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. The underlying etiology is either Type 1 or Type II ischemia, although sometimes there’s overlap of both.

Ischemia 116

Ischemia Stenosis Chest Pain Coronary Artery Disease 116

International Journal of Cardiovascular Sciences

JULY 11, 2024

Awards granted: a) Plaque for each awarded article. The corresponding recognition will entitle the honoree to a plaque. The Award will correspond to articles published in 2023. b) Registration for the next subsequent congress. c) Credit of R$ 2,000.00 for enrollment in courses at the Heart University. Except for postgraduate courses.

Article 52

Article Plaque Heart Failure Cardiomyopathy 52

EMS 12-Lead

AUGUST 18, 2024

I interpreted the ECG as VT with two primary etiological possibilities: 1. Abrupt plaque ulceration of Type 1 ACS leading to VT. 2. Baseline fibrotic substrate from dilated cardiomyopathy leading to VT. From a clinical standpoint I reconciled the first possibility as most probable since the chest discomfort came first.

Tachycardia 59

Tachycardia Blog RN Echocardiogram 59

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. It can only be seen by IVUS.

Plaque 52

Plaque Chest Pain Thrombosis Stenosis 52

Dr. Smith's ECG Blog

APRIL 12, 2023

Example here: DIffuse ST Elevation with Apical Ballooning: is it Takotsubo Stress Cardiomyopathy? Mild Plaque no angiographically significant obstructive coronary artery disease. Stress induced cardiomyopathy (Takotsubo like LV dysfunction) possible. Therefore, the cath lab was activated. The initial hs troponin was = 41 ng/L.

Echocardiogram 52

Echocardiogram Pulmonary Cardiomyopathy Coronary Artery Disease 52

Dr. Sanjay Gupta

DECEMBER 19, 2022

If our valves are leaky then again, a smaller volume of blood is effectively ejected because some leaks back Cardiomyopathies – if the heart muscle itself is defective in some way then that makes it weaker. This includes conditions like familial hypertrophic cardiomyopathy, familial dilated cardiomyopathy etc.

Heart Rhythm 40

Heart Rhythm Plaque Heart attacks Heart Attack 40

Physiologically Speaking

FEBRUARY 28, 2024

For instance, younger (less than 30 or 40 years of age) individuals who suffer from sudden cardiac death during exercise are usually found to have an inherited or congenital cardiac condition, also known collectively as cardiomyopathies. Indeed, 44% of deaths among athletes in the U.S. ” Fear-inducing for heavy exercisers?

Exercise 98

Exercise Sudden Cardiac Death Physiology Congenital 98

DAIC

FEBRUARY 29, 2024

12:15 p.m.

Aortic valve 103

Aortic valve Myocardial Infarction Aortic Blood Pressure 103

Heart 2023 Conference

APRIL 20, 2022

Patients with obstructive hypertrophic cardiomyopathy who underwent surgical myectomy reported improved quality of life. JACC: Asia) Lexaria Bioscience has announced that a CBD product beats a placebo in simulating acute pulmonary hypertension.

Pulmonary 52

Pulmonary Hypertension AFIB COVID-19 52

Dr. Sanjay Gupta

DECEMBER 19, 2022

She had some very minor plaque but certainly nothing that could explain the heart attack and therefore she was discharged with a diagnosis of MINOCA i.e Then I think it is important that patient has an assessment of the function of the heart by means of an ultrasound to look for cardiomyopathies, Takotsubo etc.

Heart attacks 40

Heart attacks Heart Attack Blood Clot Chest Pain 40

Cardiology Update

APRIL 9, 2024

Patients receiving semaglutide showed a greater change in Kansas City Cardiomyopathy Questionnaire (KCCQ) clinical summary scores at 52 weeks than placebo. These patients were identified to have non-flow-limiting vulnerable coronary plaques through intracoronary imaging.

Angina 52

Angina Myocardial Infarction Aortic valve Coronary Artery Disease 52

EMS 12-Lead

AUGUST 22, 2022

The combination of prolonged QT and deep T wave inversion throughout the precordium is typical of Takotsubo syndrome, or Stress Cardiomyopathy – which can occur in the context of a physiologically distressed ICU patient, further compromising their hemodynamics. The coronary angiogram revealed no critical stenosis, or acute plaque ulceration.

Tachycardia 52

Tachycardia Electrophysiology Cardiomyopathy ICU 52

Dr. Smith's ECG Blog

JANUARY 9, 2023

No family history of sudden cardiac death, cardiomyopathy, premature CAD, or other cardiac issues. Pattern consistent with Takotsubo's cardiomyopathy." Only after her troponin peaked at 500,000 ng/L did she get her angiogram, which showed a 100% left main occlusion due to ruptured plaque. No similar symptoms in the past.

Chest Pain 52

Chest Pain Aneurysm STEMI Thrombosis 52

Wellnest

DECEMBER 21, 2022

An ECG machine is able to detect other abnormalities of the heart as well, such as hypertrophic cardiomyopathy or overly thick heart muscles. Coronary artery disease Excessive cholesterol builds up plaque that blocks the arteries supplying blood to the heart. ECG tests can also show previous heart attacks.

Cardiac Arrest 52

Cardiac Arrest Heart attacks Heart Attack Atrial Fibrillation 52

EMS 12-Lead

JUNE 1, 2022

plaque disruption), the T waves still manifest markings of a previous state of suboptimal coronary flow that resolved: Type II supply-demand mismatch in the setting of extreme bradycardia. LBBB is typically the result of preexisting hypertrophy, ischemic heart disease, or cardiomyopathy. 5] Isnard, R. & Pousset, F. 6] Tabrizi, F.,

Heart Failure 52

Heart Failure Myocardial Infarction Bradycardia Chest Pain 52

Dr. Sanjay Gupta

MARCH 6, 2022

So cardiomyopathies, valve problems, myocarditis and previous heart attacks all cause a problem with the pumping function of the heart. If the pump is in any way defective then not as much blood comes out of the heart and the body and all our vital organs will get less blood than they should and this could lead to harm.

Heart attacks 52

Heart attacks Heart Attack Heart Rhythm Exercise 52

Dr. Smith's ECG Blog

JULY 31, 2018

Troponins may be negative with very rapid reperfusion, or measured too late, or chronically elevated due to cardiomyopathy or renal failure. Angiograms may be negative due to spasm or thrombus lysis or small vessel disease, or it may be a type 2 MI. SCAD occurs in patients with few or non-traditional cardiovascular risk factors.

SCAD 52

SCAD Chest Pain Myocardial Infarction Ischemia 52

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. In my opinion, the more likely explanation is that the ST-T changes are primarily driven by stress cardiomyopathy. Here is a case report and review of the literature.

Cardiomyopathy 77

Cardiomyopathy Myocardial Infarction Defibrillator Bradycardia 77

Dr. Smith's ECG Blog

FEBRUARY 6, 2025

Whenever I see PVCs with the morphology and axis seen in todays case I always look for signs of AC ( Arrhythmogenic Cardiomyopathy ). Arrhythmogenic cardiomyopathy often manifests with PVCs from the RV. The ECG in Figure-1 however, shows no signs of arrhythmogenic cardiomyopathy. There were no plaques or stenoses.

Tachycardia 73

Tachycardia Arrhythmia Atrial Flutter Ablation 73