Remove Aneurysm Remove ICU Remove Ischemia
article thumbnail

Abstract 114: LACROSSE Trial: Lumbar Drainage Compared to External Ventricular Drainage in Aneurysmal Subarachnoid Hemorrhage, a Randomized Control Trial

Stroke Journal

Introduction:Delayed cerebral ischemia (DCI) is a leading cause of morbidity and mortality in aneurysmal subarachnoid hemorrhage (aSAH). Secondary outcomes were ICU measures and functional outcomes.Results:52 patients were enrolled. Stroke, Volume 55, Issue Suppl_1 , Page A114-A114, February 1, 2024.

article thumbnail

Abstract 254: Imaging Findings of Stroke Following Treatment of Ruptured Cerebral Aneurysm Increases Risk of Postoperative Delirium

Stroke: Vascular and Interventional Neurology

IntroductionDelirium is an acute cognitive or perceptual disturbance that is associated with prolonged hospital and ICU length of stay, therefore, extending recovery time. 6 Ruptured intracerebral aneurysms are associated with higher morbidity and mortality than unruptured ones. Patients with delirium had a median age of 57 (50.0‐65.8)

article thumbnail

A Patient with Respiratory Failure and a Computer "Normal" ECG

Dr. Smith's ECG Blog

The only time you see this without ischemia is when there is an abnormal QRS, such as LVH, LBBB, LV aneurysm (old MI with persistent STE) or WPW." The patient was managed in the ICU and had serial troponins. Here is the patient's troponin I profile: These were interpreted as due to demand ischemia, or type II MI.

article thumbnail

A woman in her 50s with acute chest pain

Dr. Smith's ECG Blog

I do not think this ECG is by itself diagnostic of OMI (full thickness, subepicardial ischemia ), b ut comparison to a previous might reveal this ECG as diagnostic of OMI. A CT was completed to rule out dissection, PE, or aneurysm, and this was unremarkable. mg/dL, K 3.5 Another 162mg ASA and heparin were given at this point.

article thumbnail

A fascinating electrophysiology case. What is this wide complex tachycardia, and how best to manage it?

Dr. Smith's ECG Blog

Are you confident there is no ischemia? Primary VT , and the VT with tachycardia is causing ischemia with chest discomfort (supply-demand mismatch/type 2 MI)? Ischemia from ACS causing the chest discomfort, with VT another consequence (or coincidence)? These are all findings that can be expected with left ventricular aneurysm.

article thumbnail

Four anterior STEMIs: acute and reperfused vs. won't reperfuse, subacute and reperfused vs. not reperfused

Dr. Smith's ECG Blog

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. The patient continued to have ischemia after PCI, and in fact had an episode of polymorphic VT shortly after while in the ICU.

STEMI 52