article thumbnail

Smidt Heart Institute Opens Aortic Surveillance Clinic

DAIC

Experts at the Smidt Heart Institute's new Aortic Surveillance Clinic will monitor patients with aortic aneurysms (illustrated here) or enlarged aortas. Cohen has more than 25 years of experience monitoring and treating patients with aortic aneurysm. The aorta is the largest and most important artery.

Aortic 105
article thumbnail

Abstract TP100: Predictors of Skilled Nursing Facility Length of Stay and Discharge after Aneurysmal Subarachnoid Hemorrhage

Stroke Journal

Survivors often require extended care at skilled nursing facilities (SNF) or long-term acute care centers (LTAC). Stroke, Volume 56, Issue Suppl_1 , Page ATP100-ATP100, February 1, 2025. Introduction:Aneurysmal subarachnoid hemorrhage (aSAH) carries high morbidity and mortality.

Nursing 40
article thumbnail

Abstract 113: Treatment of Tiny (? 3mm) Unruptured Middle Cerebral Artery Aneurysms Are Associated With High Risk of Procedural Complications: An Analysis of the Neurovascular Quality Initiative-Quality Outcomes Database

Stroke Journal

Introduction:Improved imaging modalities have led to an increased detection of intracranial aneurysms, many of which are small. Tiny size was defined as an aneurysm with a maximum dimension of ≤3 mm. Demographics, aneurysm characteristics and treatment safety were queried. The mean aneurysm width was 1.9

article thumbnail

Abstract NS1: Identification of Subarachnoid Hemorrhage: The Impact of a Nurse Led Screening Tool Utilizing the Ottawa Rule

Stroke Journal

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. Stroke, Volume 56, Issue Suppl_1 , Page ANS1-ANS1, February 1, 2025.

Nursing 40
article thumbnail

Watch what happens when "pericarditis" and morphine cloud your judgment

Dr. Smith's ECG Blog

At 0800 the cardiology fellow is called to the bedside by the nurse as the patient again complains about 4/10 chest pain. The full thickness infarction with LV aneurysm morphology places him at a higher risk for short and long term complications (e.g., Thats really all pericarditis is good for. ng/mL (mildly elevated).

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. In spite of aggressive questioning, he denied chest pain, but he did tell one triage nurse that he had had some chest burning, and so he underwent an ECG: There are deep Q-waves and QS-waves in precordial leads V2-V3, with a bit of R-wave left in V4.

STEMI 52
article thumbnail

A teenager with chest pain, a troponin below the limit of detection, and "benign early repolarization"

Dr. Smith's ECG Blog

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.