Dr. Smith's ECG Blog

APRIL 12, 2013

Blood pressure was 215/124 and HR 115 (on metoprolol). Inferior LV "aneurysm" morphology Electrocardiographic "LV Aneurysm" morphology simply means "persistent ST elevation after previous MI." First, to be called "aneurysm," the MI must be at least a couple weeks old, so this case does not strictly apply.

STEMI 52

STEMI Pulmonary Stents Stent 52

Frontiers in Cardiovascular Medicine

AUGUST 8, 2024

We administered adrenaline for cardiac excitation, dopamine for maintained blood pressure, sodium bicarbonate to correct the acidosis, and multiple electric defibrillations. Arriving at the emergency department, we continued to provide chest compressions and ventilator-assisted ventilation after performing endotracheal intubation.

Cardiac Arrest 52

Cardiac Arrest Myocardial Infarction Coronary Artery Bypass Graft Stenosis 52

Stroke Journal

JANUARY 30, 2025

Background:The 2023 American Heart Association/American Stroke AssociationsGuideline for Management of Patients with Aneurysmal Subarachnoid Hemorrhage(SAH) support use of the Ottawa Rule to screen individuals at risk. Stroke, Volume 56, Issue Suppl_1 , Page ANS1-ANS1, February 1, 2025.

Nursing 40

Nursing Hemorrhage RN Blood Pressure 40

Circulation

NOVEMBER 11, 2024

Introduction:Uncomplicated Stanford type B acute aortic dissection is traditionally managed with strict blood pressure control. Circulation, Volume 150, Issue Suppl_1 , Page A4142845-A4142845, November 12, 2024.

Aortic 40

Aortic Blood Pressure Aneurysm Outcomes 40

Journal of the American Heart Association

FEBRUARY 29, 2024

BackgroundDelayed cerebral ischemia represents a significant contributor to death and disability following aneurysmal subarachnoid hemorrhage. Journal of the American Heart Association, Ahead of Print. Particularly, the injection models exhibited considerable variation in injection volume, rate, and cerebrospinal fluid withdrawal.

Ischemia 40

Ischemia Hemorrhage Blood Pressure Aneurysm 40

Stroke Journal

FEBRUARY 1, 2024

For intracerebral hemorrhage, early intensive blood pressure lowering within 2 hours of onset improved outcomes. For aneurysmal subarachnoid hemorrhage, more than one-third of rebleeds occur within 3 hours. Every 20-minute reduction in time to reperfusion increases disability-free lifespan by 3 months.

Stroke 40

Stroke Strokes Hemorrhage Blood Pressure 40

DAIC

OCTOBER 23, 2024

Risk factors for vascular disease include having diabetes, use or history of tobacco products, high cholesterol, and/or high blood pressure. Less than half (46%) of people would opt to see a vascular surgeon for symptoms related to their blood vessels, such as leg swelling or pain or difficulty walking.

Peripheral Arterial Disease 40

Peripheral Arterial Disease Quality of Life Risk Factors Education 40

Dr. Smith's ECG Blog

AUGUST 13, 2020

Still Irregular Blood pressure during these rhythms was adequate; there was no shock. Old MI with persistent ST Elevation (LV aneurysm morphology) can look like acute MI 2. Not all anterior LV aneurysm has a QS-wave. LV Aneurysm? Looks like atrial fibrillation. At this point, they recorded the above 12-lead.

Tachycardia 52

Tachycardia AFIB Cardiogenic Shock Myocardial Infarction 52

Dr. Smith's ECG Blog

JANUARY 9, 2024

These are all findings that can be expected with left ventricular aneurysm. Therefore — Just because a patient remains awake and alert with an adequate blood pressure for an extended period of time does not rule out the possibility sustained VT. There are QS-waves in V1-V4 with a fragmentation/notch in the last part of the QRS.

Tachycardia 119

Tachycardia Electrophysiology Atrial Flutter Ischemia 119

DAIC

JANUARY 23, 2024

1,2 ASCVD causes or contributes to conditions that include coronary artery disease (CAD), cerebrovascular disease, and peripheral vascular disease (inclusive of aortic aneurysm).3 Atherosclerotic cardiovascular disease (ASCVD), caused by plaque buildup in arterial walls, is one of the leading causes of disability and death worldwide.1,2

Cardiovascular Disease 111

Cardiovascular Disease Heart Attack Heart attacks Coronary Artery Disease 111

Dr. Smith's ECG Blog

OCTOBER 20, 2013

She went for a head CT and had a severe subarachnoid hemorrhage (SAH) due to ruptured aneurysm. The combination of sudden increased intracranial pressure with loss of spontaneous circulation results in near total loss of cerebral perfusion. Unfortunately, but not surprisingly, the patient died a neurologic death. Bart BA.

Cardiac Arrest 52

Cardiac Arrest STEMI Hemorrhage Hospital 52

EMS 12-Lead

APRIL 28, 2022

The EMS narrative reports that her blood pressure and oxygenation improved modestly with rhythm stability for transport duration. It was postulated that such an ECG feature is associated with advanced myocardial dysfunction, to include left ventricular aneurysm, as the cause of arrhythmia. [7]

Tachycardia 52

Tachycardia AFIB Arrhythmia Coronary Artery Bypass Graft 52

Hypertension Journal

MARCH 1, 2024

and angiotensin II type-1 receptor, SMC-MR contributes to myogenic tone and vasoconstriction, thereby contributing to systemic blood pressure. Data are reviewed from in vitro studies using SMCs and in vivo findings from SMC-specific MR-knockout mice that implicate target genes and signaling pathways downstream of SMC-MR.

Blood Pressure 40

Blood Pressure Aortic valve Heart Failure Hypertension 40

Stroke Journal

FEBRUARY 1, 2024

Introduction:Cerebral aneurysm frequency in sickle cell disease (SCD) is higher than in the general population. MRAs were reviewed and aneurysms were confirmed by consensus of 2 neuroradiologists. The healthy control group included 77 participants, 3 (3.9%) of these participants had aneurysms, all women. with aneurysms vs 113.2±12.3mmHg

Sickle Cell Disease 40

Sickle Cell Disease Aneurysm Risk Factors Blood Pressure 40

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

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. Any ED systolic blood pressure less than 90 or greater than 180 mm Hg (+1) 4. h/o heart disease (+1) 3. QRS duration greater than 130 msec (+2) 6.

Arrhythmia 52

Arrhythmia Outcomes Chest Pain Risk Factors 52

Frontiers in Cardiovascular Medicine

JANUARY 16, 2025

It leads to thickening and loss of elasticity of the arterial wall, and eventually vascular occlusion, aneurysm or dissection formation. Her blood pressure was 209/73mmHg and could not be lowered with Urapidil, therefore she was diagnosed with complex Stanford type B aortic dissection. She had TA for five years.

Aortic 52

Aortic Blood Pressure Chest Pain Aneurysm 52

Dr. Smith's ECG Blog

MARCH 3, 2025

Her blood pressure on arrival was 153/69. There are no Q-waves to suggest old inferior MI, or inferior aneurysm as the etiology of the ST Elevation. increasing stenosis, ischemia, volume changes, increased blood pressure, atrial fibrillation, etc.) She arrived to the ED with a nonrebreather mask.

Tachycardia 74

Tachycardia Pulmonary Chest Pain Stenosis 74