Remove Blood Pressure Remove Hemorrhage Remove Ischemia
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Abstract WP142: A Framework for Developing Prehospital Intracerebral Hemorrhage Recognition Scales and Technologies

Stroke Journal

Introduction:INTEREACT 4 demonstrated lowering blood pressure in the prehospital setting improves outcomes for patients with intracerebral hemorrhage (ICH) but worsens outcomes for acute cerebral ischemia (ACI). Stroke, Volume 56, Issue Suppl_1 , Page AWP142-AWP142, February 1, 2025.

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Abstract WP176: Hemoglobin Decrement is Associated With Ischemic Lesions on Brain MRI of Patients With Acute Intracerebral Hemorrhage

Stroke Journal

Background:We have previously identified that hemoglobin decrements and new-onset anemia during an intracerebral hemorrhage (ICH) hospitalization is frequent, rapid, and associates with poor outcome. Though this association may be related to impaired cerebral oxygen delivery, it is unclear whether these changes relate to cerebral ischemia.

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Abstract WP368: Novel Brain Penetrant Manganese Porphyrin-Based SOD Mimic Improves Short-Term Outcomes of Subarachnoid Hemorrhage

Stroke Journal

Introduction:Oxidative stress plays an important role in both early brain injury and delayed cerebral ischemia after subarachnoid hemorrhage (SAH). There were no differences in blood pressure or body weight between the two groups. Stroke, Volume 56, Issue Suppl_1 , Page AWP368-AWP368, February 1, 2025.

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Does this T wave pattern mean anything?

Dr. Smith's ECG Blog

This may be in the strength of the pulse ( or the blood pressure recorded ) — or it may be in one or more waveforms in the ECG recording. Alternation in ST segment appearance ( or in the amount of ST elevation or depression ) — is often linked to ischemia.

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Massive Transfusion for Motorcycle Collision with Hemorrhage, Troponin Elevated.

Dr. Smith's ECG Blog

She had multiple rib fractures as well as serious hemorrhage and underwent massive transfusion. Either could be a result of myocardial contusion There is some minimal ST depression -- this could represent ischemia What else is there that could use therapy immediately? ng/mL, and an ECG was recorded: There are no P-waves visible.

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Tachycardia must make you doubt an ACS or STEMI diagnosis; put it all in clinical context

Dr. Smith's ECG Blog

He presented to the Emergency Department with a blood pressure of 111/66 and a pulse of 117. More often, tachycardia with ST segment abnormalities (elevation or depression) is due to an underlying illness (PE, sepsis, hemorrhage, dehydration, hypoxia, respiratory failure, etc.). He had this ECG recorded.

STEMI 52
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A 60-something with Syncope, LVH, and convex ST Elevation

Dr. Smith's ECG Blog

When there is poor compliance, as with massive LVH, the heart is particularly vulnerable to low LV filling pressures. He reportedly did complain of atypical chest pain and intermittently, including some measurements in the ED, had a very elevated blood pressure (up to 210/110) because he had not been taking his antihypertensives.