EMS 12-Lead

APRIL 9, 2024

The CXR demonstrated no pulmonary edema. The LM has an irregular 30% distal stenosis, followed by an 80% ostial LAD stenosis, and total occlusion of the LAD proximally with TIMI grade 1 flow in the distal vessel. The LCX demonstrates an ostial 80% stenosis prior to the bifurcation of a large OM artery. Type II ischemia.

Ischemia 116

Ischemia Stenosis Chest Pain Coronary Artery Disease 116

Frontiers in Cardiovascular Medicine

JULY 17, 2024

This report delineates two instances of AAV with large arterial involvement, one case presenting with lesions of the aortic valve and the other with lesions of the pulmonary artery. The patient's aortic valve thickening virtually disappeared after treatment with hormones combined with immunosuppressive agents.

Aortic valve 59

Aortic valve Pulmonary Aortic Heart Failure 59

Journal of the American Heart Association

FEBRUARY 23, 2024

BackgroundChronic inflammatory disease (CID) accelerates atherosclerosis and the development of aortic stenosis. Data on long‐term outcomes after transcatheter aortic valve implantation (TAVI) in those patients are missing. and 1.62, respectively).

Aortic valve 49

Aortic valve Aortic Outcomes Atrial Fibrillation 49

All About Cardiovascular System and Disorders

MARCH 29, 2024

One is ventricular septal defect, second is overriding aorta, third is pulmonary stenosis, usually right ventricular outflow tract stenosis and associated right ventricular hypertrophy. You can see the ventricular septal defect and aortic over ride. This will almost invariably result in severe pulmonary regurgitation.

Sudden Cardiac Death 52

Sudden Cardiac Death Pulmonary Stenosis Arrhythmia 52

Frontiers in Cardiovascular Medicine

DECEMBER 12, 2024

According to the analysis of receiver operating characteristic (ROC) curve, AUC, DCA and sensitivity, all seven machine learning models perform well and random forest (RF) machine model was found to perform best (AUC-ROC=0.9008, Accuracy: 0.9008, Precision: 0.6905; Recall: 0.7532, F1: 0.7205).

Coronary Artery Bypass Graft 52

Coronary Artery Bypass Graft Strokes Stroke Aortic 52

Heart BMJ

MARCH 22, 2024

Objectives This study aimed to evaluate the prognostic value of coronary microvascular dysfunction (CMD) at long term after transcatheter aortic valve implantation (TAVI) and to explore its relationship with extravalvular cardiac damage (EVCD). CMD was defined as IMR angio ≥30 units.

Aortic valve 40

Aortic valve Aortic Tricuspid Heart Failure 40

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. Smith comment 2: I frequently see failure to control BP in patients with acute chest pain or acute heart failure.

Chest Pain 125

Chest Pain Blood Pressure Ischemia STEMI 125

Ken Grauer, MD

JUNE 6, 2023

I've previously discussed the interesting correlation of a qR pattern in lead V1 in patients with RVH — as strongly suggesting associated pulmonary hypertension ( See ECG Blog #234 and Blog #248 ). The plan was to proceed as soon as possible with aortic valve replacement. Then there is the significant ST elevation we see in lead V1.

Blog 78

Blog Pulmonary Hypertension Aortic 78

All About Cardiovascular System and Disorders

JANUARY 14, 2024

Chance of precipitating a cyanotic spell are more when pulmonary angiography is attempted through the already narrow right ventricular outflow tract. initial shunt surgery is an option to allow the pulmonary artery branches to grow in size and for a later complete repair of tetralogy of Fallot [1]. If McGoon’s ratio is below 0.8,

Congenital Heart Disease 52

Congenital Heart Disease Pulmonary Anatomy Congenital 52

All About Cardiovascular System and Disorders

APRIL 1, 2024

That is, right ventricle is connecting to aorta, and left ventricle to pulmonary artery. That is, pulmonary artery is transposed over to the right ventricle, and aorta over to the left ventricle, so that normal anatomy is restored. In dextro transposition of great arteries or D-TGA, there is ventriculoarterial discordance.

Pulmonary 52

Pulmonary Stenosis Anatomy Physiology 52

Circulation

NOVEMBER 11, 2024

Animal studies have shown that mice with TBX1 gene mutations have smaller left pulmonary arteries compared to wild type mice, defined by a reduced left pulmonary artery (LPA) to right pulmonary artery (RPA) ratio. A single study has shown this translates to humans with 22q11 and structurally normal hearts.

Pulmonary 40

Pulmonary Risk Factors Heart Disease Echocardiogram 40

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Look at the aortic outflow tract. The diagnostic coronary angiogram identified only minimal coronary artery disease, but there was a severely calcified, ‘immobile’ aortic valve. Aortic angiogram did not reveal aortic dissection. What do you see? Answer below in the still shot.

Ischemia 40

Ischemia Cardiogenic Shock Aortic Stenosis 40

CardiacWire

JANUARY 24, 2024

CardioSignal has already developed digital biomarkers for AFib and heart failure, while more solutions could be on the way for aortic stenosis, coronary artery disease, and pulmonary artery hypertension.

AFIB 75

AFIB Coronary Artery Disease Biomarkers Heart Failure 75

All About Cardiovascular System and Disorders

MARCH 21, 2024

Normally, the main pulmonary artery segment will be concave and left atrial appendage region also will be not prominent. So that is why we see straightening of left border, typically heard of in mitral stenosis with left atrial enlargement and mild pulmonary hypertension. Those are not very clear in this picture.

Pulmonary 52

Pulmonary Bicuspid/Mitral Hypertension Stenosis 52

Journal of the American Heart Association

FEBRUARY 26, 2025

Stenotic lesions included 16 branch pulmonary arteries, 9 aortic isthmus, 2 right ventricular outflow tracts, and 1 Glenn anastomosis. Percentage of stenosis was 50% (IQR, 36%58%). mm (IQR, 7.59.5) (P<0.001), with median stenosis expansion at 103% (IQR, 51%146%). male) with median age and weight of 3.4

Stents 45

Stents Stent Stenosis Congenital 45

Wellnest

JANUARY 24, 2024

Unlike traditional approaches relying on non-viable cadaver grafts, this procedure involved the transplantation of a portion of the heart, specifically containing the aorta and pulmonary valves, sourced from an infant donor upon cardiac death. Finally, the pulmonary root was transplanted, completing the intricate procedure.

Heart Transplant 52

Heart Transplant Transplant Pediatrics Congenital 52

All About Cardiovascular System and Disorders

MARCH 20, 2024

So it will not produce a true LV to aorta pullback tracing, which is required in cases like aortic stenosis. While standard pigtail catheter is mainly used on the left side, Grollman PA is a catheter used for pulmonary angiography, on the right side. Or you can use right coronary angiography catheter.

Pulmonary 40

Pulmonary Bicuspid/Mitral Embolism Stenosis 40

Dr. Smith's ECG Blog

MAY 10, 2023

LAD plaque with 0-25 percent stenosis. No signs for aortic dissection or pulmonary embolus. --"Results were discussed with the ordering physician. The LAD has moderate 40% ostial-proximal LAD stenosis and severe 90% mid LAD stenosis involving first diagonal branch. --The A CT Coronary angiogram was ordered.

Coronary Angiogram 52

Coronary Angiogram Chest Pain Stenosis STEMI 52

DAIC

JUNE 19, 2024

The pipeline of algorithms likely to clear regulatory hurdles and enter the cardiac market over the next 12-18 months include those for Pulmonary Hypertension, Cardiac Amyloidosis, Diastolic dysfunction, and Hyperkalaemia.

AFIB 105

AFIB Reimbursement Research Atrial Fibrillation 105

Dr. Smith's ECG Blog

SEPTEMBER 7, 2024

They also wanted an aortic CT which was negative. The estimated pulmonary artery systolic pressure is 27 mmHg + RA pressure. The chart says that "Cardiology agrees that the first ECG is early repolarization and similar to previous," but recommended giving aspirin and starting heparin and to wait for the first troponin to discuss.

Chest Pain 115

Chest Pain Myocardial Infarction STEMI Pericarditis 115

Dr. Smith's ECG Blog

DECEMBER 14, 2016

The patient had no hypertension, no tachycardia, a normal hemoglobin, no drug use, no hypotension/shock, no murmur of aortic stenosis. The patient had been on a long drive, suggesting possible pulmonary embolism (this was unlikely given absence of tachyardia, hypoxia, or any other feature of PE), so we sent a d dimer. [We

Chest Pain 52

Chest Pain STEMI Aortic Myocardial Infarction 52

Dr. Smith's ECG Blog

DECEMBER 13, 2019

They found non-obstructive CAD, with only a 20% stenosis of OM2 and 10% RCA. The next morning the patient went for his routine echocardiogram, where the operator noticed a dilated aortic root at 5.47 cm with severe aortic insufficiency. A repeat ECG was performed and cardiology was re-consulted: Roughly unchanged.

Pericarditis 52

Pericarditis Chest Pain Aortic Blog 52

Dr. Smith's ECG Blog

APRIL 9, 2023

The interventional cardiologist was not initially convinced this was ACS and recommended CT pulmonary angiography to rule out pulmonary embolism. CT Aortogram revealed: No pulmonary embolism, No aortic dissection. The pain returned/worsened , and the patient was then started on a nitroglycerin drip.

Chest Pain 52

Chest Pain Ischemia Stenosis Pulmonary 52

BoardVitals - Cardiovascular

MAY 1, 2017

While the first one may radiate to the axilla and base, but usually not into the neck, it does reflect both aortic outflow obstruction and mitral regurgitation in patients with a large gradient. On the other hand, the murmur in valvular aortic stenosis does not change substantially or decreases slightly following the Valsalva maneuver.

Cardiomyopathy 52

Cardiomyopathy Sudden Cardiac Death Bicuspid/Mitral Electrocardiogram 52

All About Cardiovascular System and Disorders

APRIL 4, 2024

Usual structures imaged in this view are the right ventricular free wall and outflow region, interventricular septum, aorta, and aortic valve, left ventricular outflow tract, anterior and posterior mitral leaflets, left ventricular cavity, posterior wall of left ventricle and left atrium. Colour flow shows the flow in pulmonary artery.

Bicuspid/Mitral 40

Bicuspid/Mitral Echocardiogram Tricuspid Aortic 40

Dr. Smith's ECG Blog

AUGUST 9, 2019

61,62) The interventional community defines occlusive LM disease as >50% by FFR, or ≥75% stenosis,(63) but urgent or emergent intervention on lesions not meeting these thresholds is only imperative if it is a thrombotic lesion and the patient has refractory ischemic symptoms (i.e. and I sent him the above ST vector explanation.

Myocardial Infarction 52

Myocardial Infarction Ischemia STEMI Cardiogenic Shock 52

Circulation

FEBRUARY 27, 2024

BACKGROUND:Recent guidelines redefined exercise pulmonary hypertension as a mean pulmonary artery pressure/cardiac output (mPAP/CO) slope >3 mm Hg·L−1·min−1. Peak aortic velocity (odds ratio [OR] per SD, 1.48;P=0.036), Peak aortic velocity (odds ratio [OR] per SD, 1.48;P=0.036),

Aortic valve 75

Aortic valve Stenosis Aortic Atrial Fibrillation 75

Open Heart

JANUARY 5, 2022

Objective Patients with low-flow, low-gradient aortic stenosis (LFLG AS) and reduced left ventricular ejection fraction (LVEF) are known to suffer from poor prognosis after transcatheter aortic valve implantation (TAVI). This study aimed to develop a simple score system for risk prediction in this vulnerable subset of patients.

Stenosis 52

Stenosis Aortic Aortic valve Atrial Fibrillation 52

Heart BMJ

NOVEMBER 27, 2023

Objective To characterise the mechanics responsible for the reduced ejection fraction (rEF) in high-gradient severe aortic stenosis (AS). Methods 21 patients with high-gradient severe AS (aortic valve area (AVA) <1.0 mm Hg/mL; p=0.05), driven by higher degrees of valvular stenosis (valve area 0.46 N/cm 2 ; p<0.01

Stenosis 40

Stenosis Aortic Preserved Ejection Fraction Aortic valve 40

European Journal of Heart Failure

DECEMBER 13, 2023

Venn diagram highlighting the main similarities and differences between heart failure with preserved ejection fraction (HFpEF) and aortic stenosis with preserved ejection fraction (ASpEF). Patients with ASpEF eligible for transcatheter aortic valve replacement ( n  = 125) also performed cardiac computed tomography (CT).

Preserved Ejection Fraction 40

Preserved Ejection Fraction Heart Failure Stenosis Aortic valve 40

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Published Research kschukar Thu, 04/20/2023 - 11:12 Recently published (2016 – present) manuscripts utilizing STS data: Adult Cardiac Surgery, General Thoracic Surgery, Congenital Heart Surgery, and Intermacs/Pedimacs.

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Program Designations Access and Publications (A&P) 1 Participant User File (PUF) 2 Task Force on Funded Research (TFR) 3 Special Projects 4 Adult Cardiac Surgery Database Lead Author Title Publication Date William Keeling 2 National Trends in Emergency Coronary Artery Bypass Grafting European Journal of Cardiothoracic Surgery October 2023 Jake (..)

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Dr. Smith's ECG Blog

APRIL 8, 2015

Aortic Dissection, Valvular (especially Aortic Stenosis), Tamponade. heart auscultation (aortic stenosis); c. Serious outcomes included death, arrhythmia, myocardial infarction, structural heart disease, pulmonary embolism, and hemorrhage. Good History and Physical exam, including a. orthostatic vitals b.

Arrhythmia 52

Arrhythmia Outcomes Chest Pain Risk Factors 52

Dr. Smith's ECG Blog

MARCH 3, 2025

I suspect pulmonary edema, but we are not given information on presence of B-lines on bedside ultrasound, or CXR findings. Anything that causes pulmonary edema: poor LV function, fluid overload, previous heart failure (HFrEF or HFpEF), valvular disease. What "initiates" the aortic stenosis cascade?

Tachycardia 73

Tachycardia Pulmonary Chest Pain Stenosis 73

Dr. S. Venkatesan MD

NOVEMBER 26, 2024

Right from the days we entered medical schools, severe mitral stenosis was defined by less than 1 cm² MVO by echocardiography. The bottom line is, we should not miss a functionally significant mitral stenosis, strictly adhering to the anatomical 1 cm² cut-off. There is something called low gradient severe MS (as in aortic stenosis).

Bicuspid/Mitral 40

Bicuspid/Mitral Stenosis Atrial Fibrillation Tachycardia 40

Dr. S. Venkatesan MD

APRIL 3, 2025

severe mitral stenosis, pulmonary hypertension, or cardiomyopathy), prolonged labor could strain the heart excessively, potentially leading to decompensation, heart failure, or arrhythmias. For women with significant heart disease (e.g., Evidence leans toward individualized decisions rather than a universal preference.

Heart Disease 40

Heart Disease Blood Pressure Heart Failure Aortic 40

European Journal of Heart Failure

DECEMBER 19, 2024

AF, atrial fibrillation; LAVI, left atrial volume index; RA, right atrial; RV, right ventricular; sPAP, systolic pulmonary artery pressure; SVI, stroke volume index; TR, tricuspid regurgitation. Aims Paradoxical low-flow, low-gradient aortic stenosis (pLFLG AS) may represent a diagnostic challenge, and its pathophysiology is complex.

Stenosis 40

Stenosis Aortic Pulmonary Aortic valve 40