article thumbnail

How High Blood Pressure Affects Your Heart and What You Can Do About It

MIBHS

Increased Risk of Aneurysms : Chronic high blood pressure can weaken the walls of your arteries, leading to bulging areas known as aneurysms. If an aneurysm ruptures, it can cause life-threatening internal bleeding. Exercise strengthens your heart and improves its efficiency, reducing blood pressure levels over time.

article thumbnail

Young man with chest pain and an abnormal echocardiogram

Heart BMJ

The patient was referred for an exercise nuclear study and did 11 min on the Bruce protocol without angina or ischaemic ECG changes. Aortic dissection Sinus of Valsalva aneurysm Anomalous coronary artery Unroofed. He did not smoke or use alcohol or illicit drugs. There was no pertinent family history.

article thumbnail

Case Report: Extended cardiopulmonary resuscitation in sudden cardiac arrest after acute myocardial infarction

Frontiers in Cardiovascular Medicine

The emergency department of Liaocheng People's Hospital in Shandong Province admitted one patient with OHCA in August 2021, who suddenly suffered a loss of consciousness and cardiac arrest during exercise after dinner. Fortunately, there was no obvious stenosis in the right coronary artery.

article thumbnail

What is the infarct artery? What does the post PCI ECG show? What does the convalescent ECG show?

Dr. Smith's ECG Blog

This is one case where it made a difference: Right Ventricular MI seen on ECG helps Angiographer to find Culprit Lesion Nevertheless, it is sometimes a fun academic exercise to try to predict the infarct artery: An elderly patient had onset of chest pain one hour prior. This ECG is diagnostic of anterior LV aneurysm in the presence of RBBB.

article thumbnail

See how bad the outcome can be if you don't know OMI findings on the ECG, and don't use the Queen of Hearts

Dr. Smith's ECG Blog

On this visit, he expressed worsening exercise tolerance, new orthopnea, and he told his provider that the omeprazole did not relieve any symptoms. The LV aneurysm morphology persists. He re-presented to the family clinic for a follow-up visit a month after his original appointment. His BP was now 82/68, and his HR was 112.

Outcomes 112
article thumbnail

Watch what happens when "pericarditis" and morphine cloud your judgment

Dr. Smith's ECG Blog

As an exercise, lets calculate the equation for differentiating the ST elevation between benign early repolarization and LAD occlusion. The full thickness infarction with LV aneurysm morphology places him at a higher risk for short and long term complications (e.g., LAD occlusion. Great case. Only viewed on my phone."

article thumbnail

Hypertrophic Cardiomyopathy

All About Cardiovascular System and Disorders

Mid cavity obstruction in HCM is associated with apical aneurysm, systemic embolism, and arrhythmias. Dynamic gradient may be sought by glyceryl trinitrate, Valsalva manoeuvre, standing position or even symptom limited exercise. Obstruction may occur during recovery and post exercise monitoring of gradient is mandatory.