Stroke Journal

FEBRUARY 1, 2024

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.

Aneurysm 40

Aneurysm Hemorrhage ICU Ischemia 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

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)

Aneurysm 40

Aneurysm Stroke Strokes Ischemia 40

Dr. Smith's ECG Blog

JANUARY 9, 2024

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.

Tachycardia 107

Tachycardia Electrophysiology Atrial Flutter Ischemia 107

Dr. Smith's ECG Blog

JANUARY 6, 2023

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.

Chest Pain 52

Chest Pain Ischemia Myocardial Infarction ICU 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. 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

STEMI Myocardial Infarction Chest Pain Angioplasty 52

Dr. Smith's ECG Blog

MARCH 11, 2019

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.

Chest Pain 52

Chest Pain Ischemia Aneurysm Myocardial Infarction 52