Dr. Smith's ECG Blog

MAY 19, 2020

If the arrest was caused by acute MI due to plaque rupture, then the diagnosis is MINOCA. MINOCA: Myocardial Infarction in the Absence of Obstructive Coronary Artery Disease). Here is my comment on MINOCA: "Non-obstructive coronary disease" does not necessarily imply "no plaque rupture with thrombus."

Defibrillator 52

Defibrillator Circulation Plaque Cardiac Arrest 52

Dr. Smith's ECG Blog

SEPTEMBER 9, 2024

You can easily imagine this patient getting one of several diagnoses -- vasospasm, MINOCA , pericarditis, or maybe even no diagnosis at all beyond "non-obstructive coronary artery disease." Smith comment : a very high proportion of MINOCA are ruptured plaque with lysed thrombus. Most plaque is outside the lumen!!

Plaque 66

Plaque Stents Stent Chest Pain 66

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. An angiogram is a "lumenogram;" most plaque is EXTRALUMINAL!!

Plaque 52

Plaque Chest Pain Thrombosis Stenosis 52

Dr. Smith's ECG Blog

APRIL 12, 2023

On arrival, lung ultrasound confirmed pulmonary edema (B lines). Mild Plaque no angiographically significant obstructive coronary artery disease. There is STE and hyperacute T-waves in V2 and V3, with significant STE in I and aVL, and inferior reciprocal STD. This is proximal LAD Occlusion until proven otherwise.

Echocardiogram 52

Echocardiogram Pulmonary Cardiomyopathy Coronary Artery Disease 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

Diffuse ST depression with ST elevation in aVR: Is this pattern specific for global ischemia due to left main coronary artery disease? Incidence of an acute coronary occlusion. Diffuse ST depression with ST elevation in aVR: Is this pattern specific for global ischemia due to left main coronary artery disease?

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Paddy Barrett

OCTOBER 4, 2024

Everyone starts with no plaque in the coronary arteries, but over a long enough time frame, everyone develops plaque in their coronary arteries. By age 80, almost everyone will have evidence of advanced plaque in their coronary arteries, as defined by a cardiac CT 1.

Heart Disease 105

Heart Disease Plaque Cholesterol Risk Factors 105

DAIC

APRIL 2, 2025

Stone, MD Mount Sinai Health System tim.hodson Wed, 04/02/2025 - 15:26 March 31, 2025 Using intravascular imaging (IVI) to guide stent implantation during complex stenting procedures is safer and more effective for patients with severely calcified coronary artery disease than conventional angiography, the more commonly used technique.

Stent 40

Stent Stents Outcomes Coronary Angiogram 40

Journal of the American Heart Association

MARCH 13, 2025

BackgroundStudies in young patients with stroke identified coronary artery disease (CAD) as a main contributor to mortality. In patients without previous CAD, but femoral plaque on ultrasound, nearly a half had nonobstructive and onefourth had obstructive CAD. During a median followup of 10.1

Coronary Artery Disease 40

Coronary Artery Disease Stroke Strokes Ultrasound 40

Dr. Sanjay Gupta

DECEMBER 19, 2022

Echocardiography – We can use ultrasound to visualize the heart and look at how well it pumps. With time, fat and cholesterol can get trapped in the areas of wear and tear and cause plaque formation. The plaques can damage us in 2 ways. This is termed as diastolic dysfunction.

Heart Rhythm 40

Heart Rhythm Plaque Heart Attack Heart attacks 40

Dr. Paddy Barrett

MAY 31, 2024

The mistake most people make when it comes to heart disease is thinking that when someone has a heart attack that, the condition of ‘heart disease’ just appeared. But heart disease presents slowly. CT Coronary Angiogram. CT Coronary Angiogram. The more plaque, the higher the risk.

Heart Disease 96

Heart Disease Plaque Heart Attack Heart attacks 96

Circulation

NOVEMBER 11, 2024

Background:The presence of carotid plaque (CP) may serve as an indicator of panvascular atherosclerosis. However, the observed incongruity between carotid disease and the presence and severity of coronary artery disease (CAD) suggests differing mechanisms. Subsequently, patients were followed for 5.5

Exercise 40

Exercise Coronary Artery Disease Ultrasound Plaque 40

Heart BMJ

JANUARY 13, 2025

The clinical presentation of ischaemic heart disease has a broad spectrum, encompassing not only traditional epicardial coronary artery disease (CAD) characterised by stenosis or occlusion but also structural and functional disorders at both macrovessel and microvessel levels, as highlighted in the latest European guidelines.

Heart Disease 100

Heart Disease Coronary Artery Disease Plaque Ultrasound 100