Open Heart

JULY 10, 2023

Objective Risk-guided atrial fibrillation (AF) screening may be an opportunity to prevent adverse events in addition to stroke. The risk of AF was estimated using the FIND-AF (Future Innovations in Novel Detection of Atrial Fibrillation) risk score. to 6.85; 4.54), aortic stenosis (18.7; HR 6.85, 95% CI 6.70

Atrial Fibrillation 52

Atrial Fibrillation Myocardial Infarction Kidney Disease Innovation 52

Circulation

NOVEMBER 11, 2024

Background:Myocardial infarction with nonobstructive coronary artery disease (MINOCA) is a special syndrome with clear evidence of myocardial ischemia, but no clear stenosis of coronary artery imaging sign. The pericoronary fat attenuation index (FAI) could reflect the local coronary inflammation as a novel imaging marker.

Coronary Artery Disease 40

Coronary Artery Disease Atrial Fibrillation Myocardial Infarction Ischemia 40

The American Journal of Cardiology

DECEMBER 30, 2023

Publication date: Available online 29 December 2023 Source: The American Journal of Cardiology Author(s): Jonathan Sen, William YS Wang, Arnold CT Ng

Atrial Fibrillation 40

Atrial Fibrillation Stenosis Aortic 40

HeartRhythm

APRIL 30, 2024

The left atrial appendage (LAA) is a potential trigger for atrial fibrillation (AF) and emerging evidence supports the role of electrically isolating the LAA in select patients. However, concerns regarding complications of such a procedure remain unclear.

Atrial Fibrillation 40

Atrial Fibrillation Stenosis 40

Coronary Artery Disease Journal

MAY 13, 2024

Objective To investigate the impact of prior coronary artery bypass grafting (CABG) and coronary lesion complexity on transcatheter aortic valve replacement (TAVR) outcomes for aortic stenosis. Conclusion Prior CABG may positively affect mid-term TAVR outcomes for aortic stenosis compared with no CAD when adjusted for other comorbidities.

Coronary Artery Bypass Graft 40

Coronary Artery Bypass Graft Aortic valve Aortic Stenosis 40

American College of Cardiology

NOVEMBER 21, 2024

New science presented at AHA 2024 and simultaneously published in JACC: Advances provide insights on emerging topics such as the use of artificial intelligence (AI)-enabled left atrial (LA) volumetry in coronary artery calcium (CAC) scans to predict atrial fibrillation (AFib); the role of treating hospitals in facilitating cardiac rehabilitation (CR); (..)

Cardiac Rehabilitation 40

Cardiac Rehabilitation Atrial Fibrillation AFIB Cardiomyopathy 40

The American Journal of Cardiology

DECEMBER 13, 2023

Publication date: 15 January 2024 Source: The American Journal of Cardiology, Volume 211 Author(s): Heikki J. Niemi, Satu Suihko, Minna Kylmälä, Helena Rajala, Suvi Syväranta, Sari Kivistö, Jyri Lommi

Atrial Fibrillation 40

Atrial Fibrillation Stenosis Aortic 40

Circulation

OCTOBER 23, 2023

Background: Atrial fibrillation (AF) is common in patients undergoing transcatheter aortic valve replacement (TAVR) and is associated with increased risk of bleeding and stroke. Conclusions: Concomitant WATCHMAN LAAO and TAVR is noninferior to TAVR with medical therapy in severe aortic stenosis patients with AF.

Aortic valve 40

Aortic valve Atrial Fibrillation TAVR Aortic 40

Frontiers in Cardiovascular Medicine

OCTOBER 24, 2024

001) and postoperative atrial fibrillation occurred less frequently (p = .044) This was a retrospective, single-center observational study. The patients were divided into two groups: the hemisternotomy group (n = 100) and the right anterior thoracotomy group (n = 74).ResultsThe ResultsThe overall in-hospital mortality was 1,7%.

Aortic valve 52

Aortic valve Aortic Atrial Fibrillation Pacemaker 52

DAIC

FEBRUARY 2, 2024

Titled "Real-world Data Affirms Safety and Effectiveness of Low/Zero Fluoroscopy Atrial Fibrillation Ablation," the study was presented as a late-breaker at the 29th Annual International AF Symposium. 1 These included one pseudoaneurysm, one PV stenosis and one hematoma.1 Epidemiology of Atrial Fibrillation in the 21st Century.

Ablation 105

Ablation Atrial Fibrillation AFIB Heart Rhythm 105

EMS 12-Lead

AUGUST 25, 2024

Examples of cardio embolic stroke etiology include: 1. Atrial Fibrillation 2. Cardiomyopathy with mural thrombus 3. Patent Foramen Ovale 4. Severe calcific Aortic (valve) Stenosis 5. Mechanical prosthetic valve Severe carotid artery stenosis is also implicated in embolic stroke. We do have the ECG.

AFIB 59

AFIB Embolism Atrial Fibrillation RN 59

Frontiers in Cardiovascular Medicine

JANUARY 25, 2024

Percutaneous balloon mitral valvotomy (PBMV) is a good and preferred therapy choice over surgical commissurotomy for patients with rheumatic mitral stenosis (MS).

Bicuspid/Mitral 69

Bicuspid/Mitral Atrial Fibrillation Stenosis Arrhythmia 69

All About Cardiovascular System and Disorders

MAY 18, 2024

Pulsed Field Ablation is a relatively new modality for treatment of atrial fibrillation. In conventional ablation for atrial fibrillation, either heating of tissue is produced by radiofrequency application or freezing of tissues by cryoablation. N Engl J Med. 2023 Nov 2;389(18):1660-1671. doi: 10.1056/NEJMoa2307291.

Ablation 40

Ablation Atrial Fibrillation Pulmonary Arrhythmia 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

Open Heart

SEPTEMBER 14, 2022

VHD incidence was determined using International Classification of Disease-10 codes for aortic stenosis (AS), aortic regurgitation (AR), mitral stenosis, mitral regurgitation (MR) and mitral valve prolapse. Clinical correlates of VHD included demographics, coronary artery disease, heart failure and atrial fibrillation.

Coronary Artery Disease 52

Coronary Artery Disease Bicuspid/Mitral Atrial Fibrillation Aortic 52

DAIC

JANUARY 31, 2024

intermittent) atrial fibrillation (AF) and is a unique new alternative to standard-of-care thermal ablation treatment. intermittent) atrial fibrillation (AF) and is a unique new alternative to standard-of-care thermal ablation treatment. said Nick Spadea-Anello, president, Electrophysiology, Boston Scientific.

Ablation 111

Ablation Atrial Fibrillation Anatomy Pulmonary 111

Frontiers in Cardiovascular Medicine

FEBRUARY 6, 2024

Pulsed field ablation (PFA) is a new treatment for atrial fibrillation (AF), and its selective ablation characteristics give it a significant advantage in treatment. There were no recurrences, PV stenosis, or other serious adverse events during the 12 months follow-up.

Ablation 49

Ablation Pulmonary Atrial Fibrillation Stenosis 49

Frontiers in Cardiovascular Medicine

FEBRUARY 20, 2024

Case summary An 85-year-old woman suffering from long-standing atrial fibrillation and severe symptomatic aortic stenosis underwent SE TAVI (26 mm Evolut™ R®, Medtronic Inc.,

Aortic valve 111

Aortic valve Aortic Atrial Fibrillation Heart Failure 111

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

However, CTA head and neck 4 days later demonstrated 90 percent stenosis of the mid left V2 at the C3‐4 level and a 75‐90 percent stenosis of the left mid V2 segment at the C5‐6 level (hard and soft plaque in these areas). He also had moderate stenosis of the right V4 segment.

Stenosis 40

Stenosis Peripheral Arterial Disease Pacemaker Atherosclerosis 40

Journal of the American Heart Association

FEBRUARY 23, 2024

BackgroundChronic inflammatory disease (CID) accelerates atherosclerosis and the development of aortic stenosis. Patients with CID were predominantly female (60% versus 44%,P=0.002) and more often had pulmonary disorders (21% versus 13%,P=0.046) and atrial fibrillation (32% versus 20%,P=0.003). and 1.62, respectively).

Aortic valve 49

Aortic valve Aortic Outcomes Atrial Fibrillation 49

Stroke Journal

FEBRUARY 1, 2024

ICAD group was defined as persistent occlusion or residual stenosis at the initial occlusion site. ICAD group had lower atrial fibrillation frequency, lower BNP levels, more M1 occlusions, and fewer M2 occlusions compared to the Embolic group. Successful recanalization was defined as Thrombolysis in Cerebral Ischemia score ≥2b.

Outcomes 40

Outcomes Embolism Atrial Fibrillation Thrombolysis 40

Open Heart

JUNE 21, 2022

Background Increase in left ventricular filling pressure (FP) and diastolic dysfunction are established consequences of progressive aortic stenosis (AS). years and were more likely to be males (62%), diabetic (41% vs 35%, p=0.046), and have a higher prevalence of atrial fibrillation (Afib) (53% vs 39%, p<0.001).

Aortic valve 52

Aortic valve TAVR Aortic AFIB 52

Journal of Cardiovascular Electrophysiology

DECEMBER 7, 2023

Objective This study compared procedural and outcome data for PFA-PVI to VHPSD-PVI in patients with paroxysmal or persistent atrial fibrillation (PAF/persAF). One clinically nonsignificant PV stenosis occurred in the VHPSD group. Data comparing PFA to VHPSD-PVI is lacking.

Ablation 40

Ablation Pulmonary Arrhythmia Atrial Fibrillation 40

DAIC

JUNE 19, 2024

Research is also underway into algorithms for the diagnosis of Aortic Stenosis and Myocarditis and should be ready for commercialization in the next 18 – 36 months. In late 2023, HeartSciences announced a partnership with the Icahn School of Medicine at Mount Sinai to commercialize the latter’s extensive ECG data and algorithm library.

AFIB 105

AFIB Reimbursement Research Atrial Fibrillation 105

DAIC

JULY 8, 2024

MANIFEST-17K provides confidence that, unlike conventional thermal ablation, PFA with the pentaspline catheter does not cause the most feared complication of AF ablation—esophageal damage—nor does it cause pulmonary vein stenosis or persistent injury to the diaphragm,” says senior author Vivek Reddy, MD , The Leona M. and Harry B.

Atrial Fibrillation 105

Atrial Fibrillation Ablation Pulmonary Heart Rhythm 105

Circulation

FEBRUARY 27, 2024

A peak systolic pulmonary artery pressure &gt;60 mm Hg during exercise has been associated with an increased risk of cardiovascular death, heart failure rehospitalization, and aortic valve replacement in aortic valve stenosis. P=0.036), indexed left atrial volume (OR per SD, 2.15;P=0.001), P=0.001), E/e’ at rest (OR per SD, 1.61;P=0.012),

Stenosis 75

Stenosis Aortic valve Aortic Atrial Fibrillation 75

Dr. Smith's ECG Blog

MARCH 19, 2024

The patient presented to an outside hospital An 80yo female per triage “patient presents with chest pain, also hurts to breathe” PMH: CAD, s/p stent placement, CHF, atrial fibrillation, pacemaker (placed 1 month earlier), LBBB. This case was sent by Amandeep (Deep) Singh at Highland Hospital, part of Alameda Health System.

Chest Pain 91

Chest Pain Myocardial Infarction Stents Stent 91

DAIC

FEBRUARY 29, 2024

24 will focus on the following three current guideline updates: American College of Cardiology (ACC)/American Heart Association (AHA) Guidelines 2023 Atrial Fibrillation Guideline - Pharmacology II: Strokes vs. Bleeds, What Do the Guidelines Tell Us About Practical Management in A-fib? The Guidelines Sessions at ACC.24

Aortic valve 103

Aortic valve Myocardial Infarction Aortic Blood Pressure 103

BoardVitals - Cardiovascular

JANUARY 18, 2021

ACS QID 75345 In 2017, the New England Journal of Medicine published the results of the Dual Antithrombotic Therapy with Dabigatran after PCI in Atrial Fibrillation (RE-DUAL PCI) trial. Severe mitral stenosis C. Which of the following is most likely to account for his acute decompensation? Click here to view larger image.

Bicuspid/Mitral 52

Bicuspid/Mitral Atrial Fibrillation Chest Pain STEMI 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. Anything more on history? Left main?

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

A transthoracic echocardiogram showed an LV EF of less than 15%, critically severe aortic stenosis , severe LVH , and a small LV cavity. The aortic valve in this example also had critical stenosis by Doppler The patient continued to be hemodynamically unstable with poor cardiac output and very high LV filling pressures.

Ischemia 52

Ischemia Cardiogenic Shock Aortic Stenosis 52

Global Cardiac Surgery

AUGUST 19, 2018

million suffer from long-term complications including heart failure, atrial fibrillation, stroke and infective endocarditis. Although largely preventable, 33.4 RHD is the most commonly acquired heart disease for people under 25 years old and over 1.2

Heart Disease 52

Heart Disease Bicuspid/Mitral Health Disparities Heart Failure 52

Dr. Smith's ECG Blog

OCTOBER 20, 2024

The rhythm now is atrial fibrillation. Below is a still image with the red arrow indicating the subtotal LMCA stenosis. A repeat ECG was recorded about 15 minutes after the initial ECG. What do you think has happened and what is the most likely diagnosis? ECG #2 Again there is a wide complex QRS due to RBBB and LAFB.

Cardiogenic Shock 126

Cardiogenic Shock Ischemia Chest Pain Cardiac Arrest 126

Open Heart

JANUARY 5, 2022

Objective Patients with low-flow, low-gradient aortic stenosis (LFLG AS) and reduced left ventricular ejection fraction (LVEF) are known to suffer from poor prognosis after transcatheter aortic valve implantation (TAVI). This study aimed to develop a simple score system for risk prediction in this vulnerable subset of patients.

Stenosis 52

Stenosis Aortic Aortic valve Atrial Fibrillation 52

Heart BMJ

APRIL 25, 2024

Objectives Grading the severity of moderate mixed aortic stenosis and regurgitation (MAVD) is challenging and the disease poorly understood. Methods Moderate MAVD was defined as coexisting moderate aortic stenosis (aortic valve area (AVA) 1.0–1.5 –1.5 cm 2 ) and moderate aortic regurgitation (vena contracta (VC) 0.3–0.6

Aortic valve 52

Aortic valve Aortic Outcomes Myocardial Infarction 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

ICAD LVOS showed less frequent atrial fibrillation(AF)(4%vs31%,P=0.001), and lower baseline NIHSS(14vs17,P=0.002) compared to the non‐ICAD group. ICAD strokes had higher ASPECTS, and more frequently had calcifications at the carotid siphon as well as multifocal intracranial stenosis on CTA. Additional validation is warranted

Risk Factors 40

Risk Factors Stenosis Atrial Fibrillation Stroke 40

Dr. Smith's ECG Blog

AUGUST 28, 2020

Here I annotate it: This shows 100% occluded circumflex (red arrow) and a 90% stenosis of the LAD (Yellow arrow). The LAD was thought to be not thrombotic, but a chronic tight stenosis. ECG from 2 days later: Atrial Fibrillation now. Inverted Reperfusion T-waves inferior Learning Points: 1.

Cardiogenic Shock 52

Cardiogenic Shock Chest Pain Ischemia Stenosis 52