Dr. Smith's ECG Blog

APRIL 22, 2024

A 50-something male with hypertension and 20- to 40-year smoking history presented with 1 week of stuttering chest pain that is worse with exertion, which takes many minutes to resolve after resting and never occurs at rest. Angiography : --Culprit for the patient's unstable angina/Wellen syndrome is a ruptured plaque in the mid LAD. --As

Chest Pain 117

Chest Pain Myocardial Infarction Anatomy Angina 117

Dr. Smith's ECG Blog

DECEMBER 19, 2023

link] A 62 year old man with a history of hypertension, type 2 diabetes mellitus, and carotid artery stenosis called 911 at 9:30 in the morning with complaint of chest pain. This is written by Willy Frick, an amazing cardiology fellow in St. He described it as "10/10" intensity, radiating across his chest from right to left.

Plaque 126

Plaque Angina Blog Stent 126

Frontiers in Cardiovascular Medicine

NOVEMBER 17, 2024

Interaction analyses demonstrated significant interactions between myocardial infarction incidence and WWI with age, hypertension, coronary heart disease, angina pectoris, and stroke (P for interaction 0.05).ConclusionsThe Subgroup analyses revealed that the impact of WWI on myocardial infarction varied across different populations.

Myocardial Infarction 59

Myocardial Infarction Angina BMI Obesity 59

Circulation

NOVEMBER 11, 2024

However, TyG index demonstrated a stronger association with total-CVD, CHD and angina pectoris (OR 2.00, 95%CI 1.26-3.18; However, TyG index demonstrated a stronger association with total-CVD, CHD and angina pectoris (OR 2.00, 95%CI 1.26-3.18; 1.66; HR 2.22, 95%CI 1.42-3.47; 3.47; OR 3.99, 95%CI 1.79-8.93). 3.18; OR 1.85, 95%CI 1.19-2.91;

Cardiovascular Disease 40

Cardiovascular Disease Angina Heart Failure Heart Disease 40

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. 3-vessel disease with a culprit lesion [Typical angina, multiple risk factors] b. If they all return normal, then this is unstable angina. Anemia [Normal Hgb] g.

Angina 52

Angina Ischemia Coronary Angiogram Stenosis 52

Dr. Smith's ECG Blog

DECEMBER 14, 2018

He had a history of hypertension but stopped taking his medication several years ago. This appears to be a classic Wellens' ECG, Pattern A, with terminal T-wave inversion in V2-V4, preserved R-waves, and it appears to be Wellens' syndrome, as it occurred after resolution of typical angina pain. Unstable Angina still exists 2.

Chest Pain 52

Chest Pain Angina Ischemia Stenosis 52

Dr. S. Venkatesan MD

JANUARY 14, 2024

In addition, the criteria require the absence of precordial Q waves, the presence of history of angina, and normal or slightly elevated cardiac serum markers. Wellens is a glorified subset of ACS. It can be referred to as an ACS in a confused state of evolution. Most often a critical mechanical LAD lesion is noted.

Anatomy 52

Anatomy Angina STEMI Thrombosis 52

Journal of Cardiovascular Pharmacology

JANUARY 8, 2024

The favorable efficacy of CHM was primarily presented on five main conditions, coronary artery disease, hypertension, heart failure, restenosis, and angina pectoris. The favorable efficacy of CHM was primarily presented on five main conditions, coronary artery disease, hypertension, heart failure, restenosis, and angina pectoris.

Cardiovascular Disease 40

Cardiovascular Disease Coronary Artery Disease Angina Heart Failure 40

Journal of Cardiovascular Electrophysiology

FEBRUARY 19, 2025

Sympathectomy or spinal cord stimulation for the treatment of angina pectoris, as well as cardiac sympathetic denervation for the treatment of long QT syndrome associated with malignant ventricular arrhythmias, have been available and performed for more than half a century.

Atrial Fibrillation 40

Atrial Fibrillation Arrhythmia Angina Ablation 40

MIBHS

JULY 31, 2024

While this response is adaptive in the short term, chronic stress keeps your blood pressure elevated for extended periods, increasing your risk of hypertension (high blood pressure) and its associated complications, such as heart disease and stroke.

Blood Pressure 52

Blood Pressure Heart Attack Heart attacks Heart Rhythm 52

Stroke Journal

JANUARY 30, 2025

Background:The STRACK project aims to improve post-stroke patient management and the transition from acute to primary care thanks to improvements in patient pathways and monitoring cardiovascular risk factors: heart failure, diabetes, atrial fibrillation, dyslipidemia and hypertension.

Strokes 40

Strokes Stroke Atrial Fibrillation Risk Factors 40

The British Journal of Cardiology

APRIL 16, 2024

We present the cumulative percutaneous coronary intervention (PCI) data of all comers (stable angina and acute coronary syndromes [ACS]) who presented to Hadi Clinic between January 2018 and December 2020. Mean age was 60.9 ± 9.4 years, and 459/567 (81.0%) were male.

Outcomes 40

Outcomes Cardiogenic Shock Angina STEMI 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Some case reports have identified IVIg as potential therapy for vasospasm, while others have implicated it as a causative agent in primarily coronary artery vasospasm and the development of atypical angina.

Angina 40

Angina Aneurysm Hypertension Strokes 40

Circulation

NOVEMBER 11, 2024

Case Description:A 59-year-old male with history of hypertension, diabetes, Hashimoto’s thyroiditis presented with new, progressive shortness of breath. However some patients can develop heart failure, angina, and arrhythmia due to significant intracardiac shunt or coronary steal phenomenon. It is often clinically silent.

Coronary Artery Bypass Graft 40

Coronary Artery Bypass Graft ACE Inhibitor Coronary Angiogram Aneurysm 40

Circulation

NOVEMBER 11, 2024

Patients with dextrocardia present a diagnostic challenge, particularly in the context of acute coronary syndrome.Case Presentation:A 49-year-old male with a medical history of dextrocardia, hypothyroidism, dyslipidemia and hypertension was referred to a cardiologist by his primary physician due to a 3-week history of unstable angina.

Coronary Artery Disease 40

Coronary Artery Disease Angioplasty Anatomy Angina 40

Dr. Smith's ECG Blog

NOVEMBER 15, 2013

This was a male in his 50's with a history of hypertension and possible diabetes mellitus who presented to the emergency department with a history of squeezing chest pain, lasting 5 minutes at a time, with several episodes over the past couple of months. Also see this incredible case of the use of 12-lead ST Segment monitoring.

Chest Pain 52

Chest Pain Thrombosis Myocardial Infarction STEMI 52

Dr. Smith's ECG Blog

SEPTEMBER 5, 2024

A VSR is more likely to occur in patients who are older, female, hypertensive, have chronic kidney disease, and have no prior history of smoking. It commonly occurs in the setting of a first myocardial infarction (MI) in the background of delayed or absent reperfusion therapy.

Cardiogenic Shock 109

Cardiogenic Shock Chest Pain Pericarditis Myocardial Infarction 109

DAIC

FEBRUARY 29, 2024

ET Main Tent (Hall B1) Effect of Gamification, Financial Incentives or Both Combined to Increase Physical Activity Among Patients with Elevated Risk For Major Adverse Cardiovascular Events.

Aortic valve 103

Aortic valve Myocardial Infarction Aortic Blood Pressure 103

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. in hypertensives are some of the features.

Cardiomyopathy 40

Cardiomyopathy Bicuspid/Mitral Document Arrhythmia 40

Dr. Smith's ECG Blog

NOVEMBER 3, 2023

A man in his 70s with past medical history of hypertension, dyslipidemia, CAD s/p left circumflex stent 2 years prior presented to the ED with worsening intermittent exertional chest pain relieved by rest. He presented with recent angina that evolved into a 3-hour episode of persistent CP unrelieved by rest. As per Drs.

Chest Pain 81

Chest Pain Cardiogenic Shock Ischemia Myocardial Infarction 81

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

This patient, who is a mid 60s female with a history of hypertension, hyperlipidemia and GERD, called 911 because of chest pain. A mid 60s woman with history of hypertension, hyperlipidemia, and GERD called 911 for chest pain. Takotsubo is a sudden event, not one with crescendo angina. Learning Points: 1.

Plaque 52

Plaque Chest Pain Thrombosis Stenosis 52

Dr. Smith's ECG Blog

FEBRUARY 6, 2020

The patient did not report angina with stress. The complete lack of chest pain in the history in this patient who has longstanding hypertension strongly suggests that rather than ischemia, this symmetric T wave inversion reflects LV “strain” from marked LVH. No wall motion abnormality with stress.

Chest Pain 40

Chest Pain Ischemia Angina Electrocardiogram 40

Frontiers in Cardiovascular Medicine

JANUARY 15, 2024

The overall prevalence of arterial hypertension was 33.2%, hyperlipidemia, 26.9%, smoking, 17.8%, and diabetes, 3.9%. with ST elevated myocardial infarction (STEMI), 3.41% with unstable angina, 0.56% with stable angina, and 0.11% were diagnosed with various types of arrhythmias. Approximately 48.5%

SCAD 75

SCAD Coronary Artery Bypass Graft Outcomes Myocardial Infarction 75

Circulation

NOVEMBER 11, 2024

The study assessed the prevalence of CVD (heart attack, angina pectoris, coronary heart disease, other heart conditions, or stroke) and LE8 risk factors: insufficient physical activity (PA), nicotine exposure, sleep duration, obesity, physician-diagnosed high cholesterol, diabetes, and hypertension. NHW&6.8%

Risk Factors 40

Risk Factors Cardiovascular Disease Cholesterol Hypertension 40

Circulation

NOVEMBER 11, 2024

The primary outcome was the incidence of MACE, including death, acute myocardial infarction, recurrent angina, congestive heart failure, coronary artery bypass grafting, stroke, planned percutaneous coronary intervention (PCI), unplanned PCI, and atrial fibrillation.Results:During the 15-year follow-up, 232 patients (51.2%) experienced MACE.

Myocardial Infarction 40

Myocardial Infarction Coronary Artery Bypass Graft STEMI Angina 40

Cardiometabolic Health Congress

MAY 10, 2024

These indirect and direct factors can lead to obesity, hypertension, hyperlipidemia, diabetes, ischemia with no obstructive coronary artery disease (INOCA), CAD, myocardial infarction (MI), and stroke via the hypothalamic-pituitary-adrenal axis, sympathetic-adrenal-medullary system, sympathetic nervous system, and hypoestrogenemia.

Coronary Artery Disease 59

Coronary Artery Disease Obesity Chest Pain Ischemia 59

Dr. Anish Koka

MAY 16, 2023

Typical angina was defined as a symptom complex that includes substernal chest pressure or pain that was made worse with exertion/emotional stress, and relieved by rest or nitroglycerin. Atypical angina is classified as having any two of the three symptoms, and non-anginal pain any one of the three symptoms. years of age versus 59.0±8.4

Chest Pain 52

Chest Pain Coronary Artery Disease Cancer Heart Attack 52

MIBHS

DECEMBER 13, 2024

The aim is to restore proper blood flow to the heart, alleviating symptoms like chest pain (angina) and reducing the risk of heart attacks. Additionally, younger men often have fewer comorbidities, such as diabetes or hypertension, which can contribute to ED.

Coronary Artery Bypass Graft 52

Coronary Artery Bypass Graft Diet Heart Disease Risk Factors 52

Dr. Smith's ECG Blog

MARCH 6, 2019

A middle-aged woman with history of hypertension presented to another hospital approximately 2 hours after onset of chest pain and shortness of breath. Early Continuous ST Segment Monitoring in Unstable Angina: Prognostic Value Additional to the Clinical Characteristics and the Admission Electrocardiogram. mm STE in V1 and 1.5-2.0

STEMI 52

STEMI Chest Pain Ischemia Myocardial Infarction 52

Dr. S. Venkatesan MD

MARCH 17, 2025

How common is angina in DCM ? Angina in DCM is an exception despite elevated LVEDP. Is the above logic explain why very few dilated cardiomyopathy patients experience angina? Even in ischemic cardiomyopathy, once it sets in, Intensity of angina is mitigated or completley eliminated.(of of course at the cost of failure).

Angina 59

Angina Physiology Cardiomyopathy Aortic 59

Frontiers in Cardiovascular Medicine

DECEMBER 20, 2024

CVD included stroke, congestive heart failure, coronary heart disease, and angina. Asthma also increased the prevalence of angina in females, non-Hispanic Blacks, participants aged 4559 years old, with a BMI30.00kg/m2, and with a PIR<1.00.

Cardiovascular Disease 52

Cardiovascular Disease Heart Failure Angina BMI 52

Heart BMJ

JANUARY 13, 2025

hypertension and 19.2% Considering INOCA endotypes, Gensini scores differed among participants with microvascular angina (MVA) (7.0 (2.5–11.0)), –11.0)), vasospastic angina (VSA) (4.5 (2.0–10.0)), Angiographic analyses were performed blind to coronary physiology findings. smoking, 63.6% diabetes mellitus.

Plaque 52

Plaque Coronary Artery Disease Angina Physiology 52

Cardiometabolic Health Congress

NOVEMBER 22, 2024

New FDA-Approved Hypertension Treatments : The FDA’s approval of aprocitentan for hypertension marks a major step forward in treating patients who are not adequately controlled on other antihypertensive drugs. The trial highlights the importance of reevaluating and optimizing thrombolytic therapies for better patient outcomes.

Blood Pressure 59

Blood Pressure Obesity Preserved Ejection Fraction Coronary Artery Disease 59

Dr. Smith's ECG Blog

MARCH 17, 2025

Written by Willy Frick A man in his 60s with a history of hypertension and 40 pack-year history presented to the ER with 1 day of intermittent, burning substernal chest pain radiating into both arms as well as his back and jaw. Even though guidelines say that patients with high-risk features, refractory angina, instability, etc.

STEMI 80

STEMI Chest Pain Myocardial Infarction Document 80

Dr. Smith's ECG Blog

JANUARY 5, 2025

Written by Willy Frick A man in his 60s with hypertension and prior stroke presented with three days of crushing chest pain. On Sunday, the patient complained of dyspnea and angina while ambulating. He reported intermittent chest pain for the last few months, but never lasting this long. Echocardiogram showed inferior wall hypokinesis.

Chest Pain 76

Chest Pain Ischemia Angina Echocardiogram 76

Dr. Smith's ECG Blog

FEBRUARY 26, 2025

Mechanical complications such as free wall rupture, VSR and papillary muscle rupture is more likely to occur in patients who are older, female, hypertensive, have chronic kidney disease, and have no prior history of smoking. The patient was not considered a surgical candidate.

Chest Pain 88

Chest Pain Pericarditis Myocardial Infarction Dementia 88