Dr. Malcolm Kendrick

DECEMBER 8, 2023

Here, for example, plucked at random, is a reference to the latest NICE guidelines on the management of hypertension (high blood pressure) in adults. This, the short version document, runs to fifty-two pages. 2 Have I read the entire document. But this, the primary guideline on hypertension for adults, is but one of many.

Blood Pressure 90

Blood Pressure Blog Document Hypertension 90

Heart BMJ

FEBRUARY 12, 2024

Objective This study assessed the long-term effects of triple therapy with prostanoids on patients with pulmonary arterial hypertension associated with congenital heart disease (PAH-CHD), as there is limited information on the safety and efficacy of this treatment approach.

Congenital Heart Disease 40

Congenital Heart Disease Congenital Heart Disease Pulmonary 40

Dr. S. Venkatesan MD

JANUARY 25, 2024

Baxdrostat, an Aldosterone synthase antagonist for treatment-resistant Hypertension, appears promising (BrigHTN). Final message However, the crowning glory among all articles appear towards the end of the document, titled Combating misinformation as a core Function of Public Health. Let me share the link to this PDF document here.

Research 52

Research Article Document Public Health 52

EMS 12-Lead

MAY 15, 2024

Initial vitals show hypertension (175/85), Atrial Fibrillation with RVR as seen in Figure 1 , hypercapnia (99mmHg), and SPO2 of 100%. The crew increases this current to 75mA and documents an “improvement in patient status” with palpated pulses and a BP of 115/60. Epinephrine administered intravenously.

Atrial Fibrillation 132

Atrial Fibrillation Bradycardia Pacemaker Cardiac Arrest 132

Frontiers in Cardiovascular Medicine

APRIL 28, 2024

This analysis documented the odds ratio (OR) and 95% confidence interval (CI) for each standard deviation (SD) increase. Following the Z-transformation of the independent variables, we evaluated the relationships between the four blood pressure indices and NAFLD through multivariable logistic regression models.

Blood Pressure 52

Blood Pressure Document Obesity Exercise 52

The British Journal of Cardiology

JUNE 11, 2024

Manifestations of CVDs, such as chest pain, abnormal serum markers, unstable angina, myocardial infarction (MI), myocarditis, and new-onset hypertension, were documented. The most common symptom was left hemithorax and interscapular pain (317 patients, 46%).

COVID-19 40

COVID-19 Cardiovascular Disease Angina Chest Pain 40

Stroke Journal

JANUARY 30, 2025

We performed a baseline chart review on 79 stroke patients seen at the clinic to assess documentation of discussion of cognitive symptoms during visits. There was a moderately negative correlation between MoCA-sf scores and a history of hypertension (-0.48, p 0.007) and hyperlipidemia (-0.38, p 0.044).

Outpatient 40

Outpatient Stroke Strokes Document 40

Cardiometabolic Health Congress

FEBRUARY 23, 2024

Two major risk factors for CVD are hypertension and diabetes, which also place a heavier burden on minority groups. . #1 Peeling back the layers of Social Determinants of Health (SDOH) Despite medicine and science advancing leaps and bounds, in 2024, cardiovascular disease remains the leading cause of death in America.

Risk Factors 105

Risk Factors Health Disparities Education CME 105

Circulation: Heart Failure

APRIL 7, 2025

BACKGROUND:The long-term impact of bariatric surgery on cardiac mechanics and energetics has been scarcely documented. Circulation: Heart Failure, Ahead of Print. CONCLUSIONS:Bariatric surgery results in favorable 5-year trajectories of LV geometry, myocardial O2demand, and left heart longitudinal mechanics.

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Journal of the American Heart Association

DECEMBER 1, 2023

BackgroundBlood pressure (BP) thresholds for diagnosing and managing hypertension vary for office, home, and ambulatory readings, and between guideline documents. Journal of the American Heart Association, Volume 12, Issue 23 , December 5, 2023.

Blood Pressure 40

Blood Pressure Hypertension Document Technology 40

Circulation

NOVEMBER 11, 2024

years, 87 (15.59%) adverse events were documented. The nomogram consists of age, smoking, hypertension, diabetes mellitus (DM), hyperuricemia, and FFR≤0.8 The prediction efficiency of nomogram was evaluated by multiple methods, including C-index, area under the curve (AUC), calibration curves and decision-curve analysis (DCA).Results:During

Coronary Artery Disease 40

Coronary Artery Disease Stenosis Risk Factors Outcomes 40

European Journal of Heart Failure

SEPTEMBER 26, 2023

This document from the Heart Failure Association examines the practical uses of N-terminal pro-B-type natriuretic peptide (NT-proBNP) in various clinical scenarios. diabetes, hypertension, coronary artery disease), underlying the development of cardiac dysfunction and further increased risk.

Heart Failure 40

Heart Failure Coronary Artery Disease Outpatient Document 40

Stroke Journal

FEBRUARY 1, 2024

We fit multivariable logistic regression models to evaluate the association between the history of migraine and the development of MAVE (stroke, acute coronary syndrome, systemic thromboembolism, hypertensive encephalopathy, pulmonary heart disease, or death) up to 24 weeks after delivery. Women with a history of migraine (vs.

Inpatient 40

Inpatient Hypertension Document Obesity 40

Dr. Smith's ECG Blog

JUNE 17, 2024

Written by Bobby Nicholson, MD 67 year old male with history of hypertension and hyperlipidemia presented to the Emergency Department via ambulance with midsternal nonradiating chest pain and dyspnea on exertion. Pain improved to 1/10 after EMS administers 324 mg aspirin and the following EKG is obtained at triage. What do you think?

Chest Pain 139

Chest Pain Embolism Pulmonary Tachycardia 139

Circulation

NOVEMBER 11, 2024

All models simultaneously included CRP and LDL-C, and were adjusted for age, current smoking, hypertension, diabetes mellitus, body mass index, lipid-lowering medications, total cholesterol and family income.Results:12,726 participants (53.4% years , and 1905 cardiovascular deaths were documented. female, mean age 46.8 ± 19.7

Cholesterol 40

Cholesterol Document Risk Factors Cardiovascular Disease 40

GEMMS

JANUARY 2, 2024

Merge Cardio from IBM Merge Cardio from IBM helps small practices with regular clinical documentation. Cardiology clinics need software that provides accurate clinical documentation, improved communication between healthcare providers, and useful metrics. When it comes to EHR software , there are a lot of options out there.

Document 52

Document Patient Care Private Practice Reimbursement 52

Stroke Journal

FEBRUARY 1, 2024

Background:Racial disparities in stroke prevalence and outcomes have been well documented in previous studies, but there is not sufficient data based on post-menopausal women. p <0.001) were independent positive predictors for all-cause mortality in whites, while complicated hypertension (OR: 2.64 COPD (OR: 1.19

Hospital 40

Hospital Stroke Strokes Inpatient 40

Circulation

NOVEMBER 11, 2024

Background:The benefits of physical activity for health and well-being are well documented. Future efforts should include exploring facilitators of effective wearable use, in various sociodemographic groups, especially for those at risk of obesity or hypertension. Promoting physical activity is crucial for enhancing population health.

Blood Pressure 40

Blood Pressure Document Obesity Hypertension 40

Stroke Journal

JANUARY 30, 2025

However, the change in cognitive function in the same individual before and after strokes is not well-documented especially among Hispanics. Over half of the subjects with strokes were females (55 (63.2%)), diabetic (44 (50.6%)), hypertensive (58 (66.7%)), and had metabolic syndrome (44 (50.6%)). and a mean (sd) MMSE score of 26.7

Stroke 40

Stroke Strokes Education Diabetes 40

Circulation

NOVEMBER 11, 2024

Mean patient age was 55 yrs, 56% (n=575) were women, and comorbid conditions were frequent: hypertension (64.1%), dyslipidemia (46.1%), diabetes (25.7%), documented coronary artery disease (19.3%), previous revascularization (20.6%), previous myocardial infarction (10.1%). Length of stay (LOS) in the CPU to discharge was 10.4

Chest Pain 40

Chest Pain ACE Inhibitor Cardiac Function Coronary Artery Disease 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Postoperatively, the patient was hypertensive to a systolic blood pressure of 220 mmHg that was controlled with a nicardipine infusion that was gradually weaned off once the patient’s vitals were stable while in the Neuro‐ICU. There was no opacification of the aneurysms at the end of the procedure and no procedural complications (Figure 1D).

Aneurysm 40

Aneurysm Peripheral Arterial Disease Coronary Artery Disease ICU 40

All About Cardiovascular System and Disorders

JANUARY 14, 2024

Magnetic resonance imaging is another way of documenting coronary anomalies. If the pulmonary anatomy is poor, there will be post repair right ventricular hypertension, which is deleterious and has long term seqeulae. Finding out the origin and insertion of MAPCAs is important prior to surgical repair of tetralogy of Fallot.

Congenital Heart Disease 52

Congenital Heart Disease Pulmonary Anatomy Congenital 52

All About Cardiovascular System and Disorders

APRIL 30, 2024

in hypertensives are some of the features. Hypertensive heart disease is an important differential diagnosis, but SAM is rare in this situation and there is evidence of greater diastolic dysfunction in HCM. Degree of outflow obstruction can be documented along with the classical Brockenbrough-Braunwald-Morrow sign.

Cardiomyopathy 40

Cardiomyopathy Bicuspid/Mitral Document Arrhythmia 40

European Journal of Heart Failure

DECEMBER 7, 2023

DM, diabetes mellitus; HTN, hypertension; LV, left ventricular; NP, natriuretic peptide; PCWP, pulmonary capillary wedge pressure; RV, right ventricular; SV, stroke volume. Aims Obesity is causally related to the development of heart failure with preserved ejection fraction (HFpEF) but complicates the diagnosis and treatment of this disorder.

Preserved Ejection Fraction 40

Preserved Ejection Fraction Obesity Heart Failure BMI 40

Dr. Smith's ECG Blog

MAY 13, 2024

Written by Destiny Folk, MD, Adam Engberg, MD, and Vitaliy Belyshev MD A man in his early 60s with a past medical history of hypertension, type 2 diabetes, obesity, and hyperlipidemia presented to the emergency department for evaluation of chest pain. Chest Pain – Benign Early Repol or OMI?

Chest Pain 120

Chest Pain STEMI Ultrasound Heart Attack 120

Dr. Smith's ECG Blog

NOVEMBER 15, 2013

This was a male in his 50's with a history of hypertension and possible diabetes mellitus who presented to the emergency department with a history of squeezing chest pain, lasting 5 minutes at a time, with several episodes over the past couple of months. Also see this incredible case of the use of 12-lead ST Segment monitoring. de Wood et al.

Chest Pain 52

Chest Pain Thrombosis Myocardial Infarction STEMI 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

His neurologic exam was grossly similar to that documented 19 months ago. On arrival, blood pressure was 165/94 mmHg and blood glucose was 108 mg/dL. His NIHSS was 6. In the CT scanner, he developed tonic‐clonic movements of the left arm and leg, confusion, and emesis.

Blood Pressure 40

Blood Pressure Blood Clot Atherosclerosis Circulation 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

At four months follow‐up, she continues to be flaccid in her lower limbs and requires a urinary catheter leading to frequent urinary tract infections.ConclusionWhile cocaine‐related cerebrovascular events are well documented, very few cases of cocaine‐related ASCIS have been described.

Ischemia 40

Ischemia Myocardial Infarction Thrombosis Stroke 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Secondary movement disorders occurring after a delayed period following ischemic stroke have been well‐documented, though rare. IntroductionAcute ischemic stroke varies in presentation, and it is crucial to quickly identify patients presenting with stroke for timely intervention.

Outpatient 40

Outpatient Stroke Strokes Document 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

He had a documented history of transient‐ischemic attack and was noted to have undergone progressive cognitive decline.

Arterioles 40

Arterioles Cerebrovascular Disease Outpatient Document 40

DAIC

AUGUST 21, 2024

Thus, the documented high rates of Type 2 diabetes in these communities are underlined by multiple complex factors beyond individual behaviors,” she explained. “In In addition, American Indian communities have been historically underrepresented in epidemiological research, resulting in underreporting of disease burden.”

Heart Failure 52

Heart Failure Risk Factors Heart Attack Heart attacks 52

Dr. Smith's ECG Blog

DECEMBER 11, 2023

Triage documented a complaint of left shoulder pain. Moreover , the patient has ongoing symptoms and has an unexplained elevated troponin, so she is having an MI and the only question is whether it is type 1 or type 2 due to hypertension. The patient presented to triage at around 10 PM. The patient said, "I just don't feel good."

Myocardial Infarction 123

Myocardial Infarction Chest Pain STEMI Blood Pressure 123

Dr. Smith's ECG Blog

SEPTEMBER 10, 2023

Sent by anonymous, edited by Pendell Meyers A man in his 50s with history only of hypertension presented with acute chest pain that started 45 minutes prior to presentation while doing yard work. Ongoing pain noted throughout all documentation, but after nitro drip and prn morphine, "pain improved to 2/10." Repeat trop 150 ng/L.

STEMI 78

STEMI Myocardial Infarction Ischemia Academic 78

Dr. Smith's ECG Blog

DECEMBER 27, 2023

Written by Willy Frick A man in his 50s with a history of hypertension, dyslipidemia, type 2 diabetes mellitus, and prior inferior OMI status post DES to his proximal RCA 3 years prior presented to the emergency department at around 3 AM complaining of chest pain onset around 9 PM the evening prior. This patient was not one of the lucky 6.4%

Chest Pain 131

Chest Pain Myocardial Infarction Blog Stents 131

Dr. Smith's ECG Blog

MARCH 22, 2024

Written by Willy Frick A man in his 50s with history of hypertension, hyperlipidemia, and a 30 pack-year smoking history presented to the ER with 1 hour of acute onset, severe chest pain and diaphoresis. His ECG is shown: What do you think? Fortunately, the emergency physician evaluating the patient activated the cath lab immediately.

Chest Pain 114

Chest Pain STEMI Bradycardia Ischemia 114

Dr. Smith's ECG Blog

FEBRUARY 28, 2020

My answer: "This is classic for PE, but it can also be present in any hypoxia due pulmonary hypoxic vasoconstriction and resulting acute pulmonary hypertension and acute right heart strain. Finally — Note that the S1Q3T3 pattern is missing in ECG #2 , despite documentation of a massive PE. This is NOT Wellens. Is the patient hypoxic?

Chest Pain 52

Chest Pain Pulmonary Tachycardia Embolism 52

Dr. Smith's ECG Blog

APRIL 17, 2023

He was mildly tachycardic (105-110 bpm) and hypertensive (157/92 mm Hg) on arrival. His HEAR score (before troponin resulted) was documented at 3, with documentation stating "low suspicion for ACS." Chest pain is documented as ongoing. His triage at 0127 is the ECG above. QOH: "OMI High confidence".

Chest Pain 52

Chest Pain STEMI Document Ischemia 52