Open Heart

NOVEMBER 14, 2023

Background Out-of-hospital cardiac arrest (OHCA) has a dismal prognosis with overall survival around 10%. The most common comorbidities prior to OHCA were hypertension (43.6%), heart failure (23.6%), chronic ischaemic heart disease (23.6%) and atrial fibrillation (22.0%). Previous AMI was prevalent in 14.8% of the men.

Cardiac Arrest 52

Cardiac Arrest Coronary Artery Disease Hospital Heart Failure 52

The American Journal of Cardiology

DECEMBER 13, 2023

Publication date: Available online 30 November 2023 Source: The American Journal of Cardiology Author(s): Muni Rubens, Venkataraghavan Ramamoorthy, Anshul Saxena, Javier Jimenez, Shebin George, Jiana Baker, Juan Ruiz, Sandra Chaparro

Atrial Fibrillation 40

Atrial Fibrillation Pulmonary Hypertension Hospital 40

Journal of the American Heart Association

DECEMBER 29, 2023

ABSTRACTAtrial fibrillation (AF) is the most common cardiac arrhythmia. AF increases the risk of stroke, heart failure, dementia, and hospitalization. Obesity significantly increases AF risk, both directly and indirectly, through related conditions, like hypertension, diabetes, and heart failure.

Obesity 45

Obesity Atrial Fibrillation Heart Failure Pharmacology 45

Circulation

NOVEMBER 11, 2024

Background:Anticoagulation (AC) in patients with atrial fibrillation (AF) at high risk for stroke is strongly recommended in guidelines, but tracking the optimal use of AC at scale and across hospital systems is challenging due to the need to examine both thrombotic and bleeding risks that often factor in clinical decisions.

Atrial Fibrillation 40

Atrial Fibrillation Hospital Laboratory Stroke 40

Stroke Journal

JANUARY 30, 2025

Introduction:The transitional period from hospital discharge to the community for stroke survivors is a vulnerable time as patients navigate healthcare systems with their new impairments. The intervention group had a significantly lower rate of 1 year hospital readmission due to any cause (62.1% vs 69.3%, p=0.04).

Hospital 40

Hospital Stroke Strokes Nursing 40

Circulation

NOVEMBER 11, 2024

The value of the CHA2DS2-VASc score in predicting adverse outcomes during pregnancy was also assessed.Study Design:The National Inpatient Sample (NIS) database was queried to identify pregnancy-related hospitalizations from 2008 to 2017. Results:Among 40,996,860 pregnancy-related hospitalizations, 15,162 (0.037%) were diagnosed with AF.

Atrial Fibrillation 40

Atrial Fibrillation Outcomes Myocardial Infarction Inpatient 40

Stroke Journal

JANUARY 30, 2025

However, TTEs are not always readily available, can delay hospital discharge, and increase the cost of each hospitalization. Introduction:Determining ischemic stroke etiology using transthoracic echocardiography (TTE) is often considered to be a standard part of routine stroke care and secondary prevention of stroke.

Hospital 40

Hospital Stroke Strokes Inpatient 40

Journal of the American Heart Association

MARCH 27, 2025

Among 9570 patients, 50% (n=4789) had multimorbidity.

Myocardial Infarction 40

Myocardial Infarction Peripheral Arterial Disease Outcomes Chest Pain 40

HeartRhythm

JANUARY 24, 2024

In the last 30 years, the major scientific societies have provided proper guidelines to ease and make more effective the management of patients with a variety of clinical conditions including acute coronary syndromes, hypertension, heart failure and atrial fibrillation.

Atrial Fibrillation 40

Atrial Fibrillation Heart Failure Hypertension Hospital 40

Circulation

NOVEMBER 11, 2024

2.00]), and atrial fibrillation (aOR 1.34, 95%CI [1.31-1.38]). Particularly for those younger than 50, those without hypertension, and those presented with ST-elevation myocardial infarction. In the stepwise forward Cox regression analysis, the adjusted OR (aOR) of ECMO use for overall stroke was 3.04 (95%CI [2.66-3.48]),

Inpatient 40

Inpatient Myocardial Infarction Stroke Strokes 40

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Atrial fibrillation is also a predictor of worse outcomes in this case (Alborzi). Between 81-95% of life-threatening ventricular dysrhythmias and acute cardiac failure occur within 24-48 hours of hospitalization. RBBB in blunt chest trauma seems to be indicative of several RV injury. See this case , this case , and this case.

Tachycardia 115

Tachycardia Dysrhythmia Atrial Fibrillation Bradycardia 115

Journal of Cardiothoracic Surgery

FEBRUARY 2, 2024

Multivariate regression revealed that patients with anleft atrial LA diameter of > 4& cm (AOR 2.531, P = 0.003), patients who did not take B-blockers before surgery (AOR 1.1

ICU 40

ICU Atrial Fibrillation Hospital Risk Factors 40

European Journal of Heart Failure

DECEMBER 10, 2024

Association between clusters and the composite of (i) heart failure hospitalization or all-cause death, (ii) cardiovascular (CV) hospitalization or all-cause death, and (iii) major adverse CV events was assessed. Finally, the reproducibility of the results of cluster analysis is tested in an external cohort (validation set).

Heart Failure 40

Heart Failure Peripheral Arterial Disease Blood Pressure Atrial Fibrillation 40

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.

Stroke 40

Stroke Strokes Atrial Fibrillation Risk Factors 40

Stroke Journal

JANUARY 30, 2025

Background:Cancer is associated with an increased risk for atrial fibrillation. However, there are no existing data supporting an independent relationship between cancer and atrial cardiopathy, another atrial pathology associated with increased acute ischemic stroke (AIS) risk. The study exposure was active cancer.

Cancer 40

Cancer Stroke Strokes Atrial Fibrillation 40

Stroke Journal

FEBRUARY 1, 2024

We aim to further characterize this risk and its in hospital consequences using a large population based sample over a 20 year study period.Methods:Using the Nationwide Inpatient Sample (2000-2019), we selected for patients who had ICH. Pregnant patients experienced lower in-hospital mortality (12.4% vs 16.2%, p<0.001).

Hemorrhage 40

Hemorrhage Outcomes Kidney Disease Atrial Fibrillation 40

Circulation

NOVEMBER 11, 2024

Among these, a fistula between the left anterior descending artery and the pulmonary artery is the rarest variant, comprising about 17% of all coronary artery fistula cases.Case:A 54-year-old male, with a known history of atrial fibrillation and hypertension, presented to our emergency department with non-rotatory dizziness.

Pulmonary 40

Pulmonary Open-Heart Surgery Atrial Fibrillation Myocardial Infarction 40

Stroke Journal

JANUARY 30, 2025

The objective of this systematic review was to identify the factors associated with risk of stroke in patients hospitalized with IE.Methods:A systematic search of Ovid MEDLINE, EMBASE, and Web of Science was conducted between January 1990 and to July 2024.

Risk Factors 40

Risk Factors Stroke Strokes Hemorrhage 40

European Journal of Heart Failure

FEBRUARY 5, 2025

The adjusted hazard ratio (HR) for the primary outcome (a composite of HF hospitalization or cardiovascular death) was lower in BB users than non-users (HR: 0.81 [95% CI: 0.740.88]), and this association was not modified by LVEF ( p interaction =0.88). The primary outcome was the composite of cardiovascular death or HF hospitalization.

Preserved Ejection Fraction 40

Preserved Ejection Fraction Heart Failure Outcomes Atrial Fibrillation 40

Journal of the American Heart Association

FEBRUARY 23, 2024

Several previously validated AI‐ECG algorithms were used for the estimation of ECG‐ age, probability of low ejection fraction, and probability of atrial fibrillation. In the final analysis, 305 patients with TC were studied over a median follow‐up of 4.8

Cardiomyopathy 45

Cardiomyopathy Myocardial Infarction Heart Failure Atrial Fibrillation 45

Cardiometabolic Health Congress

SEPTEMBER 13, 2024

New guidelines also: Classify “Elevated BP” between non-elevated BP and hypertension. Measuring eGFR and albuminuria is recommended for assessing kidney disease in all hypertensive patients. Advise increased potassium intake for hypertensive patients. FINEARTS Trial: Prof. Young Investigator Award on Imaging: Drs.

Hypertension 59

Hypertension Cardiovascular Disease Bicuspid/Mitral Arrhythmia 59

Stroke Journal

JANUARY 30, 2025

Introduction:Effective care transition for ischemic or hemorrhagic stroke patients post-hospital discharge is critical. Ensuring a follow-up neurology appointment within two weeks is vital to managing stroke risk factors like hypertension, diabetes, and atrial fibrillation.

Stroke 40

Stroke Strokes Risk Factors Hemorrhage 40

Stroke Journal

JANUARY 30, 2025

Exclusion criteria were pregnancy, lactation, intracerebral hemorrhage, atrial fibrillation, left ventricular clot, and cardioembolic stroke. Significant associations were found between recurrent ischemic events and hypertension (p=0.001), diabetes (p=0.033), and smoking (p=0.001). Data were collected from medical records.

Coronary Artery Disease 40

Coronary Artery Disease Atrial Fibrillation Diabetes Hypertension 40

The Beat Blog

MAY 2, 2023

I’ve worked with hospitals, provider groups and payers – trying to help drive the right type of access, care, and value across the healthcare continuum. 1 That problem is exacerbated by the lack of access to acute care: Since 2011, two-thirds of the hospital closures in the U.S. have been in rural areas.

Atrial Fibrillation 52

Atrial Fibrillation Cardiovascular Disease Technology Hospital 52

Stroke Journal

FEBRUARY 1, 2024

The evaluation included patient demographics, comorbidities, in-hospital complications, treatment, and costs. vs. 8.7%), atrial fibrillation (6.1% vs. 3.7%), hypertension (58.0% National Inpatient Sample (2005-2019) using ICD-9 and ICD-10 codes. vs. 53.9%), fewer concurrent acute ischemic strokes (AIS) (22.1%

Inpatient 40

Inpatient Outcomes Atrial Fibrillation Thrombolysis 40

Circulation: Heart Failure

MARCH 8, 2024

Background:Current prevalence estimates of heart failure (HF) are primarily based on self-report or HF hospitalizations. The prevalence of HF risk factors was high: hypertension, 61.9%; former or current smoking, 53.7%; obesity 34.8%; diabetes; 24.7%; and chronic kidney disease; 22%. Circulation: Heart Failure, Ahead of Print.

Heart Failure 40

Heart Failure Atherosclerosis Kidney Disease Risk Factors 40

Dr. Smith's ECG Blog

OCTOBER 20, 2024

Written by Magnus Nossen The patient in today's case is a male in his 70s with hypertension and type II diabetes mellitus. The rhythm now is atrial fibrillation. He was later transferred back to his local hospital neurologically intact and without serious sequela. In the initial ECG (ECG# 1) aVR had ST elevation.

Cardiogenic Shock 128

Cardiogenic Shock Ischemia Chest Pain Cardiac Arrest 128

Stroke Journal

FEBRUARY 1, 2024

We aimed to examine the prevalence of VRFs and temporal trends in VRF burden among young patients presenting with IS.Methods:Data was prospectively collected by Get With the Guidelines-Stroke® hospitals participating in the Florida Stroke Registry between January 2010 and December 2022.

Risk Factors 40

Risk Factors Stroke Strokes Coronary Artery Disease 40

European Journal of Heart Failure

SEPTEMBER 15, 2023

A prior history of the following comorbidities was considered: episodic or persistent atrial fibrillation ( n  = 920), coronary artery disease ( n  = 3732), diabetes ( n  = 2171), and hypertension ( n  = 3353). Patients were classified into three groups based on the number of comorbidities: 0, 1–2, or ≥3.

Coronary Artery Disease 40

Coronary Artery Disease Heart Failure Atrial Fibrillation Outcomes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

CT scan before discharge showed mild improvement in ventricular size and stable SAH blood products.The course of hospitalization was complicated by hyponatremia, atrial fibrillation, and respiratory failure with inability to wean off ventilator, resulting in tracheostomy and gastrostomy tube placement.

Hemorrhage 40

Hemorrhage Aneurysm Atrial Fibrillation Stroke 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

The patient underwent surgery, but suffered from a gastrointestinal bleed and developed post‐operative atrial fibrillation; after a risks/benefits discussion, he was discharged on anticoagulation only. Episodes always occurred after activity and only upon sitting.

Stenosis 40

Stenosis Peripheral Arterial Disease Pacemaker Atherosclerosis 40

Dr. Smith's ECG Blog

OCTOBER 28, 2013

A woman in her 40's who was healthy, except for hypertension, was at work when she suddenly complained of neck and shoulder pain and then collapsed. She was found to be in ventricular fibrillation and was defibrillated 8 times without a single, even transient, conversion out of fibrillation. at the time of the ECG. Mg was 1.6.

Cardiac Arrest 52

Cardiac Arrest Ischemia Defibrillator Electrocardiogram 52

Conquering CHD

JUNE 20, 2023

POTENTIAL SIDE EFFECTS : While diuretics can be effective in managing symptoms such as edema and hypertension, possible side effects include electrolyte imbalances, dehydration, and hypotension. This can relieve swelling and shortness of breath caused by fluid buildup in the lungs or other parts of the body.

Congenital Heart Disease 52

Congenital Heart Disease Congenital Heart Disease ACE Inhibitor 52

Dr. Smith's ECG Blog

OCTOBER 10, 2022

The rhythm is atrial fibrillation. He spent almost 2 months in the hospital, and reportedly made a full neurologic recovery. This patient arrested shortly after hospital arrival. His course remained complicated — but amazingly, he was discharged from the hospital some 2 months later with intact neurologic status!

Cardiac Arrest 52

Cardiac Arrest Chest Pain Embolism Pulmonary 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

Case submitted and written by Mazen El-Baba MD, with edits from Jesse McLaren and edits/comments by Smith and Grauer A 90-year old with a past medical history of atrial fibrillation, type-2 diabetes, hypertension, dyslipidemia, presented with acute onset chest/epigastric pain, nausea, and vomiting.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Smith's ECG Blog

APRIL 8, 2016

There is atrial fibrillation. Comments: STEMI with hypokalemia, especially with a long QT, puts the patient at very high risk of Torsades or Ventricular fibrillation (see many references, with abstracts, below). The increased risk of ventricular fibrillation in the hypokalaemic group was about the same for women and men.

STEMI 52

STEMI Myocardial Infarction Cardiac Arrest Arrhythmia 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chest pain, weakness and nausea. Author continued : STE in aVR is often due to left main coronary artery obstruction (OR 4.72), and is associated with in-hospital cardiovascular mortality (OR 5.58).

Ischemia 40

Ischemia Cardiogenic Shock Aortic Stenosis 40