Stroke: Vascular and Interventional Neurology

FEBRUARY 6, 2024

Stroke: Vascular and Interventional Neurology, Ahead of Print. We describe the first report of 2 cases of successful carotid artery stenting for heavily calcified lesions using a scoring balloon.CASE PRESENTATIONThe patients were both aged 75 years, 1 male and 1 female, who had experienced ipsilateral stroke prior to the procedures.

Stents 40

Stents Stent Stenosis Bradycardia 40

DAIC

JANUARY 19, 2024

Our collaboration with Orchestra BioMed will explore how cardiac pacing can go beyond management of bradycardia and conduction disease to treat hypertension as well,” said Robert C. This leaves a gap in the care of these patients and increases their risk for heart attack, stroke and heart failure progression. Kowal, M.D., Circulation.

Pacemaker 105

Pacemaker Hypertension Blood Pressure Kidney Disease 105

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionIntracranial atherosclerosis (ICAS) is a leading global cause of stroke. 1‐year rate of stroke and death in stented patients [5]. The role of intracranial stenting in ICAS remains uncertain.

Stents 40

Stents Stent Outcomes Angioplasty 40

Open Heart

JULY 28, 2023

Secondary endpoints are 30 s or more persistent supraventricular tachycardia and ventricular tachycardia, 3 s or more persistent pause, bradycardia with 40 beats per minutes or lower heart rate, AF burden, all-cause death, cardiovascular death, hospital readmission due to exacerbation of HF, acute coronary syndrome, ischaemic or haemorrhagic stroke, (..)

Atrial Fibrillation 40

Atrial Fibrillation Arrhythmia Heart Failure Tachycardia 40

All About Cardiovascular System and Disorders

MAY 2, 2024

During aerobic exercise which is isotonic, the heart rate and stroke volume increases. Athlete’s bradycardia due to increased parasympathetic tone and decreased sympathetic tone is a well-known observation. Though most of the findings in athlete’s heart are related to the left ventricle, changes do occur in the right ventricle as well.

Exercise 40

Exercise Cardiomyopathy Blood Pressure Physiology 40

Dr. Smith's ECG Blog

OCTOBER 25, 2023

Syncope and Bradycardia Syncope in a 20-something woman Long QT: Do not trust the computerized QT interval when the QT is long An Alcoholic Patient with Syncope Cardiac Arrest. Is it STEMI? Chest pain in high risk patient. Are these Hyperacute T-waves? What is going on here? What does the ECG show?

Chest Pain 123

Chest Pain Ischemia Cardiac Arrest Blog 123

Dr. Smith's ECG Blog

MAY 30, 2023

Here is his ED ECG: There is bradycardia with a junctional escape. Case continued A bedside ultrasound showed diminished LV EF and of course bradycardia. BP was 108 systolic (if a cuff pressure can be trusted) but appeared to be maintaining BP only by very high systemic vascular resistance. He appeared gray in color, with cool skin.

Chest Pain 97

Chest Pain Myocardial Infarction STEMI Cardiogenic Shock 97

Dr. Smith's ECG Blog

JANUARY 22, 2020

There are 3 etiologies I always think of with bradycardia and AV block: 1. It is common for physicians to ignore the atrium in this situation and forget the stroke risk. She could have developed an escape that is not able to use the conducting system at all; such an escape would be very wide and bizarre, with uncertain efficacy.

Pulmonary 52

Pulmonary AFIB Atrial Fibrillation Pacemaker 52

Dr. Smith's ECG Blog

NOVEMBER 18, 2019

U waves may also be found in patients with LVH and/or bradycardia , or occasionally as a normal variant. I find the BEST way to identify U waves — is to appreciate that when present, U waves will be that upright deflection in between the T wave and the P wave. N OTE # 1 — U waves are not specific for hypokalemia!

Chest Pain 52

Chest Pain Cardiac Arrest Bradycardia Ischemia 52

Dr. Smith's ECG Blog

MARCH 2, 2019

I have found it helpful to consider another brief L IST of entities whenever you see Q Tc P rolongation: i ) Drugs ( many drugs and combinations of drugs may prolong the QT interval ); ii ) Electrolyte Disturbance ( low K+/low Mg++/low Ca++ ); and / or , iii ) any CNS Catastrophe (ie, stroke, seizure, coma, CNS bleed, trauma, tumor, etc.

Sickle Cell Disease 52

Sickle Cell Disease Ischemia Dysrhythmia Chest Pain 52

Dr. Smith's ECG Blog

MARCH 15, 2023

Baseline bradycardia in endurance athletes limits the use of ß-blockers. Emergency providers only see the “tip of the iceberg” of this huge number of AFib episodes — which consists of patients who call EMS or present to the ED with new-onset palpitations, heart failure exacerbation, acute stroke ( or other symptom related to their AFib ).

Atrial Fibrillation 52

Atrial Fibrillation AFIB Arrhythmia Exercise 52

Dr. Smith's ECG Blog

APRIL 8, 2015

PVCs N ot generally considered abnormal ECG findings: Isolated PAC, First Degree AV Block, Sinus bradycardia at a rate of 35-45, and Nonspecific ST-T abnormalities (even if different from a previous ECG). Thus, if there is documented sinus bradycardia, and no suspicion of high grade AV block, at the time of the syncope, this is very useful.

Arrhythmia 52

Arrhythmia Outcomes Chest Pain Risk Factors 52

Dr. Smith's ECG Blog

DECEMBER 5, 2023

A repeat ECG was performed as adult cardiology was asked to evaluate the patient for emerget PCI: Sinus bradycardia with persistent elevation in the inferior leads with reciprocal depression in aVL Patient was taken to cath lab with adult cardiology which revealed normal coronary arteries without evidence of occlusion MI. Circulation.

Pediatrics 120

Pediatrics Pericarditis COVID-19 Congenital Heart Disease 120

Dr. Smith's ECG Blog

FEBRUARY 20, 2025

Papers I reviewed include ( Poudel et al Cureus 15(6): e40045, 2023 ) ( Chatterjee Neth Heart J 19:31-34, 2011 ) ( Yogendranathan et al BMC Cardiovasc Dis 17(91)- 2017 ) ( Ibrahim and Macdonald Stroke 43(8): 2102-2107, 2012 ) ( Levis Permanente J 21:16-049, 2017 ).

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STEMI Hemorrhage Cardiac Arrest Tachycardia 88