Blood Pressure, Plaque and Ultrasound

How To Reverse Coronary Artery Disease With Lifestyle Measures

Dr. Paddy Barrett

DECEMBER 19, 2023

You cannot eliminate the plaque entirely, but multiple clinical trials have shown plaque regression using high-intensity cholesterol-lowering treatments, which I have discussed previously. All of these parameters are important and need to be considered when evaluating plaque regression. REVERSAL Investigators.

Coronary Artery Disease

Coronary Artery Disease Plaque Exercise Heart Attack

An undergraduate who is an EKG tech sees something. The computer calls it completely normal. How about the physicians?

Dr. Smith's ECG Blog

MAY 20, 2024

The scan also showed “scattered coronary artery plaques”. __ Smith comment 1 : the appropriate management at this point is to lower the blood pressure (lower afterload, which increases myocardial oxygen demand). The patient was put on a nitroglycerin drip and his pain improved with his blood pressure.

Chest Pain

Chest Pain Blood Pressure Ischemia STEMI

Abstract 4140066: In ACS patients within 4 hours of pain to balloon time, the impact of no-reflow after PCI and ultrasound attenuation as detected by intravascular ultrasound on the incidence of no-reflow.

Circulation

NOVEMBER 11, 2024

The incidence of no-reflow was higher in patients with attenuated plaque ≥5 mm in length as evaluated by intravascular ultrasound (IVUS).Objective:The Blood pressure decrease during PCI was significantly more pronounced in the no-reflow group (47.4% vs. 8.6%, p < 0.001). vs. 25.5%, p = 0.032). vs. 41.2%, p=0.043).Conclusion:In

Ultrasound

Ultrasound Plaque Blood Pressure Myocardial Infarction

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How Does Exercise Prevent Heart Disease?

All About Cardiovascular System and Disorders

APRIL 30, 2024

Plaque regression can be demonstrated by ultrasound evaluation of the carotids which are easily accessible. Regular exercise can bring down the blood pressure in the long run. Though blood pressure rises progressively with increasing exercise, it reduces the resting blood pressure in the long run.

Exercise

Exercise Heart Disease Blood Pressure Cholesterol

What is the link between thyroid and heart disease?

All About Cardiovascular System and Disorders

APRIL 22, 2024

This in turn can enhance the chance of plaque build-up in the blood vessels of the heart (coronary arteries). If it is severe enough to compress the heart, it prevents proper filling of the heart and blood pressure falls. Reduced function of the thyroid gland is also associated with heart disease.

Heart Disease

Heart Disease Heart Failure Blood Pressure Atrial Fibrillation

American College of Cardiology ACC.24 Late-breaking Science and Guidelines Session Summary

DAIC

FEBRUARY 29, 2024

ET Murphy Ballroom 4 Comparison of an "Inclisiran First" Strategy with Usual Care in Patients With Atherosclerotic Cardiovascular Disease: Results From the VICTORION-INITIATE Randomized Trial Targeting Weight Loss to Personalize the Prevention of Type 2 Diabetes Once-weekly Semaglutide in Patients with Heart Failure With Preserved Ejection Fraction, (..)

Aortic valve

Aortic valve Myocardial Infarction Aortic Blood Pressure

Concerning EKG with a Non-obstructive angiogram. What happened?

Dr. Smith's ECG Blog

DECEMBER 19, 2023

EMS obtained the following vital signs: pulse 50, respiratory rate 16, blood pressure 96/49. Two thirds of MINOCA cases are due to atherosclerotic causes One way to prove the diagnosis in this case would have been with intravascular imaging such as optical coherence tomography (OCT) or intravascular ultrasound (IVUS).

Plaque

Plaque Angina Blog Stents

Three normal high sensitivity troponins over 4 hours with a "normal ECG"

Dr. Smith's ECG Blog

JANUARY 5, 2024

Although it is statistically unlikely, multiple plaque ruptures are possible. On intravascular ultrasound (IVUS), the mid RCA plaque was described as "cratered, inflamed, and bulky," and the OM plaque was described as "bulky with evidence of inflammation and probably ulceration." Heitner et al.

Angina

Angina Plaque Document Stents

Women's health: an imAging-based cardiovascular risK-rEdUction Program (WAKE UP) study. Rationale and design

Frontiers in Cardiovascular Medicine

MARCH 27, 2025

At baseline visit, women will be randomized to undergo 2D/3D/strain vascular ultrasound (360 with imaging vs. 360 age- and RF-matched controls without imaging). Imaging can play a key role by revealing the presence of atherosclerotic plaques in a directly relatable way and thus, larger effects are anticipated in women with plaques.

Ultrasound

Ultrasound Plaque Blood Pressure Public Health

At What Age Should You Think About Assessing Your Risk For Heart Disease?

Dr. Paddy Barrett

OCTOBER 4, 2024

Everyone starts with no plaque in the coronary arteries, but over a long enough time frame, everyone develops plaque in their coronary arteries. By age 80, almost everyone will have evidence of advanced plaque in their coronary arteries, as defined by a cardiac CT 1. Plaque accumulation happens in stages. You got it.

Heart Disease

Heart Disease Plaque Cholesterol Risk Factors

The three things that can go wrong with the heart

Dr. Sanjay Gupta

DECEMBER 19, 2022

Infections and inflammation of the heart eg myocarditis will cause acute inflammation of the heart and therefore may compromise the pumping ability of the heart Conditions such as high blood pressure will make the heart work harder and as it does so it will become more muscular. The plaques can damage us in 2 ways.

Heart Rhythm

Heart Rhythm Plaque Heart Attack Heart attacks

A 40-Something male with a "Seizure," Hypotension, and Bradycardia

Dr. Smith's ECG Blog

OCTOBER 7, 2019

They did not have an ultrasound on the ambulance (some local crews are starting to utilize POC limited US in our service areas). He was taken to the cath lab and underwent emergent intervention: Thrombotic stenosis of the proximal RCA (95% with evidence of plaque rupture) is the culprit for the patient's inferoposterior STEMI.

Bradycardia

Bradycardia Cardiogenic Shock STEMI Ischemia

Why You Probably Already Have Heart Disease But Just Don't Know It.

Dr. Paddy Barrett

MAY 31, 2024

Heart disease, the build-up of plaque in the coronary arteries, typically starts years, if not decades, prior to an event. These noninvasive scans look directly at the coronary arteries rather than assessing for the risk factors for coronary artery disease eg LDL cholesterol, high blood pressure etc. CT Coronary Angiogram.

Heart Disease

Heart Disease Plaque Heart Attack Heart attacks

Which patient needs a CT scan?

Dr. Smith's ECG Blog

DECEMBER 16, 2024

The blood pressure was 170/100 in the critical care area. Cardiology wanted a CT of the aorta to rule out dissection, presumably partly due to the very high blood pressure readings, but also because it is hard for people to believe that a 20-something woman could have acute thrombotic coronary artery. Ultrasound Med.

Chest Pain

Chest Pain Aortic STEMI Ultrasound

Cardiovascular Update

How To Reverse Coronary Artery Disease With Lifestyle Measures

An undergraduate who is an EKG tech sees something. The computer calls it completely normal. How about the physicians?

Abstract 4140066: In ACS patients within 4 hours of pain to balloon time, the impact of no-reflow after PCI and ultrasound attenuation as detected by intravascular ultrasound on the incidence of no-reflow.

Webinars

How Does Exercise Prevent Heart Disease?

What is the link between thyroid and heart disease?

American College of Cardiology ACC.24 Late-breaking Science and Guidelines Session Summary

Concerning EKG with a Non-obstructive angiogram. What happened?

Three normal high sensitivity troponins over 4 hours with a "normal ECG"

Women's health: an imAging-based cardiovascular risK-rEdUction Program (WAKE UP) study. Rationale and design

At What Age Should You Think About Assessing Your Risk For Heart Disease?

The three things that can go wrong with the heart

A 40-Something male with a "Seizure," Hypotension, and Bradycardia

Why You Probably Already Have Heart Disease But Just Don't Know It.

Which patient needs a CT scan?

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