Angina, Exercise and Ischemia - Cardiovascular Update

Decoding the Menace Within: Unraveling Myocardial Bridges and Exercise-Induced Ischemia

Cardiology Update

JANUARY 14, 2024

The perplexing landscape of angina with nonobstructive coronary arteries (ANOCA) encompasses diverse pathophysiological entities, including coronary microvascular disease (CMD), coronary artery spasm, and the enigmatic myocardial bridging (MB). Original article: Sinha A et al. Circ Cardiovasc Interv.

Exercise

Exercise Ischemia Angina Physiology

BioCardia’s CardiAMP Cell Therapy Chronic Myocardial Ischemia Trial Results Show Patient Benefits in Important Outcomes

DAIC

MAY 2, 2024

a developer of cellular and cell-derived therapeutics for the treatment of cardiovascular and pulmonary diseases, today announced the primary endpoint results of the open label roll-in cohort of the CardiAMP Cell Therapy in Chronic Myocardial Ischemia Trial. Getty Images milla1cf Thu, 05/02/2024 - 10:12 May 2, 2024 — BioCardia, Inc. ,

Ischemia

Ischemia Angina Heart Failure Outcomes

Dynamic OMI ECG. Negative trops and negative angiogram does not rule out coronary ischemia or ACS.

Dr. Smith's ECG Blog

SEPTEMBER 18, 2024

This confirms that the pain was ischemia and is now resovled. The cardiology fellow agreed with plan for emergent cath and escorted the patient to the cath lab. Another ECG was recorded after the nitroglycerine and now without pain: All findings are resolved. The i nitial hs troponin I returned 75%.

Ischemia

Ischemia Plaque Stenosis Myocardial Infarction

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

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Non-ischemic phenotypes of low-risk chest pain patients based on exercise stress echocardiography: a pilot study

Frontiers in Cardiovascular Medicine

FEBRUARY 18, 2025

ObjectiveA significant proportion (85%) of low-risk non-ST-elevation acute coronary syndrome (NSTE-ACS) patients do not receive objective confirmation of ischemia by stress echocardiography (SE), yet remain a healthcare burden due to lower long-term survival and overuse of medical services.

Chest Pain

Chest Pain Exercise Angina Coronary Artery Disease

Characterising Mechanisms of Ischemia in Patients with Myocardial Bridges

Circulation: Cardiovascular Interventions

NOVEMBER 6, 2023

We sought to determine the substrates for ischemia in patients with angina, nonobstructive coronary arteries (ANOCA) and a MB in the left anterior descending artery.Methods:Patients with ANOCA underwent acquisition of intracoronary pressure and flow during rest, supine bicycle exercise and adenosine infusion. 0.05; CFR was 2.5±0.5,

Ischemia

Ischemia Exercise Angina Cardiovascular Interventions

Chest pain, a ‘normal’ ECG, a 'normal trop', and low HEART and EDACS scores: Discharge home? Stress test? Many errors here.

Dr. Smith's ECG Blog

APRIL 22, 2022

We are told that the Stress Echo that was performed showed objective evidence of inducible ischemia ( confirmed apparently by both wall motion abnormalities and ECG changes ). Was this objective evidence of inducible ischemia accompanied by chest pain? Was this objective evidence of inducible ischemia accompanied by chest pain?

Chest Pain

Chest Pain Ischemia Myocardial Infarction Angina

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

DAIC

FEBRUARY 29, 2024

ET Main Tent (Hall B1) This session offers more insights from key clinical trials presented at ACC.24 24 and find out what it all means for your patients.

Aortic valve

Aortic valve Myocardial Infarction Aortic Blood Pressure

ECG Blog #386 — OMI or Something Else?

Ken Grauer, MD

JULY 15, 2023

The ECG in Figure-1 was obtained from a previously healthy middle-aged man — who while performing his regular exercise routine, developed "slight" chest discomfort and "palpitations". ie, Severe subendocardial ischemia from sustained VT in a patient severe apical cardiomyopathy resulted in a peak troponin >31,000 ng/L in today's case ).

Blog

Blog Coronary Angiogram Cardiomyopathy Ischemia

Syncope and Prehospital Cath Lab activation -- What do you think?

Dr. Smith's ECG Blog

FEBRUARY 6, 2020

Next day, a stress echo was done: The exercise stress echocardiogram is normal. The patient did not report angina with stress. This ST-T wave appearance in the lateral chest leads of ECG #2 is consistent with L V “ S train” vs ischemia. No wall motion abnormality at rest. No wall motion abnormality with stress.

Chest Pain

Chest Pain Ischemia Angina Electrocardiogram

Do Stents Make You Feel Better?

Dr. Paddy Barrett

DECEMBER 5, 2023

Whether stenting a narrowed coronary artery improves symptoms such as chest pain (angina) or shortness of breath is a very different question. Share Angina The classic definition of angina involves the sensation of tightness in the centre of the chest that is brought on with exertion and is relieved with rest. The result?

Stents

Stents Stent Angina Heart Attack

Understanding Coronary Circulation: The Steps that Keep Your Heart Pumping

MIBHS

OCTOBER 15, 2024

For example, if a coronary artery becomes blocked due to plaque buildup (a condition known as coronary artery disease), the heart muscle may not receive enough oxygen, leading to chest pain (angina) or, in more severe cases, a heart attack. CAD is one of the leading causes of heart attacks.

Circulation

Circulation Heart Attack Heart attacks Chest Pain

Association of Depression and Poor Mental Health With Cardiometabolic Disease in Women

Cardiometabolic Health Congress

MAY 10, 2024

In MSIMI (Mental Stress-induced Myocardial Ischemia) studies , mental stress activities like public speaking were evaluated for their impact on ischemia, measured via myocardial SPECT and vascular function (microvascular function, endothelial function). Moreover, women under 50 years old are four times more likely to experience MSIMI.

Coronary Artery Disease

Coronary Artery Disease Obesity Chest Pain Ischemia

Case Report: Painful left bundle branch block syndrome complicated with vasovagal syncope

Frontiers in Cardiovascular Medicine

JANUARY 8, 2025

BackgroundPainful left bundle branch block (LBBB) syndrome is an uncommon disease that is defined as intermittent episodes of angina associated with simultaneous LBBB changes on an electrocardiogram (ECG) with the absence of flow-limiting coronary artery disease or ischemia on functional testing.

Chest Pain

Chest Pain Angina Coronary Artery Disease Blood Pressure

Decoding the Menace Within: Unraveling Myocardial Bridges and Exercise-Induced Ischemia

BioCardia’s CardiAMP Cell Therapy Chronic Myocardial Ischemia Trial Results Show Patient Benefits in Important Outcomes

Dynamic OMI ECG. Negative trops and negative angiogram does not rule out coronary ischemia or ACS.

Webinars

Non-ischemic phenotypes of low-risk chest pain patients based on exercise stress echocardiography: a pilot study

Characterising Mechanisms of Ischemia in Patients with Myocardial Bridges

Chest pain, a ‘normal’ ECG, a 'normal trop', and low HEART and EDACS scores: Discharge home? Stress test? Many errors here.

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

ECG Blog #386 — OMI or Something Else?

Syncope and Prehospital Cath Lab activation -- What do you think?

Do Stents Make You Feel Better?

Understanding Coronary Circulation: The Steps that Keep Your Heart Pumping

Association of Depression and Poor Mental Health With Cardiometabolic Disease in Women

Case Report: Painful left bundle branch block syndrome complicated with vasovagal syncope

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