The British Journal of Cardiology

FEBRUARY 4, 2025

If the dissection extends into the aortic arch branches, ensuring adequate cerebral perfusion during surgery is crucial to preventing stroke. A 50-year-old man presented to the emergency department with symptoms of acute chest pain, dizziness, and headache. His blood pressure was 180/110 mmHg and heart rate was 100 bpm.

Aortic 40

Aortic Blood Pressure Chest Pain Embolism 40

DAIC

MARCH 4, 2025

each year, according to the American Heart Association 2025 Heart Disease and Stroke Statistical Update. Key symptoms of aortic stenosis include: Chest pain Shortness of breath Dizziness or fainting Fatigue Rapid or irregular heartbeat Gender Disparities Studies have shown that women and men experience heart valve disease differently.

Heart Valves 52

Heart Valves Aortic valve Aortic Stenosis 52

Dr. Smith's ECG Blog

AUGUST 3, 2018

In the evening, a middle-aged man complained of chest pain at the nursing home. His chest pain was vague. He mentioned "cancer" and "chest". There is some risk of stroke when converting atrial flutter. Nurses found him with a BP of 50/30 and heart rate of 130 and called EMS. Fluids were started.

Chest Pain 40

Chest Pain Tachycardia Atrial Flutter Ultrasound 40

Dr. Smith's ECG Blog

NOVEMBER 11, 2023

A 90-something year old woman presented with an acute mild stroke. Later, she did admit to some vague chest discomfort, but that could be due to the power of suggestion. She had a routine ECG as part of her workup: What do you think? This was shown to me in real time. I thought it had to be an inferior-lateral-posterior OMI.

Stroke 70

Stroke Strokes Chest Pain Cardiomyopathy 70

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWP141-AWP141, February 1, 2025. Background:A recent prospective study reported that myocardial infarction (MI) was present in nearly half of ischemic stroke patients with substantially elevated troponin, with 1 in 5 having a type 1 MI. In suspected stroke patients, 26.1% (95% CI, 20.9-32.2%)

Stroke 40

Stroke Strokes Chest Pain Myocardial Infarction 40

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

DAIC

MAY 1, 2024

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. About 276,000 patients have undergone a TAVR procedure in the United States.

Interventional Cardiology 105

Interventional Cardiology Aortic valve TAVR Peripheral Arterial Disease 105

DAIC

JANUARY 25, 2024

More than 8 million Americans visit hospital emergency departments experiencing chest pain every year. “In the future, patients with coronary inflammation can be identified by the CaRi-Heart technology and treated by our FDA -approved LODOCO 0.5 mg tablets.”

Heart attacks 110

Heart attacks Heart Attack Technology Cardiovascular Disease 110

Dr. Smith's ECG Blog

OCTOBER 25, 2023

He did not have chest pain. Chest pain in high risk patient. A man in his 60s with a history of severe alcohol use disorder and epidural abscess on long-term ciprofloxacin presented to the emergency department after an episode of syncope while standing in line at a grocery store. Here is his triage ECG: What do you think?

Chest Pain 123

Chest Pain Ischemia Cardiac Arrest Blog 123

Dr. Smith's ECG Blog

JULY 3, 2018

Submitted and written by Alex Bracey with edits by Pendell Meyers and Steve Smith Case A 50ish year old man with a history of CAD w/ prior LAD MI s/p LAD stenting presented to the ED with chest pain similar to his prior MI, but worse. The pain initially started the day prior to presentation. The ST elevation from today is ~0.2

Pericarditis 52

Pericarditis Chest Pain Stents Stent 52

ECG Cases

JULY 5, 2022

The post Ep 171 Posterior Stroke, EP Lead, HEAR Score, Ketamine for Suicidal Ideation, Peer Support Workers – Highlights from Calgary EM Hodsman Lecture Day appeared first on Emergency Medicine Cases.

Stroke 52

Stroke Strokes Circulation Chest Pain 52

Dr. Smith's ECG Blog

NOVEMBER 14, 2023

In the last post, we saw how important old ECGs are in assessing the current ECG in a patient without atypical presentation (in this previous case, the patient had no chest pain, and the apparent inferior OMI did not have reciprocal ST depression in lead aVL). Here is that last post: A 90-something with acute stroke.

Chest Pain 116

Chest Pain Blog Thrombosis Hospital 116

DAIC

APRIL 8, 2024

The study focused on patients who underwent PCI for acute coronary syndromes (ACS)—life-threatening conditions which include heart attacks and chest pain caused by decreased blood flow to the heart—with stents containing drugs to prevent further plaque buildup.

Heart attacks 111

Heart attacks Heart Attack Stents Stent 111

Dr. Smith's ECG Blog

APRIL 26, 2017

There was no chest pain or SOB at the tim of the ECG: Computerized QTc is 464 ms A previous ECG from 8 years prior was normal. Absence of chest pain or SOB at the time of the ECG is important; had the patient had active chest pain, I would have recommended at least an emergency formal echo, if not cath lab activation.

Chest Pain 52

Chest Pain STEMI Ultrasound Pulmonary 52

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.

Blood Pressure 52

Blood Pressure Heart attacks Heart Attack Heart Rhythm 52

DAIC

OCTOBER 15, 2024

The most common cause of death and disability, CAD is largely driven by myocardial infarction and ischemic stroke caused by atherosclerosis," said Nehal Mehta, MD MSCE, cardiologist and professor of medicine at George Washington University School of Medicine. tim.hodson Tue, 10/15/2024 - 12:12 Oct.

Plaque 52

Plaque Medicare Chest Pain 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. Heart disease and stroke statistics—2016 update: a report from the American Heart Association. Circulation.

Angina 59

Angina Innovation Heart Disease Chest Pain 59

MIBHS

OCTOBER 31, 2024

Blood Clots: An enlarged heart is more prone to developing blood clots, which can lead to stroke or pulmonary embolism. Cardiac Arrest or Sudden Death: Cardiomegaly increases the risk of life-threatening arrhythmias, which can cause sudden cardiac arrest.

Blood Pressure 52

Blood Pressure Blood Clot Heart Valves Heart Rhythm 52

DAIC

DECEMBER 8, 2023

AFib causes a variety of symptoms, including fast or chaotic heartbeat, fatigue, shortness of breath, and chest pain, and causes about 450,000 hospitalizations each year, according to the Centers for Disease Control and Prevention. For example, kidney disease is not included in CHA 2 DS 2 -VASc. “The

Atrial Fibrillation 52

Atrial Fibrillation AFIB Stroke Strokes 52

Dr. Prateek Bhatnagar

AUGUST 21, 2023

Patient Mr. Paras Ram was having unstable angina (chest pain at rest) at his native place. He said that the main risks in operating someone in his 90s are brain stroke and kidney failure. No cuts were made on the legs. Coronary angiography showed tight left main coronary artery disease with severe triple vessel disease.

Open-Heart Surgery 52

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

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. Regardless, if you present with chest pain and get a stress test instead of a CTCA, you are arguably getting an inferior test. I would say yes.

Coronary Angiogram 52

Coronary Angiogram Plaque Coronary Artery Disease Chest Pain 52

Journal of Cardiovascular Electrophysiology

MARCH 11, 2024

Abstract Introduction Left atrial appendage (LAA) closure (LAAC) is considered a viable alternative to anticoagulation therapy for stroke prevention in nonvalvular atrial fibrillation, we report a case with a less common shunt resulting from a device-related coronary artery-appendage fistula (CAAF) following LAAC.

Chest Pain 40

Chest Pain Atrial Fibrillation Angina Stents 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionEndovascular intervention has become the mainstay of treatment for acute ischemic stroke. Both patients in our study survived at 6‐month follow up with no recurrence of stroke.

Outcomes 40

Outcomes Chest Pain Coronary Artery Disease Aortic 40

Dr. Sanjay Gupta

DECEMBER 19, 2022

She asked me why I felt she had had a heart attack and I explained to her that she had had chest pains and the blood test indicating damage to the heart was elevated and that was all we needed to say that she had had a heart attack. On the basis of these findings we told her that she had suffered a heart attack.

Heart attacks 40

Heart attacks Heart Attack Blood Clot Chest Pain 40

Dr. Smith's ECG Blog

MARCH 6, 2019

A middle-aged woman with history of hypertension presented to another hospital approximately 2 hours after onset of chest pain and shortness of breath. E CG # 1 was obtained in the referral hospital, approximately 2 hours after the onset of chest pain. This ECG was recorded on arrival: What do you think?

STEMI 52

STEMI Chest Pain Ischemia Myocardial Infarction 52

AMS Cardiology

OCTOBER 11, 2024

Recently there has been a concerning rise in heart attacks and strokes among young adults, often due to unhealthy lifestyle choices such as poor diet, lack of exercise and excessive stress. However, seeking immediate medical help is crucial if you experience chest pain, shortness of breath or dizziness.

Heart Disease 52

Heart Disease Heart attacks Heart Attack Diet 52

All About Cardiovascular System and Disorders

MAY 1, 2024

They are more prone to have heart attack and stroke (brain attack), due to disease of their blood vessels. In those coming to emergency department with severe chest pain or upper back pain, if there is a large difference in the blood pressure between the arms, this serious condition has to be thought of.

Blood Pressure 40

Blood Pressure Risk Factors Chest Pain Heart attacks 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. Participants were recruited from a group of patients with chest pain syndromes who were referred for coronary CT angiography. Risk factors such as smoking, chronic kidney disease, and aging can contribute to plaque formation.

Risk Factors 40

Risk Factors Blood Pressure Chest Pain Plaque 40

Dr. Smith's ECG Blog

OCTOBER 12, 2024

CTA head and neck were obtained and showed no evidence of intracranial hemorrhage, large vessel occlusion stroke (what a helpful and apt name for an acute arterial occlusion paradigm, by the way.), Not a STEMI: Reasons I did not think ECG #1 represented an acute STEMI — included the following: There was no history of chest pain.

STEMI 115

STEMI Document Blog Ischemia 115

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. Participants were recruited from a group of patients with chest pain syndromes who were referred for coronary CT angiography. All subjects underwent whole‐body FDG‐PET/CT imaging 180 minutes after the administration of 4.0

Risk Factors 40

Risk Factors Dementia Chest Pain Quality of Life 40

DAIC

FEBRUARY 29, 2024

24 will focus on the following three current guideline updates: American College of Cardiology (ACC)/American Heart Association (AHA) Guidelines 2023 Atrial Fibrillation Guideline - Pharmacology II: Strokes vs. Bleeds, What Do the Guidelines Tell Us About Practical Management in A-fib? The Guidelines Sessions at ACC.24

Aortic valve 103

Aortic valve Myocardial Infarction Aortic Blood Pressure 103

Dr. Smith's ECG Blog

NOVEMBER 15, 2023

A 70-something female with no previous cardiac history presented with acute chest pain. She awoke from sleep last night around 4:45 AM (3 hours prior to arrival) with pain that originated in her mid back. She stated the pain was achy/crampy. Over the course of the next hour, this pain turned into a pressure in her chest.

Coronary Angiogram 109

Coronary Angiogram Plaque Thrombosis STEMI 109

Dr. Smith's ECG Blog

FEBRUARY 16, 2019

Written by Pendell Meyers, few edits by Smith A man in his 60s with history of stroke and hypertension but no known heart disease presented with chest pain that started on the morning of presentation at around 8am. Here is his triage ECG when he presented at 1657: What do you think?

STEMI 52

STEMI Chest Pain Myocardial Infarction Document 52

DAIC

APRIL 8, 2024

years, there were no significant differences between groups in the rate of the composite primary endpoint or in secondary clinical endpoints such as heart failure, atrial fibrillation or symptoms like chest pain and shortness of breath. Over a median follow-up period of 3.5

Heart attacks 52

Heart attacks Heart Attack Heart Failure Myocardial Infarction 52

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. Lowering the back up rate (LRL) of the ICD/pacer allowed for an intrinsic rhythm with physiologic AV conduction and normal AV synchrony with resultant increase in stroke volume and cardiac outpt.

Tachycardia 119

Tachycardia Electrophysiology Atrial Flutter Ischemia 119

Dr. Smith's ECG Blog

FEBRUARY 29, 2016

He denied fevers and chills, abdominal pain, chest pain, or SOB. LV aneurysm puts them at risk for a mural thrombus, which puts them at risk for embolism, especially embolic stroke. Patient stated his dry weight is around 85 kg. The emesis is non-bloody and non-bilious. He did have one episode of diarrhea.

Aneurysm 52

Aneurysm Ischemia Embolism STEMI 52

Dr. Smith's ECG Blog

MARCH 2, 2019

Palpitations in a Young Healthy Male A pathognomonic ECG you should recognize instantly A middle-aged man with severe syncope, diffuse weakness Chest pain and Diffuse ST depression, with STE in aVR. You probably think it is left main. Are These Wellens' Waves?? may all cause profound QTc prolongation ).

Sickle Cell Disease 52

Sickle Cell Disease Ischemia Dysrhythmia Chest Pain 52