Frontiers in Cardiovascular Medicine

JUNE 30, 2024

We then summarize current knowledge of the roles played by ERK in the development and progression of cardiac and vascular disorders, including atherosclerosis, myocardial infarction, cardiac hypertrophy, heart failure, and aortic aneurysm.

Cardiovascular Disease 52

Cardiovascular Disease Quality of Life Myocardial Infarction Aneurysm 52

Dr. Smith's ECG Blog

MAY 18, 2011

This may resolve over a couple weeks; if it does not, then he is at high risk of developing an LV aneurysm, or diastolic dysfunction of the anterior wall. 4) Q-waves alone do not necessarily imply irreversibly infarcted myocardium; they should not dissuade from reperfusion therapy. He has persistent ST elevation. Raitt MH et al.

Chest Pain 52

Chest Pain Myocardial Infarction STEMI Aneurysm 52

Dr. Smith's ECG Blog

JANUARY 31, 2020

So this is indeed diagnostic of myocardial infarction. Not immediately, at least, because this is NOT diagnostic of ACUTE (occlusion) myocardial infarction (Acute OMI). To repeat: in contrast, anterior aneurysm is much more easily distinguished from acute MI due to the QS-waves. Should we activate the cath lab?

Angina 52

Angina Stents Stent Aneurysm 52

Dr. Smith's ECG Blog

OCTOBER 26, 2011

Persistent ST elevation 3 days after a nearly transmural MI portends possible LV aneurysm. Here there are some QS-waves, telling us that there has probably been a significant amount of completed infarction, but there is also persistent R-wave in lead V4 suggesting some viable myocardium. Zwolle Myocardial Infarction Study Group.

STEMI 52

STEMI Chest Pain Myocardial Infarction Angioplasty 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionSubarachnoid Hemorrhage (SAH) resulting from the spontaneous rupture of an aneurysm is a rare and highly debilitating condition. Despite its severity, patients with aneurysmal SAH remain understudied, particularly concerning the evaluation of the incidence and consequences of subsequent acute kidney injury (AKI).

Hemorrhage 40

Hemorrhage Aneurysm Cardiac Arrest Myocardial Infarction 40

Dr. Smith's ECG Blog

DECEMBER 29, 2015

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. ST elevation: differentiation between ST elevation myocardial infarction and nonischemic ST elevation.

STEMI 40

STEMI Myocardial Infarction Chest Pain Aneurysm 40

Dr. Smith's ECG Blog

AUGUST 13, 2020

Alternatively , it is someone who has an old myocardial infarction and is now very sick with something else. Old MI with persistent ST Elevation (LV aneurysm morphology) can look like acute MI 2. Not all anterior LV aneurysm has a QS-wave. LV Aneurysm? Below is my response. There is sinus tach. Learning Points: 1.

Tachycardia 52

Tachycardia AFIB Cardiogenic Shock Myocardial Infarction 52

Dr. Smith's ECG Blog

JULY 11, 2024

Case A 43 year old male with a history of DM II, hyperlipidemia, and a family history of myocardial infarction presented to a family clinic with two days of epigastric pain that started after consuming a meal. The LV aneurysm morphology persists. Because: 1) He has been reading this blog for a long time.

Outcomes 112

Outcomes Stenosis Outpatient Echocardiogram 112

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

Dr. Smith's ECG Blog

MARCH 9, 2023

Read our recent editorial: Hyperacute T-waves Can Be a Useful Sign of Occlusion Myocardial Infarction if Appropriately Defined. Relationship between an in-farct related artery, acute total coronary occlusion, and mortality in patients with ST-segment and non-ST-segment myocardial infarction. hours earlier? Circulation.

Chest Pain 52

Chest Pain STEMI Myocardial Infarction Blog 52

Dr. Smith's ECG Blog

DECEMBER 18, 2022

Although not striking, this is clearly a diagnostic ECG for infero"posterior" myocardial infarction due to coronary occlusion (OMI), most likely due to left circumflex (LCx) artery occlusion. mm STE even in the fourth universal definition of myocardial infarction. Considerations on the naming of myocardial infarctions.

Myocardial Infarction 40

Myocardial Infarction Chest Pain Blog Echocardiogram 40

Dr. Smith's ECG Blog

MAY 19, 2020

A followup ECG was recorded 2 days later: No definite evidence of infarction. The patient's heart had significant recovery: Echo : Estimated LVEF 32%, apical wall motion abnormality with diastolic distortion (LV aneurysm), suggestive of old MI. MINOCA: Myocardial Infarction in the Absence of Obstructive Coronary Artery Disease).

Defibrillator 52

Defibrillator Circulation Plaque Cardiac Arrest 52

All About Cardiovascular System and Disorders

APRIL 30, 2024

Mid cavity obstruction in HCM is associated with apical aneurysm, systemic embolism, and arrhythmias. Thin posterior wall in inferior wall myocardial infarction causing abnormal septal to posterior wall ratio can also cause suspicion of ASH. Doppler echo showing LVOT gradient in HCM.

Cardiomyopathy 40

Cardiomyopathy Bicuspid/Mitral Document Arrhythmia 40

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." Cardiac Troponin Changes to Distinguish Type 1 and Type 2 Myocardial Infarction and 180-Day Mortality Risk. You do NOT see this in normal variant STE, nor in pericarditis. Murakami M.

Chest Pain 52

Chest Pain Ischemia Aneurysm Myocardial Infarction 52

Dr. Smith's ECG Blog

JANUARY 6, 2023

A CT was completed to rule out dissection, PE, or aneurysm, and this was unremarkable. Association between opioid analgesia and delays to cardiac catheterization of patients with occlusion Myocardial Infarctions. Clin Cardiol 2022; [link] Labs included: hsTnI 156 ng/L, Hb 12 g/dL, WBC 12x10^9/L, Cr. mg/dL, K 3.5 Abstract 556.

Chest Pain 52

Chest Pain Ischemia Myocardial Infarction ICU 52

Dr. Smith's ECG Blog

APRIL 17, 2023

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. Next trop 85,528 ng/L (consistent with a massive myocardial infarction), none further measured. Upon arrival to the PCI center, the repeat troponin returned at 13,962 ng/L.

Chest Pain 52

Chest Pain STEMI Document Ischemia 52

Frontiers in Cardiovascular Medicine

FEBRUARY 23, 2024

Variables and prognosis were analysed based on the presence or absence of NCA, defined as previous stroke, transient ischaemic attack (TIA), or peripheral artery disease (PAD) [lower extremity artery disease (LEAD), carotid disease, previous lower limb vascular surgery, or abdominal aortic aneurysm (AAA)].

Coronary Artery Bypass Graft 64

Coronary Artery Bypass Graft Atherosclerosis Peripheral Arterial Disease Coronary Artery Disease 64

Dr. Smith's ECG Blog

JULY 18, 2014

Additionally , these patients have a high incidence of LV aneurysm with mural thrombus. Appearance of abnormal Q waves early in the course of acute myocardial infarction: implications for efficacy of thrombolytic therapy. Although rupture has a high mortality, it is not uniformly fatal References 1. Armstrong PW et al.

STEMI 52

STEMI Pericarditis Myocardial Infarction Cardiogenic Shock 52

Dr. Smith's ECG Blog

MARCH 11, 2016

Appearance of abnormal Q waves early in the course of acute myocardial infarction: implications for efficacy of thrombolytic therapy. Perhaps she will not develop an LV aneurysm. Myocardial Rupture and Postinfarction Pericarditis. The ECG in myocardial rupture 94. These do NOT indicate late, subacute MI.

Myocardial Infarction 52

Myocardial Infarction Pericarditis STEMI Angina 52

Circulation

NOVEMBER 14, 2024

The protein model also improved the prediction of other outcomes, including ASCVD (cstatistic +0.035), myocardial infarction (+0.023), stroke (+0.024), aortic stenosis (+0.015), heart failure (+0.060), abdominal aortic aneurysm (+0.024), and dementia (+0.068).CONCLUSIONS:Measurement

Cardiovascular Disease 40

Cardiovascular Disease Dementia Biomarkers Myocardial Infarction 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 Efficacy and Safety of Low-Dose Colchicine after Myocardial Infarction. 4 In the U.S. 35 Overall, the magnitudes of benefit seen from colchicine, 0.5

Cardiovascular Disease 111

Cardiovascular Disease Heart attacks Heart Attack Coronary Artery Disease 111

EMS 12-Lead

APRIL 28, 2022

In most cases, rather, the culprit is gross ischemia due to myocardial infarction, cardiomyopathy, or advanced coronary artery disease. It was postulated that such an ECG feature is associated with advanced myocardial dysfunction, to include left ventricular aneurysm, as the cause of arrhythmia. [7]

Tachycardia 52

Tachycardia AFIB Arrhythmia Coronary Artery Bypass Graft 52

Dr. Smith's ECG Blog

OCTOBER 20, 2013

She went for a head CT and had a severe subarachnoid hemorrhage (SAH) due to ruptured aneurysm. Door to balloon time (DBT) was 96 minutes for 7 patients with ST elevation myocardial infarctions (STEMI) who had CT prior to PCI vs. 75 minutes for 11 patients who did not have CT, p=0.058. Conclusions: Head CT is common in NT-OHCA.

Cardiac Arrest 52

Cardiac Arrest STEMI Hemorrhage Hospital 52

Dr. Smith's ECG Blog

APRIL 3, 2019

You might think it is "Old MI with persistent ST Elevation" (otherwise known as "LV aneurysm" morphology.") That is a reasonable thought, but we have shown that if there is one lead of V1-V4 with a T/QRS ratio greater than 0.36, then it is STEMI, not LV aneurysm. Formula value = 20.89, which is much higher than the cutpoint of 18.2

STEMI 40

STEMI Chest Pain Ischemia Aneurysm 40

Open Heart

MARCH 22, 2025

Poisson regressions with robust standard errors were used to examine the relative change in event rates over time, overall and by subgroup.

Cardiovascular Disease 52

Cardiovascular Disease Peripheral Arterial Disease Myocardial Infarction Atrial Fibrillation 52

Dr. Smith's ECG Blog

APRIL 8, 2015

Look for Vascular Etiology -- think of these while doing H and P: --Bleeding: ruptured AAA, GI bleed, ruptured ectopic pregnancy, other spontaneous bleed such as mesenteric aneurysms. to 1.64) for myocardial infarction or death from coronary heart disease, and 1.06 (95 percent confidence interval, 0.77 Left axis deviation, 5.

Arrhythmia 52

Arrhythmia Outcomes Chest Pain Risk Factors 52

Dr. Smith's ECG Blog

FEBRUARY 26, 2025

When there are QS-waves, one should always think about LV aneurysm, but ST to QRS ratio and T-wave to QRS ratio are far too large and not compatible with left ventricular aneurysm. It could also, given a different clinical context be compatible with a subacute myocardial infarction complicated by post infarct regional pericarditis.

Chest Pain 88

Chest Pain Pericarditis Myocardial Infarction Dementia 88

Dr. Smith's ECG Blog

OCTOBER 27, 2024

No thoracic aortic hematoma, aneurysm or dissection. Immediate and early percutaneous coronary intervention in very high-risk and high-risk non-ST segment elevation myocardial infarction patients. Patient states pain improved on ambulance ride over after receiving 325 mg Aspirin and nitroglycerin, with pain down to 2/10.

STEMI 120

STEMI Chest Pain Myocardial Infarction Aneurysm 120