American College of Cardiology

JUNE 11, 2024

In this interview, Hector I. Michelena, MD, FACC and W. Douglas Weaver MD, MACC discuss the history of and complications associated with bicuspid valvuloaortopathy.

Bicuspid/Mitral 45

Bicuspid/Mitral Aortic valve Aneurysm Aortic 45

American College of Cardiology

JULY 31, 2024

Eagle looks at a prospective multicenter cohort study that examined early and late aortic-related mortality and rupture after fenestrated-branched endovascular aortic repair of thoracoabdominal aortic aneurysms.

Aortic 45

Aortic Stenosis Aneurysm Article 45

Stroke Journal

FEBRUARY 1, 2024

Review articles and meta-analyses were excluded. Optimization of LLM prompts may help with specificity, and weighting articles by type or perceived quality may improve accuracy. Here we use GPT3.5, Here we use GPT3.5, Using custom code via the GPT3.5 Results:Mean efficacy scores for N, M, and IH were 0.67, 0.32, and 0.15

Article 40

Article Hemorrhage Aneurysm Hypertension 40

Dr. Paddy Barrett

JUNE 14, 2024

The cause of this arterial rupture was very likely an aneurysm that had grown over time and ruptured. These aneurysms are rare. It was a rare pancreatic aneurysm that nearly killed him at age 58 while sitting in a cabin with his wife in upstate New York. He survived. By the skin of his teeth. But Here’s The Thing.

Aneurysm 74

Aneurysm Quality of Life Heart Disease Diet 74

Dr. Smith's ECG Blog

JANUARY 27, 2024

Smith : Old inferior MI with persistent ST Elevation ("inferior aneurysm") has well-formed Q-waves. In inferior aneurysm, we usually see QR-waves, whereas for anterior aneurysm, we see QS-waves (no R- or r-wave at all!). The patient had a history of ‘NSTEMI’ a decade prior, with an RCA stent.

Chest Pain 101

Chest Pain STEMI Aneurysm Stents 101

Dr. Smith's ECG Blog

NOVEMBER 17, 2014

There were many comments that it was too late for thrombolytics or that this signified an LV aneurysm, not acute MI. See my formula for differentiating anterior LV aneurysm (that is to say, persistent ST elevation after old MI) from acute anterior STEMI. This is my response: "This is definitely acute or subacute. It is not chronic.

Aneurysm 52

Aneurysm STEMI Chest Pain Risk Factors 52

Dr. Smith's ECG Blog

MAY 19, 2020

The patient's heart had significant recovery: Echo : Estimated LVEF 32%, apical wall motion abnormality with diastolic distortion (LV aneurysm), suggestive of old MI. A followup ECG was recorded 2 days later: No definite evidence of infarction. It was uncertain whether this represented: 1. A list of conditions that can cause this is below.

Defibrillator 52

Defibrillator Circulation Plaque Cardiac Arrest 52

Dr. Smith's ECG Blog

JANUARY 31, 2020

Although diagnostic of MI, it is highly suspicious for " Old inferior MI with persistent ST Elevation" or "inferior aneurysm morphology" because of the well-formed Q-waves and the flat T-waves. To repeat: in contrast, anterior aneurysm is much more easily distinguished from acute MI due to the QS-waves.

Angina 52

Angina Stents Stent Aneurysm 52

Dr. Smith's ECG Blog

JANUARY 9, 2024

These are all findings that can be expected with left ventricular aneurysm. Many advances in treatment have occurred in the 28 years since this article was published. That said — misdiagnosis of WCT rhythms for the same reasons cited by the authors remains all-too-common — so the lessons put forth in this 1995 article remain relevant.

Tachycardia 98

Tachycardia Electrophysiology Atrial Flutter Ischemia 98

European Journal of Heart Failure

NOVEMBER 14, 2023

Significant LGE at CMR; LVEF <50%; abnormal blood pressure response during exercise test; LV apical aneurysm; high-risk genotype. *Syncope, LGE on CMR, inducible sustained VT at PES, pathogenic mutations in LMNA, PLN, FLNC, and RBM20.

Sudden Cardiac Death 40

Sudden Cardiac Death Cardiomyopathy Risk Factors Heart Failure 40

Dr. Smith's ECG Blog

DECEMBER 18, 2022

If you still have not read it, I strongly recommend that you read the following article on the diagnosis of "posterior" MI: Ischemic ST-Segment Depression Maximal in V1-V4 (Versus V5-V6) of Any Amplitude Is Specific for Occlusion Myocardial Infarction (Versus Nonocclusive Ischemia), by Meyers HP et al. His peak troponin was over 5000 ng/L.

Myocardial Infarction 52

Myocardial Infarction Chest Pain Blog Echocardiogram 52

Dr. Smith's ECG Blog

OCTOBER 26, 2011

Persistent ST elevation 3 days after a nearly transmural MI portends possible LV aneurysm. It is very unlikely to be LV aneurysm morphology when the ST elevation is so high and the T-Wave inversion is so deep. Echo at this time showed some improvement in EF to 40%, but persistent akinesis and thrombus. Cath showed a 95% LAD with flow.

STEMI 52

STEMI Myocardial Infarction Chest Pain Angioplasty 52

Dr. Smith's ECG Blog

SEPTEMBER 27, 2019

Once dissecting aneurysm was ruled out by chest aorta CT — the possibility of acute ischemic heart disease becomes paramount. B ONUS — The 3 page article by Rowlands and Moore that I’ve posted in Figures-2 , 3 and 4 below is the BEST description I’ve seen of how to quickly determine which extremity is the source of the A rtifact ).

Chest Pain 52

Chest Pain Blog Ischemia Article 52

Dr. Smith's ECG Blog

APRIL 8, 2015

Look for Vascular Etiology -- think of these while doing H and P: --Bleeding: ruptured AAA, GI bleed, ruptured ectopic pregnancy, other spontaneous bleed such as mesenteric aneurysms. Annotated Bibliography For an excellent overview of ED Syncope management , see this article by Kessler C et al. starts at end of article on p.

Arrhythmia 52

Arrhythmia Risk Factors Outcomes Chest Pain 52