MIBHS

FEBRUARY 15, 2025

Over time, this added workload causes the heart muscle to thicken, particularly in the left ventricle. This condition, known as left ventricular hypertrophy, can lead to heart failure if untreated. Heart Failure : Over time, the extra strain on your heart can lead to its weakening and eventual failure.

Blood Pressure 52

Blood Pressure Hypertension Chest Pain Aneurysm 52

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 52

Chest Pain Aneurysm STEMI Thrombosis 52

Dr. Smith's ECG Blog

DECEMBER 14, 2016

A middle aged male presented at midnight after 14 hours of constant, severe substernal chest pain, radiating to his throat and to bilateral jaws, and associated with diaphoresis. The pain was not positional, pleuritic, or reproducible. The pain was unrelieved. It was not relieved by anything. What do you want to do?

Chest Pain 52

Chest Pain STEMI Aortic Myocardial Infarction 52

DAIC

FEBRUARY 20, 2024

Monmouth and Ocean county residents are becoming increasingly aware of the world-class cardiovascular care provided at Jersey Shore.

Heart Valves 116

Heart Valves Bicuspid/Mitral Academic Chest Pain 116

Dr. Smith's ECG Blog

MAY 20, 2024

A 63 year old man with a history of hypertension, hyperlipidemia, prediabetes, and a family history of CAD developed chest pain, shortness of breath, and diaphoresis after consuming a large meal at noon. He called EMS, who arrived on scene about two hours after the onset of pain to find him hypertensive at 220 systolic.

Chest Pain 126

Chest Pain Blood Pressure Ischemia STEMI 126

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. The findings also appear in the New England Journal of Medicine. “The Cytokinetics Inc.

Cardiomyopathy 126

Cardiomyopathy Exercise Chest Pain Quality of Life 126

DAIC

MARCH 4, 2025

AS occurs when the aortic valve narrows, restricting blood flow from the heart to the body. If untreated, it can lead to severe complications, including heart failure and death.

Heart Valves 52

Heart Valves Aortic valve Aortic Stenosis 52

Heart BMJ

MARCH 12, 2024

Objective Growth differentiation factor-15 (GDF-15) is a predictor of death and cardiovascular events when measured during index hospitalisation in patients with acute chest pain. Methods GDF-15 was measured at baseline and 3 months after admission in 758 patients admitted with suspected NSTE-ACS.

Chest Pain 40

Chest Pain Myocardial Infarction Risk Factors Heart Failure 40

American College of Cardiology

DECEMBER 10, 2024

A 63-year-old woman presents to the office for a second opinion on chronic chest pain and heart failure management. She has a medical history of mixed connective tissue disease, obstructive sleep apnea, hepatic steatosis, and long-standing hypertension diagnosed in her twenties.

Chest Pain 53

Chest Pain Cardiomyopathy Heart Failure Hypertension 53

Dr. Smith's ECG Blog

AUGUST 14, 2023

Written by Pendell Meyers, with some edits by Smith A man in his 40s with many comorbidities presented to the ED with chest pain, hypotension, dyspnea, and hypoxemia. An 80-something woman who presented with chest pain and dyspnea. Here is his triage ECG: What do you think? Lots of info here.

Chest Pain 52

Chest Pain Pulmonary Sickle Cell Disease Atrial Flutter 52

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. CAUTION - Limited by United States law to investigational use. If you enjoy this content, please share it with a colleague

Ischemia 95

Ischemia Angina Heart Failure Outcomes 95

MIBHS

OCTOBER 31, 2024

Dilation: The chambers of the heart expand, making the walls thinner. Both forms of enlargement may compromise the heart’s ability to pump blood efficiently, leading to further complications like heart failure. What Causes an Enlarged Heart? Here are some of the most common causes: 1.

Blood Pressure 52

Blood Pressure Blood Clot Heart Valves Heart Rhythm 52

DAIC

DECEMBER 13, 2023

milla1cf Wed, 12/13/2023 - 10:24 December 13, 2023 — A new artificial intelligence (AI) model designed by Scripps Research scientists could help clinicians better screen patients for atrial fibrillation (or AFib)—an irregular, fast heartbeat that is associated with stroke and heart failure.

AFIB 111

AFIB Blood Clot Heart Rhythm Heart Failure 111

Dr. Smith's ECG Blog

SEPTEMBER 14, 2014

He presented with chest pain, not relieved by nitro, pain reproducible on exam and centered around the pacemaker insertion site. Here is his ECG one month prior, on admission for chest pain at that time also: Similar ratios. Here is his ED ECG There is RV Pacing. Here is a case of lateral STEMI in a paced rhythm.

Chest Pain 52

Chest Pain Cardiomyopathy Pacemaker STEMI 52

Open Heart

APRIL 20, 2022

Clinical contexts leading to diagnosis were SCD in 3 (6%), ventricular arrhythmias in 15 (29%), chest pain in 8 (15%), heart failure in 6 (12%) and familial screening in 20 (38%). Of 47 tested patients, 29 (62%) were carriers of a pathogenic/likely pathogenic DNA variant.

Cardiomyopathy 52

Cardiomyopathy Chest Pain Sudden Cardiac Death Heart Failure 52

Dr. Smith's ECG Blog

DECEMBER 9, 2023

He has a history of STEMI and heart failure. The medics stated he had been nauseated and diaphoretic, but he did not have any chest pain or SOB. And especially suspect Old MI when the patient gives a history of MI and has no chest pain or SOB. He was belted and it was low speed. He had a prehospital ECG.

Aneurysm 115

Aneurysm Chest Pain Echocardiogram STEMI 115

Heart BMJ

MARCH 22, 2024

Objectives To determine the association between symptoms and signs reported in primary care consultations following a new diagnosis of heart failure (HF), and 3-month hospitalisation and mortality. Design Nested case–control study with density-based sampling.

Heart Failure 40

Heart Failure Chest Pain Cardiovascular Disease Pulmonary 40

Dr. Smith's ECG Blog

NOVEMBER 17, 2023

Finally, the presentation is dyspnea, not chest pain. Patients with anterior LV aneurysm usually have poor LV function and heart failure. If it is subacute, the first troponin will be elevated, so a rapid troponin can be helpful. Also, we know the patient had a stent.

Aneurysm 124

Aneurysm Stents Stent Chest Pain 124

Dr. Smith's ECG Blog

OCTOBER 30, 2023

A 60 yo with 2 previous inferior (RCA) STEMIs, stented, called 911 for one hour of chest pain. He had no h/o heart failure. He has "ischemic cardiomyopathy" and "congestive heart failure." From this most recent "NSTEMI" he developed heart failure, in spite of rapid treatment.

STEMI 123

STEMI Heart Failure Stents Stent 123

Dr. Smith's ECG Blog

OCTOBER 9, 2018

We record ECGs in triage on every patient with chest pain, and some other indications, and this amounts to 8000 ECGs in triage each year, costing at most $200,000 (8000 x $20.00). S aving just one person from death or heart failure by early diagnosis of STEMI is worth far more than $5700, or even than $54,000, or even than $200,000.

Chest Pain 52

Chest Pain STEMI Cardiac Arrest Blog 52

Dr. Smith's ECG Blog

JUNE 11, 2021

Jesse McLaren (@ECGcases), of Emergency Medicine Cases Reviewed by Pendell Meyers and Steve Smith An 85yo with a history of hypertension developed chest pain and collapsed, and had bystander CPR. On arrival, GCS was 13 and the patient complained of ongoing chest pain. Vitals were HR 58 BP 167/70 R20 sat 96%.

Chest Pain 52

Chest Pain Cardiac Arrest Ischemia Cardiogenic Shock 52

Open Heart

AUGUST 4, 2023

Fisher’s exact tests were used to investigate subgroup differences based on age, gender, race and heart failure (HF) status. We identified six symptom clusters: generally symptomatic, dyspnoea and oedema, chest pain, anxiety, fatigue and palpitations, and asymptomatic (reference). female, 58% white).

Atrial Fibrillation 52

Atrial Fibrillation Ablation Chest Pain Document 52

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

Dr. Smith's ECG Blog

OCTOBER 20, 2024

He woke up alert and with chest pain which he also had experienced intermittently over the previous few days. The history in today's case with sudden loss of consciousness followed by chest pain is very suggestive of ACS and type I ischemia as the cause of the ECG changes. What do you think?

Cardiogenic Shock 128

Cardiogenic Shock Ischemia Chest Pain Cardiac Arrest 128

Ken Grauer, MD

MAY 20, 2023

NOTE: It's important to correlate ongoing circumstances at the time that a prior tracing was done ( ie, Was the patient stable and asymptomatic — or were they having chest pain, an exacerbation of heart failure, or some other ongoing process at the time the prior ECG was recorded? ).

Blog 145

Blog Chest Pain Ischemia STEMI 145

DAIC

APRIL 8, 2024

The findings call into question the routine use of beta blockers for all patients following a heart attack, which have stood as a mainstay of care for decades. Approximately 50% of heart attack survivors do not experience heart failure. Over a median follow-up period of 3.5

Heart Attack 52

Heart Attack Heart attacks Heart Failure Myocardial Infarction 52

MIBHS

JULY 31, 2024

Arrhythmias (Abnormal Heart Rhythms) Stress hormones can disrupt the signals that regulate your heartbeat, leading to arrhythmias – abnormal heart rhythms that cause your heart to beat too fast, too slow, or irregularly.

Blood Pressure 52

Blood Pressure Heart Attack Heart attacks Heart Rhythm 52

DAIC

FEBRUARY 29, 2024

ET Murphy Ballroom 4 Comparison of an "Inclisiran First" Strategy with Usual Care in Patients With Atherosclerotic Cardiovascular Disease: Results From the VICTORION-INITIATE Randomized Trial Targeting Weight Loss to Personalize the Prevention of Type 2 Diabetes Once-weekly Semaglutide in Patients with Heart Failure With Preserved Ejection Fraction, (..)

Aortic valve 103

Aortic valve Myocardial Infarction Aortic Blood Pressure 103

DAIC

APRIL 9, 2024

Several treatment options are available for the approximately two-thirds of patients who have the obstructive form of the disease, in which the thickening muscle makes it harder for blood to flow out of the heart, but there are limited treatment options for the remaining one-third of patients who have the nonobstructive form.

Cardiomyopathy 52

Cardiomyopathy Quality of Life Chest Pain Preserved Ejection Fraction 52

All About Cardiovascular System and Disorders

FEBRUARY 24, 2024

Heart failure, heart transplantation and death by cardiac causes were more often seen in individuals with biventricular phenotype compared to isolated left or right ventricular phenotype.

Cardiomyopathy 52

Cardiomyopathy Chest Pain Arrhythmia Heart Transplant 52

Dr. Smith's ECG Blog

JANUARY 1, 2024

His medical history includes hypertension, a decade-long battle with diabetes, ischemic heart disease, a coronary bypass graft surgery ten years ago, a diagnosis of congestive heart failure for the last five years, and a prior ICD implantation five years ago. There is some ST-segment elevation in DII, DIII, aVF, V4-6.

Tachycardia 112

Tachycardia Blog Ischemia Heart Failure 112

Ken Grauer, MD

AUGUST 16, 2024

PEARL # 2: In the absence of associated heart failure ( cardiogenic shock ) — sinus tachycardia is not a common finding in acute MI. Today’s patient presented to the ED not only with chest pain — but also with shortness of breath , therefore with a history potentially consistent with the diagnosis.

Blog 156

Blog Tachycardia Cardiogenic Shock Pulmonary 156

Dr. Anish Koka

FEBRUARY 6, 2023

Cardiac Cath labs waiting for some major influx of COVID heart damage not only didn’t see patients presenting with COVID heart attacks, but they idled as patients terrified of coming to the hospital stayed home rather than come to the hospital with chest pain. How bad was the heart failure reported?

COVID-19 52

COVID-19 Chest Pain Academic Hospital 52

Stroke Journal

JANUARY 30, 2025

In unadjusted analysis, factors significantly associated with troponin testing were a triage complaint of chest pain, older age, higher mean systolic BP, hypertension, diabetes, obesity, stroke or TIA, congestive heart failure, or coronary disease. In suspected stroke patients, 26.1% (95% CI, 20.9-32.2%)

Stroke 40

Stroke Strokes Chest Pain Myocardial Infarction 40

Dr. Smith's ECG Blog

JANUARY 9, 2024

Slow VT below the detection rate of the ICD lead to worsening heart failure and low stroke volume. Post conversion of VT the patient had low output cardiac failure and became unstable and hypoperfused. Learning points *A patient with tachydysrhythmia and chest discomfort needs immediate rhythm or rate control.

Tachycardia 119

Tachycardia Electrophysiology Atrial Flutter Ischemia 119

Dr. Smith's ECG Blog

JULY 11, 2024

No patient with chest pain should be sent home without troponin testing. He now has regular appointments with the heart failure team. Queen of Hearts -- makes the diagnosis easy 3. The consequence of these oversights is the need for lifelong commitment of this patient to the heart failure clinic.

Outcomes 113

Outcomes Stenosis Outpatient Echocardiogram 113

MIBHS

OCTOBER 15, 2024

For example, if a coronary artery becomes blocked due to plaque buildup (a condition known as coronary artery disease), the heart muscle may not receive enough oxygen, leading to chest pain (angina) or, in more severe cases, a heart attack.

Circulation 52

Circulation Heart Attack Heart attacks Chest Pain 52