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 127

Plaque Angina Blog Stents 127

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.

Angina 52

Angina Ischemia Coronary Angiogram Stenosis 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

Dr. Smith's ECG Blog

MAY 20, 2024

If it is angina, lowering the BP with IV Nitroglycerine may completely alleviate the pain and the (unseen) ECG ischemia. However, in light of risk factors for atherosclerotic disease and dynamic EKG changes today, we will pursue a CTCA tomorrow for further evaluation of coronaries.

Chest Pain 125

Chest Pain Blood Pressure Ischemia STEMI 125

Heart BMJ

JANUARY 29, 2024

Likelihood of CAD can be estimated based on symptoms and risk factors, and an abnormal ECG may also be helpful. Invasive coronary angiography as a first-line test tends to be reserved for patients with high probability of CAD (typical angina symptoms with risk.

Exercise 40

Exercise Chest Pain Coronary Artery Disease Angina 40

DAIC

JANUARY 23, 2024

11 Despite the link between inflammation and cardiovascular disease has been proven by extensive research, most physicians have focused on treating high-risk patients with lipid lowering therapies including statin therapy.1,12,13 mg) to reduce the risks of heart attack, stroke, coronary revascularization, and CV death.29 Circulation.

Cardiovascular Disease 111

Cardiovascular Disease Heart Attack Heart attacks Coronary Artery Disease 111

Heart BMJ

MARCH 22, 2024

Immune-mediated inflammatory diseases (IMIDs) are recognised risk factors for accelerated atherosclerotic cardiovascular disease (CVD), particularly in younger individuals and women who lack traditional CVD risk factors.

Plaque 40

Plaque Atherosclerosis Risk Factors Angina 40

MIBHS

JULY 31, 2024

Unhealthy Coping Mechanisms When under constant stress, many people turn to unhealthy coping mechanisms like overeating, smoking, or excessive alcohol consumption – habits that can further exacerbate cardiovascular issues by contributing to obesity, high blood pressure, and other risk factors.

Blood Pressure 52

Blood Pressure Heart Attack Heart attacks Heart Rhythm 52

Dr. Smith's ECG Blog

DECEMBER 7, 2023

I quickly reviewed the patient’s records and saw that she was a 53 year old woman with a history of BMI 40, but no other identifiable risk factors for coronary artery disease. The absence of risk factors for coronary artery disease does not mean a patient is not at risk for OMI.

SCAD 124

SCAD Ischemia Coronary Artery Disease Cardiomyopathy 124

Journal of the American Heart Association

FEBRUARY 3, 2025

We aimed to investigate this association.Methods and ResultsThe CMDR (Coronary Microvascular Disease Registry) is a prospective, 2center registry that is enrolling patients with angina and nonobstructive coronary artery disease who underwent invasive hemodynamic assessment of the coronary microvasculature.

Coronary Artery Disease 40

Coronary Artery Disease Angina Risk Factors 40

Frontiers in Cardiovascular Medicine

FEBRUARY 27, 2024

Patients with a new or recurrent episode of ASCVD (angina, acute myocardial infarction, transient ischemic attack, stroke, or peripheral arterial disease) between 1-Jan-2017 and 31-Dec-2018 were included. The resources use within two years of the diagnosis was estimated in order to estimate the average cost of patient follow-up.

Cardiovascular Disease 45

Cardiovascular Disease Peripheral Arterial Disease Drug Costs Myocardial Infarction 45

Dr. Smith's ECG Blog

NOVEMBER 17, 2014

No risk factors, leads a healthy lifestyle. No risk factors, leads healthy lifestyle. This is clearly an oversimplification, as many patients have pain for very long periods that is not irreversible infarction but rather ongoing angina. BP 112/80, SpO2 100%. Patient appears only slightly anxious.

Aneurysm 52

Aneurysm STEMI Chest Pain Risk Factors 52

DAIC

FEBRUARY 29, 2024

ET Murphy Ballroom 4 Health 360x Registry: Scalable Workforce for Equitable Access to Point of Care Decentralized Clinical Trials Prevalence of Cardiovascular Disease and Risk Factors Among National Football League Alumni and Their Family Members: Results from the Huddle Study Hózhó (Heart Failure Optimization at Home to Improve Outcomes): A Pragmatic (..)

Aortic valve 103

Aortic valve Myocardial Infarction Aortic Blood Pressure 103

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

Dr. Sanjay Gupta

DECEMBER 19, 2022

Genetics and physiological stress are also risk factors. MINOCA – When a heart attack is not a heart attack Keywords: MINOCA; MI with normal coronary arteries; Coronary vasospasm; Microvascular angina; Syndrome X; Prinzmetal angina. Here is a video I have done on this subject.

Heart attacks 40

Heart attacks Heart Attack Blood Clot Chest Pain 40

Dr. Smith's ECG Blog

JANUARY 1, 2013

A middle aged male with no h/o CAD presented with one week of crescendo exertional angina, and had chest pain at the time of the first ECG: Here is the patient's previous ECG: Here is the patient's presenting ED ECG: There is isolated ST depression in precordial leads, deeper in V2 - V4 than in V5 or V6. There is no ST elevation.

STEMI 52

STEMI Ischemia Chest Pain Myocardial Infarction 52

Dr. Smith's ECG Blog

JULY 31, 2018

She had zero CAD risk factors. SCAD occurs in patients with few or non-traditional cardiovascular risk factors. There has been multiple factors associated with SCAD that may predispose to a weaken arterial wall, fibromuscular dysplasia (FMD) and pregnancy being the most common 2,5. Int J Cardiol. 2016;207:341–348.

SCAD 52

SCAD Chest Pain Myocardial Infarction Ischemia 52

Dr. Smith's ECG Blog

JULY 3, 2018

This transient occlusion can happen repeatedly without even making a troponin if the episodes are brief enough, and this type of stuttering event is what used to be the meaning of the term unstable angina. It is unacceptable as an initial diagnosis in patient with risk factors for heart disease.

Pericarditis 52

Pericarditis Chest Pain Stents Stent 52

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.

Risk Factors 40

Risk Factors Cardiovascular Disease Cholesterol Hypertension 40

Circulation

NOVEMBER 11, 2024

Premature ASCVD status was determined by interviews conducted at enrollment, encompassing a self-reported composite disease history of coronary heart disease, angina pectoris, heart attack, and stroke. Maintaining a healthy lifestyle and controlling modifiable risk factors are crucial in preventing premature ASCVD in the younger demographic.

Cardiovascular Disease 40

Cardiovascular Disease Heart Attack Heart attacks Angina 40

MIBHS

DECEMBER 13, 2024

The connection between heart health, vascular risk factors, and sexual function is well-documented, with poor cardiovascular health often leading to or exacerbating erectile issues. The aim is to restore proper blood flow to the heart, alleviating symptoms like chest pain (angina) and reducing the risk of heart attacks.

Coronary Artery Bypass Graft 52

Coronary Artery Bypass Graft Diet Heart Disease Risk Factors 52

Journal of the American Heart Association

FEBRUARY 27, 2024

We evaluated the primary outcome (cardiovascular death, myocardial infarction, or hospitalization for unstable angina, heart failure, or resuscitated cardiac arrest) and other end points, by sex, in 1168 (22.6%) women and 4011 (77.4%) men. Guideline‐directed medical therapy use was lower among women with fewer risk factor goals attained.

Ischemia 45

Ischemia Coronary Artery Disease Myocardial Infarction Outcomes 45

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

NOVEMBER 21, 2024

CVD was defined as a self-reported physician's diagnosis of congestive heart failure, coronary heart disease, angina pectoris, myocardial infarction, or stroke. ConclusionsThis study shows that there is a non-linear relationship between eGFR and CVD risk in the US adult population. ml/min/1.73 m².

Cardiovascular Disease 52

Cardiovascular Disease Myocardial Infarction Kidney Disease Angina 52