Dr. Smith's ECG Blog

JANUARY 31, 2024

He has a history of untreated hypertension. Thus, this is either: 1) a subacute MI with a significant (large amount) of completed infarction, or 2) old MI with persistent ST Elevation (LV aneurysm). The patient is pain free now, so it is either a reperfused subacute MI or a Non-OMI superimposed on an old MI (aneurysm).

Chest Pain 108

Chest Pain Aneurysm Myocardial Infarction Hypertension 108

Hypertension Journal

FEBRUARY 5, 2025

Hypertension, Ahead of Print. BACKGROUND:The pathophysiology of familial thoracic aortic aneurysm and dissection (TAAD) is linked to genetic variants that affect aortic components. These findings establish a genetic link between systolic hypertension and TAAD.

Aneurysm 40

Aneurysm Aortic Hypertension Risk Factors 40

Journal of the American Heart Association

FEBRUARY 26, 2025

BackgroundAbdominal aortic aneurysm (AAA) is a severe aortic disease for which no pharmacological interventions have yet been developed. Journal of the American Heart Association, Ahead of Print. Colocalization analysis pinpointed 13 proteins with strong evidence of colocalization with AAA.

Aneurysm 40

Aneurysm Risk Factors Aortic Obesity 40

Circulation

NOVEMBER 11, 2024

Aim:This study investigates the prevalence of isolated interventricular membranous septal (IVMS) aneurysms detected via echocardiography and assesses the associated stroke risk without other classical risk factors.Methods:We searched the echocardiography database at Mount Sinai Morningside from January 2017 to September 2023.

Aneurysm 40

Aneurysm Stroke Strokes Atrial Fibrillation 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionMycotic aneurysms of paraspinal arteries are a rare finding. Furthermore, knowledge regarding the management of paraspinal mycotic aneurysms and the efficacy of endovascular repair of these lesions is scarce.⁴MethodsWe Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023.

Aneurysm 40

Aneurysm Peripheral Arterial Disease Coronary Artery Disease ICU 40

Stroke Journal

JANUARY 30, 2025

Objective:The growth of unruptured intracranial aneurysms (IAs) is regarded as a critical precursor to aneurysmal rupture. Accurately predicting aneurysm growth is crucial for appropriate therapeutic interventions to prevent rupture in high-risk aneurysms. p=0.01), hypertension (63.3% The average age was 63.911.7

Aneurysm 40

Aneurysm Risk Factors Hypertension Stroke 40

Stroke Journal

FEBRUARY 1, 2024

Iron-induced oxidative stress triggers lipid oxidation, inflammation, endothelial cell activation and intracranial aneurysmal formation, growth, and rupture. Subarachnoid hemorrhage from intracranial aneurysm rupture results in significant morbidity and mortality. Mice were fed an iron-restricted diet or a normal diet.

Aneurysm 40

Aneurysm Diet Hemorrhage Hypertension 40

Stroke Journal

JANUARY 30, 2025

Background:Female gender is a well-established risk factor for intracranial aneurysms (IA), with women showing a 3:1 prevalence, 2:1 rupture risk, and higher aneurysm multiplicity. Hysterectomy, anti-VEGF mAb, and VEGF-R blockade with Sunitinib all resulted in reduced aneurysm formation and longer symptom-free survival.

Aneurysm 40

Aneurysm Risk Factors Hypertension Stroke 40

Stroke: Vascular and Interventional Neurology

JUNE 2, 2024

Stroke: Vascular and Interventional Neurology, Ahead of Print.

Aneurysm 40

Aneurysm Pulmonary Hypertension Stroke 40

Stroke Journal

FEBRUARY 1, 2024

Ruptured spinal artery aneurysms, <1% of SAH, pose challenges in understanding and management. In contrast to intracranial aneurysms, they often manifest with symptoms like back pain and possibly myelopathy. Our study presents five cases of spinal SAH from posterior spinal artery aneurysms.

Aneurysm 40

Aneurysm Thrombosis Hypertension Stroke 40

Stroke Journal

JANUARY 30, 2025

Here we aimed to assess the association between pharmacologic inhibition of angiotensin-converting enzyme and subsequent non-traumatic SAHMethods:In a retrospective cohort study based on Optums Clinformatics Datamart de-identified Database records (2000-2021), patients with hypertension were included. million,follow-up:6.3 female) [HR:0.94(0.91-0.97),

Hemorrhage 40

Hemorrhage Hypertension Aneurysm Pharmacology 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Life‐threatening bleeds may occur from the AVM nidus or associated aneurysms. Two large inflow aneurysms, felt to be the rupture site, projecting from the proximal left pericallosal artery were also demonstrated. An incidental ACA aneurysm was also noted. Onyx‐18 was then injected into the main AVM pedicle under a blank roadmap.

Aneurysm 40

Aneurysm Embolism Hemorrhage Hypertension 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

It is primarily caused by the rupture of intracranial aneurysms, leading to severe consequences and a 60% 6‐month mortality rateii. Although tools like the PHASES scoreiii and the Unruptured Intracranial Aneurysms Treatment Score (UIATS)iv help guide aneurysm management, they are not tailored specifically to the scenario of UIAs in SAH.

Aneurysm 40

Aneurysm Hemorrhage Hypertension Outcomes 40

Stroke: Vascular and Interventional Neurology

DECEMBER 8, 2024

Here we aimed to assess the association between pharmacologic inhibition of angiotensinconverting enzyme and subsequent nontraumatic SAH.METHODSIn a retrospective cohort study based on Optum's Clinformatics Datamart deidentified database records (20002021), we included all subjects with a history of hypertension. million, followup: 6.3

Hypertension 40

Hypertension Hemorrhage Pharmacology Aneurysm 40

Heart BMJ

AUGUST 14, 2024

Clinical introduction The patient was a man in his 40s with a medical history of hypertension, Behcet’s disease (BD) and chronic renal dysfunction. The patient was receiving therapeutic doses of the following medications: sacubitril valsartan sodium tablets, prednisone acetate, cyclophosphamide and azathioprine.

Aneurysm 52

Aneurysm Chest Pain Myocardial Infarction Thrombosis 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

An initial DSA showed a ruptured aneurysm in the second segment of the right posterior inferior cerebellar artery, second segment. However, clinical management of this complication is still debated among experts. [4] He was intubated by EMS on route.

Hemorrhage 40

Hemorrhage Aneurysm Atrial Fibrillation Stroke 40

Circulation

NOVEMBER 11, 2024

0.05; n=6-7/group; p<0.05], aortic wall thickness [Sca1KI-/-105±9 μmvs.Sca1KI+/-136±16vs.Sca1GFP 82±5; n=6-7/group; p<0.01], adventitial area [Sca1KI-/-79±13 mm2vs.Sca1KI+/-178±46vs.Sca1GFP 51±6; n=6-7/group; p<0.01], and aortic aneurysm formation [Sca1KI-/-6/17vs.Sca1KI+/-6/20vs.Sca1GFP 2/18]. mmvs.Sca1KI+/-1.21±0.06vs.Sca1GFP

Aortic 40

Aortic Hypertension Aneurysm Circulation 40

Dr. Smith's ECG Blog

NOVEMBER 26, 2015

She is somewhat hypertensive, but her vital signs are otherwise normal. However, old MI w/aneurysm morphology (persistent ST-Elevation) can look just like this. While this may be change that is reciprocal to an Acute/Subacute Inferior STEMI, the problem is that LV aneurysm may also manifest with this reciprocal change.

Chest Pain 52

Chest Pain Aneurysm STEMI Document 52

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.

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Chest Pain STEMI Aneurysm Stents 116

Frontiers in Cardiovascular Medicine

APRIL 29, 2024

KLF11 prevents aneurysm progression by inhibiting the apoptosis of VSMCs and enhancing their contractile function. The Krüppel-like family (KLF) TF family is widely recognized as the foremost regulator of vascular diseases.

Aneurysm 52

Aneurysm Atherosclerosis Pulmonary Hypertension 52

All About Cardiovascular System and Disorders

MARCH 18, 2024

The striking finding is the huge enlargement of the right pulmonary artery, almost aneurysmal dilatation of right pulmonary artery. The possibillities here would be severe primary pulmonary hypertension versus atrial septal defect with severe pulmonary hypertension. Transcript of the video: Here is an X-ray chest PA view.

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VSD Pulmonary Hypertension Aortic 52

Circulation

NOVEMBER 11, 2024

Introduction:Sinus of Valsalva aneurysm (SVA) accounts for 3.5% Aneurysm rupture typically forms a fistula into the right ventricle (60%), right atrium (29%), left atrium (6%), or left ventricle (4%), and rarely into the pericardial cavity (1%). Circulation, Volume 150, Issue Suppl_1 , Page A4118882-A4118882, November 12, 2024.

Heart Failure 40

Heart Failure Coronary Angiogram Echocardiogram Aneurysm 40

Hypertension Journal

FEBRUARY 6, 2024

Hypertension, Ahead of Print. Aortic diseases such as atherosclerosis, aortic aneurysms, and aortic stiffening are significant complications that can have significant impact on end-stage cardiovascular disease.

Aortic 40

Aortic Atherosclerosis Pharmacology Aneurysm 40

Circulation

NOVEMBER 11, 2024

Case Description:A 59-year-old male with history of hypertension, diabetes, Hashimoto’s thyroiditis presented with new, progressive shortness of breath. Coronary angiography revealed a tortuous and extremely aneurysmal RCA, as well as multivessel coronary artery disease (mvCAD) involving LAD, D1, LCx, OM1.

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Coronary Artery Bypass Graft ACE Inhibitor Coronary Angiogram Aneurysm 40

Stroke Journal

FEBRUARY 1, 2024

Introduction:Medical treatment of internal carotid artery stenosis consists of treatment of underlying conditions such as hypertension, dyslipidemia, and diabetes mellitus, as well as antiplatelet therapy. Similarly, cerebral aneurysms are known to progress due to hemodynamic effects.

Stenosis 40

Stenosis Aneurysm Diet Cholesterol 40

Stroke Journal

JANUARY 30, 2025

High intensity signals on transcranial doppler, and comorbidities such as hypertension, atrial fibrillation, and hyperlipidemia were also found to have a higher risk of AIS. Due to high heterogeneity among the studies, a meta-analysis was not feasible for the other predictive factors.

Risk Factors 40

Risk Factors Stroke Strokes Hemorrhage 40

Stroke Journal

JANUARY 30, 2025

Common comorbidities included hypertension (62.5%), smoking (56.3%), and hyperlipidemia (46.9%). Of the 32 patients, 9(28.1%) had dissection with diagnostic angiograms, 6(18.8%) endovascular thrombectomy, 15(46.9%) aneurysm treatment, and 2(6.3%) angioplasty with or without stenting.

Stent 40

Stent Stents Angioplasty Aneurysm 40

Stroke Journal

FEBRUARY 1, 2024

The presence of EPVS was linked to cerebral aneurysm (OR, 2.40; 95% CI, 1.5-4.0), The presence of EPVS was linked to cerebral aneurysm (OR, 2.40; 95% CI, 1.5-4.0), and hypertension (OR, 3.1; Matching factors included age, gender, body mass index, and hypertension.Results:Among 3054 randomly selected participants (mean age 67.5

Aneurysm 40

Aneurysm Heart Failure Risk Factors Research 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

This case illustrates a situation in which a patient with Guillain‐Barre Syndrome (GBS) was started on IVIg and developed subsequent vasospasm with cerebral infarcts requiring intra‐arterial therapy.MethodsCase ReportResultsOur patient is a 62 year old female with a history of cervicothoracic subdural hematoma status postevacuation with left leg weakness, (..)

Angina 40

Angina Aneurysm Hypertension Stroke 40

Stroke Journal

FEBRUARY 1, 2024

We compared patients with EPVS and an age-, gender-, body mass index-, and hypertension-propensity-score-matched cohort lacking EPVS.Results:Out of 3054 (mean age of 67.5 Other factors, such as cerebral aneurysm (OR, 2.3; The total numbers of EPVS were categorized into five grades (0-4) in centrum semiovale and basal ganglia regions.

Aneurysm 40

Aneurysm Heart Failure Risk Factors Hypertension 40

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. The ED lacked a formal triage process for identification of SAH resulting in delayed treatment.

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Nursing Hemorrhage RN Blood Pressure 40

Stroke Journal

FEBRUARY 1, 2024

Here we use GPT3.5,

Article 40

Article Hemorrhage Aneurysm Hypertension 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

This unique case highlights the diagnostic and therapeutic challenges of a patient with multiple vascular risk factors who suffered from strokes secondary to BHS.MethodsA 79‐year‐old man with a past medical history of peripheral artery disease, abdominal aortic aneurysm, myocardial infarction with drug eluding stents (on dual antiplatelet therapy (DAPT)), (..)

Stenosis 40

Stenosis Peripheral Arterial Disease Pacemaker Atherosclerosis 40

All About Cardiovascular System and Disorders

APRIL 30, 2024

in hypertensives are some of the features. Mid cavity obstruction in HCM is associated with apical aneurysm, systemic embolism, and arrhythmias. 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.

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Cardiomyopathy Bicuspid/Mitral Document Arrhythmia 40

Dr. Smith's ECG Blog

OCTOBER 17, 2024

Past medical history included diabetes and hypertension. Peak troponin was a massive 500,000 ng/L, echo showed EF reduced to 20%, and follow up ECG showed LV aneurysm morphology with anterior Q wave and persisting ST elevation. Vitals were normal. The prehospital, ED computer, and final cardiology interpretation was STEMI negative.

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Chest Pain STEMI Pulmonary Embolism 72

Dr. Smith's ECG Blog

DECEMBER 29, 2015

Her vitals signs were remarkable for marked hypertension. Is LVH like left ventricular aneurysm? However, an analogous rule for identifying superimposed ACO of the LAD in the presence of persistent STE after prior MI (aka “ left ventricular aneurysm ,” or LVA) was just validated. Am J Emerg Med. 2007;25(7):859.e1-e859.e7.

STEMI 40

STEMI Myocardial Infarction Chest Pain Aneurysm 40

Dr. Smith's ECG Blog

APRIL 17, 2023

He was mildly tachycardic (105-110 bpm) and hypertensive (157/92 mm Hg) on arrival. Repeat ECG at 1624 (shortly before cath): QS waves now present in V2-V3, with slight STE, showing the pattern of left ventricular aneurysm morphology. His triage at 0127 is the ECG above. Chest pain is documented as ongoing.

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Chest Pain STEMI Document Ischemia 52