Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Smith comment: This patient did not have a bedside ultrasound. Had one been done, it would have shown a feature that is apparent on this ultrasound (however, this patient's LV function would not be as good as in this clip): This is recorded with the LV on the right. Look at the aortic outflow tract. What do you see?

Ischemia 40

Ischemia Cardiogenic Shock Aortic Stenosis 40

Cardiovascular Ultrasound

AUGUST 21, 2023

Although indexing effective orifice area (EOA) by body surface area (BSA) is recommended, this method has several disadvantages, since it corrects by acquired fatty tissue. Our aim was to analyze the value of.

Stenosis 40

Stenosis Aortic Research 40

ECG Cases

JANUARY 4, 2022

What is the evidence for intra-aortic balloon pumps, percutaneous ventricular assist devices and ECMO in the patient with cardiogenic shock? What are the best strategies to efficiently get the patient in cardiogenic shock to definitive care, whether that be the cath lab or the operating room?

Cardiogenic Shock 52

Cardiogenic Shock Heart Failure Aortic Stenosis 52

Dr. Paddy Barrett

NOVEMBER 7, 2023

During medical school, one of the classic bedside exam questions we get is how to differentiate the valve issues of aortic stenosis and mitral regurgitation, which produce similar but different murmurs when you listen with a stethoscope. You use an ultrasound. When I teach trainee doctors, I ask them this very question.

Cholesterol 52

Cholesterol Atherosclerosis Stenosis Aortic 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. Beware a negative Bedside ultrasound. No acute culprit. He was admitted to cardiology.

Pericarditis 52

Pericarditis Chest Pain Aortic Blog 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

History sounds concerning for ACS (could be critical stenosis, triple vessel), but differential also includes dissection, GI bleed, etc. 2 cases of Aortic Stenosis: Diffuse Subendocardial Ischemia on the ECG. His response: “subendocardial ischemia. Anything more on history? POCUS will be helpful.” Left main? 3-vessel disease?

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Smith's ECG Blog

MARCH 6, 2023

Due to the severity of the pain and the high BP, they obtained an aortic dissection CT. Left main: no significant stenosis. LAD: proximal 60% eccentric stenosis the hemodynamic significance of which is indeterminate. RCA: Dominant: Mid 50-60% stenosis. At this point, the cath lab was activated.

Chest Pain 52

Chest Pain STEMI Stenosis Blog 52

All About Cardiovascular System and Disorders

APRIL 4, 2024

During echocardiography, a transducer transmits the ultrasound beam towards the heart. Opening and closing movements of the aortic and mitral valves are visible. Planimetry of mitral valve area can be obtained in parasternal short axis view in case of mitral stenosis. Exact position and angulation will vary between individuals.

Bicuspid/Mitral 40

Bicuspid/Mitral Echocardiogram Tricuspid Aortic 40

Dr. Smith's ECG Blog

SEPTEMBER 16, 2015

An elderly patient with a ruptured abdominal aortic aneurysm: Formal ECG Interpretation (final read in the chart!) : "Inferior ST elevation, lead III, with reciprocal ST depression in aVL." A bedside ultrasound was done by the emergency physician, using Speckle Tracking. What do you think? Unfortunately, that video is unavailable.

STEMI 40

STEMI Chest Pain Cardiac Arrest Stents 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

Dr. Smith's ECG Blog

APRIL 8, 2015

Aortic Dissection, Valvular (especially Aortic Stenosis), Tamponade. Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). heart auscultation (aortic stenosis); c.

Arrhythmia 52

Arrhythmia Outcomes Chest Pain Risk Factors 52

DAIC

NOVEMBER 7, 2024

28, 2024 — Cardiawave SA, developer of Valvosoft Non-Invasive Ultrasound Therapy (NIUT) device for treating severe symptomatic calcific aortic stenosis (CAS), announced that the device met the primary endpoint in its pivotal study and improved or stabilized heart failure symptoms for 80.5 tim.hodson Thu, 11/07/2024 - 10:19 Oct.

Aortic valve 59

Aortic valve Aortic Stenosis Ultrasound 59

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. Smith : "decompensation" of aortic stenosis might have initiated this entire cascade. What "initiates" the aortic stenosis cascade? We certainly know that there is hypoxia.

Tachycardia 74

Tachycardia Pulmonary Chest Pain Stenosis 74