Circulation

NOVEMBER 11, 2024

Patients with dextrocardia present a diagnostic challenge, particularly in the context of acute coronary syndrome.Case Presentation:A 49-year-old male with a medical history of dextrocardia, hypothyroidism, dyslipidemia and hypertension was referred to a cardiologist by his primary physician due to a 3-week history of unstable angina.

Coronary Artery Disease 40

Coronary Artery Disease Angioplasty Anatomy Angina 40

Circulation

NOVEMBER 11, 2024

Untreated, it may result in heart failure due to volume loading of the left heart, pulmonary hypertension, and infective endarteritis. Background:The persistently patent arterial duct accounts for ~12% of congenital heart lesions. Type A ducts were more frequent in the AA group (90% vs. 72%).

Anatomy 40

Anatomy Congenital Heart Failure Pulmonary 40

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. Pre-procedural data included patients’ baseline characteristics (age, gender, clinical presentation and comorbidities). Mean age was 60.9 ± 9.4

Outcomes 40

Outcomes Cardiogenic Shock Angina STEMI 40

Dr. Smith's ECG Blog

MARCH 22, 2024

Written by Willy Frick A man in his 50s with history of hypertension, hyperlipidemia, and a 30 pack-year smoking history presented to the ER with 1 hour of acute onset, severe chest pain and diaphoresis. His ECG is shown: What do you think?

Chest Pain 114

Chest Pain STEMI Bradycardia Ischemia 114

BoardVitals - Cardiovascular

SEPTEMBER 29, 2017

Which of the vessels likely provides blood supply to the circled area in the below polar plot image in a patient with normal coronary anatomy? A 48 year-old female with hypertension, hyperlipidemia, chronic low back pain, and bilateral lower extremity neuropathy.

Chest Pain 52

Chest Pain Certification Ischemia General Cardiology 52

All About Cardiovascular System and Disorders

APRIL 30, 2024

in hypertensives are some of the features. Hypertensive heart disease is an important differential diagnosis, but SAM is rare in this situation and there is evidence of greater diastolic dysfunction in HCM. Evaluation of diastolic characteristics of LV and LV and coronary anatomy evaluation are other diagnostic uses of cath in HCM.

Cardiomyopathy 40

Cardiomyopathy Bicuspid/Mitral Document Arrhythmia 40

All About Cardiovascular System and Disorders

MARCH 20, 2024

To revise the anatomy lessons, this is the external jugular vein and this is the internal jugular vein. Right atrial hypertrophy as in tricuspid stenosis, pulmonary stenosis and pulmonary hypertension. But in a VSD with pulmonary hypertension A wave is not prominent. A prominent A wave can occur when the atrium is hypertrophied.

Tricuspid 52

Tricuspid Pericarditis VSD Heart Failure 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

Case submitted and written by Mazen El-Baba MD, with edits from Jesse McLaren and edits/comments by Smith and Grauer A 90-year old with a past medical history of atrial fibrillation, type-2 diabetes, hypertension, dyslipidemia, presented with acute onset chest/epigastric pain, nausea, and vomiting. BP was 110 and oxygen saturation was normal.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Smith's ECG Blog

SEPTEMBER 20, 2018

Written by Pendell Meyers, edits by Steve Smith A man in his 60s with history of hypertension and MI 10 years ago, with PCI, presented to an outside hospital complaining of chest pain that started while mowing the lawn. because if it does, then urgent cath to define the anatomy is clearly indicated.

Chest Pain 52

Chest Pain STEMI Cardiac Arrest Aneurysm 52

Dr. Smith's ECG Blog

FEBRUARY 14, 2020

P EARL — One of the best ways to hone your ECG interpretation skills — is by r etrospective r eview of s erial t racings on cases in which you know the anatomy. I thought it might be worthwhile to explore WHY it took me longer than I would have liked to recognize the “culprit artery”.

Chest Pain 52

Chest Pain STEMI Anatomy Risk Factors 52

Dr. Smith's ECG Blog

OCTOBER 6, 2018

The patient was in his 50s with history of hypertension, diabetes, seizure disorder, and smoking, but no known coronary artery disease. The anatomy and lead placement create very small voltage compared to the other main coronary distributions. EF was 55%. The patient did well at least in the short term.

Chest Pain 40

Chest Pain STEMI Myocardial Infarction Coronary Artery Disease 40

DAIC

FEBRUARY 18, 2025

Studies estimate that severe regurgitation occurs in up to 4% of individuals 75 and older and is often linked with conditions like heart failure, atrial fibrillation or pulmonary hypertension. A TEER procedure, which inserts clips in the valve to reduce leakage, works well for many, but is less effective for those with complex valve anatomy.

Tricuspid 52

Tricuspid Open-Heart Surgery Quality of Life Anatomy 52

Dr. Smith's ECG Blog

MARCH 17, 2025

Written by Willy Frick A man in his 60s with a history of hypertension and 40 pack-year history presented to the ER with 1 day of intermittent, burning substernal chest pain radiating into both arms as well as his back and jaw. First in slow motion with a freeze frame with annotated vessel anatomy, then at normal speed.

STEMI 81

STEMI Chest Pain Myocardial Infarction Document 81