Remove Coronary Artery Bypass Graft Remove Ischemia Remove Myocardial Infarction
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Revascularization Strategies in Stable Coronary Artery Disease: ISCHEMIA Trial Insights

Cardiology Update

In the ISCHEMIA (International Study of Comparative Health Effectiveness with Medical and Invasive Approaches) trial, researchers examined the risk of ischemic events in patients with stable coronary artery disease. years, with 57.1% occurring within 30 days after CABG. Original article: Redfors B et al.

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Retrosternal hematoma causing torsade de pointes after coronary artery bypass graft surgery; a case report

Frontiers in Cardiovascular Medicine

Myocardial infarction is among the top causes of mortality worldwide. Infarct-related torsade de pointes (TdP) is an uncommon complication. In the context of myocardial infarction, coronary artery bypass graft (CABG) surgery is the prevalent therapeutic modality associated with several early and late complications.

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Are there hyperacute T-waves? And how can we know?

Dr. Smith's ECG Blog

Watch what happends as the heart recovers from its episode of ischemia. This is the c ulprit for the patient's non-ST elevation myocardial infarction AV groove circumflex, proximal LPDA, and mid LAD stenoses may also be hemodynamically significant Occlusion of the proximal nondominant RCA is not likely clinically relevant.

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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

DISCUSSION: The 12-lead EKG EMS initially obtained for this patient showed severe ischemia, with profound "infero-lateral" ST depression and reciprocal ST elevation in lead aVR. Author continued : STE in aVR is often due to left main coronary artery obstruction (OR 4.72), and is associated with in-hospital cardiovascular mortality (OR 5.58).

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ECG in LMCA Stenosis

All About Cardiovascular System and Disorders

Angiography done after initial stabilization showed severe stenosis of distal left main coronary artery. In addition, there were multiple lesions in all three vessels, making a standard indication for an urgent coronary artery bypass grafting. There is minimal ST segment elevation in aVR as well.

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An athletic 30-something woman with acute substernal chest pressure

Dr. Smith's ECG Blog

This is diagnostic of myocardial infarction. Now you have ECG and troponin evidence of ischemia, AND ventricular dysrhythmia, which means this is NOT a stable ACS. It they are static, then they are not due to ischemia. This is better evidence for ischemia than any other data point.

SCAD 52
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Of Twists and Turns

EMS 12-Lead

In most cases, rather, the culprit is gross ischemia due to myocardial infarction, cardiomyopathy, or advanced coronary artery disease. Unfortunately, today’s case is lacking any such diagnostics, thus I cannot say with certainty that the QT interval is, or is not, culpable in arrhythmogenesis. [1]