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Atrial Fibrillation Hospital Hypertension 
Dr. Smith's ECG Blog
MARCH 28, 2024
male with pertinent past medical history including Atrial fibrillation, atrial flutter, cardiomyopathy, Pulmonary Embolism, and hypertension presented to the Emergency Department via ambulance for respiratory distress and tachycardia. Of course, this is NOT atrial fib, but rather PSVT, and so adenosine should work.
127 
CardiacWire
SEPTEMBER 11, 2024
A JACC study suggests that atrial fibrillation is far more prevalent than many previously thought, estimating that nearly one in 20 American adults have been diagnosed with the disease. UCSF researchers analyzed medical records from 29M adults who received hospital-based care in California from 2005 to 2019 (51yr avg.
105 
DAIC
JUNE 4, 2024
Penn Presbyterian Medical Center Becomes First Hospital in the Northeast to Adopt Advanced Robotic Technology for Heart Treatment 5. Late-breaking Clinical Trial Results from FARADISE, admIRE Study and Advent Trial at Heart Rhythm 2024 Highlight Pulsed Field Ablation Developments for Atrial Fibrillation Treatment 8.
Open Heart
JUNE 14, 2023
Background Atrial fibrillation (AF) following coronary artery bypass graft surgery (CABG) is common and results in significant increases in hospital stay and financial encumbrance. Objective Determine and use the predictors of postoperative AF (POAF) following CABG to develop a new predictive screening tool.
Stroke Journal
FEBRUARY 1, 2024
Introduction:Clinical characteristics of patients with in-hospital onset stroke (IHOS) compared to those with out-of-hospital onset stroke are reported to be late detection of stroke onset, less use of rt-PA, presence of atrial fibrillation, and poor outcome. were male) were enrolled into this study.
40 
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.
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
Journal of the American Heart Association
MARCH 21, 2025
BackgroundThe clinical utility of the polygenic risk score in predicting cardiovascular events in patients with atrial fibrillation (AF) has not yet been established. years), the incidence rates of ischemic stroke or systemic embolism, myocardial infarction, and heart failure hospitalization were 0.83, 0.42, and 0.61
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.
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.
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).
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.
40 Journal of the American Heart Association
MARCH 27, 2025
Among 9570 patients, 50% (n=4789) had multimorbidity.
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.
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]),
40 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
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.
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.
114 
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.
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).
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.
40 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
40 
All About Cardiovascular System and Disorders
OCTOBER 25, 2023
Rate vs Rhythm Control in Atrial Fibrillation Rate vs rhythm control as a management strategy in atrial fibrillation has been a long standing topic for debate. EAST-AFNET 4 trial had 2789 patients with early atrial fibrillation and cardiovascular conditions [8]. years of follow up per patient.
DAIC
APRIL 22, 2025
tim.hodson Tue, 04/22/2025 - 09:55 April 22, 2025 Research teams from Augusta University, Massachusetts General Hospital and The Ohio State University will lead a $15 million project dedicated to studying the various ways that risk factors for cardiovascular and kidney diseases impact women.
52 
European Journal of Heart Failure
APRIL 13, 2025
Patients with COPD had a higher risk of the primary endpoint (adjusted rate ratio [RR] 1.44, 95% confidence interval [CI] 1.211.71).
Frontiers in Cardiovascular Medicine
DECEMBER 18, 2023
Objective Red cell distribution width (RDW) and serum calcium (Ca) levels are predictors of in-hospital mortality in acute myocardial infarction (AMI) patients. Therefore, this study aimed to determine whether the RDW to Ca ratio (RCR) acquired on admission can be used to predict the in-hospital mortality of AMI patients.
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.
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.
59 
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.
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.
Open Heart
MAY 3, 2023
Methods Hospital episode statistics of 502 324 adults were analysed to identify participants with scoliosis. These participants had an increased lifetime risk of major adverse cardiovascular events (MACEs) (HR=1.45, p<0.001), driven by heart failure (HR=1.58, p<0.001) and atrial fibrillation (HR=1.54, p<0.001).
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
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.
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).
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