Open Heart

MAY 2, 2023

Aims Guidelines for suspected cardiac chest pain have used historical risk stratification tools, advocating invasive coronary angiography (ICA) first-line in those at highest risk.

Chest Pain 52

Chest Pain Quality of Life Angina Coronary Artery Disease 52

Circulation: Genomic and Precision Medicine

SEPTEMBER 27, 2023

Background:Patients with de novo chest pain, referred for evaluation of possible coronary artery disease (CAD), frequently have an absence of CAD resulting in millions of tests not having any clinical impact. Circulation: Genomic and Precision Medicine, Volume 16, Issue 5 , Page 442-451, October 1, 2023.

Chest Pain 40

Chest Pain Coronary Artery Disease Risk Factors Circulation 40

Dr. Smith's ECG Blog

APRIL 25, 2023

Healthy male under 25 years old with a pretty good story for acute onset crushing chest pain relieved with nitro. Cath lab activation by the ED and I agree with coronary angiography emergently." Result: no angiographically significant obstructive coronary artery disease. What do you think? Medical Rx.

Chest Pain 52

Chest Pain Pericarditis Blog Cardiomyopathy 52

DAIC

DECEMBER 19, 2023

This interest may be attributed in part to a 2021 decision by the American College of Cardiology (ACC) and the American Heart Association (AHA) to give cardiac CT angiography (CCTA) its highest recommendation as a frontline test to evaluate patients with stable and acute chest pain who have no history of coronary artery disease.¹

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Chest Pain Coronary Artery Disease Technology Outpatient 104

MIBHS

FEBRUARY 15, 2025

Coronary Artery Disease (CAD) : High blood pressure accelerates the development of CAD by promoting the buildup of plaques in the coronary arteries. This condition reduces blood flow to the heart, increasing the risk of angina (chest pain) and heart attacks.

Blood Pressure 52

Blood Pressure Hypertension Chest Pain Aneurysm 52

MIBHS

NOVEMBER 15, 2024

Undergoing heart surgery can be a life-changing experience, especially for those with coronary artery disease or other heart conditions. Pay attention to how your body responds, particularly monitoring for chest pain or unusual shortness of breath.

Cardiac Rehabilitation 52

Cardiac Rehabilitation Exercise Chest Pain Diet 52

Dr. Smith's ECG Blog

SEPTEMBER 30, 2019

Case written and submitted by Ryan Barnicle MD, with edits by Pendell Meyers While vacationing on one of the islands off the northeast coast, a healthy 70ish year old male presented to the island health center for an evaluation of chest pain. The chest pain started about one hour prior to arrival while bike riding.

Chest Pain 52

Chest Pain Pulmonary ACE Inhibitor Pacemaker 52

American College of Cardiology

JUNE 26, 2024

Coronary computed tomography (CCTA), used for first-line investigation of chest pain, has revealed there is a large group of individuals without obstructive coronary artery disease (CAD) for whom there is an unclear prognosis and management.

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Chest Pain Coronary Artery Disease Article 56

DAIC

JANUARY 3, 2024

With more than 500 peer-reviewed publications, the HeartFlow FFR CT Analysis remains unparalleled in precision coronary care, as supported by the ACC/AHA Chest Pain Guidelines, to improve treatment plans and outcomes. 2021 ACC/AHA Chest Pain Guidelines. For more information: www.heartflow.com References 1.

Coronary Artery Disease 59

Coronary Artery Disease Chest Pain Plaque Technology 59

Frontiers in Cardiovascular Medicine

FEBRUARY 18, 2025

Among patients with non-ischemic phenotypes, the incidence of coronary artery disease was low (23%).ConclusionsFour Non-ischemic phenotypes differed in the prevalence of hypertensive response, reduced CR, and reduced HRR.

Chest Pain 52

Chest Pain Exercise Angina Coronary Artery Disease 52

DAIC

JULY 23, 2024

Haechan Cho, MD received Best Abstract first runner-up after presenting his abstract, “Coronary Computed Tomography Angiography Versus Functional Testing In Patients With Diabetes And Suspected Coronary Artery Disease: Real-world Evidence From The Nationwide Cohort.”

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Chest Pain Coronary Artery Disease Plaque Ischemia 105

Frontiers in Cardiovascular Medicine

JULY 5, 2024

BackgroundVasospastic angina usually presents with intermittent episodes of chest pain. It can rarely be associated with the perception of phantom odors.Case summaryA 69-year-old woman presented for evaluation of intermittent shortness of breath and chest pain.

Angina 52

Angina Chest Pain Coronary Artery Disease Exercise 52

Circulation

NOVEMBER 11, 2024

The patient’s chest pain (CP) was not alleviated with initial revascularization of his left circumflex (LCx) ST, requiring PCI to his right coronary artery (RCA) chronic total occlusion (CTO).

Chest Pain 40

Chest Pain Coronary Artery Disease Angioplasty Thrombosis 40

DAIC

MARCH 28, 2024

"This pivotal study was performed in two different international populations which shows that CCTA analyzed with the Cleerly AI-QCT ISCHEMIA device provides an accurate assessment of coronary ischemia,” said James P. Earls, MD , Chief Medical Officer of Cleerly. JACC Cardiovasc Imaging. 2024 Feb 29:S1936-878X(24)00039-1. doi: 10.1016/j.jcmg.2024.01.007.

Ischemia 110

Ischemia Chest Pain Atherosclerosis Coronary Artery Disease 110

Dr. Smith's ECG Blog

MAY 24, 2022

A 30-something male presented in the middle of the night with several hours of sharp, non-radiating, left sided chest pain. No angiographically significant obstructive coronary artery disease. It was there earlier, went away, and then returned approximately 1 hour prior to arrival. Exam and vital signs were normal.

Chest Pain 52

Chest Pain Blog Coronary Angiogram Coronary Artery Disease 52

Dr. Smith's ECG Blog

NOVEMBER 22, 2023

While in the ED, patient developed acute dyspnea while at rest, initially not associated with chest pain. He later developed mild continuous chest pain, that he describes as the sensation of someone standing on his chest. He was treated for infection and DKA and admission to hospital was planned.

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Chest Pain Ischemia Echocardiogram Myocardial Infarction 117

HeartRhythm

SEPTEMBER 8, 2024

An 80-year-old man with renal disease on hemodialysis, coronary artery disease, complete heart block and a dual chamber leadless pacemaker (LP) implanted because of previous bacteremia, presented with syncope. An echocardiogram showed newly reduced left ventricular ejection fraction of 30-35%.

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Defibrillator Pacemaker Chest Pain Coronary Artery Disease 40

Dr. Smith's ECG Blog

SEPTEMBER 25, 2024

A 56 year old male with a history of diabetes, dyslipidemia, hypertension, and coronary artery disease presented to the emergency department with sudden onset weakness, fatigue, lethargy, and confusion. On the second morning of his admission, he developed 10/10 chest pain and some diaphoresis after breakfast.

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Chest Pain Blog Hospital Tachycardia 119

Frontiers in Cardiovascular Medicine

JUNE 23, 2024

BackgroundIschemia with non-obstructive coronary arteries (INOCA) is a major clinical entity that involves potentially 20%–30% of patients with chest pain. INOCA is typically attributed either to coronary microvascular disease and/or vasospasm, but is likely distinct from classical coronary artery disease (CAD).ObjectivesTo

Chest Pain 52

Chest Pain Coronary Artery Disease 52

Coronary Artery Disease Journal

JUNE 3, 2024

Objectives There are few reports regarding the prognosis in patients with obstructive coronary artery disease (OCAD) and vasospastic angina (VSA). An obstructed coronary artery was defined as ≥50% luminal narrowing.

Stenosis 40

Stenosis Angina Chest Pain Coronary Artery Disease 40

Coronary Artery Disease Journal

JUNE 13, 2024

Objective Cardiac cephalalgia, once seen as a rare symptom of coronary artery disease, is now more recognized. It often comes with chest discomfort and autonomic dysfunction, worsened by physical activity. However, not all cases have chest symptoms or are activity induced.

Myocardial Infarction 40

Myocardial Infarction Chest Pain Coronary Artery Disease Electrocardiogram 40

DAIC

MAY 2, 2024

About Chronic Myocardial Ischemia with Refractory Angina Chronic myocardial ischemia occurs in the setting of coronary artery disease when there is reduced blood flow to the heart. million patients in the United States.

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Ischemia Angina Heart Failure Outcomes 95

Circulation

NOVEMBER 11, 2024

Introduction:Since the advent of percutaneous coronary intervention (PCI), the scope of this therapeutic intervention has broadened to include cases of life-threatening multivessel coronary artery disease that previously may have only been corrected surgically.

Coronary Artery Disease 40

Coronary Artery Disease Chest Pain Myocardial Infarction Thrombolysis 40

MIBHS

DECEMBER 27, 2024

Heart bypass surgery, or coronary artery bypass graft surgery (CABG), is performed to treat patients with severe coronary artery disease (CAD). As a result, the heart doesnt receive enough oxygen-rich blood, which can lead to chest pain, shortness of breath, or even a heart attack.

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Coronary Artery Bypass Graft Open-Heart Surgery Kidney Disease Chronic Disease 52

EMS 12-Lead

APRIL 9, 2024

There was no chest pain. V1 and V2 are probably placed too high on the chest given close morphological similarity to aVR. There is increased LV cavity dimensions with an increase in transient ischemic dilation, suggesting Left Main, or 3-vessel coronary artery disease. The fall was not a mechanical etiology.

Ischemia 116

Ischemia Stenosis Chest Pain Coronary Artery Disease 116

Open Heart

JUNE 22, 2023

Uniform reporting was agreed including indication, BB administration, demographics, dose length product (DLP) and the coronary artery disease—reporting and data system (CAD-RADS) score. Uncertain CAD-RADS meant a non-diagnostic scan (NDS).

Chest Pain 52

Chest Pain Coronary Artery Disease Technology Hospital 52

Dr. Smith's ECG Blog

NOVEMBER 5, 2023

By Magnus Nossen, edits by Grauer and Smith The patient is a 70-something female with DMII, HTN and an extensive prior history of coronary artery disease and myocardial infarctions. On the day of presentation she complained of typical chest pain, and stated it feels like prior MI. She's had multiple PCI procedures.

Chest Pain 111

Chest Pain Pacemaker Ischemia Stents 111

Journal of the American Heart Association

MARCH 27, 2025

years]) admitted to the China Chest Pain Center Database between 2016 and 2021. Hierarchical clustering of 15 medical conditions was performed to derive multimorbidity patterns. The primary outcome was a composite of inhospital adverse events.

Myocardial Infarction 40

Myocardial Infarction Peripheral Arterial Disease Outcomes Chest Pain 40

Heart BMJ

JANUARY 29, 2024

Assessment of patients presenting for the first time with suspected coronary artery disease (CAD) remains cumbersome with multiple diagnostic options. Likelihood of CAD can be estimated based on symptoms and risk factors, and an abnormal ECG may also be helpful.

Exercise 40

Exercise Chest Pain Coronary Artery Disease Angina 40

DAIC

OCTOBER 16, 2024

Per the new LCDs, AI-CPA using coronary computed tomography angiography (CCTA) is considered reasonable and medically necessary as a diagnostic study when the patient is eligible for CCTA; and the patient presents with acute or stable chest pain and is at intermediate risk for coronary artery disease (CAD) or has evidence of CAD-RADS™ level 1, 2 or (..)

CMS 52

CMS Medicare Plaque Chest Pain 52

Dr. Prateek Bhatnagar

SEPTEMBER 14, 2020

63 years old Afsar Khan resident of Karwan, Hyderabad had been having coronary artery disease and chest pain on exertion for about a year. In November 2019, he underwent CT coronary angiography which showed blocks in all 3 coronary arteries of the heart. He was still corona negative.

COVID-19 52

COVID-19 Chest Pain Pulmonary Coronary Artery Disease 52

DAIC

MARCH 11, 2024

a med tech company dedicated to helping patients with persistent ischemic heart disease, has announced the treatment of the first patient with the A-FLUX Reducer System, a treatment for patients with angina or chest pain. VahatiCor, Inc., Angina is often caused by reduced blood flow to the heart.

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Angina Innovation Heart Disease Chest Pain 59

Dr. Prateek Bhatnagar

AUGUST 21, 2023

Patient Mr. Paras Ram was having unstable angina (chest pain at rest) at his native place. Coronary angiography showed tight left main coronary artery disease with severe triple vessel disease. All his coronary arteries were heavily calcified.

Open-Heart Surgery 52

Open-Heart Surgery Atrial Fibrillation Chest Pain Coronary Artery Disease 52

Dr. Smith's ECG Blog

MAY 23, 2014

This patient presented with a mechanical fall and had chest pain. His chest pain increased and this ECG was recorded: Now there is increasing inferior ST elevation. Severe Left Main disease, and chest pain with contrast injection into the LM. This case shows a CT image of subendocardial ischemia.

Ischemia 52

Ischemia Chest Pain STEMI Outpatient 52

Dr. Smith's ECG Blog

SEPTEMBER 22, 2023

Here is the clinical story: A 40 year old male with no cardiac history presented with acute substernal chest pain that started 40 minutes prior to arrival. In spite of a relatively short QTc of 376 ms, the very low R-wave amplitude in V4 and the ST Elevation at 60 ms after the J-point in lead V3 contribute to a high final value.

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STEMI Stenosis Plaque Chest Pain 129

Circulation: Arrhythmia and Electrophysiology

JANUARY 29, 2024

Model performance was similar in the external cohort, achieving an area under the receiver operating characteristic curve of 0.72 (95% CI, 0.59–0.84).

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Cardiac Arrest Chest Pain Coronary Artery Disease Defibrillator 40

Dr. Smith's ECG Blog

MAY 10, 2023

A 34 yo woman with a history of HTN, h/o SVT s/p ablation 2006, and 5 months post-partum presented with intermittent central chest pain and SOB. She had one episode of pain the previous night and two additional episodes early on morning the morning she presented. Deep breaths are painful and symptoms come and go.

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Coronary Angiogram Chest Pain Stenosis STEMI 52