Dr. Smith's ECG Blog

MAY 20, 2024

The Queen of Hearts disagrees, diagnosing OMI with high confidence: Case Continued: The EKG was not immediately recognized by the emergency provider, who ordered a CT scan to rule out aortic dissection at 1419. If it is angina, lowering the BP with IV Nitroglycerine may completely alleviate the pain and the (unseen) ECG ischemia.

Chest Pain 125

Chest Pain Blood Pressure Ischemia STEMI 125

EMS 12-Lead

JULY 24, 2023

Given the consistency of the clinical profile with typical angina, associated risk factors, and abnormal ECG findings, a cardiology consult was promptly requested. Aortic Stenosis f. Aortic Stenosis [No Hx syncope, and no systolic murmur] f. 3-vessel disease with a culprit lesion [Typical angina, multiple risk factors] b.

Angina 52

Angina Ischemia Coronary Angiogram Stenosis 52

All About Cardiovascular System and Disorders

APRIL 10, 2024

The typical pain of cardiac origin is a central chest pain which occurs on walking or other forms of exercise, known as effort angina. Effort angina is commonly due to significant obstruction to a blood vessel (coronary artery) supplying a part of the heart muscle. Pain is likely to be more if you are walking after a heavy meal.

Chest Pain 52

Chest Pain Angina Pericarditis Exercise 52

Dr. Smith's ECG Blog

SEPTEMBER 5, 2024

Left ventricular afterload reduction is essential to decrease the trans-se ptal pressure gradient and thus decrease shunt volume, making a larger proportion of the blood flow from the left ventricle through the aortic valve. Surgical repair of the VSR was eventually done.

Cardiogenic Shock 109

Cardiogenic Shock Chest Pain Pericarditis Myocardial Infarction 109

Dr. S. Venkatesan MD

DECEMBER 2, 2023

may be misdiagnosed as post infarct angina. This has important clinical significance , as many successfully lysed STEMI patient might have minimal segments of dissection/deep plaque fissures. , Spontaneous coronary dissection vs Iatrogenic dissection SCAD is a rare , different entity , enjoys a popular space in the patho-physiology of CAD.

SCAD 52

SCAD Plaque Angina STEMI 52

Dr. Smith's ECG Blog

MAY 10, 2023

No signs for aortic dissection or pulmonary embolus. --"Results were discussed with the ordering physician. A CT Coronary angiogram was ordered. Here are the results: --Minimally obstructive coronary artery disease. --LAD LAD plaque with 0-25 percent stenosis. CAD-RADS category 1. --No

Coronary Angiogram 52

Coronary Angiogram Chest Pain Stenosis STEMI 52

Cardiology Update

APRIL 9, 2024

SMART 4 ( NCT04722250 ) studied patients with severe aortic stenosis and a small aortic annulus who underwent transcatheter aortic valve replacement (TAVR). The primary endpoint consisted of a composite of all-cause mortality, MI, stroke, coronary revascularization, or hospitalization for unstable angina.

Angina 52

Angina Myocardial Infarction Aortic valve Coronary Artery Disease 52

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 The benefit was most significant in reducing the incidence of stroke and angina requiring revascularization.35 4 In the U.S. 12 Importantly, colchicine, 0.5

Cardiovascular Disease 111

Cardiovascular Disease Heart attacks Heart Attack Coronary Artery Disease 111

Dr. Smith's ECG Blog

AUGUST 9, 2019

Beware crescendo angina in patient with known CAD ST Elevation in aVR Case 7. baseline LVH, demand ischemia secondary to respiratory failure, aortic stenosis, hemorrhagic shock). And thus it is a hybrid of de Winter's T-waves and Diffuse subendocardial ischemia. Another left main occlusion, but this one shows subendocardial ischemia.

Myocardial Infarction 52

Myocardial Infarction Ischemia STEMI Cardiogenic Shock 52

Dr. S. Venkatesan MD

MARCH 17, 2025

If LV contraction interferes with coronary blood flow, a patient with severe LV dysfunction gains some advantage as systolic blood flow can happen more easily, and myocardium is perfused better, provided his aortic systolic pressure not too low enough. How common is angina in DCM ? Angina in DCM is an exception despite elevated LVEDP.

Angina 59

Angina Physiology Cardiomyopathy Aortic 59

Frontiers in Cardiovascular Medicine

NOVEMBER 21, 2024

BackgroundAnomalous aortic origin of a coronary artery (AAOCA) is associated with an increased risk of myocardial ischemia and sudden cardiac death. The incidence of postoperative cardiac-type symptoms (angina, syncope or dyspnea) was higher in ALCA-R patients compared to ARCA-L patients.

Aortic 52

Aortic Sudden Cardiac Death Angioplasty Outcomes 52

Dr. Smith's ECG Blog

FEBRUARY 26, 2025

Larger shunt volume means less blood exiting the left ventricle through the aortic valve and lower cardiac output. The pressure gradient in this case was significant indicating that the defect is rather small. The larger the size of the defect the larger the shunt.

Chest Pain 89

Chest Pain Pericarditis Myocardial Infarction Dementia 89