American College of Cardiology

NOVEMBER 6, 2024

The goal of the IVIO trial was to compare the efficacy and safety of an initial vascular access strategy of intraosseous (IO) versus peripheral intravenous (IV) access for medication administration in nontraumatic out-of-hospital cardiac arrest.

Cardiac Arrest 43

Cardiac Arrest Hospital Article 43

Dr. Smith's ECG Blog

OCTOBER 28, 2013

Here is an article I wrote: Updates on the ECG in ACS. Cardiac arrest can cause diffuse subendocardial ischemia, usually transient (it often resolves as time goes by after ROSC). STE limited to aVR is due to diffuse subendocardial ischemia, but what of STE in both aVR and V1? If you want to understand aVR, read this.]

Cardiac Arrest 52

Cardiac Arrest Ischemia Defibrillator Electrocardiogram 52

Dr. Smith's ECG Blog

OCTOBER 8, 2024

About 45 minutes after the second EKG, the patient was found in cardiac arrest. Later the next day, she went into cardiac arrest again. By the time I saw the repeat EKG, the patient was already in cardiac arrest. She was worked as a full code, and ROSC was achieved. She could not be resuscitated.

Cardiac Arrest 122

Cardiac Arrest Myocardial Infarction STEMI Cardiogenic Shock 122

American College of Cardiology

AUGUST 7, 2024

Does hospital median cardiopulmonary resuscitation (CPR) duration in patients without return of circulation (ROC) predict survival among hospitalized children?

Cardiac Arrest 46

Cardiac Arrest Hospital Pediatrics Outcomes 46

Dr. Smith's ECG Blog

JULY 14, 2023

Two recent interventions have proven in randomized trials to improve neurologic survival in cardiac arrest: 1) the combination of the ResQPod and the ResQPump (suction device for compression-decompression CPR -- Lancet 2011 ) and 2) Dual Sequential defibrillation. The patient had ROSC and maintained it.

Cardiac Arrest 98

Cardiac Arrest Chest Pain Defibrillator Atrial Flutter 98

American College of Cardiology

DECEMBER 3, 2024

Because of recent incidents of sudden cardiac arrest (SCA) among high-profile athletes, including Damar Hamlin and Bronny James, there has been greater scrutiny regarding the medical evaluation process for athletes.

Cardiac Arrest 58

Cardiac Arrest Article 58

American College of Cardiology

DECEMBER 12, 2023

This year's American Heart Association Scientific Sessions (AHA 2023) in Philadelphia featured several sessions dedicated to exercise and sports cardiology, including an expert-led session on sudden cardiac arrest (SCA) on the athletic field and two major sports cardiology studies.

Cardiac Arrest 62

Cardiac Arrest Exercise Article 62

American College of Cardiology

NOVEMBER 5, 2024

A small proportion of patients with STEMI treated via primary PCI experienced late ventricular tachycardia (VT) or ventricular fibrillation (VF), occurring one or more days following the procedure, but late VT or VF with cardiac arrest occurred rarely, especially among patients with uncomplicated STEMI, according to a study published in JAMA Network (..)

STEMI 46

STEMI Chest Pain Cardiac Arrest Tachycardia 46

American College of Cardiology

JUNE 5, 2024

By advocating for evidence-based policies like CPR education, AED access and emergency action plan (EAP) implementation, cardiovascular societies like the ACC and American Heart Association are working in tandem with initiatives like the National Football League (NFL)-led Smart Heart Sports Coalition to improve outcomes in young athletes experiencing (..)

Cardiac Arrest 46

Cardiac Arrest Education Outcomes Article 46

American College of Cardiology

JANUARY 11, 2024

The following are key points to remember from an AHA Scientific Statement on cardiac catheterization laboratory management of the comatose adult patient with an out-of-hospital cardiac arrest (OHCA).

Catheterization Laboratory 43

Catheterization Laboratory Cardiac Arrest Laboratory Hospital 43

Dr. Smith's ECG Blog

FEBRUARY 2, 2017

If cardiac arrest from hypokalemia is imminent (i.e., CASE : Prehospital Cardiac Arrest due to Hypokalemia I recently had a case of prehospital cardiac arrest that turned out to be due to hypokalemia. As I indicated above, in our cardiac arrest case, after pushing 40 mEq, the K only went up to 4.2

Cardiac Arrest 52

Cardiac Arrest Dysrhythmia Arrhythmia Nursing 52

European Journal of Heart Failure

DECEMBER 13, 2023

Aims Few studies have reported data on the optimal timing of left ventricular (LV) unloading during venoarterial extracorporeal membrane oxygenation (VA-ECMO) for cardiac arrest or shock. CV, cardiovascular; HT, heart transplantation; ICU, intensive care unit; LVAD, left ventricular assist device.

Aortic valve 75

Aortic valve Cardiac Arrest Heart Transplant Pulmonary 75

The British Journal of Cardiology

NOVEMBER 29, 2023

We present the case of a man in his 50s, admitted with cardiac arrest secondary to inferolateral STEMI. However, it is associated with rare, but life-threatening, complications such as perforation, leading to retroperitoneal haemorrhage.

STEMI 52

STEMI Cardiac Arrest Myocardial Infarction Ultrasound 52

Journal of Cardiovascular Electrophysiology

FEBRUARY 10, 2025

Conclusions This study provides insight into predictors of RV pacing in ICD recipients without pacing needs at baseline.

Defibrillator 40

Defibrillator Cardiac Arrest Tachycardia Hypertension 40

Dr. Smith's ECG Blog

MAY 19, 2020

I suspect this is Type 2 MI due to prolonged severe hypotension from cardiac arrest. PEARL: In my experience, cardiac rhythms observed during ( or shortly after ) cardiac arrest do not obey the usual rules for AV blocks and escape rhythms. This is a troponin I level that is almost exclusively seen in STEMI.

Defibrillator 52

Defibrillator Circulation Plaque Cardiac Arrest 52

European Journal of Heart Failure

DECEMBER 19, 2024

for the NIV group ( p =0.005), even after excluding patients with cardiac arrest at presentation. All-cause mortality at 24h did not differ amongst the three groups. The 60-day mortality rates were 40.2% for the iMV group, 26% for the OT group, and 29.3%

Cardiogenic Shock 40

Cardiogenic Shock Cardiac Arrest Outcomes Research 40

Dr. Smith's ECG Blog

NOVEMBER 30, 2019

If cardiac arrest from hypokalemia is imminent (i.e., However, this review references the Sterns article above, which by my reading does not state this. As I indicated above, in our cardiac arrest case, after pushing 40 mEq, the K only went up to 4.2 How would you treat? mEq/L for every 100 mEq total body deficit.

Cardiac Arrest 40

Cardiac Arrest Tachycardia Nursing Ultrasound 40

Dr. Smith's ECG Blog

DECEMBER 13, 2024

Regarding AFib with WPW: The very rapid heart rate and at times extremely short R-R intervals put the patient with AFib and WPW at risk of cardiac arrest from VFib. Figure-4: Magnified view of a selected portion of ECG #1 that shows the irregularity of the rhythm ( measurements of R-R intervals in milliseconds ).

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AFIB Atrial Fibrillation Tachycardia Blog 103

European Journal of Heart Failure

DECEMBER 13, 2023

Impella patients were older (34% vs. 13% >75 years, p  < 0.001) and less frequently presented after an out-of-hospital cardiac arrest (18% vs. 40%, p  < 0.001). Impella and/or VA-ECMO were used in 20% of all AMICS cases ( n  = 4088).

Cardiogenic Shock 40

Cardiogenic Shock Myocardial Infarction Cardiac Arrest Hospital 40

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

It is apparently fortunate that she had a cardiac arrest; otherwise, her ECG would have been ignored. In a recent article (J Electrocardiol this year, see reference below), peak trop onin I levels in takotsubo presenting with ST Elevation were median 1.02 She was defibrillated and resuscitated. ng/mL [IQR: 0.46, 2.35].

Plaque 52

Plaque Chest Pain Thrombosis Stenosis 52

Dr. Smith's ECG Blog

JANUARY 4, 2021

Aslanger added in the limitations in his article: " Theoretically, an isolated basal inferoseptal infarction or an acute inferior MI in the presence of previous infarctions that may change the orientation of lesion vector can also cause a similar picture. (Our with ADDED STE in III?

Ischemia 40

Ischemia Pulmonary STEMI Chest Pain 40

Dr. Smith's ECG Blog

SEPTEMBER 4, 2016

He had a previous MI with cardiac arrest 2 years prior. Down below are 3 more cases and a discussion of how to differentiate false positive isolated STE in aVL from True positive. Case A 47 year old male called 911 for severe chest pain. He was clammy and looked unwell. Is this due to coronary occlusion?

Ischemia 40

Ischemia Chest Pain STEMI Stenosis 40

Dr. Smith's ECG Blog

NOVEMBER 25, 2022

These include ( among others ) — acute febrile illness — variations in autonomic tone — hypothermia — ischemia-infarction — malignant arrhythmias — cardiac arrest — and especially Hyperkalemia. Figure-1 : Visual summary of ECG Patterns in Brugada Syndrome ( adapted from the article by Brugada et al in JACC: Vol.

Arrhythmia 52

Arrhythmia Blog Chest Pain Cardiac Arrest 52

Dr. Smith's ECG Blog

SEPTEMBER 21, 2020

And the article was rejected. LEARNING Point: Maximal ST depression in leads V2-thru-V4 ( especially when the ST-T waves are shaped as they are in ECG #1 ) in a patient with new chest pain ( or sudden cardiac arrest, as in today’s case ) — is diagnostic of acute Posterior OMI until proven otherwise!

STEMI 52

STEMI Hospital Blog Defibrillator 52

Dr. Smith's ECG Blog

APRIL 15, 2019

If a patient presents with chest pain and a normal heart rate, or with shockable cardiac arrest, then ischemic appearing ST elevation is STEMI until proven otherwise. An excellent review of myocardial bridging, with full text: [link] Myocardial bridging is when the coronary artery, usually the LAD, dives into the myocardium.

Tachycardia 40

Tachycardia STEMI Chest Pain Ischemia 40

Dr. Smith's ECG Blog

NOVEMBER 12, 2020

4 Unfortunately, this article provides no electrocardiographic, echo, or angiographic data, so it is not certain that these high levels were in the absence of acute MI. In a series of 18 patients with COVID and ST elevation, 8 were diagnosed with STEMI, 6 of whom had an angiogram and it showed obstructive coronary disease.

Cardiac Arrest 52

Cardiac Arrest COVID-19 Myocardial Infarction Cardiogenic Shock 52

American College of Cardiology

DECEMBER 10, 2024

The following are key points to remember from a contemporary review of sudden cardiac arrest and death in competitive and recreational athletes.

Cardiac Arrest 65

Cardiac Arrest Article 65

Circulation

MARCH 16, 2025

Circulation, Volume 151, Issue 11 , Page e712-e713, March 18, 2025.

Cardiac Arrest 67

Cardiac Arrest Article Circulation 67

Cardiology Update

MARCH 5, 2024

The study utilized the ISCHEMIA primary outcome, a composite measure of cardiovascular death, protocol-defined myocardial infarction, or hospitalization for unstable angina, heart failure, or resuscitated cardiac arrest. Original article: Redfors B et al. years, with 57.1% occurring within 30 days after CABG.

Coronary Artery Disease 116

Coronary Artery Disease Ischemia Coronary Artery Bypass Graft Myocardial Infarction 116

American College of Cardiology

AUGUST 15, 2024

Is there a differential association between bystander cardiopulmonary resuscitation (CPR) and survival by sex and race and ethnicity of the patient with out-of-hospital cardiac arrest (OHCA)?

Cardiac Arrest 46

Cardiac Arrest Hospital Article 46

Heart 2023 Conference

JULY 11, 2023

Using automated external defibrillators (AEDs) and cardiopulmonary resuscitation (CPR) as soon as possible increases a person's chance of surviving a cardiac arrest. After meeting the exclusion criteria, more than 9,500 cases of out-of-hospital cardiac arrest were included in the study cohort. versus 4.6%

Defibrillator 52

Defibrillator Cardiac Arrest Heart Failure RN 52

Circulation

MARCH 16, 2025

Circulation, Volume 151, Issue 11 , Page e714-e715, March 18, 2025.

Cardiac Arrest 49

Cardiac Arrest Article Circulation 49

Dr. Smith's ECG Blog

APRIL 8, 2016

If cardiac arrest from hypokalemia is imminent (i.e., However, this review references the Sterns article above, which by my reading does not state this. As I indicated above, in our cardiac arrest case, after pushing 40 mEq, the K only went up to 4.2 mEq/L for every 100 mEq total body deficit. mEq/L, from 1.9

STEMI 52

STEMI Myocardial Infarction Cardiac Arrest Arrhythmia 52

Journal of Cardiovascular Electrophysiology

NOVEMBER 3, 2023

Graphical abstract depicting cardiac arrest mortality disparities in the young, temporal trends, and its correlation with the social vulnerability index. Abstract Background Cardiac arrest (CA) is a leading cause of death in the United States (US). Social determinants of health may impact CA outcomes.

Cardiac Arrest 40

Cardiac Arrest Certification Outcomes Article 40

Circulation

MARCH 16, 2025

Circulation, Volume 151, Issue 11 , Page e710-e711, March 18, 2025.

Cardiac Arrest 45

Cardiac Arrest Article Circulation 45

American College of Cardiology

DECEMBER 18, 2024

He then discusses sudden cardiac arrest and death in competitive and recreational athletes. In this weeks View, Dr. Eagle looks at what adult cardiologists should know about congenital heart disease patients.

Congenital Heart Disease 43

Congenital Heart Disease Cardiac Arrest Congenital Heart Disease 43

Dr. Smith's ECG Blog

NOVEMBER 19, 2014

Here are three more dramatic cases that illustrate RBBB + LAFB Case 1 of cardiac arrest with unrecognized STEMI, died. Furthermore, among 35 patients with acute left main coronary artery occlusion, 9 presented with RBBB (mostly with LAH) on the admission ECG.

Chest Pain 52

Chest Pain Cardiac Arrest Myocardial Infarction Angioplasty 52