Angina and Embolism - Cardiovascular Update

EM Quick Hits 5 Ludwig’s Angina, Transient Monocular Vision Loss, D-dimer for PE Workup in Pregnancy, Pediatric Nasal Foreign Bodies, Trimethoprim Drug Interactions, Airway Management in Cardiac Arrest

ECG Cases

JUNE 4, 2019

The post EM Quick Hits 5 Ludwig’s Angina, Transient Monocular Vision Loss, D-dimer for PE Workup in Pregnancy, Pediatric Nasal Foreign Bodies, Trimethoprim Drug Interactions, Airway Management in Cardiac Arrest appeared first on Emergency Medicine Cases.

Cardiac Arrest

Cardiac Arrest Angina Pediatrics Embolism

Call for papers! Thematic Collection on Cardiac Amyloidosis

International Journal of Cardiovascular Sciences

SEPTEMBER 13, 2023

The disease can cause a variety of symptoms, including heart failure, arrhythmias, peripheral embolism, dysautonomia, angina with normal coronary arteries, and others. The aim of this thematic collection is to gather high-quality articles that contribute to the advancement of knowledge about cardiac amyloidosis.

Article

Article Angina Quality of Life Embolism

Concerning EKG with a Non-obstructive angiogram. What happened?

Dr. Smith's ECG Blog

DECEMBER 19, 2023

The commonest causes of MINOCA include: atherosclerotic causes such as plaque rupture or erosion with spontaneous thrombolysis, and non-atherosclerotic causes such as coronary vasospasm (sometimes called variant angina or Prinzmetal's angina), coronary embolism or thrombosis, possibly microvascular dysfunction.

Plaque

Plaque Angina Blog Stent

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

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Abstract TP136: STRACK: A Continuum of Stroke Care, Improving Post-Stroke and Cardiometabolic Patient Outcomes

Stroke Journal

JANUARY 30, 2025

Reduction in admissions for stroke recurrence or related to stroke, (heart attack, angina, peripheral embolism, etc.): Stroke, 30days: -100%; Related to stroke, (365d: -47,7%; 30d: -57,0%). Reduction in cardiovascular admissions ( 30d: -100%; 365d: -31,4%).

Stroke

Stroke Strokes Risk Factors Atrial Fibrillation

A 30-something with Chest pain and SOB

Dr. Smith's ECG Blog

MARCH 4, 2023

The ECG is rather classic for pulmonary embolism, and indeed this was a large acute PE. This is NOT Wellens because the T-wave inversion is DURING the pain (not after -- Wellens' is a syndrome of TWI after an episode of angina is resolved). this is highly suggestive of pulmonary embolism. This is a classic S1Q3T3. Kosuge et al.

Chest Pain

Chest Pain Embolism Tachycardia Pulmonary

American College of Cardiology ACC.24 Late-breaking Science and Guidelines Session Summary

DAIC

FEBRUARY 29, 2024

ET Main Tent (Hall B1) A Selective Aldose Reductase Inhibitor (at-001) For the Treatment of Diabetic Cardiomyopathy: Primary Results of the Phase 3 Randomized Controlled ARISE-HF Study Efficacy and Safety of Ninerafaxstat, a Novel Cardiac Mitotrope, in Patients with Symptomatic Nonobstructive Hypertrophic Cardiomyopathy: Results of IMPROVE-HCM Topical (..)

Aortic valve

Aortic valve Myocardial Infarction Aortic Blood Pressure

MINOCA : When a heart attack is not a heart attack

Dr. Sanjay Gupta

DECEMBER 19, 2022

Coronary artery embolism – In this scenario, a blood clot which forms elsewhere goes down a coronary artery, causing a blockage but by the time we do the angiogram, the clot has dissipated and we see unobstructed vessels. Here is a video I have done on this subject.

Heart Attack

Heart Attack Heart attacks Blood Clot Chest Pain

Initial Reperfusion T-waves, Followed by Pseudonormalization. Diagnosis?

Dr. Smith's ECG Blog

MARCH 11, 2016

A middle-aged woman had intermittent angina for 48 hours, then onset of constant, crushing chest pain for 1.5 Both of these are very suggestive of " No-Reflow ," or poor microvascular reperfusion due to downstream embolization of microscopic platelet-fibrin aggregates. hours when she called 911.

Myocardial Infarction

Myocardial Infarction Pericarditis STEMI Angina

A 30-something woman with intermittent CP, a HEART score of 2 and a Negative CT Coronary Angiogram on the same day

Dr. Smith's ECG Blog

MAY 10, 2023

If there are T-wave inversions and elevated trops in the context of persistent pain, think of other pathologies such as pulmonary embolism. Wellens' syndrome will almost always develop elevated troponins. Wellens' syndrome is a post-OMI syndrome after spontaneous reperfusion. It is likely that the artery will re-occlude.

Coronary Angiogram

Coronary Angiogram Chest Pain Stenosis STEMI

Hypertrophic Cardiomyopathy

All About Cardiovascular System and Disorders

APRIL 30, 2024

Angina is another common symptom due the hypertrophy which causes a coronary supply demand mismatch Symptoms of HCM include syncope/near syncope, which could be precipitated by exertion, hypovolemia, rapid standing, Valsalva manoeuvre, diuretics, vasodilators or arrhythmia. Doppler echo showing LVOT gradient in HCM.

Cardiomyopathy

Cardiomyopathy Bicuspid/Mitral Document Arrhythmia

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting."

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

Takotsubo is a sudden event, not one with crescendo angina. 9 This dissociation between the degree of stenosis and the propensity to provoke an acute coronary syndrome helps to explain why myocardial infarction often occurs without being heralded by the demand-induced symptoms of angina that would result from a high-grade stenosis.

Plaque

Plaque Chest Pain Thrombosis Stenosis

Are there hyperacute T-waves? And how can we know?

Dr. Smith's ECG Blog

DECEMBER 6, 2024

Today's patient is a 50-something year old man who presented with increasingly severe exertional angina, for which his CP ( C hest P ain ) was just resolving at the time his initial ( triage ) ECG was recorded ( TOP tracing in Figure-1 ). By itself seeing this ECG pattern does not necessarily mean that the patient has a pulmonary embolism.

Coronary Artery Bypass Graft

Coronary Artery Bypass Graft Ischemia Chest Pain Stenosis

Can you localize the culprit lesion on angiogram without taking ECG findings into account?

Dr. Smith's ECG Blog

MARCH 25, 2025

I have said before, treating angina with morphine and continuing non-emergent management is like taking the batteries out of an actively alarming smoke detector during a house fire and going back to sleep. And it is definitely possible that a more proximal LCx lesion ruptured and produced distal embolism.

Chest Pain

Chest Pain Ischemia Plaque Stent

EM Quick Hits 5 Ludwig’s Angina, Transient Monocular Vision Loss, D-dimer for PE Workup in Pregnancy, Pediatric Nasal Foreign Bodies, Trimethoprim Drug Interactions, Airway Management in Cardiac Arrest

Call for papers! Thematic Collection on Cardiac Amyloidosis

Concerning EKG with a Non-obstructive angiogram. What happened?

Webinars

Abstract TP136: STRACK: A Continuum of Stroke Care, Improving Post-Stroke and Cardiometabolic Patient Outcomes

A 30-something with Chest pain and SOB

American College of Cardiology ACC.24 Late-breaking Science and Guidelines Session Summary

MINOCA : When a heart attack is not a heart attack

Initial Reperfusion T-waves, Followed by Pseudonormalization. Diagnosis?

A 30-something woman with intermittent CP, a HEART score of 2 and a Negative CT Coronary Angiogram on the same day

Hypertrophic Cardiomyopathy

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting."

Are there hyperacute T-waves? And how can we know?

Can you localize the culprit lesion on angiogram without taking ECG findings into account?

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