DAIC

MAY 31, 2024

The Prevalence of Hypertension in Young Athletes: A Community-Based Screening Analysis Social Disparities, Experiences with Discrimination, and Cardiovascular Phenotypes in Black and White Collegiate American-Style Football Players Exercise-Induced Ventricular Fibrillation Cardiac Arrest in a Firefighter Using Intramuscular Testosterone with Segmental (..)

Cardiac Arrest 111

Cardiac Arrest Exercise Thrombosis Diet 111

EMS 12-Lead

AUGUST 25, 2024

Examples of cardio embolic stroke etiology include: 1. Atrial Fibrillation 2. Cardiomyopathy with mural thrombus 3. Patent Foramen Ovale 4. Severe calcific Aortic (valve) Stenosis 5. Mechanical prosthetic valve Severe carotid artery stenosis is also implicated in embolic stroke. Here is the admission ECG.

AFIB 59

AFIB Atrial Fibrillation Embolism RN 59

EMS 12-Lead

APRIL 9, 2024

Learning Points A fantastic triage tool for syncope is the ECG, which can screen for any arrhythmic / structural contribution, such as Delta wave, QT prolongation, AV block, Hypertrophic Cardiomyopathy, Epsilon wave, or Brugada. This latter part has been implicated in embolic CVA.

Ischemia 116

Ischemia Stenosis Chest Pain Coronary Artery Disease 116

Dr. Smith's ECG Blog

MARCH 28, 2024

male with pertinent past medical history including Atrial fibrillation, atrial flutter, cardiomyopathy, Pulmonary Embolism, and hypertension presented to the Emergency Department via ambulance for respiratory distress and tachycardia.

Tachycardia 128

Tachycardia Atrial Fibrillation AFIB Atrial Flutter 128

Frontiers in Cardiovascular Medicine

JANUARY 15, 2024

Female patients showed a lower prevalence rate of pre-existing coronary artery disease (48% vs. 75%, p  < 0.001) and cardiomyopathy (17% vs. 34%, p  = 0.01) compared with the male patients, while the mean age and prevalence rate of other cardiovascular risk factors were balanced.

Cardiogenic Shock 64

Cardiogenic Shock Cardiac Arrest BMI Coronary Artery Disease 64

DAIC

FEBRUARY 29, 2024

12:15 p.m.

Aortic valve 103

Aortic valve Myocardial Infarction Aortic Blood Pressure 103

Dr. Smith's ECG Blog

SEPTEMBER 29, 2024

Relevance to Today's CASE: As per Dr. Smith — Trying to predict the "culprit" artery in today's case was confusing.

Cardiac Arrest 109

Cardiac Arrest STEMI Ischemia SCAD 109

Dr. Smith's ECG Blog

NOVEMBER 15, 2023

Angiogram No obstructive epicardial coronary artery disease Cannot exclude non-ACS causes of troponin elevation including coronary vasospasm, stress cardiomyopathy, microvascular disease, etc. hours T-wave are getting larger again The patient went for an angiogram at about 7 hours after arrival.

Coronary Angiogram 109

Coronary Angiogram Plaque Thrombosis STEMI 109

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

by making it clear to everyone that this is NOT an EKG that one sees with takotsubo cardiomyopathy. Hospital Course The patient was taken emergently to the cath lab which did not reveal any significant coronary artery disease, but she was noted to have reduced EF consistent with Takotsubo cardiomyopathy.

Plaque 52

Plaque Chest Pain Thrombosis Stenosis 52

Dr. Smith's ECG Blog

DECEMBER 19, 2023

The commonest causes of MINOCA include: atherosclerotic causes such as plaque rupture or erosion with spontaneous thrombolysis, and non-atherosclerotic causes such as coronary vasospasm (sometimes called variant angina or Prinzmetal's angina), coronary embolism or thrombosis, possibly microvascular dysfunction.

Plaque 127

Plaque Angina Blog Stents 127

Dr. Sanjay Gupta

DECEMBER 19, 2022

Coronary artery embolism – In this scenario, a blood clot which forms elsewhere goes down a coronary artery, causing a blockage but by the time we do the angiogram, the clot has dissipated and we see unobstructed vessels. myocarditis), and blood clotting disorders.

Heart Attack 40

Heart Attack Heart attacks Blood Clot Chest Pain 40

Dr. Smith's ECG Blog

APRIL 9, 2023

The interventional cardiologist was not initially convinced this was ACS and recommended CT pulmonary angiography to rule out pulmonary embolism. CT Aortogram revealed: No pulmonary embolism, No aortic dissection. The pain returned/worsened , and the patient was then started on a nitroglycerin drip.

Chest Pain 52

Chest Pain Ischemia Stenosis Pulmonary 52

MIBHS

OCTOBER 31, 2024

Cardiomyopathy Cardiomyopathy is a condition that affects the heart muscle, causing it to become enlarged, thick, or rigid. Excessive Alcohol or Drug Use Long-term abuse of alcohol or certain drugs can weaken the heart muscle, resulting in cardiomyopathy and eventually cardiomegaly.

Blood Pressure 52

Blood Pressure Blood Clot Heart Valves Heart Rhythm 52

Journal of the American Heart Association

MARCH 7, 2025

BackgroundOriginal apical hypertrophic cardiomyopathy was characterized by left ventricular hypertrophy confined to the apex below the papillary muscle level. In contrast, apical hypertrophic cardiomyopathy in Western countries often includes hypertrophy extending to the midventricular septum.

Cardiomyopathy 40

Cardiomyopathy Embolism Tachycardia Heart Failure 40

Dr. Smith's ECG Blog

JANUARY 9, 2023

No family history of sudden cardiac death, cardiomyopathy, premature CAD, or other cardiac issues. CT angiogram chest: no aortic dissection or pulmonary embolism. Pattern consistent with Takotsubo's cardiomyopathy." The wall motion abnormalities of Takotsubo cardiomyopathy and LAD OMI can be similar.

Chest Pain 52

Chest Pain Aneurysm STEMI Thrombosis 52

Dr. Smith's ECG Blog

NOVEMBER 12, 2020

Clinically — despite an initial 2-fold increased troponin, the normal bedside Echo was reassuring against OMI or pulmonary embolism. This list takes on new relevance given the ongoing Covid-19 pandemic — which predisposes to acute thrombotic events, stress cardiomyopathy ( Takotsubo ), infarction/ischemia and myocarditis.

Cardiac Arrest 52

Cardiac Arrest COVID-19 Myocardial Infarction Cardiogenic Shock 52

Dr. Smith's ECG Blog

APRIL 13, 2025

The patient was found to have an embolic source. Embolism with lysis. Need to find an embolic source. The 3 most common causes of ACS ( A cute C oronary S yndrome ) without coronary disease are: i ) Myocarditis ( up to 1/3 of these patients ); ii ) Takotsubo cardiomyopathy; and , iii ) MINOCA. So this is "MINOCA".

Chest Pain 84

Chest Pain Embolism STEMI Plaque 84

Dr. Smith's ECG Blog

MARCH 8, 2025

Repeat ECG was obtained immediately, just 24 minutes after the prior ECG: Given the context, my top differential diagnosis would be stress cardiomyopathy AKA takotsubo. Third, a slow motion segment showing delayed, brisk filling of the PDA due to dislodgment of a thrombus from contrast injection and distal embolization.

Cardiomyopathy 75

Cardiomyopathy Myocardial Infarction Defibrillator Bradycardia 75