Open Heart

JANUARY 19, 2022

Background Circulatory failure after out-of-hospital cardiac arrest (OHCA) as part of the postcardiac arrest syndrome (PCAS) is believed to be caused by an initial myocardial depression that later subsides into a superimposed vasodilatation. Results CPO, SW and oxygen delivery increased during the first 48 hours.

Cardiac Arrest 52

Cardiac Arrest Hospital Biomarkers Blood Pressure 52

Dr. Smith's ECG Blog

APRIL 2, 2024

I was there and said, "No, I think this is all due to severe chronic cardiomyopathy and cardiac arrest due to primary ventricular fibrillation, not due to ACS." _ Why did I say that? Here is the troponin profile overnight: This is consistent with cardiac arrest without acute coronary occlusion. The QRS is extremely wide.

Tachycardia 133

Tachycardia Pacemaker Cardiac Arrest Cardiomyopathy 133

Journal of the American Heart Association

DECEMBER 20, 2024

Cardiogenic shock after outofhospital cardiac arrest (OHCA) can be due to transient myocardial stunning but also reflect the increasing severity of ongoing heart failure. The Society for Cardiovascular Angiography and Interventions (SCAI) proposed a division of cardiogenic shock into 5 phenotypes, with cardiac arrest being a modifier.

Cardiac Arrest 45

Cardiac Arrest Cardiogenic Shock Hospital Myocardial Infarction 45

Circulation

JANUARY 24, 2024

METHODS:The AHA, through its Epidemiology and Prevention Statistics Committee, continuously monitors and evaluates sources of data on heart disease and stroke in the United States and globally to provide the most current information available in the annual Statistical Update with review of published literature through the year before writing.

Heart Disease 81

Heart Disease Peripheral Arterial Disease Stroke Strokes 81

MIBHS

JULY 31, 2024

Here are some of the major ways in which chronic stress negatively impacts cardiovascular health: High Blood Pressure When you experience stress, your body releases hormones like cortisol and adrenaline, which cause your heart rate and blood pressure to spike.

Blood Pressure 52

Blood Pressure Heart Attack Heart attacks Heart Rhythm 52

Journal of the American Heart Association

DECEMBER 29, 2023

Therefore, we aimed to investigate the hemodynamic effects of repeated epinephrine doses during CPR by monitoring augmented blood pressure after its administration in a swine model of cardiac arrest.Methods and ResultsA secondary analysis of data from a published study was performed using a swine cardiac arrest model.

Blood Pressure 45

Blood Pressure Cardiac Arrest 45

Journal of the American Heart Association

NOVEMBER 28, 2023

Mechanical circulatory support (MCS) devices increase systemic blood pressure and end organ perfusion while reducing cardiac filling pressures.Methods and ResultsThe National Cardiogenic Shock Initiative (NCT03677180) is a single‐arm, multicenter study. Patients presented with a mean systolic blood pressure of 77.2±19.2 mm Hg,

Cardiogenic Shock 40

Cardiogenic Shock Myocardial Infarction Blood Pressure Cardiac Arrest 40

Dr. Smith's ECG Blog

OCTOBER 23, 2023

Edited by Bracey, Meyers, Grauer, and Smith A 50-something-year-old female with a history of an unknown personality disorder and alcohol use disorder arrived via EMS following cardiac arrest with return of spontaneous circulation. The described rhythm was an irregular, wide complex rhythm.

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Tachycardia Cardiac Arrest ICU Blog 131

MIBHS

MARCH 31, 2025

When discussing heart health, heart attacks and cardiac arrest are two terms that are often mistaken for one another. Understanding the difference between heart attack and cardiac arrest can help in recognizing symptoms, seeking prompt medical care, and even saving lives. What is Cardiac Arrest?

Cardiac Arrest 52

Cardiac Arrest Heart Attack Heart attacks Chest Pain 52

Dr. Smith's ECG Blog

NOVEMBER 28, 2022

Pericardial tamponade is also associated with pulsus paradoxus which is an abnormally large drop in systolic blood pressure greater than 10 mmHg during inspiration. The term "alternans" itself — merely indicates that there is phasic fluctuation in some cardiac signal fro m one beat to the next within the cardiac cycle.

Tachycardia 40

Tachycardia Pericarditis Ultrasound Blood Pressure 40

MIBHS

OCTOBER 31, 2024

High Blood Pressure (Hypertension) Persistent high blood pressure forces the heart to work harder to pump blood. Medications Medications are often the first line of treatment for cardiomegaly and can include: ACE inhibitors or ARBs , which help lower blood pressure and reduce the workload on the heart.

Blood Pressure 52

Blood Pressure Blood Clot Heart Valves Heart Rhythm 52

Dr. Smith's ECG Blog

SEPTEMBER 7, 2020

Blood pressure was normal (109/83). A 30-something was in the ED for some minor trauma when he was noted to have a fast heart rate. He acknowledged that he had palpitations. but only when asked. He had a history heavy alcohol use.

Tachycardia 52

Tachycardia Heart Disease Dysrhythmia Ablation 52

MIBHS

FEBRUARY 28, 2025

Genes influence various biological processes, including cholesterol metabolism, blood pressure regulation, and the strength and structure of your heart and blood vessels. Common Heart Diseases with Genetic Links Coronary Artery Disease (CAD): CAD occurs when the arteries supplying blood to the heart become narrowed or blocked.

Genetic predisposition 52

Genetic predisposition Heart Disease Cholesterol Blood Pressure 52

Dr. Smith's ECG Blog

APRIL 6, 2018

Written by Pendell Meyers, with edits by Steve Smith Thanks to my attending Nic Thompson who superbly led this resuscitation We received a call that a middle aged male in cardiac arrest was 5 minutes out. He was estimated to be in his 50s, with no known PMHx. He arrived with chest compressions ongoing, intubated, and being bagged.

Cardiac Arrest 52

Cardiac Arrest Tachycardia Defibrillator ICU 52

Dr. Smith's ECG Blog

OCTOBER 20, 2013

What is the utility of a head CT in cardiac arrest? We found intracranial hemorrhage in 2% of non-traumatic cardiac arrest patients, and in 4 others the presence of cerebral edema changed management. in Vienna found that 27 of 765 (4%) of out of hospital cardiac arrests (OHCA) were due to SAH.

Cardiac Arrest 52

Cardiac Arrest STEMI Hemorrhage Hospital 52

Dr. Smith's ECG Blog

JULY 24, 2018

One hour later (labs not yet returned), here is the ECG recorded just after the team noticed a sudden wide complex with precipitous decompensation, just before cardiac arrest: Bizarre, Brady, and Broad (wide QRS). Compartment pressures in the right calf were all 40-50 mmHg. Unfortunately, this was not recognized at this time.

Cardiac Arrest 52

Cardiac Arrest Tachycardia Chest Pain ICU 52

Dr. Smith's ECG Blog

OCTOBER 20, 2024

On arrival in the emergency department, invasive blood pressure was 35/15mmHg and the patient was in profound cardiogenic shock with severe confusion secondary to brain hypoperfusion. The arterial blood gas showed a lactic acidosis with a lactate level of 17mmol/L. PUSH THE LYTICS ! The below ECG (ECG #4) was recorded.

Cardiogenic Shock 128

Cardiogenic Shock Ischemia Chest Pain Cardiac Arrest 128

EMS 12-Lead

MAY 15, 2024

Patient had an unwitnessed cardiac arrest without bystander CPR performed. They see this phantom complex along with an increase in blood pressure (perhaps from the push-dose epinephrine, or the sodium bicarbonate, or as part of an early hemodynamic recovery post-arrest) and think their intervention is successful.

Atrial Fibrillation 132

Atrial Fibrillation Bradycardia Pacemaker Cardiac Arrest 132

Dr. Paddy Barrett

MAY 17, 2024

If you take someone who has multiple risk factors for heart disease, including diabetes, smoking, abnormal cholesterol and high blood pressure, they have a 42 times higher risk of a heart attack compared to someone who does not have any of these factors. That event might have been a heart rhythm issue or even a cardiac arrest.

Heart Disease 101

Heart Disease Heart Attack Heart attacks Risk Factors 101

Open Heart

SEPTEMBER 30, 2024

Non-survivors were more likely to be older (median age in years: 74 (61–84) vs 65 (47–78), p<0.001), had prehospital cardiac arrest requiring cardiopulmonary resuscitation (adjusted HR (aHR)=6.26, 95% CI 5.87, 6.69) and had prehospital intubation (aHR=1.07, CI 1.00, 1.14).

Cardiac Arrest 52

Cardiac Arrest Blood Pressure Outcomes Hospital 52

Dr. Smith's ECG Blog

MAY 3, 2024

The Queen of Hearts gets it right here: Register for access to Queen of Hearts here The interventionalist stated that he could not do the procedure while the patient has a blood pressure of 45 systolic. Suffice it to say that, "The heart does whatever it will do when a patient is about to arrest". Then an angiogram was done.

Cardiogenic Shock 127

Cardiogenic Shock Cardiac Arrest Hospital Ischemia 127

Frontiers in Cardiovascular Medicine

OCTOBER 9, 2024

The included variables were age, pre-hospital cardiac arrest, robust collateral recruitment (Rentrop grade 2 or 3), family history of coronary disease, initial systolic blood pressure, initial heart rate, hypercholesterolemia, culprit vessel, smoking status and TIMI flow pre-PCI. for in-hospital mortality, 0.78

STEMI 52

STEMI Hospital ICU Outcomes 52

Wellnest

MARCH 12, 2023

It occurs when blood flow to the coronary arteries is restricted, frequently by a blood clot, which can harm the heart muscle and result in consequences like heart disease or sudden cardiac arrest. Blood pressure is high. A significant risk factor for heart disease is high blood pressure.

Heart Disease 52

Heart Disease Heart Attack Heart attacks Blood Pressure 52

Cardiometabolic Health Congress

JULY 17, 2024

Aprocitentan (Tryvio) Approved: March 20, 2024 Indication: Hypertension in adults Administration: Oral Mechanism: Endothelin A and B receptor antagonist Developer: Idorsia Pharmaceuticals Significance: First and only FDA-approved endothelin receptor antagonist for high blood pressure that remains uncontrolled with existing treatments.

Tricuspid 59

Tricuspid Open-Heart Surgery Kidney Disease Defibrillator 59

Dr. Smith's ECG Blog

JULY 21, 2024

Immediately after contrast injection into the LMCA, the patient had circulatory collapse, with a precipitous drop in blood pressure. An Impella device was placed to maintain cardiac output and perfusion pressures. You can see Left Main and Proximal LAD obstruction, but with some flow, which is saving this patient's life.

Arrhythmia 131

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 131

DAIC

APRIL 8, 2024

Patients who suffered out-of-hospital cardiac arrest with coma and increased risk of brain damage were excluded from the trial. Subgroup analyses suggested that patients with very low blood pressure and those with lesions in more than one coronary artery may see a greater benefit from the Impella pump.

Heart Attack 52

Heart Attack Heart attacks Cardiogenic Shock Catheterization Laboratory 52

DAIC

JANUARY 23, 2024

1,12,13 While it is important to treat all known risk factors that contribute to ASCVD including high blood pressure, hyperlipidemia, diabetes, and obesity, physicians also need to recognize and treat systemic inflammation in CV disease. 35 Overall, the magnitudes of benefit seen from colchicine, 0.5 12 Importantly, colchicine, 0.5

Cardiovascular Disease 111

Cardiovascular Disease Heart Attack Heart attacks Coronary Artery Disease 111

Dr. Smith's ECG Blog

MAY 5, 2022

On arrival in the ED, he was hypotensive with a systolic blood pressure in the 70s. Steve, what do you think of this ECG in this Cardiac Arrest Patient?" A woman in her 50s with dyspnea and bradycardia A patient with cardiac arrest, ROSC, and right bundle branch block (RBBB).

Chest Pain 52

Chest Pain Bradycardia Cardiac Arrest STEMI 52

Frontiers in Cardiovascular Medicine

JANUARY 8, 2025

AimThis study aimed to protect brain functions in patients who experienced in-hospital cardiac arrest through the application of local cerebral hypothermia. Hemodynamic improvements included elevated systolic blood pressure and heart rate, while left ventricular ejection fraction remained stable. Among the patients, 62.5%

Cardiac Arrest 52

Cardiac Arrest Myocardial Infarction Blood Pressure Hospital 52

Dr. Smith's ECG Blog

APRIL 6, 2025

They were unable to obtain a blood pressure. His heart rate was in the low 20s and we were also unable to obtain a blood pressure. He was given 50 mcg epinephrine with good response in both heart rate and blood pressure. They felt that the asystolic arrest suggested a different etiology of cardiac arrest.

Blood Pressure 111

Blood Pressure Cardiogenic Shock Ischemia Cardiac Arrest 111

Dr. Smith's ECG Blog

FEBRUARY 18, 2025

His first recorded blood pressure was 88/53 mm Hg. Forty five minutes later, his blood pressure increased to 157/125 mm Hg, but his heart rate was now in the 30s. The next recorded blood pressure was 211/175 mm Hg, and in response the patient was started on continuous nitroglycerin infusion.

Blood Pressure 63

Blood Pressure Blog Cardiac Arrest Bradycardia 63