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Abstract 4125093: Association of Systemic Inflammatory Index and Systemic Inflammatory Response Index with Major Adverse Cardiovascular Events in Patients with Acute Coronary Syndrome Who Had Primary Percutaneous Coronary Intervention

Circulation

Circulation, Volume 150, Issue Suppl_1 , Page A4125093-A4125093, November 12, 2024. Considering their multidirectional effect on atherosclerosis, new inflammatory biomarkers integrating various leukocyte subgroups have been proposed to calculate the systemic inflammatory response index (SIRI) and systemic inflammatory index (SII).Aim:The

Angina 40
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Is OMI an ECG Diagnosis?

Dr. Smith's ECG Blog

Written by Jesse McLaren A 70 year old with prior MIs and stents to LAD and RCA presented to the emergency department with 2 weeks of increasing exertional chest pain radiating to the left arm, associated with nausea. 1] European guidelines add "regardless of biomarkers". Circulation 2014 2. But only 6.4% link] References 1.

STEMI 120
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Circumflex Occlusion May be Subtle or Invisible on the ECG

Dr. Smith's ECG Blog

reports MI in 2001 with a stent placed in the "marginal" artery. First, this patient had a known stent in the "marginal" artery and thought he was having a heart attack. However, ST elevation is only an imperfect surrogate for complete acute persistent occlusion of an epicardial coronary artery without collateral circulation.

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Occlusion myocardial infarction is a clinical diagnosis

Dr. Smith's ECG Blog

The ESC states that patients with suspected ACS should go to the cath lab in <2 hours "regardless of ECG or biomarker evidence of MI!!" Here is the angiogram after stent placement. Circulation , 130 (25). The thrombus is circled in red below. The patient suffered a large infarct. Mukherjee, D., Peterson, E. Sabatine, M.

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Persistent Chest Pain, an Elevated Troponin, and a Normal ECG. At midnight.

Dr. Smith's ECG Blog

It was opened and stented with a door to balloon time of about 120 minutes (this is long for STEMI, but very short for a high risk Non STEMI). The 4th, after the opening of the artery and release of troponin from the cardiac circulation, was 99.9 ng/mL So this was a very large MI!! This includes: 1.

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International Stroke Conference 2024 to Present High-Profile Late-Breaking Science

DAIC

MT) TESLA: The Thrombectomy for Emergent Salvage of Large Anterior Circulation Ischemic Stroke Trial: 1-Year Outcome: Osama Zaidat, Mercy Health St. Late-Breaking Science sessions and concurrent oral abstract presentations are as follows: Wed.,

Stroke 100
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7 steps to missing posterior Occlusion MI, and how to avoid them

Dr. Smith's ECG Blog

It was a 60yo with a history of stents to the circumflex and right coronary arteries, who presented with 9 hours of fluctuating central chest pain. So even without the diagnostic ECGs, they had clinical evidence of refractory ischemia with biomarker (troponin) confirmation. The patient was still in pain, with a third troponin of 500.

STEMI 52