Post-stent chest pain, revisited
Heart Sisters
JULY 28, 2024
Heart patients with persistent or recurrent post-stent chest pain present “an unmet clinical need”, according to the European Journal of Cardiology.
Which patient has the more severe chest pain?
Dr. Smith's ECG Blog
SEPTEMBER 26, 2023
2 middle aged males presented with chest pain. Which had the more severe chest pain at the time of the ECG? Patient 2 at the bottom with a very subtle OMI complained of 10/10 chest pain at the time the ECG was recorded. 414 patients were included in the analysis.
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Acute chest pain, right bundle branch block, no STEMI criteria, and negative initial troponin.
Dr. Smith's ECG Blog
SEPTEMBER 12, 2024
Written by Pendell Meyers A man in his 40s called EMS for acute chest pain that awoke him from sleep, along with nausea and shortness of breath. His history included known heart failure with prior EF 18%, insulin dependent diabetes, and polysubstance abuse. Vitals were within normal limits except for tachypnea.
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New Technology Promises to Revolutionize Valvular Heart Disease Care
DAIC
APRIL 1, 2024
Getty Images milla1cf Mon, 04/01/2024 - 08:21 April 1, 2024 — Roughly 25,000 Americans die each year from valvular heart disease, but researchers from Rutgers Health and other institutions conclude that new technology could soon help doctors slash that number. “We What is Valvular Heart Disease?
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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. Am Heart J 1999;137:799–805.
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Chest pain and rapid pacing followed by an unexplained wide complex tachycardia. Time for cardioversion?
Dr. Smith's ECG Blog
DECEMBER 20, 2024
Written by Willy Frick with edits by Ken Grauer An older man with a history of non-ischemic HFrEF s/p CRT and mild coronary artery disease presented with chest pain. He said he had had three episodes of chest pain that day while urinating. ECG 1 What do you think? There is a lot going on in this ECG.
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Differentiating Between Cardiac and Non-Cardiac Chest Pain
All About Cardiovascular System and Disorders
APRIL 10, 2024
It is not always possible to be certain about the origin of chest pain just by its characteristics as the variation between individuals is quite a bit. A medical opinion should be sought in case of any significant chest pain so that important ailment is not missed. A pain lasting more than 30 minutes is usual.
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Chest Pain Diagnosed as Gastroesophageal Reflux
Dr. Smith's ECG Blog
MAY 29, 2017
He had had several episodes of pain since onset; it was described as pressure-like and lasts about 5-15 minutes and resolves spontaneously. He had been pain free for about an hour. He had some "pre-diabetes ," but no h/o hypertension, no known family history of heart disease, and he smokes about 1-2 cigarettes per day.
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Coronary artery calcium score predictive of heart attacks, strokes
Science Daily - Heart Disease
MARCH 5, 2024
Coronary artery calcium scoring with CT can identify symptomatic patients with a very low risk of heart attacks or strokes. Researchers said the findings may one day help some patients with stable chest pain avoid invasive coronary angiography.
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Chest pain, and Cardiology didn't take the hint from the ICD
Dr. Smith's ECG Blog
JANUARY 23, 2023
Submitted and written by Megan Lieb, DO with edits by Bracey, Smith, Meyers, and Grauer A 50-ish year old man with ICD presented to the emergency department with substernal chest pain for 3 hours prior to arrival. At this time he reported ongoing chest pain and was given aspirin and nitroglycerin.
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Development and validation of a prediction model for coronary heart disease risk in depressed patients aged 20 years and older using machine learning algorithms
Frontiers in Cardiovascular Medicine
JANUARY 8, 2025
BackgroundDepression is being increasingly acknowledged as an important risk factor contributing to coronary heart disease (CHD). Currently, there is no predictive model specifically designed to evaluate the risk of coronary heart disease among individuals with depression.
Chest pain with NonDiagnostic ECG but Diagnostic CT Scan
Dr. Smith's ECG Blog
SEPTEMBER 27, 2019
An elderly woman presented with chest pain that radiated to the back for several hours. The first troponin returned at 0.099 ng/mL (elevated, consistent with Non-Occlusion MI) Providers were concerned with aortic dissection, so they order a chest aorta CT. It is essentially normal.
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Heart Disease In Men Versus Women
MIBHS
MAY 15, 2024
Heart disease in men and women remains the leading cause of death globally, impacting millions of lives each year. While heart disease affects both genders, the manifestation, symptoms, and outcomes can significantly differ between them. Age Matters Heart disease in men tends to strike at a younger age compared to women.
An adolescent with trauma, chest pain, and a wide complex rhythm
Dr. Smith's ECG Blog
JUNE 14, 2017
There was apparently no syncope and he had no bony injuries, but he did complain of left sided chest pain. His chest was tender. Accelerated ventricular rhythm in children: a review and report of a case with congenital heart disease 3. A bedside cardiac ultrasound was normal. He wrote: "ECG 1 - shows wide ???IVCD
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Debunking Myths about Heart Disease
AMS Cardiology
OCTOBER 11, 2024
Heart disease remains a leading cause of death worldwide despite advancements in medical science and healthcare. Below, we aim to debunk common myths about cardiovascular disease, providing accurate information and emphasizing the importance of treatment for heart disease with timely interventions.
Hackensack Meridian Jersey Shore University Medical Center Providing State-of-the-Art Medtronic APOLLO Clinical Trial Treating Heart Valve Disease
DAIC
FEBRUARY 20, 2024
The Intrepid TMVR is a heart valve that is designed to help alleviate mitral regurgitation so that blood can flow through the heart in the intended direction,” said Matthew Saybolt , M.D., FACC, principal site investigator and medical director, Structural Heart Disease Program, Jersey Shore University Medical Center. “It
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15 Early Warning Signs Of Heart Disease You Should Lookout For
Wellnest
MARCH 12, 2023
It occurs when blood flow to the coronary arteries is restricted, frequently by a blood clot, which can harm the heart muscle and result in consequences like heart disease or sudden cardiac arrest. Heart disease is the most significant cause of death globally and is an illness that affects the blood vessels and heart arteries.
This was texted to me in real time. The patient has acute chest pain.
Dr. Smith's ECG Blog
JULY 5, 2023
The patient has acute chest pain. The presence of deep, slender Q waves in so many leads — especially with the bizarre QrS morphology in leads V4,5,6 ( with tiny r waves despite marked LVH in lead I ) seems much more suggestive of some unusual form of underlying structural heart disease than of an acute MI pattern.
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Who Is At Risk for Heart Disease?
AMS Cardiology
AUGUST 15, 2023
Heart disease remains a prevalent and serious health concern that affects millions worldwide. Understanding the risk factors, recognizing the signs and seeking guidance from a cardiologist can play a significant role in preventing and treating this disease. Smoking – Smoking is the most preventable cause of heart disease.
In Your 40s to 60s And Worried About Heart Disease? Here Is What You Can Do.
Dr. Paddy Barrett
JANUARY 30, 2024
They knew they had not been doing all the things they should do, and they were worried that heart disease had them in its sights. Risk factors such as high blood pressure, smoking, and inactivity are important because the longer you are exposed to them, the higher the odds you will develop coronary artery disease sooner in life.
ECG Blog #419 — The Cause of ECG #1?
Ken Grauer, MD
MARCH 1, 2024
I was sent the 2 ECGs shown in Figure-1 — which were recorded from an elderly man whose heart beat "has been irregular for years". No clear history for recent chest pain — but the patient "has not been well" for the previous week. NOTE: Variations on this above "theme" of MBBB are common.
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New Treatment in Pipeline for Patients with Hypertrophic Cardiomyopathy
DAIC
MAY 14, 2024
Getty Images milla1cf Tue, 05/14/2024 - 13:00 May 14, 2024 — One of the most common genetic heart diseases worldwide, hypertrophic cardiomyopathy (HCM) causes the walls of the left ventricle to become thick and stiff.
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Robust Diagnostic Accuracy and Prognostic Utility in Analyses from Large Scale Clinical Trials
DAIC
MARCH 28, 2024
milla1cf Thu, 03/28/2024 - 07:00 March 28, 2024 — Cleerly , the company on a mission to create a new standard of care to aid in the diagnosis of heart disease, shared findings from a study published online in the Journal of the American College of Cardiology: Cardiovascular Imaging on March 13, 2024. JACC Cardiovasc Imaging.
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Agepha Pharma and Caristo Diagnostics Team Up to Fight Coronary Inflammation
DAIC
JANUARY 25, 2024
The companies will jointly support a series of educational forums among clinicians beginning later this year highlighting the significant new scientific breakthroughs that are radically transforming the traditional approach to heart disease prevention and prediction. mg tablets.”
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What if your system adopted the recommendation that a computer "normal" ECG need not be shown to the doctor?
Dr. Smith's ECG Blog
JUNE 11, 2024
Sent by anonymous A man in his 40s with no previous heart disease presented within 30 minutes of onset of acute chest pain that started while exercising. Three patients with chest pain and “normal” ECGs: which had OMI? And how did the Queen of Hearts perform? Chest pain and a computer ‘normal’ ECG.
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Groundbreaking Data in Interventional Cardiology to be Featured at Society for Cardiovascular Angiology and Interventions SCAI 2024 Scientific Sessions
DAIC
MAY 1, 2024
Heart disease has been the leading cause of death in the United States since 1950, and as one of the most prevalent health conditions, impacting half of all Americans. According to the Centers for Disease Control and Prevention (CDC), heart disease and stroke rank as the first and fifth leading causes of death in the nation.
ECPR for cardiac arrest caused by abnormal uterine bleeding and coronary vasospasm: a case report
Frontiers in Cardiovascular Medicine
DECEMBER 20, 2024
After performing a coronary angiogram, the patient was given long-acting nitrates and calcium channel blockers orally, and her chest pain did not reoccur. At the initial stage of admission, cardiac arrest occurred after the ECG demonstrated ST-segment elevation in leads II, III and a VF.
Do You Need A Stent To Treat Your Heart Disease?
Dr. Paddy Barrett
NOVEMBER 28, 2023
One of the most common questions I get is, “ Do I need a stent to treat my heart disease?” But what about those with symptoms such as chest pain or shortness of breath as a result of their coronary artery disease? First, we must understand what a stent is and why it is used.
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Rise of the Lysenkoist Cardiologists
Dr. Anish Koka
MAY 16, 2023
Knowledge of this fundamental pillar of biology should drive how cardiologists approach men and women being evaluated for the presence of significant coronary disease. Atypical angina is classified as having any two of the three symptoms, and non-anginal pain any one of the three symptoms.
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ECG Blog #374 — Do You Know the "Culprit"?
Ken Grauer, MD
APRIL 14, 2023
The ECG in Figure-1 was obtained from a 90-year old woman — who presented with a 2-to-3 day history of chest pain, that became worse on the day of admission. That said — the important point is her ongoing ( and increasing ) chest pain. C ASE F ollow- U p: The patient's chest pain was controlled.
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Women and Heart Health: Unique Considerations and Risks
MIBHS
SEPTEMBER 15, 2024
Heart disease is often perceived as a predominantly male issue, but the reality tells a different story. This blog post aims to shed light on the unique considerations and risks associated with heart health in women, empowering them with the knowledge to take proactive steps in protecting their hearts.
Women’s Guide to Heart Health: Spotting the Early Signs of Cardiac Trouble
GEMMS
JUNE 25, 2024
However, heart disease is the leading cause of death for women in the United States, making early detection and proactive management essential. Heart disease affects millions of women globally. In the United States alone, nearly one in five women die from heart disease each year.
ECG Blog #422 — Was Clubbing an ECG Hint?
Ken Grauer, MD
MARCH 27, 2024
No chest pain. Statistically — When an older adult with known underlying heart disease presents to the ED in a regular WCT rhythm, but without clear sign of sinus P waves — the odds that the rhythm will turn out to be VT are ~90% even before you look at the ECG. PEARL # 2: How Might the History Help?
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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.
HeartFlow Achieves Landmark Milestone of 250,000 Patients Assessed for Coronary Artery Disease (CAD) with FFRCT Analysis
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. Arbab-Zadeh, Heart Int 2012. Neth Heart J 2018. 2021 ACC/AHA Chest Pain Guidelines.
Running After Heart Surgery: A Comprehensive Guide
MIBHS
NOVEMBER 15, 2024
Pay attention to how your body responds, particularly monitoring for chest pain or unusual shortness of breath. Listening to Your Body It’s vital to monitor your body’s responses as you resume running after heart surgery. Cutting back on saturated fats and sugars can greatly enhance heart health.
A 40-something presented after attempted prehospital resuscitation with persistent Ventricular Fibrillation
Dr. Smith's ECG Blog
JULY 14, 2023
Another KEY reason for the difficulty interpreting post-ROSC tracings — is the frequent lack of any history ( i e, Many patients following successful resuscitation after cardiac arrest do not immediately regain consciousness — such that the presence of chest pain or other pre-arrest symptoms is all-too-often unknown ).
The Hidden Toll of Chronic Stress on Your Heart Health
MIBHS
JULY 31, 2024
While this response is adaptive in the short term, chronic stress keeps your blood pressure elevated for extended periods, increasing your risk of hypertension (high blood pressure) and its associated complications, such as heart disease and stroke.
5 Simple Steps to Enhance Your Cardiac Health
MIBHS
JUNE 28, 2024
By implementing a few simple lifestyle changes, you can significantly reduce your risk of heart disease and improve your overall well-being. At Minimally Invasive and Bloodless Heart Surgery with Dr. Ciuffo we are here with five easy steps to get you started on the path to a healthier heart.
A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?
Dr. Smith's ECG Blog
SEPTEMBER 19, 2023
He had concurrent sharp substernal chest pain that resolved, but palpitations continued. Over past 3 months, he has had similar intermittent episodes of sharp chest pain while running, but none at rest. A 50-something presented with s udden onset palpitations 8 hrs prior while sitting at desk at work.
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Young Man with Very Fast Regular Wide Complex Tachycardia
Dr. Smith's ECG Blog
JUNE 28, 2023
RVOT VT: A 40-something without past history presents with wide complex tachycardia and crushing chest pain Regular Wide Complex Tachycardia. A regular wide complex tachycardia in a young patient with no history of heart disease is very likely to be AVRT. No , this requires inferior axis and LBBB morphology. 3 Pathways.
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Ninerafaxstat Well-Tolerated and Safe for Nonobstructive Hypertrophic Cardiomyopathy
DAIC
APRIL 9, 2024
HCM is the most common genetic heart disease worldwide and is estimated to affect 1 in 500 people. It causes the heart muscle to become stiff and thick, making it harder for the heart to pump blood properly and increasing the risk of sudden cardiac death. These data strongly support moving on to phase 3 development.”
Researchers ID Genetic Variants Linked to Bicuspid Aortic Valve Disease
DAIC
SEPTEMBER 4, 2024
“When we observed that bicuspid aortic valve is kind of a risk marker for this group with bad outcomes, we specifically wanted to see whether young individuals who present clinically due to problems related to bicuspid aortic valve disease may also have rare genetic variants that predict complications such as needing valve surgery.”
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The Advantages Of A CT Coronary Angiogram
Dr. Paddy Barrett
AUGUST 1, 2023
Share Chest Pain Symptoms There is no role for CT Calcium Scoring in the setting of someone with chest pain symptoms suspected to be from a narrowed coronary artery. This approach also reduces death from heart disease and heart attacks by 41% compared to conventional approaches such as exercise stress testing 2.
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