158 to 1482 to 9639 ng/L overnight.

Cardiac Arrest 123

Cardiac Arrest Myocardial Infarction STEMI Cardiogenic Shock 123

Circulation: Cardiovascular Quality & Outcomes

FEBRUARY 26, 2025

Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. Coronary anatomy and SYNTAX(Synergy between percutaneous coronary intervention with Taxus and cardiac surgery) scores were measured using coronary computed tomography angiography.

Ischemia 40

Ischemia Heart Disease Angina Anatomy 40

Circulation: Cardiovascular Interventions

NOVEMBER 20, 2023

Circulation: Cardiovascular Interventions, Volume 16, Issue 11 , Page e013238, November 1, 2023. CONCLUSIONS:Coronary accessibility after Sapien-3 in Evolut redo-TAVR relates to the initial Evolut implant depth, the Sapien-3 outflow position within the Evolut, and the native annular anatomy.

TAVR 40

TAVR Aortic valve Anatomy Cardiovascular Interventions 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4140682-A4140682, November 12, 2024. Introduction:Dextrocardia is a rare congenital condition where the heart's apex points to the right, with an incidence of about 0.01%. Patients usually have a normal life expectancy unless other structural heart diseases are present.

Coronary Artery Disease 40

Coronary Artery Disease Angioplasty Anatomy Angina 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

An 088” ID aspiration catheter was navigated to at least the M1 segment in all anterior circulation cases and the basilar in the posterior circulation case. Further comparative studies against currently available microwires are needed in various anatomies to confirm this perceived performance advantage.

Anatomy 40

Anatomy Circulation Hemorrhage Stroke 40

Stroke Journal

JANUARY 30, 2025

Introduction:Challenging anatomy and tortuous vessels have been associated with poor outcomes in endovasculat treatment (EVT) of stroke. Stroke, Volume 56, Issue Suppl_1 , Page ADP40-ADP40, February 1, 2025.

Stroke 40

Stroke Strokes Outcomes Hemorrhage 40

DAIC

MARCH 31, 2025

All participants underwent coronary computed tomography angiography (CCTA), a non-invasive imaging technique used to assess coronary artery anatomy and stenosis, at baseline and at 12 months. A total of 84 participants were enrolled, of which 72 completed the trial, with participants randomized to receive either colchicine 0.5

Cardiovascular Disease 52

Cardiovascular Disease Plaque Coronary Artery Disease Heart Attack 52

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4142090-A4142090, November 12, 2024. Background:The persistently patent arterial duct accounts for ~12% of congenital heart lesions. Untreated, it may result in heart failure due to volume loading of the left heart, pulmonary hypertension, and infective endarteritis.

Anatomy 40

Anatomy Congenital Heart Failure Pulmonary 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Of 103 TRA cases, 71 (68.9%) were in the right carotid circulation, 18 (17.5%) ‐ in the left carotid circulation, and 14 (13.6%) in posterior circulation.

Circulation 40

Circulation Anatomy Stroke Strokes 40

Circulation: Cardiovascular Interventions

NOVEMBER 20, 2023

Circulation: Cardiovascular Interventions, Volume 16, Issue 11 , Page e013497, November 1, 2023. The feasibility of redo-TAV replacement is influenced by sizing strategy, type of second TAV, native annular anatomy, and implant depth.

Aortic valve 40

Aortic valve Aortic Anatomy Cardiovascular Interventions 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionBasilar‐tip aneurysm (BTA) is the most common aneurysm found in the posterior circulation, representing 5–8% of total intracranial aneurysms. Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023.

Aneurysm 40

Aneurysm Stents Stent ICU 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

For patients with complex and unfavorable vascular anatomy for mechanical endo‐vascularization, direct percutaneous carotid puncture can be advantageous, effectively reducing the aforementioned difficulties. When opting for such an approach it is vital to factor in the aortic arch appearance and its branches.

Anatomy 40

Anatomy Outpatient Ultrasound Stroke 40

All About Cardiovascular System and Disorders

APRIL 1, 2024

That is, pulmonary artery is transposed over to the right ventricle, and aorta over to the left ventricle, so that normal anatomy is restored. And you can see that the left ventricular muscle is thick, because it is connected to the fetal pulmonary circulation with a higher resistance as the lung is not functional.

Pulmonary 52

Pulmonary Stenosis Anatomy Physiology 52

Dr. Smith's ECG Blog

JUNE 28, 2019

For coronary anatomy, see here: [link] This is the post intervention ECG: All ST Elevation is gone (more proof that it was all a result of ischemia) Formal Echo: Normal estimated left ventricular ejection fraction - 55%. In other words, inferior MI with some posterior involvement). It was stented.

Chest Pain 52

Chest Pain Pericarditis Stents Stent 52

Ken Grauer, MD

MARCH 7, 2023

This qualifies as " dynamic " ST-T wave change — and in a patient with new chest pain, this is indication for prompt cath to define the anatomy and ensure reperfusion.

Blog 78

Blog Chest Pain STEMI Ischemia 78

Dr. Smith's ECG Blog

APRIL 6, 2023

The physiologic reason for this — is thought to be the result of momentarily increased circulation from mechanical contraction arising from the "sandwiched in" QRS complex. That said — the term, “trifascicular block” is no longer recommended ( Surawicz et al, Circulation — AHA/ACCF/HRS Recs, 2009 ).

Arrhythmia 52

Arrhythmia Atrial Fibrillation AFIB Outpatient 52

Dr. Smith's ECG Blog

JANUARY 23, 2023

90% stenosis of the proximal ramus intermedius, pre procedure TIMI II flow The ramus intermedius is a normal variant on coronary anatomy that arises between the LAD and LCX. In this case, the vessel supplied a portion of the posterior LV circulation. Serum troponin I level just before the cardiac catheterization procedure was 16.69

Chest Pain 52

Chest Pain Blog Stenosis Myocardial Infarction 52

Dr. Smith's ECG Blog

DECEMBER 18, 2022

Compare to the anatomy after stenting: The lower of the 2 now easily seen branches is the circumflex, now with excellent flow. Circulation 2002; 105(4): 539-42. Here is his angiogram: This shot shows that the left circumflex (LCx) is occluded at the ostium (origin). This is seen just millimeters beyond the tip of the catheter.

Myocardial Infarction 40

Myocardial Infarction Chest Pain Blog Echocardiogram 40

Circulation: Cardiovascular Interventions

MARCH 31, 2025

Circulation: Cardiovascular Interventions, Ahead of Print. More complex coronary anatomy is predictive of post-PCI myocardial injury. BACKGROUND:Myocardial injury detected after percutaneous coronary intervention (PCI) is associated with increased mortality. Predictors of post-PCI myocardial injury are not well established.

Myocardial Infarction 40

Myocardial Infarction Anatomy Cardiovascular Interventions Heart Disease 40

Dr. Smith's ECG Blog

FEBRUARY 6, 2025

Right Ventricular Outflow Tract (RVOT) Tachycardia Fascicular Tachycardia Bundle branch re-entry tachycardia Discussion : The diagnosis and management of the i diopathic VTs a re predicated on an understanding of the mechanism, relevant cardiac anatomy, and associated ECG signatures. Nossen evaluation included: A normal Echo.

Tachycardia 72

Tachycardia Arrhythmia Ablation Atrial Flutter 72