HeartRhythm

AUGUST 22, 2024

Neural and electrical remodeling are well documented in the acute setting of myocardial infarction (MI). Sympathetic nerve sprouting in the infarct border zone increases transmural dispersion of repolarization, promoting arrhythmias.

STEMI 40

STEMI Biomarkers Myocardial Infarction Document 40

Clinical Trial Results

APRIL 6, 2024

Reload document | Open in new tab Download [2.51 Loading… Taking too long? MB] Disclosures: TBD

Download 40

Download Myocardial Infarction Document Outcomes 40

Open Heart

JANUARY 19, 2023

Ischaemic events were defined as myocardial infarction, stroke, transient ischaemic attack or peripheral embolism at 1 year. Bleeding events were defined as any bleeding based on the Valve Academic Research Consortium-2 consensus document at 1 year.

Aortic valve 52

Aortic valve TAVR Aortic Myocardial Infarction 52

Dr. Smith's ECG Blog

DECEMBER 27, 2023

Cardiology consult note written around that time documents that "Pain improved with NTG, morphine in ED but still present." Comparative early and late outcomes after primary percutaneous coronary intervention in st-segment elevation and Non–St-segment elevation acute myocardial infarction (from the Cadillac trial). Weisberg, M.,

Chest Pain 129

Chest Pain Myocardial Infarction Blog Stents 129

The British Journal of Cardiology

JUNE 11, 2024

Additionally, 2D transthoracic echocardiography (TTE), and myocardial injury serum biomarkers assays (creatine phosphokinase-MB [CPK-MB] and cardiac troponins [cTn]) were measured once. The most common symptom was left hemithorax and interscapular pain (317 patients, 46%).

COVID-19 40

COVID-19 Cardiovascular Disease Angina Chest Pain 40

DAIC

MAY 30, 2024

clinical success (primary safety and effectiveness) with 100% angiographic success across a broad range of moderate to severe calcium morphologies including eccentric, concentric, and nodular calcifications - - Excellent safety with only one peri-procedural non-Q-wave myocardial infarction resulting in a 1.7% mm average calcium length.

Stents 105

Stents Stent Peripheral Arterial Disease Cardiovascular Disease 105

Circulation: Cardiovascular Quality & Outcomes

OCTOBER 19, 2023

BACKGROUND:Although disparities in cardiac rehabilitation (CR) participation are well documented, the role of community-level distress is poorly understood. to −5.6%]), and acute myocardial infarction hospitalization (−1.3% [95% CI, −1.5% Any CR use was associated with absolute reductions in mortality (−6.8% [95% CI, −7.0%

Cardiac Rehabilitation 40

Cardiac Rehabilitation Inpatient Myocardial Infarction Outcomes 40

Dr. Smith's ECG Blog

JANUARY 5, 2024

The documentation does not describe any additional details of the history. They also documented "Reproducible chest tenderness." So there is probability of myocardial injury here (and because it is in the correct clinical setting, then myocardial infarction.) The following ECG was obtained. ECG 1 What do you think?

Angina 119

Angina Plaque Document Stents 119

Dr. Smith's ECG Blog

OCTOBER 12, 2024

The providers documented concern for ST elevation in the precordial and lateral leads as well as a concern for hyperkalemic T waves in the setting of succinylcholine administration. Preliminary findings documented in the cath lab were “Anterior STEMI and no significant coronary artery disease.” (!!!) Potassium resulted as 4.9,

STEMI 114

STEMI Document Blog Ischemia 114

Dr. Smith's ECG Blog

NOVEMBER 15, 2013

It is well documented with continuous 12-lead monitoring that acute re-occlusion is frequently asymptomatic. Consequences of reocclusion after successful reperfusion therapy in acute myocardial infarction. Here is the most recent documentation that T-wave inversion does indicate reperfusion: [link] 6. de Wood et al.

Chest Pain 52

Chest Pain Myocardial Infarction Thrombosis STEMI 52

All About Cardiovascular System and Disorders

APRIL 13, 2024

The initial R of the RSR’ pattern expected in right bundle branch block is knocked off by the infarction. In a case reported by Shinde RS et al, coronary angiography documented total occlusion of left coronary artery and the patient underwent emergency coronary artery bypass surgery. References Sen F et al. J Am Coll Cardiol.

Stenosis 52

Stenosis Coronary Artery Bypass Graft Coronary Artery Disease Document 52

Dr. Smith's ECG Blog

SEPTEMBER 10, 2023

Triage ECG (no prior for comparison): Computer algorithm read: "Sinus rhythm, low voltage QRS, inferior myocardial infarction, probably old." Ongoing pain noted throughout all documentation, but after nitro drip and prn morphine, "pain improved to 2/10." He reported a normal stress test a few years ago. Repeat trop 150 ng/L.

STEMI 77

STEMI Myocardial Infarction Ischemia Academic 77

Circulation

NOVEMBER 8, 2023

Permanent coronary ligation was performed to establish myocardial infarction (MI). ConditionalVcam1silencing in PCOS mice significantly suppressed cardiac inflammation and improved cardiac injury after MI.CONCLUSIONS:Our data documented previously unrecognized mechanisms through which PCOS could affect cardiovascular health in women.

Coronary Artery Disease 40

Coronary Artery Disease Myocardial Infarction Circulation Plaque 40

Circulation

NOVEMBER 11, 2024

The study included patients who sustained either STEMI or NSTEMI for the first time and had a documented LDL cholesterol measurement on or within 24 hours of their MI. The significant differences observed between treated and untreated groups highlight the importance of statin therapy in managing patients at risk of myocardial infarction.

STEMI 40

STEMI Cholesterol Myocardial Infarction Document 40

Dr. S. Venkatesan MD

DECEMBER 29, 2023

Ironically, in many patients of CS in NSTEMI, the outcome can be worse than STEMI, as there is no single culprit and myocardial salvage does not appear to be a primary issue. A search for the word NSTEMI in both these document drew a blank. Ref 2) What does SCAI guideline say about CS in NSTEMI? Nothing, yes it is true. J Clin Med.

Cardiogenic Shock 52

Cardiogenic Shock STEMI Myocardial Infarction Document 52

Dr. Smith's ECG Blog

JULY 31, 2020

Meyers, Weingart and Smith published their OMI Manifesto — in which they extensively document the critically important concept that management of acute MI by separation into a “STEMI” vs “non-STEMI” classification is an irreversibly flawed approach.

STEMI 52

STEMI Article Chest Pain Blog 52

Dr. Smith's ECG Blog

NOVEMBER 13, 2022

The ECG in ER is shown below: ECG is still diagnostic but we are watching the natural course of myocardial infarction here. Considerations on the naming of myocardial infarctions. He arrived to our hospital one hour later. J Electrocardiol. 2022 Mar-Apr;71:44-46. doi: 10.1016/j.jelectrocard.2022.01.006. 2022.01.006.

Chest Pain 52

Chest Pain Myocardial Infarction Blog Pericarditis 52

All About Cardiovascular System and Disorders

APRIL 30, 2024

Thin posterior wall in inferior wall myocardial infarction causing abnormal septal to posterior wall ratio can also cause suspicion of ASH. Cardiac amyloid is manifested with thickened interatrial septum, increased myocardial echogenicity and thickening of valve leaflets.

Cardiomyopathy 40

Cardiomyopathy Bicuspid/Mitral Document Arrhythmia 40

Dr. Smith's ECG Blog

JANUARY 31, 2020

So this is indeed diagnostic of myocardial infarction. Not immediately, at least, because this is NOT diagnostic of ACUTE (occlusion) myocardial infarction (Acute OMI). So I made an ED diagnosis of Non-Occlusion Myocardial Infarction (NOMI), and his next day angiogram confirmed NOMI.

Angina 52

Angina Stents Stent Aneurysm 52

Dr. Smith's ECG Blog

MARCH 19, 2023

Angiogram: Culprit for the patient's inferior ECG changes and non-ST elevation myocardial infarction is a 100% acute thrombotic occlusion of the proximal RCA. Traditionally , Occlusion MI (OMI) myocardial infarctions that are not STEMI are called NonSTEMI. They have large infarcts and high mortality.

Chest Pain 52

Chest Pain STEMI Myocardial Infarction Document 52

Dr. Smith's ECG Blog

FEBRUARY 16, 2019

It is true that other documents occasionally describe "abnormal ST segment elevation" in the posterior leads (commonly accepted criteria is 0.5 mm in just one lead V7-9), but as far as I can tell all of these documents specifically avoid calling this condition STEMI and specifically avoid using any terminology similar to "STEMI equivalent."

STEMI 52

STEMI Chest Pain Myocardial Infarction Document 52

Dr. Smith's ECG Blog

DECEMBER 11, 2023

Occlusion myocardial infarction is a clinical diagnosis Written by Willy Frick (@Willyhfrick). Triage documented a complaint of left shoulder pain. St depression in lead AVL differentiates inferior st-elevation myocardial infarction from pericarditis. A woman in her late 70s presented with left arm pain.

Myocardial Infarction 122

Myocardial Infarction Chest Pain STEMI Blood Pressure 122

Dr. Smith's ECG Blog

DECEMBER 29, 2023

International evaluation of an artificial intelligence-powered electrocardiogram model detecting acute coronary occlusion myocardial infarction. Given the answers provided by cardiac catheterization — I thought review of the first 3 tracings in today's case especially insightful.

Chest Pain 69

Chest Pain STEMI Myocardial Infarction Electrocardiogram 69

Dr. Smith's ECG Blog

JULY 11, 2018

His astute observation is worthy of brief discussion: Rituparna et al document a case study report, in which J waves appeared to be induced by ischemia ( Pacing Clin Electrophysiol 30(6):817-819, 2007 ). The proposed mechanism is complex. Recognition of such J waves may assist in localization of the likely “culprit artery”.

Chest Pain 52

Chest Pain STEMI Ischemia Blog 52

Dr. Smith's ECG Blog

APRIL 17, 2023

His HEAR score (before troponin resulted) was documented at 3, with documentation stating "low suspicion for ACS." Chest pain is documented as ongoing. Next trop 85,528 ng/L (consistent with a massive myocardial infarction), none further measured. QOH: "OMI High confidence". Physician interpretation: "No STEMI."

Chest Pain 52

Chest Pain STEMI Document Ischemia 52

Dr. Smith's ECG Blog

OCTOBER 6, 2018

Diagnosis of acute myocardial infarction in angiographically documented occluded infarct vessel: limitations of ST-segment elevation in standard and extended ECG leads. Acute myocardial infarction due to left circumflex artery occlusion and significance of ST-segment elevation. From AM et al.

Chest Pain 40

Chest Pain STEMI Myocardial Infarction Coronary Artery Disease 40

Journal of the American Heart Association

APRIL 16, 2025

BackgroundNewonset atrial fibrillation (NOAF) is a common complication after acute myocardial infarction (AMI) and is associated with poor survival. Journal of the American Heart Association, Ahead of Print. Atrial fibrillation (AF) burden is used to characterize the severity of AF.

Atrial Fibrillation 40

Atrial Fibrillation Myocardial Infarction Outcomes Document 40

Dr. Smith's ECG Blog

AUGUST 9, 2024

He had no previously documented medical problems except polysubstance use. AIVR is not always the result of significant pathology, but is classically associated with the reperfusion phase of acute myocardial infarction. Multicenter randomized trial and a systematic overview of lidocaine in acute myocardial infarction.

Chest Pain 106

Chest Pain Arrhythmia Myocardial Infarction STEMI 106

Dr. Smith's ECG Blog

APRIL 8, 2016

Document in the patient's chart that rapid infusion is intentional in response to life-threatening hypokalemia." Literature on Hypokalemia as a risk for ventricular fibrillation in acute myocardial infarction. Use of diuretics is strongly associated with hypokalemia and ventricular fibrillation in myocardial infarction.

STEMI 52

STEMI Myocardial Infarction Cardiac Arrest Arrhythmia 52

Dr. Smith's ECG Blog

JUNE 13, 2024

Her first set of vitals were documented: BP 116/57 Pulse 94bpm Respiratory rate 24/min O2 sat 90% on room air Temp 97F She had been cleaning a Jeep in the sun, and was sunburned. The physician documented “normal sinus rhythm”. The physician documented that she was “improved” and the patient was discharged. CK MB was 1.9

Chest Pain 91

Chest Pain Document STEMI Defibrillator 91

DAIC

MARCH 28, 2024

Acute procedure success (defined as confirmed entrance block at the end of procedure) and freedom from documented atrial arrhythmia recurrence at 12 months were also assessed. About the VARIPULSE Platform The VARIPULSE Platform is Biosense Webster's Irreversible Electroporation ablation system.

Atrial Fibrillation 110

Atrial Fibrillation AFIB Ablation Pulmonary 110

Circulation: Cardiovascular Quality & Outcomes

FEBRUARY 8, 2024

BACKGROUND:Sex differences in acute myocardial infarction treatment and outcomes are well documented, but it is unclear whether differences are consistent across countries. 1 in 2011 and 1.73:1 1 in 2018; Israel NSTEMI ratio, 1.71:1 1 in 2011 and 2.11:1 1 in 2018).

Myocardial Infarction 40

Myocardial Infarction Coronary Artery Bypass Graft Hospital STEMI 40

Dr. Smith's ECG Blog

JUNE 8, 2023

As they documented, “Paramedics noted patient’s 12 Lead appeared to have 1mm of elevation in III and borderline 1mm elevation in aVF, with mild depression in I and aVL. Cardiology documented “late presentation STEMI but likely aborted given resolution of ST changes from EMS to hospital.” Kontos et al. Welsh et al. Int J Cardiol 2016 3.

Chest Pain 86

Chest Pain STEMI Bradycardia Myocardial Infarction 86

Journal of the American Heart Association

MARCH 26, 2025

Secondary outcomes were major adverse cardiac events (myocardial infarction, stroke, HF hospitalization, or death). A natural language processing approach was used to detect selfreported magnesiumsupplement use from clinic notes, n=17 619 were identified as users versus n=76 620 as nonusers. The primary outcome was incident HF.

Heart Failure 40

Heart Failure Diabetes Myocardial Infarction Document 40

Frontiers in Cardiovascular Medicine

OCTOBER 8, 2024

ObjectiveAlthough the association between admission glucose (AG) and major adverse cardiac events (MACE) is well-documented, its relationship with 30-day MACE in patients presenting with cardiac chest pain remains unclarified.

Chest Pain 52

Chest Pain Cardiogenic Shock Cardiac Arrest Myocardial Infarction 52

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

All About Cardiovascular System and Disorders

DECEMBER 15, 2023

Though this effect has also been documented with statin therapy, monotherapy using PCSK9 inhibitors or ezetimibe have not been associated with similar reduction in biomarkers of inflammation. 6992 patients were assigned to bempedoic acid and 6978 to placebo group. at 6 months compared to placebo.

Cholesterol 52

Cholesterol Myocardial Infarction Cardiovascular Disease Diabetes 52