Dr. Smith's ECG Blog

DECEMBER 11, 2023

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. Smith : As Willy states, ACS with persistent symptoms is a guideline recommended indication for ＜2 hour angio (both ACC/AHA and ESC).

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Myocardial Infarction Chest Pain STEMI Blood Pressure 123

Dr. Smith's ECG Blog

DECEMBER 14, 2016

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). less than 2 h from hospital admission, analogous to STEMI management) invasive strategy with intent to perform revascularization is recommended, irrespective of ECG or biomarker findings.

Chest Pain 52

Chest Pain STEMI Aortic Pulmonary 52

Dr. Anish Koka

MAY 16, 2023

The presentation for this condition is usually not subtle and presents with severe chest pain, electrocardiographic changes, and elevated cardiac biomarkers evident on blood tests. It’s not a conventional cause of heart attacks, but I don’t understand the decision to classify it under the MINOCA umbrella. for MINOCA patients.

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Chest Pain Coronary Artery Disease Cancer Heart attacks 52

Dr. Smith's ECG Blog

MAY 8, 2023

So the patient was taken for emergent cath, showing: Culprit artery: LAD (100% stenosis, TIMI 0) requiring thrombectomy and stent. Queen of Hearts interpretation: Now the cardiologist considered it "STEMI"! There are 2 primary reasons for this low sensitivity.

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Chest Pain Myocardial Infarction STEMI Pacemaker 52

Dr. Smith's ECG Blog

JANUARY 3, 2022

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

STEMI Myocardial Infarction Chest Pain Ischemia 52

Frontiers in Cardiovascular Medicine

JANUARY 7, 2024

Background Stent thrombosis (ST) is an uncommon but serious complication of stent implantation. Methods The analysis included patients who received stent placement for the index acute coronary syndrome (ACS). positive cardiac biomarker, hemoglobin, platelet count, white blood cell (WBC) count], and treatment [i.e.,

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Stent Stents Thrombosis Myocardial Infarction 64

DAIC

JANUARY 22, 2024

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

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Strokes Stroke Hospital Stent 100

Dr. Smith's ECG Blog

MAY 21, 2012

In this study of "aborted" STEMI , 11% of patients with a 5 hours symptom onset to PCI time had no significant biomarker elevation. Angiogram revealed a 100% mid LAD occlusion which was stented. How accurate is time from symptom onset in determining the amount of viable myocardium remaining? A recent study by Engblom et al.

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STEMI Chest Pain Aneurysm Biomarkers 40

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Hunter Mehaffey Aortic Annular Enlargement in the Elderly: Short and Long-Term Outcomes in the United States The Annals of Thoracic Surgery January 2021 Shinichi Fukuhara Surgical Explant of Transcatheter Aortic Bioprosthesis: Results and Clinical Implications from The Society of Thoracic Surgeons Adult Cardiac Database Analysis Circulation December (..)

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Hunter Mehaffey 1 Aortic Annular Enlargement in the Elderly: Short and Long-Term Outcomes in the United States The Annals of Thoracic Surgery January 2021 Shinichi Fukuhara 2 Surgical Explant of Transcatheter Aortic Bioprosthesis: Results and Clinical Implications from The Society of Thoracic Surgeons Adult Cardiac Database Analysis Circulation December (..)

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Frontiers in Cardiovascular Medicine

FEBRUARY 6, 2025

Three days later, a significant decrease in left ventricular function and increase in cardiac biomarkers were observed. The patient underwent an intravascular ultrasound-guided stenting of the left main, resulting in total recovery of heart function.

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Aortic Ultrasound Biomarkers Stent 52