Medical Xpress - Cardiology

MARCH 4, 2025

In the 1980s, when Stella Kourembanas, MD, began her career in neonatology, she cared for newborns with pulmonary hypertension, a disease that results in abnormally high blood pressure in the lung arteries and can lead to heart failure. But pulmonary hypertension still persists.

Pulmonary 47

Pulmonary Hypertension Blood Pressure Heart Failure 47

The British Journal of Cardiology

FEBRUARY 4, 2025

His blood pressure was 180/110 mmHg and heart rate was 100 bpm. He had a high blood pressure and heart rate and was initially treated with glyceryl trinitrate. If the dissection extends into the aortic arch branches, ensuring adequate cerebral perfusion during surgery is crucial to preventing stroke.

Aortic 40

Aortic Blood Pressure Chest Pain Embolism 40

Science Daily - Heart Disease

APRIL 11, 2024

A drug approved to treat pulmonary arterial hypertension may be effective at managing hypertension and end-organ damage in patients with sickle cell disease, according to a new study. Preliminary efficacy data suggested the medication might improve heart function.

Sickle Cell Disease 74

Sickle Cell Disease Blood Pressure Hypertension Pulmonary 74

Frontiers in Cardiovascular Medicine

FEBRUARY 5, 2024

Introduction Multiple abnormal electrocardiographic findings have been documented in patients experiencing acute pulmonary embolism. To date, only a limited number of cases involving a complete atrioventricular block have been reported in acute pulmonary embolism. Echocardiography confirmed signs of right ventricular dysfunction.

Embolism 49

Embolism Pulmonary Blood Pressure Electrocardiogram 49

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 126

Chest Pain Blood Pressure Ischemia STEMI 126

Dr. Smith's ECG Blog

APRIL 12, 2013

He was in acute distress from pulmonary edema, with a BP of 180/110, pulse 110. He had diffuse crackles on exam and B-lines on chest ultrasound, and chest x-ray also confirmed pulmonary edema. Blood pressure was 215/124 and HR 115 (on metoprolol). The hypertension alone is the likely etiology of the pulmonary edema.

STEMI 52

STEMI Pulmonary Stents Stent 52

Circulation

NOVEMBER 11, 2024

On day 3 of hospitalization, he experienced a syncopal episode and had acute worsening of hypoxemia that prompted a CT angiography of the chest which revealed bilateral, large clot burden pulmonary emboli with proximal thrombus in both the right and left main pulmonary arteries.

Embolism 40

Embolism Pulmonary Ultrasound ICU 40

Circulation

NOVEMBER 11, 2024

Background:Primary pulmonary arterial hypertension (PAH) is a disease affecting young subjects. hypoxic animals developed PAH with peak RV systolic pressures (RVSP) being significantly higher than normoxic WT and hypoxic WT and hypoxic KO mice. Circulation, Volume 150, Issue Suppl_1 , Page A4117657-A4117657, November 12, 2024.

Pulmonary 40

Pulmonary Hypertension Blood Pressure Pharmacology 40

DAIC

MARCH 25, 2025

Finerenone, chronic obstructive pulmonary disease, and heart failure with mildly reduced or preserved ejection fraction: An analysis of FINEARTS-HF during the session "Finerenone: A Promising Addition to the Armamentarium or Merely an Academic Exercise?"

Preserved Ejection Fraction 52

Preserved Ejection Fraction Heart Failure Kidney Disease Research 52

All About Cardiovascular System and Disorders

NOVEMBER 11, 2023

SCAPE is an acronym for sympathetic crash acute pulmonary edema, which can typcially occur in Pickering syndrome with renal artery stenosis [1]. Another term for transient acute pulmonary edema which occurs in renal artery stenosis is flash pulmonary edema. Sympathetic crashing acute pulmonary edem a. Prog Cardiovasc Dis.

Pulmonary 52

Pulmonary Stenosis Blood Pressure Risk Factors 52

DAIC

MAY 16, 2024

Risk factors for PAD include smoking; having Type 1 or Type 2 diabetes, high blood pressure, high cholesterol, chronic kidney disease, atherosclerosis in other parts of the body (such as coronary artery disease); and being age 75 years or older. and Global Data From the American Heart Association.

Peripheral Arterial Disease 105

Peripheral Arterial Disease Exercise Ischemia Quality of Life 105

Ken Grauer, MD

AUGUST 16, 2024

MY Thoughts on this CASE: Not being there — I am unaware of physical exam parameters ( blood pressure, respiratory rate; oxygen saturation; heart and lung auscultation, etc. ). For a 10-minute video review on reading Pulmonary CT Scan — WATCH_this_VIDEO by Dr. Jake Gibbons. Figure-1: The initial ECG in today's case. (

Blog 156

Blog Tachycardia Cardiogenic Shock Pulmonary 156

Dr. Smith's ECG Blog

OCTOBER 23, 2023

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. The term "alternans" itself — merely indicates that there is a phasic fluctuation in some cardiac signal fro m one beat to the next within the cardiac cycle.

Tachycardia 131

Tachycardia Cardiac Arrest ICU Blog 131

Dr. Smith's ECG Blog

OCTOBER 21, 2023

Given patient's acute drop in his blood pressure, the patient was cardioverted with synchronized cardioversion at 200 J with no change in his rhythm. Here is a normal LBBB: In LBBB, monophasic wide R-waves should be limited to the lateral leads in left bundle branch block, as in this ECG.

Tachycardia 139

Tachycardia Pulmonary Blood Pressure Blog 139

Conquering CHD

OCTOBER 1, 2024

At 37 weeks of pregnancy, I began having high blood pressure and my doctor decided it was time to bring Austin into the world early. However, at the time, we did not know he also had a very rare isolated left pulmonary artery (causing PPHN) as this was hard to detect on the ultrasound and would later be detected at his cath.

Open-Heart Surgery 98

Open-Heart Surgery Ultrasound VSD Blood Pressure 98

Circulation: Heart Failure

MARCH 5, 2025

EIH was defined as systolic blood pressure (BP) at peak exercise >210 mm Hg in men or >190 mm Hg in women.RESULTS:In this prospective cohort study, we assessed patients with COA (n=41, age 4314 years, 26 [63%] men) and healthy controls (n=41).

Exercise 40

Exercise Hypertension Outcomes Biomarkers 40

Journal of the American Heart Association

DECEMBER 20, 2024

Invasive arterial and pulmonary arterial measurements were obtained the first 72 hours after admission, and perfusion pressure, cardiac index and cardiac power output were calculated. Patients were classified according to SCAI class upon hospital admission.

Cardiac Arrest 45

Cardiac Arrest Cardiogenic Shock Hospital Myocardial Infarction 45

Circulation

NOVEMBER 11, 2024

Longitudinal blood pressure was evaluated by tail cuff.Results:Compared with Ctrl, HFD/L-NAME mice showed cardiac remodeling, preserved systolic function and moderate diastolic dysfunction characterized by inverted or pseudonormal profiles and higher filling pressure (E/A=1.2±0.04 vs. Ctrl), indicative of pulmonary congestion.

Preserved Ejection Fraction 40

Preserved Ejection Fraction Hypertension Blood Pressure Obesity 40

Dr. Smith's ECG Blog

APRIL 2, 2024

We considered attempting electrical cardioversion to improve blood pressure, but I suspected that he is in chronic atrial fibrillation that would be resistant to cardioversion, either electrical or chemical. The estimated pulmonary artery systolic pressure is 23 mmHg + RA pressure. l/min cardiac output.

Tachycardia 133

Tachycardia Pacemaker Cardiac Arrest Cardiomyopathy 133

CardiacWire

MARCH 6, 2024

Endotronix took a big step toward its vision for pulmonary artery pressure-based heart failure medication optimization, releasing positive results from its Cordella Sensor’s PROACTIVE-HF pivotal trial. mmHg decrease in seated mean PA pressure 5.9 mmHg decrease in-office systolic blood pressure 2.2

Heart Failure 56

Heart Failure Blood Pressure Pulmonary Hospital 56

MIBHS

APRIL 15, 2024

Larger ASDs, on the other hand, may increase the risk of complications, such as stroke, arrhythmias or irregular heartbeats, pulmonary hypertension, or high blood pressure in the lung arteries. Complications Of ASD The good news is small ASDs aren’t usually a cause for concern and close during infancy.

Congenital 52

Congenital Pulmonary Blood Pressure Arrhythmia 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

ECG Cases

DECEMBER 15, 2021

How should we dose nitroglycerin to maximize its effects without dumping the blood pressure in patients with SCAPE and those without SCAPE? How should we interpret the C3PO trial in the context of the world's literature on NIPPV in acute heart failure?

Heart Failure 52

Heart Failure Blood Pressure Pulmonary 52

DAIC

MARCH 25, 2025

Finerenone, chronic obstructive pulmonary disease, and heart failure with mildly reduced or preserved ejection fraction: An analysis of FINEARTS-HF during the session "Finerenone: A Promising Addition to the Armamentarium or Merely an Academic Exercise?"

Preserved Ejection Fraction 52

Preserved Ejection Fraction Heart Failure Research Academic 52

Dr. Smith's ECG Blog

MARCH 12, 2018

Notice I did not say "pulmonary embolism," because any form of severe acute right heart strain may produce this ECG. This includes, but is not limited to, PE, asthma/COPD exacerbation, hypoxic vasoconstriction from pneumonia, acute pulmonary hypertension exacerbation. Differences of Pulmonary Embolism T-waves from Wellens' T-waves: 1.

Chest Pain 40

Chest Pain Pulmonary Embolism Tachycardia 40

Dr. Smith's ECG Blog

AUGUST 14, 2023

The bedside echo showed a large RV (Does this mean there is a pulmonary embolism as the etiology?) When you suspect pulmonary embolism due to large RV on POCUS, always look for right axis deviation and a large R-wave in V1 because the large RV may be entirely due to chronic RVH, not acute PE. 2) Norepinephine to support Blood Pressure.

Chest Pain 52

Chest Pain Pulmonary Sickle Cell Disease Atrial Flutter 52

Dr. Smith's ECG Blog

MAY 10, 2023

Given that there was such a high blood pressure, it is possible that this is a type 2 MI (supply demand mismatch due to high oxygen demand when myocardium is pumping against such elevated blood pressure.) No signs for aortic dissection or pulmonary embolus. --"Results were discussed with the ordering physician.

Coronary Angiogram 52

Coronary Angiogram Chest Pain Stenosis STEMI 52

Dr. Smith's ECG Blog

APRIL 26, 2017

Low LV filling pressures are due to several etiologies, most commonly due to volume depletion (dehydration or hemorrhage), but also due to other etiologies including, but not limited to: mitral stenosis, pulmonary hypertension (chronic, or due to pulmonary embolism), or poor RV performance.

Chest Pain 52

Chest Pain STEMI Ultrasound Pulmonary 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

The initial blood pressure was 80/palp with a heart rate of 104, respirations 20, oxygen saturations of 94% and a finger stick blood glucose of 268. In addition, the patient received 750 mL of fluid resuscitation with transient improvement of blood pressure.

Ischemia 40

Ischemia Cardiogenic Shock Aortic Stenosis 40

Dr. Smith's ECG Blog

MARCH 11, 2012

Blood pressure was 180/80. There was no pulmonary edema or hypoxia. The patient was unconscious. He was intubated. He had a combined respiratory and metabolic acidosis, with pH 6.98, pCO2 of 65 and HCO3 of 15. K was normal. Cardiac Echo showed excellent hyperdynamic function. The computer read the QRS duration as 160 ms.

Tachycardia 52

Tachycardia Chest Pain Pulmonary Blood Pressure 52

Dr. Smith's ECG Blog

DECEMBER 14, 2016

The blood pressure was 110/60. The patient had been on a long drive, suggesting possible pulmonary embolism (this was unlikely given absence of tachyardia, hypoxia, or any other feature of PE), so we sent a d dimer. [We Patients with ACS and acute pulmonary edema 3. It was not relieved by anything. This includes: 1.

Chest Pain 52

Chest Pain STEMI Aortic Myocardial Infarction 52

Dr. Smith's ECG Blog

DECEMBER 22, 2022

On his physical examination, cardiac and pulmonary auscultation was completely normal. Blood pressure: 130/80 mmHg, heart rate: 45/min, respiratory rate: 18/min, SaO2: %98, body temperature: normal. Bi-phasic scan showed no dissection or pulmonary embolism. He denies taking any medication.

STEMI 52

STEMI Chest Pain Myocardial Infarction Electrocardiogram 52

BoardVitals - Cardiovascular

MAY 1, 2017

Lungs are clear and there is no elevation in jugular venous pressure. Blood pressure is within the goal as well. Clinical examination is consistent with a well-compensated patient. There are no signs of acute congestion.

Cardiomyopathy 52

Cardiomyopathy Sudden Cardiac Death Bicuspid/Mitral Electrocardiogram 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. 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.

Tachycardia 40

Tachycardia Pericarditis Ultrasound Blood Pressure 40

Dr. Smith's ECG Blog

FEBRUARY 8, 2015

Second , if the patient is hemodynamically stable, without pulmonary edema, it may be wise to try some fluids and and benzodiazepines and/or propofol for this post-seizure patient with likely high catecholamine levels. Place the Left Arm electrode on the 5th intercostal space, right sternal border. Monitor Lead I.

Tachycardia 52

Tachycardia Chest Pain Pharmacology Myocardial Infarction 52

Dr. Smith's ECG Blog

JULY 3, 2020

mEq/L A subsequent ECG was recorded several hours later, after the hemorrhage was controlled and the blood pressure stabilized: Sinus rhythm with normal intervals, no RBBB, no LAFB, no long ST segment. The estimated pulmonary artery systolic pressure is 49 mmHg + RA pressure. mEq/L and 3.8

Hemorrhage 52

Hemorrhage Critical Care Blood Pressure Laboratory 52

Hypertension Journal

MARCH 1, 2024

and angiotensin II type-1 receptor, SMC-MR contributes to myogenic tone and vasoconstriction, thereby contributing to systemic blood pressure. By regulating expression of the L-type calcium channel subunit Cav1.2 While rarely tested, when sexes were compared, the mechanisms of SMC-MR-mediated disease were sexually dimorphic.

Blood Pressure 40

Blood Pressure Aortic valve Heart Failure Hypertension 40