Atherosclerosis, Plaque and Ultrasound

Dynamic OMI ECG. Negative trops and negative angiogram does not rule out coronary ischemia or ACS.

Dr. Smith's ECG Blog

SEPTEMBER 18, 2024

Bedside cardiac ultrasound with no obvious wall motion abnormalities. Thus, it has recently become generally accepted that most plaque ruptures resulting in myocardial infarction occur in plaques that narrow the lumen diameter by 40% of the arterial cross section may be involved by plaque. He was started on nitro gtt.

Ischemia

Ischemia Plaque Stenosis Myocardial Infarction

Suboptimal Control of Small Dense Low‐Density Lipoprotein Cholesterol Is Associated With Coronary Plaque Progression: An Intravascular Ultrasound Study

Journal of the American Heart Association

FEBRUARY 26, 2025

BackgroundPlaque progression (PP) is critical between subclinical atherosclerosis and plaque rupture. Journal of the American Heart Association, Ahead of Print. Small dense lowdensity lipoprotein cholesterol (sdLDLC) is considered as the most atherogenic lipoprotein.

Ultrasound

Ultrasound Plaque Cholesterol Coronary Artery Disease

How To Reverse Coronary Artery Disease With Lifestyle Measures

Dr. Paddy Barrett

DECEMBER 19, 2023

You cannot eliminate the plaque entirely, but multiple clinical trials have shown plaque regression using high-intensity cholesterol-lowering treatments, which I have discussed previously. All of these parameters are important and need to be considered when evaluating plaque regression. REVERSAL Investigators.

Coronary Artery Disease

Coronary Artery Disease Plaque Exercise Heart Attack

At What Age Should You Think About Assessing Your Risk For Heart Disease?

Dr. Paddy Barrett

OCTOBER 4, 2024

Everyone starts with no plaque in the coronary arteries, but over a long enough time frame, everyone develops plaque in their coronary arteries. By age 80, almost everyone will have evidence of advanced plaque in their coronary arteries, as defined by a cardiac CT 1. Plaque accumulation happens in stages. You got it.

Heart Disease

Heart Disease Plaque Cholesterol Risk Factors

Endovascular intervention with intravascular ultrasound guidance of very early dissection complication in transplant renal artery: a case report and literature review

Frontiers in Cardiovascular Medicine

MAY 21, 2024

We report a case of TRAD in the early postoperative period, which was successfully managed with intravascular ultrasound-assisted endovascular intervention.Case presentationA 38-year-old man underwent HLA-compatible living kidney transplantation. Most cases are managed by operative repair.

Transplant

Transplant Ultrasound Plaque Atherosclerosis

Abstract 4142898: Marine N-3 Fatty Acids Improve Carotid Atherosclerosis in Diabetic Patients

Circulation

NOVEMBER 11, 2024

Introduction:It remains uncertain whether dietary supplementation of marine n-3 polyunsaturated fatty acids (PUFAs) improves atherosclerosis and lipoprotein subclasses in patients with type 2 diabetes (T2D). The primary outcome was the prevalence of carotid artery plaques assessed by ultrasound. day) or low-dose (1.5g/day)

Atherosclerosis

Atherosclerosis Diabetes Plaque Cholesterol

Abstract TP226: Analysis of the Association Between Lipoprotein(a) Levels and Carotid Plaque and Coronary Artery Calcium Using Health Checkup Data

Stroke Journal

FEBRUARY 1, 2024

Background:Lipoprotein a (Lp(a)) is known to be associated with coronary artery disease and carotid artery atherosclerosis. Carotid ultrasound results were divided into two groups based on the presence or absence of plaque. Carotid plaque was observed in 1140 (43.5%) subjects and CACS>0 in 1172 (44.7%) subjects.

Plaque

Plaque Coronary Artery Disease Ultrasound Atherosclerosis

Abstract TP288: Prevalence and Gender Differences in Carotid Atherosclerosis Among Adults: Evidence from a Cohort Study in China

Stroke Journal

JANUARY 30, 2025

Carotid atherosclerosis (CAS) is a critical precursor to atherosclerotic cardiovascular disease and is closely associated with the development and progression of conditions such as stroke and poor prognosis. Stroke, Volume 56, Issue Suppl_1 , Page ATP288-ATP288, February 1, 2025. 2021-KY-1289-001).Results:Among respectively.

Atherosclerosis

Atherosclerosis Plaque Stenosis Cardiovascular Disease

What does the angiogram show? The Echo? The CT coronary angiogram? How do you explain this?

Dr. Smith's ECG Blog

NOVEMBER 15, 2023

MINOCA may be due to: coronary spasm, coronary microvascular dysfunction, plaque disruption, spontaneous coronary thrombosis/emboli , and coronary dissection; myocardial disorders, including myocarditis, takotsubo cardiomyopathy, and other cardiomyopathies. See "Mechanisms of acute coronary syndromes related to atherosclerosis".)

Coronary Angiogram

Coronary Angiogram Plaque Thrombosis STEMI

An undergraduate who is an EKG tech sees something. The computer calls it completely normal. How about the physicians?

Dr. Smith's ECG Blog

MAY 20, 2024

The scan also showed “scattered coronary artery plaques”. __ Smith comment 1 : the appropriate management at this point is to lower the blood pressure (lower afterload, which increases myocardial oxygen demand). There is an area of dense white in the middle of the circle consistent with atherosclerosis. The blue circle shows the LCx.

Chest Pain

Chest Pain Blood Pressure Ischemia STEMI

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting."

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. An angiogram is a "lumenogram;" most plaque is EXTRALUMINAL!!

Plaque

Plaque Chest Pain Thrombosis Stenosis

1 hour of CPR, then ECMO circulation, then successful defibrillation.

Dr. Smith's ECG Blog

MAY 19, 2020

If the arrest was caused by acute MI due to plaque rupture, then the diagnosis is MINOCA. Here is my comment on MINOCA: "Non-obstructive coronary disease" does not necessarily imply "no plaque rupture with thrombus." They often cannot even be recognized as culprits, as fissured or ulcerated plaque. FFR can be useful.

Defibrillator

Defibrillator Circulation Plaque Cardiac Arrest

A young peripartum woman with Chest Pain

Dr. Smith's ECG Blog

OCTOBER 24, 2019

Here’s the angiogram of the RCA : No thrombus or plaque rupture in the RCA (or any coronary artery) was found. This MI wasn’t caused by a ruptured plaque of CAD - it was a coronary artery dissection of the RCA. This MI wasn’t caused by a ruptured plaque of CAD - it was a coronary artery dissection of the RCA.

Chest Pain

Chest Pain SCAD STEMI Cardiogenic Shock

Why You Probably Already Have Heart Disease But Just Don't Know It.

Dr. Paddy Barrett

MAY 31, 2024

Heart disease, the build-up of plaque in the coronary arteries, typically starts years, if not decades, prior to an event. Atherosclerosis in the proximal segment of the vessel. The amount of plaque is an excellent predictor of the risk of heart attack over the following 10-year period 1. The more plaque, the higher the risk.

Heart Disease

Heart Disease Plaque Heart attacks Heart Attack

Abstract 4143420: Additive Prognostic Significance of Vascular Disease in Patients Referred for Exercise Stress Echocardiography

Circulation

NOVEMBER 11, 2024

Background:The presence of carotid plaque (CP) may serve as an indicator of panvascular atherosclerosis. We computed a Vascular Disease (VasD) score, integrating the presence of carotid plaque (CP) on carotid ultrasound, known coronary artery disease (CAD), and myocardial ischemia (MyI).

Exercise

Exercise Coronary Artery Disease Ultrasound Plaque

Association Between Clonal Hematopoiesis Driver Mutations, Immune Cell Function, and the Vasculometabolic Complications of Obesity

Journal of the American Heart Association

JANUARY 12, 2024

BackgroundObesity is accompanied by dysregulated inflammation, which can contribute to vasculometabolic complications including metabolic syndrome and atherosclerosis. Assessment of carotid artery atherosclerosis was performed with ultrasound. Journal of the American Heart Association, Ahead of Print.

Obesity

Obesity Plaque Atherosclerosis Ultrasound

Cardiovascular Update

Dynamic OMI ECG. Negative trops and negative angiogram does not rule out coronary ischemia or ACS.

Suboptimal Control of Small Dense Low‐Density Lipoprotein Cholesterol Is Associated With Coronary Plaque Progression: An Intravascular Ultrasound Study

How To Reverse Coronary Artery Disease With Lifestyle Measures

At What Age Should You Think About Assessing Your Risk For Heart Disease?

Endovascular intervention with intravascular ultrasound guidance of very early dissection complication in transplant renal artery: a case report and literature review

Abstract 4142898: Marine N-3 Fatty Acids Improve Carotid Atherosclerosis in Diabetic Patients

Abstract TP226: Analysis of the Association Between Lipoprotein(a) Levels and Carotid Plaque and Coronary Artery Calcium Using Health Checkup Data

Abstract TP288: Prevalence and Gender Differences in Carotid Atherosclerosis Among Adults: Evidence from a Cohort Study in China

What does the angiogram show? The Echo? The CT coronary angiogram? How do you explain this?

An undergraduate who is an EKG tech sees something. The computer calls it completely normal. How about the physicians?

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting."

1 hour of CPR, then ECMO circulation, then successful defibrillation.

A young peripartum woman with Chest Pain

Why You Probably Already Have Heart Disease But Just Don't Know It.

Abstract 4143420: Additive Prognostic Significance of Vascular Disease in Patients Referred for Exercise Stress Echocardiography

Association Between Clonal Hematopoiesis Driver Mutations, Immune Cell Function, and the Vasculometabolic Complications of Obesity

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