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Henry Ford Health Cardiologists Publish Case Series Study on Heart Valve Procedure

DAIC

These key takeaways from the research letter on IVL-facilitated valvuloplasty for severely calcified mitral valve stenosis are published in the Journal of the American College of Cardiology (JACC) Cardiovascular Interventions. We are looking forward to treating patients who have no other options for mitral stenosis diseased valves.”

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Cardiac arrest, LBBB with STEMI on the ECG, but no Acute Coronary Syndrome!

Dr. Smith's ECG Blog

The structure at the bottom that is moving is the mitral valve, with anterior and posterior leaflets. The ECG and ultrasound could not have been differentiated from acute plaque rupture with occlusion of the RCA. The part farthest (bottom) is the posterior wall and is not contracting. This is a posterior wall motion abnormality.

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Critical Left Main

EMS 12-Lead

Category 1 : Sudden narrowing of a coronary artery due to ACS (plaque rupture with thrombosis and/or downstream showering of platelet-fibrin aggregates. elevated BP), but rather directly correlated with coronary obstruction (due to plaque rupture and thrombosis) and, potentially, stymied TIMI flow. This results in Type I MI.

Angina 52
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Echocardiography, even (or especially) with Speckle Tracking, can get you in trouble. The ECG told the story.

Dr. Smith's ECG Blog

If it were me, I would get values at the level of the mitral valve, papillary muscles, and apex (all in PSS axis). She was treated medically for NonSTEMI, pending next day cath, which showed ulcerated plaque and a 60% thrombotic stenosis in the LAD distal to the first diagonal. I have been wrong before though! It was stented.

STEMI 40
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30 yo woman with trapezius pain. HEART Pathway = 0. Computer "Normal" ECG. Reality: ECG is Diagnostic of LAD Occlusion.

Dr. Smith's ECG Blog

If it were me, I would get values at the level of the mitral valve, papillary muscles, and apex (all in PSS axis). She was treated medically for NonSTEMI, pending next day cath, which showed ulcerated plaque and a 60% thrombotic stenosis in the LAD distal to the first diagonal. I have been wrong before though! It was stented.

STEMI 40