Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4143007-A4143007, November 12, 2024. Background:Myocardial infarction with nonobstructive coronary artery disease (MINOCA) is a special syndrome with clear evidence of myocardial ischemia, but no clear stenosis of coronary artery imaging sign.

Coronary Artery Disease 40

Coronary Artery Disease Atrial Fibrillation Myocardial Infarction Ischemia 40

Circulation: Cardiovascular Imaging

NOVEMBER 20, 2023

Circulation: Cardiovascular Imaging, Volume 16, Issue 11 , Page e015800, November 1, 2023. of patients had evidence of ischemia on a prior functional test. 1.88];P=0.768), and cardiovascular hospitalizations (RR, 0.91 [95% CI, 0.59–1.39];P=0.669) were referred to CCTA and 22.5% In the follow-up ranging from 1 to 3.5

Chest Pain 40

Chest Pain Myocardial Infarction Cardiovascular Imaging Ischemia 40

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

The ECG shows sinus tachycardia with RBBB and LAFB, without clear additional superimposed signs of ischemia. Between 81-95% of life-threatening ventricular dysrhythmias and acute cardiac failure occur within 24-48 hours of hospitalization. Circulation: Cardiovascular Imaging. Chest trauma was suspected on initial exam.

Tachycardia 115

Tachycardia Dysrhythmia Atrial Fibrillation Bradycardia 115

Dr. Smith's ECG Blog

NOVEMBER 15, 2023

This suggests further severe ischemia. Circulation [Internet] 2017;135(16):1481–9. Circulation. There is 1 mm of ST segment elevation in lead aVR — which in the context of ST segment flattening in most other leads, suggests that there may be a component of subendocardial ischemia from underlying coronary disease.

Coronary Angiogram 109

Coronary Angiogram Plaque Thrombosis STEMI 109

DAIC

OCTOBER 16, 2024

16, 2024 — Sahajanand Medical Technologies (SMT) recently announced the publication of the COMPARE 60/80 HBR trial results in Circulation: Cardiovascular Interventions , a journal of The American Heart Association. tim.hodson Wed, 10/16/2024 - 09:00 Oct. Led by Dr. Pieter C. and 17.1%, respectively (P=0.02 for noninferiority).

Stents 52

Stents Stent Thrombosis Coronary Artery Disease 52

Dr. Smith's ECG Blog

JULY 31, 2018

Post by Smith, with short article by Angie Lobo ( [link] ), a third year intermal medicine resident at Abbott Northwestern Hospital Case A 30-something woman with no past history, who is very fit and athletic, presented with 1.5 It was late evening and the patient will be in the hospital overnight with a potentially very unstable LAD lesion.

SCAD 52

SCAD Chest Pain Myocardial Infarction Ischemia 52

Dr. Smith's ECG Blog

MARCH 22, 2022

There is no ischemia, certainly no concern at all for OMI. Given this low prevalence likelihood for an acute cardiac event — an extensive hospitalization and evaluation could have been avoided had the treating clinicians appreciated the importance of considering the clinical History of this teenager.

Blog 52

Blog Chest Pain Ischemia Arrhythmia 52

Dr. Smith's ECG Blog

AUGUST 19, 2023

They had had twice the rate of cardiac arrest and twice the in-hospital mortality[1] In another study of patients diagnosed with STEMI, those on dialysis experienced delayed reperfusion and double the mortality.[2] Circulation 2007 2. They were less likely to have STEMI on ECG, and more likely to be initially diagnosed as non-ACS.

Chest Pain 98

Chest Pain STEMI Myocardial Infarction Blog 98

Dr. S. Venkatesan MD

MARCH 19, 2024

Most IVF pregnancies seem to need it for some unknown reason) Risk of VTE Recurrent pregnancy loss(Placental micro-circulation clogging) SLE/APLA syndrome /Scleroderma VTE related PAH Mitral valve disease with AF. The list is increasing in a steady fashion. It was done with a meager 58 pregnant women. What does it imply ?

Heart Valves 52

Heart Valves Blood Clot Heart Disease Bicuspid/Mitral 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

Another ECG was recorded 5 minutes later just before arrival at the hospital: Similar The patient was transported to a nearby suburban hospital with PCI capabilities while my partner cared for her. Circulation [Internet] 2017;135(16):1481–9. Circulation. She was defibrillated and resuscitated. 2017;135(16):1490–3.

Plaque 52

Plaque Chest Pain Thrombosis Stenosis 52

Dr. Smith's ECG Blog

JANUARY 23, 2023

Ischemic ST-Segment Depression Maximal in V1-V4 (Versus V5-V6) of Any Amplitude Is Specific for Occlusion Myocardial Infarction (Versus Nonocclusive Ischemia). In this case, the vessel supplied a portion of the posterior LV circulation. J Am Heart Assoc. 2021 Dec 7;10(23):e022866. doi: 10.1161/JAHA.121.022866. 121.022866.

Chest Pain 52

Chest Pain Blog Stenosis Myocardial Infarction 52

DAIC

FEBRUARY 14, 2025

10, 2025 A generous gift of $5 million from Lorraine and Bill Dodero will establish the Lorraine and Bill Dodero Limb Preservation Center at University Hospitals Harrington Heart & Vascular Institute in Cleveland, Ohio. Lorraine and Bill Dodero tim.hodson Fri, 02/14/2025 - 15:33 Feb.

Peripheral Arterial Disease 52

Peripheral Arterial Disease Cancer Innovation Best Practices 52

DAIC

FEBRUARY 14, 2025

10, 2025 A generous gift of $5 million from Lorraine and Bill Dodero will establish the Lorraine and Bill Dodero Limb Preservation Center at University Hospitals Harrington Heart & Vascular Institute in Cleveland, Ohio. Lorraine and Bill Dodero tim.hodson Fri, 02/14/2025 - 15:33 Feb.

Hospital 52

Hospital Peripheral Arterial Disease Cancer Innovation 52

Dr. Smith's ECG Blog

JUNE 23, 2024

They shocked him twice before return of spontaneous circulation. He was intubated in the field and sedated upon arrival at the hospital. This was interpreted by the treating clinicians as not showing any evidence of ischemia. At his family's request, he was transferred to a hospital closer to his home to continue care.

Chest Pain 118

Chest Pain Cardiac Arrest Sudden Cardiac Death Blog 118

DAIC

MAY 16, 2024

FAHA , co-director of the Vascular Center at the University Hospitals Harrington Heart & Vascular Institute and a professor of medicine at Case Western Reserve University School of Medicine , both in Cleveland, Ohio. It has been estimated that less than 5% of patients with PAD in the U.S.

Peripheral Arterial Disease 105

Peripheral Arterial Disease Exercise Ischemia Quality of Life 105

Dr. Smith's ECG Blog

JULY 21, 2024

The patient was extubated on Day-3 of the hospital stay. The patient improved, and on Day-11 of the hospital stay — he was off inotropes and on a small dose of a ß-blocker. There is no definite evidence of acute ischemia. (ie, Some residual ischemia in the infarct border might still be present.

Arrhythmia 131

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 131

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4141224-A4141224, November 12, 2024. Similarly, when GA was considered as a categorical variable, in the fully adjusted model, GA was associated with MACCEs, ischemia-driven revascularization, and all-cause mortality, with P values all less than 0.05. years, and men accounted for 61.8%.

Risk Factors 40

Risk Factors Ischemia Myocardial Infarction Outcomes 40

DAIC

JANUARY 23, 2024

Nearly 20% of those people who have had a MI will be hospitalized again within five years due to a second event.5 mg reduced the risk of cardiovascular death, MI or heart attack, ischemic stroke, or ischemia-driven coronary revascularization by 31% compared with placebo.34 Circulation. Circulation. 4 In the U.S.

Cardiovascular Disease 111

Cardiovascular Disease Heart Attack Heart attacks Coronary Artery Disease 111

Dr. Smith's ECG Blog

OCTOBER 20, 2013

This ECG is diagnostic of diffuse subendocardial ischemia. in Vienna found that 27 of 765 (4%) of out of hospital cardiac arrests (OHCA) were due to SAH. Only 1 of 27 survived, after 45 days in the hospital, with a cerebral performance category of 2; this patient had ventricular fibrillation. Circulation 122:Abstract 101.

Cardiac Arrest 52

Cardiac Arrest STEMI Hemorrhage Hospital 52

Dr. Smith's ECG Blog

AUGUST 9, 2019

Post by Smith and Meyers Sam Ghali ( [link] ) just asked me (Smith): "Steve, do left main coronary artery *occlusions* (actual ones with transmural ischemia) have ST Depression or ST Elevation in aVR?" That said, complete LM occlusion would be expected to have subepicardial ischemia (STE) in these myocardial territories: STE vector 1.

Myocardial Infarction 52

Myocardial Infarction Ischemia STEMI Cardiogenic Shock 52

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4135092-A4135092, November 12, 2024. Background:Prolonged operative times in surgical procedures have been significantly associated with an increased risk of complications. Notable comorbidities included diabetes mellitus at 60.6% and dialysis at 29.9%, respectively. of the participants.

Myocardial Infarction 40

Myocardial Infarction Coronary Artery Disease Ischemia Diabetes 40

Dr. Smith's ECG Blog

APRIL 8, 2016

If there is polymorphic VT with a long QT on the baseline ECG, then generally we call that Torsades, but Non-Torsades Polymorphic VT can result from ischemia alone. mEq of K pushed fast and circulated theoretically would raise serum K immediately by 1.0 If there is a pulse, you would call it Torsades. mEq/L, from 1.9 mg/dL [1.03 0.16

STEMI 52

STEMI Myocardial Infarction Cardiac Arrest Arrhythmia 52

Dr. Smith's ECG Blog

MARCH 11, 2016

More likely, the patient had crescendo angina, with REVERSIBLE ischemia for 48 hours that only became potentially irreversible (STEMI) at that point in time. During the 48 hours of angina, such reversible ischemia often leads to myocardial stunning with akinesis of the myocardial wall that puts it at risk for thrombus.

Myocardial Infarction 52

Myocardial Infarction Pericarditis STEMI Angina 52

EMS 12-Lead

APRIL 28, 2022

A 12 Lead ECG was then acquired: Figure 2 The difficult reality of pre-hospital ECG’s is the absence of continuous telemetry at the bottom of the strip for purposes of discrete morphological juxtaposition in cases such as this. Circulation, 144; 823-839. [3] Circulation, 59 (3); 459-468. [8] Wolters-Kluwer: Philadelphia, PA. [2]

Tachycardia 52

Tachycardia AFIB Arrhythmia Coronary Artery Bypass Graft 52

Dr. Smith's ECG Blog

MARCH 6, 2020

There is no evidence of infarction or ischemia. The patient was given furosemide and admitted to the hospital. Because the AP lies outside of the AV node — the time to circulate around the reentry pathway and conduct back to the atria ( retrograde ) is longer than when the entire reentry circuit is contained within the AV node.

Heart Failure 52

Heart Failure Tachycardia Atrial Flutter Cardiomyopathy 52

DAIC

FEBRUARY 7, 2024

and Phyllis Gough Huffington Distinguished Chair of Neurology at McGovern Medical School; chief of neurology at Memorial Hermann Hospital-Texas Medical Center and co-director of UTHealth Neurosciences , all in Houston. McCullough, M.D., FAHA , the winner of the Thomas Willis Lecture Award, is the Roy M. Siekert, M.D., Shumei Man M.D.,

Stroke 105

Stroke Strokes Research Health Disparities 105

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4143420-A4143420, November 12, 2024. We computed a Vascular Disease (VasD) score, integrating the presence of carotid plaque (CP) on carotid ultrasound, known coronary artery disease (CAD), and myocardial ischemia (MyI). Subsequently, patients were followed for 5.5

Exercise 40

Exercise Coronary Artery Disease Ultrasound Plaque 40

Dr. Smith's ECG Blog

APRIL 8, 2015

Evidence of acute ischemia (may be subtle) vii. Clinical predictors of cardiac syncope at initial evaluation in patients referred urgently to general hospital: the EGSYS score. Background: Syncope is a common, potentially serious condition accounting for many hospital admissions. Left BBB vi. Pathologic Q-waves viii.

Arrhythmia 52

Arrhythmia Outcomes Chest Pain Risk Factors 52

Dr. Smith's ECG Blog

MARCH 3, 2025

Cardiology services were consulted at a PCI capable hospital. The patient was started on heparin for possible NSTEMI vs demand ischemia. increasing stenosis, ischemia, volume changes, increased blood pressure, atrial fibrillation, etc.) Smith : these ECGs do NOT show subendocardial ischemia. She was started on lasix.

Tachycardia 73

Tachycardia Pulmonary Chest Pain Stenosis 73

Dr. Smith's ECG Blog

MARCH 25, 2025

There is low voltage in the precordium which always makes reading ischemia harder. In ACS, chest pain is the warning sign of ongoing ischemia. Smith : As Willy says, and as we've said many times before, morphine will resolve pain without resolving ischemia. ECG 1 What do you think? To me, this ECG is not diagnostic.

Chest Pain 63

Chest Pain Ischemia Plaque Stents 63