Chest Pain, Heart Attack and Ischemia

The MI Overdiagnosis Problem

CardiacWire

APRIL 24, 2024

The authors believe that the current MI diagnosis criteria (symptoms of coronary ischemia + abnormal troponin levels) isn’t sufficient, and the liberal use of troponin testing (particularly in the US) has compounded this problem.

Myocardial Infarction

Myocardial Infarction Chest Pain Biomarkers Ischemia

ECG Blog #448 — A Young Man with Chest Pain.

Ken Grauer, MD

SEPTEMBER 21, 2024

For example, considering whatever symptoms that the patient may have had ( ie, chest pain, palpitations, shortness of breath, etc. ) — what this might mean in view of the ECG we are looking at. STEP #2 = Clinical Impression — in which we correlate our assessment that we made in Step #1 to the clinical situation at hand.

Chest Pain

Chest Pain Blog Thrombosis Tachycardia

46 year old with chest pain develops a wide complex rhythm -- see many examples

Dr. Smith's ECG Blog

AUGUST 9, 2024

Written by Colin Jenkins and Nhu-Nguyen Le with edits by Willy Frick and by Smith A 46-year-old male presented to the emergency department with 2 days of heavy substernal chest pain and nausea. He reported a history of “Wolf-Parkinson-White” and “heart attack” but said neither had been treated. Is there STEMI? Moffat, M.

Chest Pain

Chest Pain Arrhythmia Myocardial Infarction STEMI

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Preventive Percutaneous Coronary Intervention for High-Risk Coronary Plaques Reduces Cardiac Events

DAIC

APRIL 11, 2024

PCI is commonly used to open blocked arteries to treat significant myocardial ischemia , which occurs when the heart muscle does not get enough oxygenated blood. The idea behind preventive PCI is that a stent could help to stabilize a high-risk plaque lesion and thus reduce its risk of rupture before a heart attack occurs.

Plaque

Plaque Heart Attack Heart attacks Coronary Artery Disease

GE HealthCare and Medis Medical Imaging Announce Collaboration Focused on Non-Invasive Coronary Assessments to Help Advance Precision Care in Treatment of Coronary Artery Disease

DAIC

MAY 14, 2024

Within the complex umbrella of cardiovascular disease, CAD is a type of heart disease that develops when the coronary arteries narrow and the heart cannot deliver enough oxygen-rich blood to the heart.

Coronary Artery Disease

Coronary Artery Disease Interventional Cardiology Innovation Physiology

A teenager with chest pain, a troponin below the limit of detection, and "benign early repolarization"

Dr. Smith's ECG Blog

JANUARY 9, 2023

No prior exertional complaints of chest pain, dizziness, lightheadedness, or undue shortness of breath. He denied headache or neck pain associated with exertion. I sent this ECG to Dr. Smith, with the only information that it is a 17 year old with chest pain. 24 yo woman with chest pain: Is this STEMI?

Chest Pain

Chest Pain Aneurysm STEMI Thrombosis

Understanding Coronary Circulation: The Steps that Keep Your Heart Pumping

MIBHS

OCTOBER 15, 2024

These cells, known as cardiomyocytes, rely on a constant supply of oxygen to continue contracting and relaxing as part of the heart’s pumping action. Without oxygen, the cells would quickly die, leading to a heart attack (myocardial infarction). CAD is one of the leading causes of heart attacks.

Circulation

Circulation Heart Attack Heart attacks Chest Pain

Do You Need A Stent To Treat Your Heart Disease?

Dr. Paddy Barrett

NOVEMBER 28, 2023

The second reason is commonly referred to as a ‘Heart Attack’ or acute coronary syndrome. The decision to use a stent here is usually clear and is associated with fewer deaths and heart attacks 1. years, there was no difference between these two groups in terms of death from any cause or heart attacks.

Stents

Stents Stent Heart Attack Heart attacks

Why is ECG machine use? What diseases can EKG monitor detect?

Wellnest

DECEMBER 21, 2022

Heart health is vital for us, and it is essential to keep track of it. If you experience any symptoms, such as chest pain, dizziness, unusual tiredness or fatigue, shortness of breath, or irregular heartbeat, your doctor would want you to go for an ECG test to find out the underlying cause. It has no cables and is hassle-free.

Cardiac Arrest

Cardiac Arrest Heart Attack Heart attacks Atrial Fibrillation

A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

Dr. Smith's ECG Blog

OCTOBER 10, 2022

Written by Pendell Meyers and Peter Brooks MD A man in his 30s with no known past medical history was reported to suddenly experience chest pain and shortness of breath at home in front of his family. Thus, this apparently is Aslanger's Pattern (inferior OMI with single lead STE in lead III, with simultaneous subendocardial ischemia).

Cardiac Arrest

Cardiac Arrest Chest Pain Embolism Pulmonary

Do Stents Make You Feel Better?

Dr. Paddy Barrett

DECEMBER 5, 2023

Subscribe now Stenting stable coronary artery disease has not been convincingly proven to reduce the risk of future heart attacks or death 1. Whether stenting a narrowed coronary artery improves symptoms such as chest pain (angina) or shortness of breath is a very different question. What About Symptoms? N Engl J Med.

Stents

Stents Stent Angina Heart Attack

The Advantages Of A CT Coronary Angiogram

Dr. Paddy Barrett

AUGUST 1, 2023

CT coronary angiography, in addition to a CT CAC, is arguably the best test for estimating whether someone has evidence of coronary artery disease and what that means for their near-term risk of a heart attack. Regardless, if you present with chest pain and get a stress test instead of a CTCA, you are arguably getting an inferior test.

Coronary Angiogram

Coronary Angiogram Plaque Coronary Artery Disease Chest Pain

Rise of the Lysenkoist Cardiologists

Dr. Anish Koka

MAY 16, 2023

This means that at every age, the probability a man complaining of chest pain has significant underlying coronary disease as a cause of this chest pain is much higher than a woman complaining of chest pain. Thanks for reading Dr. The data is overwhelming every way you can possibly look at it.

Chest Pain

Chest Pain Coronary Artery Disease Cancer Heart Attack

Cardiovascular Update

The MI Overdiagnosis Problem

ECG Blog #448 — A Young Man with Chest Pain.

46 year old with chest pain develops a wide complex rhythm -- see many examples

Webinars

Preventive Percutaneous Coronary Intervention for High-Risk Coronary Plaques Reduces Cardiac Events

GE HealthCare and Medis Medical Imaging Announce Collaboration Focused on Non-Invasive Coronary Assessments to Help Advance Precision Care in Treatment of Coronary Artery Disease

A teenager with chest pain, a troponin below the limit of detection, and "benign early repolarization"

Understanding Coronary Circulation: The Steps that Keep Your Heart Pumping

Do You Need A Stent To Treat Your Heart Disease?

Why is ECG machine use? What diseases can EKG monitor detect?

A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

Do Stents Make You Feel Better?

The Advantages Of A CT Coronary Angiogram

Rise of the Lysenkoist Cardiologists

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