Dr. Smith's ECG Blog

NOVEMBER 17, 2014

No risk factors, leads a healthy lifestyle. There were many comments that it was too late for thrombolytics or that this signified an LV aneurysm, not acute MI. See my formula for differentiating anterior LV aneurysm (that is to say, persistent ST elevation after old MI) from acute anterior STEMI. BP 112/80, SpO2 100%.

Aneurysm 52

Aneurysm STEMI Chest Pain Risk Factors 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

5 ICSS‐ MRI study (International Carotid Stenting Study Magnetic Resonance Imaging Study), indicated that patients with periprocedural hemodynamic depression had decreased cerebral blood flow and increased the risk of new lesions in imaging.6 This is secondary to delayed postoperative cerebral ischemia and infarction caused by vasospasm.7

Aneurysm 40

Aneurysm Stroke Strokes Ischemia 40

Dr. Smith's ECG Blog

JULY 31, 2013

No thromboembolism risks, not pleuritic, no radiation to the back. No cardiac risk factors, no cocaine use. T-wave inversion in V2 is inconsistent with early repol, and is typical of posterior ischemia. In addition, there is ST depression, diagnostic of ischemia, in V3-V6. A coronary aneurysm was found.

Chest Pain 52

Chest Pain Aneurysm STEMI Ischemia 52

Dr. Smith's ECG Blog

DECEMBER 18, 2022

He has no cardiovascular risk factors except smoking for 10 pack-years. Post-myocardial infarction (MI) ventricular septal defects are frequently seen in mid-anteroseptal and apical septal segments, whereas apex and the basal inferior segment are prone to aneurysm formation. His medical exam is unremarkable. What do you think ?

Myocardial Infarction 40

Myocardial Infarction Chest Pain Blog Echocardiogram 40

Stroke Journal

JANUARY 30, 2025

Background:According to the 2023 guidelines for the management of patients with aneurysmal subarachnoid hemorrhages (SAH), early treatment of ruptured aneurysms reduces the risk of repeated bleeds and facilitates treatment of delayed cerebral ischemia. No differences were noted in the size or location of aneurysm.

Aneurysm 40

Aneurysm Hospital Outcomes Stroke 40

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 alone, more than 800,000 of these people are at risk of MI and for approximately 200,000 of them, this may well be their second life-threatening cardiac event.

Cardiovascular Disease 111

Cardiovascular Disease Heart Attack Heart attacks Coronary Artery Disease 111

Dr. Smith's ECG Blog

JANUARY 9, 2023

Repeat CT angio chest (not CT coronary, unclear what protocol) showed possible LAD aneurysm and thrombus. Finally, coronary angiography was performed (at least 5 days after presentation) which confirmed LAD aneurysm with large thrombus burden, TIMI 0 flow, thrombectomy performed. No further cath details available.

Chest Pain 52

Chest Pain Aneurysm STEMI Thrombosis 52