Dr. Smith's ECG Blog

JUNE 5, 2024

This combination is often extremely effective for maintaining good longterm outcome ( Lanza and Shimokawa — Eur Cardiol 18: e38, 2023 ). Final Thoughts: Today's patient was discharged and treated with a calcium blocker and extended release nitroglycerin.

Chest Pain 122

Chest Pain Blog Cardiac Arrest Cardiomyopathy 122

Dr. Paddy Barrett

DECEMBER 19, 2023

In summary, the best outcome for plaque is to: Decrease in size Change from non calcified to calcified Develop a thick fibrous cap. All patients had CT coronary angiograms at the start of the study and repeated after about one year. In general, the thicker the cap, the better.

Coronary Artery Disease 105

Coronary Artery Disease Plaque Exercise Heart Attack 105

Dr. Paddy Barrett

MARCH 21, 2024

Sleep & Heart Disease Cardiac CT - CAC Scores & CT Coronary Angiograms. But if you want to increase your odds of a good outcome, the Heart Health Formula is a great place to start your journey. Understanding Blood Pressure. The Role of Inflammation. Formulas For Estimating Benefit & Risk.

Heart Disease 52

Heart Disease Cholesterol Blood Pressure Coronary Angiogram 52

European Journal of Heart Failure

JANUARY 21, 2024

Images on the left panel show an example of coronary angiography, first-pass perfusion maps and stress and rest myocardial perfusion maps of a patient with cardiac amyloidosis. The coronary angiogram is unobstructed and visual analysis of first-pass perfusion shows a global reduction in myocardial blood flow.

Coronary Angiogram 40

Coronary Angiogram Biomarkers Outcomes Research 40

Dr. Smith's ECG Blog

JULY 2, 2023

Outcome The only followup we got was that the patient is undergoing Coronary Bypass (CABG) of LAD, 2nd Obtuse Marginal, and Left Posterolateral coronaries. We don't know if he had a stress test, a CT Coronary angiogram, or they just decided to do an angiogram. Troponins negative."

Chest Pain 52

Chest Pain Angina Coronary Angiogram Blog 52

Dr. Anish Koka

MAY 16, 2023

Soviet biologist Trofim Lysenko famously rejected the objective reality of Mendelian genetics because it clashed with the Marxist philosophy that the environment, not genetics, was the primary determinant of outcomes. But what should matter is outcomes not diagnoses. Subscribe for free to receive new posts and support my work.

Chest Pain 52

Chest Pain Coronary Artery Disease Cancer Heart Attack 52

EMS 12-Lead

MARCH 19, 2023

Could there have been a different outcome if the crews immediately recognized OMI – versus a shortened PR-interval – and commenced with pre-hospital Cath Lab activation? Learning points 1] Acute Coronary Syndrome has many shades of clinical manifestation. He became unconscious as the monitor displayed VF.

Myocardial Infarction 52

Myocardial Infarction STEMI Coronary Angiogram Coronary Artery Disease 52

Dr. Smith's ECG Blog

MAY 16, 2023

No angiogram was performed. Other outcome information is not available. Like they would for any other acute arterial occlusion syndrome (such as suspicion of acute large vessel stroke), they take the patient across the hall and perform an immediate CT (coronary) angiogram, showing patent coronaries.

Chest Pain 52

Chest Pain Pericarditis Tachycardia STEMI 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

We investigated the incidence of an acutely occluded coronary in patients presenting with STE-aVR with multi-lead ST depression. All electrocardiograms (ECGs) and coronary angiograms were blindly analyzed by experienced cardiologists. BOTTOM Line from Today’s Case: As per Drs.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Smith's ECG Blog

JANUARY 9, 2023

Smith Major Learning Point: The worst risk factor for a bad outcome in OMI is young age because cardiologists cannot believe that a young person can have an OMI. Young people can suffer acute coronary occlusion, whether by typical atherosclerotic plaque rupture, or by coronary anomalies, coronary aneurysms, dissections, spasm, etc.

Chest Pain 52

Chest Pain Aneurysm STEMI Thrombosis 52

Dr. Smith's ECG Blog

MARCH 3, 2025

Case Continued The patient was discharged from the hospital with a plan for a scheduled coronary angiogram to assess the coronary arteries and the possibility of aortic valve replacement. The vast majority of ischemia from supply demand mismatch is diffuse ST depression, with ST Elevation in aVR.

Tachycardia 74

Tachycardia Pulmonary Chest Pain Stenosis 74