Dr. Smith's ECG Blog

JUNE 23, 2024

Given the presentation, the cardiologist stented the vessel and the patient returned to the ICU for ongoing critical care. (TIMI 3 means the rate of passage of dye through the coronary artery is normal by angiography.) Lesions less than 70% are generally considered to be non-flow limiting.

Chest Pain 117

Chest Pain Cardiac Arrest Sudden Cardiac Death Blog 117

DAIC

FEBRUARY 24, 2025

As a result, healthcare faces rising expenses from frequent emergency room visits, lengthy hospital stays, costly procedures like stent placements and bypass surgeries, as well as the long-term management of chronic conditions like heart failure (HF). These costs represent a massive portion of total health expenditures.

Hospital 52

Hospital Cardiovascular Disease Heart Failure Heart attacks 52

Dr. Smith's ECG Blog

SEPTEMBER 3, 2023

He has a h/o of 3 vessel disease and stents and his pain has been on and off for days. Then the patient would have been taken to the critical care area with a defibrillator at his side while waiting for the cath lab to be ready. This patient's pretest probability for OMI is extremely high. These are VERY high risk symptoms.

Chest Pain 134

Chest Pain Defibrillator STEMI Coronary Artery Disease 134

Dr. Smith's ECG Blog

APRIL 29, 2023

It was stented with good results. Another very astute faculty physician immediately recognized that the ECG is diagnostic of posterior and lateral OMI , and activated the cath lab. The cardiology fellow came to the ED. Formal Echo next morning: The estimated left ventricular ejection fraction is 44%.

Chest Pain 52

Chest Pain Blog Stenosis Critical Care 52

Dr. Smith's ECG Blog

APRIL 8, 2016

This was stented. Crit Care Med. 1991 May;19(5):694-9 Objective: To evaluate the efficacy and safety of potassium replacement infusions in critically ill patients. Setting: Multidisciplinary critical care unit. After pacing, there was no recurrence of Torsades. The patient stabilized. mEq/L: The STE is resolved.

STEMI 52

STEMI Myocardial Infarction Cardiac Arrest Arrhythmia 52

Dr. Smith's ECG Blog

OCTOBER 7, 2019

The patient arrived at the Emergency Dept critical care area and had this ECG recorded: The sinus bradycardia persists. He was successfully stented. EMS obtained a second ECG one minute later: It appears the patient’s inferior STEMI has reperfused, as there is resolution of the inferior STE.

Bradycardia 40

Bradycardia STEMI Cardiogenic Shock Ischemia 40

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Hunter Mehaffey Aortic Annular Enlargement in the Elderly: Short and Long-Term Outcomes in the United States The Annals of Thoracic Surgery January 2021 Shinichi Fukuhara Surgical Explant of Transcatheter Aortic Bioprosthesis: Results and Clinical Implications from The Society of Thoracic Surgeons Adult Cardiac Database Analysis Circulation December (..)

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Hunter Mehaffey 1 Aortic Annular Enlargement in the Elderly: Short and Long-Term Outcomes in the United States The Annals of Thoracic Surgery January 2021 Shinichi Fukuhara 2 Surgical Explant of Transcatheter Aortic Bioprosthesis: Results and Clinical Implications from The Society of Thoracic Surgeons Adult Cardiac Database Analysis Circulation December (..)

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Dr. Smith's ECG Blog

DECEMBER 29, 2024

20 cases with pseudonormalization Case continued The patient was moved to the critical care area, and cardiology was consulted. But you expect normalization if the time period is weeks to months. Here are 9 cases that involve re-occlusion. Cardiology correctly interpreted the ECG and did not want to activate the cath lab.

Stent 65

Stent Stents Chest Pain Angina 65

Dr. Smith's ECG Blog

NOVEMBER 23, 2024

It was opened and stented. There is STE in V5-6. There are new Q-waves in aVL, V5-6. The ramus is an occasional artery between the circumflex and the LAD, and often takes the place of a large first diagonal, and has the same distribution. Regional wall motion abnormality--mid anterior akinesis.

Blog 62

Blog Chest Pain Myocardial Infarction Critical Care 62

Dr. Smith's ECG Blog

MARCH 8, 2025

After stent deployment, we often see improvement in the ST-T within seconds or minutes. Here is the final angiogram following placement of a stent in the ostial RCA. 2:04 PM, post stent deployment You can see that even after complete restoration of flow, the ECG still looks terrible, V most of all. link] Jentzer, J. Kashou, A.

Cardiomyopathy 74

Cardiomyopathy Myocardial Infarction Defibrillator Bradycardia 74