Remove Cardiovascular Interventions Remove Ischemia Remove Plaque
article thumbnail

"A patient just arrived as a transfer for NSTEMI."

Dr. Smith's ECG Blog

Circulation: Cardiovascular Interventions , 7(5), 645–655. This proves effective treatment of the recurrent ischemia. The patient had no further symptoms of ischemia. Learning Points: Type 1 MI is the type we are most familiar with: rupture of atherosclerotic plaque with production thrombus or platelet fibrin aggregates.

SCAD 123
article thumbnail

A young peripartum woman with Chest Pain

Dr. Smith's ECG Blog

This strongly suggests reperfusing RCA ischemia. Troponins, echocardiogram An echocardiogram showed inferobasilar hypokinesis, further supporting a diagnosis of regional ischemia , likely of the area supplied by the RCA. Here’s the angiogram of the RCA : No thrombus or plaque rupture in the RCA (or any coronary artery) was found.

article thumbnail

Avocados for the Heart; Cardiology's Sad State; CBD for Pulmonary Hypertension?

Heart 2023 Conference

Source: JAMA Cardiology) Patients with afib who survived an intracerebral haemorrhage had a very significant risk of cerebrovascular ischemia episodes and death in the following year, according to registry data. American College of Cardiology Journal) Are you thinking of stopping your antiplatelet medication too soon after angioplasty?

article thumbnail

Patient is informed of her husband's death: is it OMI or it stress cardiomyopathy?

Dr. Smith's ECG Blog

It is possible there is microvascular dysfunction producing residual transmural ischemia. But this is most common when there is prolonged ischemia, and this patient had the fastest reperfusion imaginable! Catheterization and Cardiovascular Interventions , 82 (6), 909913. Mechanisms of plaque formation and rupture.