Heart BMJ

AUGUST 14, 2024

Clinical introduction The patient was a man in his 40s with a medical history of hypertension, Behcet’s disease (BD) and chronic renal dysfunction. Figure 1 Transthoracic echocardiogram. (A) A 12-lead ECG indicated sinus rhythm with a heart rate of 78 bpm. A) Parasternal long-axis view of the.

Aneurysm 52

Aneurysm Chest Pain Myocardial Infarction Thrombosis 52

Frontiers in Cardiovascular Medicine

JUNE 12, 2024

Tricuspid valve prolapse (TVP) can lead to TR and is sometimes overlooked, especially in complex cases with factors like pulmonary hypertension (PH). This treatment outcome and repeated echocardiograms reminded us that TR was primarily caused by TVP rather than PH alone.

Tricuspid 52

Tricuspid Pulmonary Echocardiogram Hypertension 52

Ken Grauer, MD

JANUARY 13, 2024

The ECG in Figure-1 was obtained from a middle-aged man with known hypertension — who presented to the ED ( E mergency D epartment ) for CP ( C hest P ain ) over the preceding 2-3 days. QUESTIONS: How would YOU interpret the ECG in Figure-1 ? Should you activate the cath lab? If not — What next? Cardiac cath showed normal coronary arteries.

Blog 159

Blog Ischemia AFIB Hypertension 159

Circulation

NOVEMBER 11, 2024

Rupture occurs in 35% of cases and can lead to life-threatening fistulas, predominantly involving the right ventricle or right atrium.Description of Case:62-year-old female with hypertension and hypothyroidism presented to the ER with progressively worsening dyspnea over the past week. Chest X-ray showed large pleural effusions.

Heart Failure 40

Heart Failure Coronary Angiogram Echocardiogram Aneurysm 40

Open Heart

JUNE 1, 2022

We used univariable and multivariable logistic regression to evaluate correlates of abnormal echocardiogram. Characteristics associated with abnormal echocardiogram included older age (OR 1.04, 95% CI 1.01 to 1.00) remained associated with abnormal echocardiogram. were on antihypertensive medication. to 1.05).

Blood Pressure 40

Blood Pressure Echocardiogram Heart Failure Risk Factors 40

BoardVitals - Cardiovascular

JUNE 14, 2017

In preparation for the ABIM Cardiovascular Disease exam, check out the BoardVitals Cardiology Board Review Question Bank and we’ll make sure you’re well versed in the following 13 areas covered on the exam: Multiple-Choice Component Arrhythmias 15% Coronary Artery Disease 23% Heart Failure and Cardiomyopathy 17% Valvular Disease 15% Pericardial (..)

Congenital Heart Disease 52

Congenital Heart Disease Coronary Angiogram Coronary Artery Disease Cardiovascular Disease 52

Dr. Smith's ECG Blog

MARCH 13, 2024

Written by Willy Frick A man in his early 40s with BMI 36, hypertension, and a 30 pack-year smoking history presented with three days of chest pain. Echocardiogram showed akinesis of the mid to basal inferior and inferoseptal walls, and hypokinesis of the inferolateral wall. It started while he was at rest after finishing a workout.

Chest Pain 108

Chest Pain Angina Echocardiogram Myocardial Infarction 108

Open Heart

MAY 9, 2022

Objective To identify the most common transthoracic echocardiogram (TTE) parameters in patients hospitalised with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2/COVID-19) and their association with myocardial injury and outcomes. to 20.19, p<0.001). to 5.61, p=0.059). Remarkably, 90.8% had elevated troponin levels.

COVID-19 52

COVID-19 Inpatient Risk Factors Echocardiogram 52

Open Heart

DECEMBER 13, 2022

Methods The study included echocardiograms from men and women aged 40–69 years from two population-based studies, namely the Know Your Heart study (Russia) and the Tromsø Study (Norway).

Echocardiogram 52

Echocardiogram Cardiovascular Disease Hypertension 52

Circulation

NOVEMBER 11, 2024

Echocardiogram was unchanged from baseline. He was counseled to abstain from cannabis use.Conclusion:At low to moderate doses, cannabis can lead to a surge in sympathetic activity causing tachycardia and hypertension, while parasympathetic activity is predominant at higher doses, causing bradycardia and hypotension.

Bradycardia 40

Bradycardia Coronary Artery Disease Kidney Disease Outpatient 40

Circulation

NOVEMBER 11, 2024

g/L of an iNOS inhibitor (N-Nitro-L-arginine methylester) to induce hypertension. After 5 weeks of the diet, HFD mice and their littermate controls underwent baseline exercise testing and echocardiograms. Echocardiograms were performed under 1.5% inhalational isoflurane.

Preserved Ejection Fraction 40

Preserved Ejection Fraction Echocardiogram Exercise Diet 40

Journal of Cardiovascular Electrophysiology

DECEMBER 17, 2024

vs. 4.5%, p =0.96) on transesophageal echocardiogram did not differ. Methods Patients from a large US hospital system undergoing combined LAAO and left-atrial CA from 8/2020 to 2/2024 were retrospectively analyzed and compared to a control group undergoing LAAO alone. Both major (1.4% vs. 2.1%, p =0.72) and minor (27.8%

Ablation 40

Ablation Arrhythmia Thrombosis Echocardiogram 40

Circulation

NOVEMBER 11, 2024

We present the case of a patient with oHCM and HFpEF where data extrapolated from CardioMEMS provided valuable insight to the hemodynamic impact of cardiac myosin inhibitors.Case:A 66-year-old female with hypertension, obesity and oHCM presented with worsening dyspnea and was evaluated for septal myectomy.

Preserved Ejection Fraction 40

Preserved Ejection Fraction Cardiomyopathy Heart Failure Pulmonary 40

Circulation

NOVEMBER 11, 2024

Patients with dextrocardia present a diagnostic challenge, particularly in the context of acute coronary syndrome.Case Presentation:A 49-year-old male with a medical history of dextrocardia, hypothyroidism, dyslipidemia and hypertension was referred to a cardiologist by his primary physician due to a 3-week history of unstable angina.

Coronary Artery Disease 40

Coronary Artery Disease Angioplasty Anatomy Angina 40

Stroke Journal

JANUARY 30, 2025

Residual shunt post PFO closure was assessed using transthoracic echocardiogram (TTE) with saline contrast. These findings remained robust after adjusting for other VCID risk factors, such as age, diabetes, hyperlipidemia and hypertension (Table 1).Conclusion:Our All the patients were cognitively normal at the time of PFO diagnosis.

Dementia 40

Dementia Risk Factors Echocardiogram Circulation 40

Stroke Journal

JANUARY 30, 2025

Advanced cardiac workup (ACW), including transesophageal echocardiogram (TEE) and implantable loop recorder (ILR) are widely considered a crucial element in the ESUS work-up. Baseline characteristics such as diabetes, hypertension, smoking, ipsilateral ICAD, etc. The etiology of AChA infarcts remains poorly understood. IQR of 13.5)

Stroke 40

Stroke Strokes Atrial Fibrillation Academic 40

Circulation

NOVEMBER 11, 2024

Identified echocardiograms were reviewed to confirm IVMS aneurysms and exclude sinus of Valsalva aneurysms. One patient had diabetes, 8 had hyperlipidemia, and 9 had hypertension. Patients with concurrent structural heart anomalies were excluded. The mean BMI was 27.9 kg/m2, with 4 classified as obese.

Aneurysm 40

Aneurysm Stroke Strokes Atrial Fibrillation 40

All About Cardiovascular System and Disorders

JANUARY 14, 2024

Another important role is for detection of coronary anomalies, which can also be seen on echocardiogram sometimes. If the pulmonary anatomy is poor, there will be post repair right ventricular hypertension, which is deleterious and has long term seqeulae. Magnetic resonance imaging is another way of documenting coronary anomalies.

Congenital Heart Disease 52

Congenital Heart Disease Pulmonary Anatomy Congenital 52

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Hopefully a repeat echocardiogram will be performed outpatient. Q waves in association with RBBB are usually not seen in anterior leads unless there is pulmonary hypertension or anterior infarction. Systolic function normal by visual assessment only, unable to visualize well for further characterization. No cardiac MRI was done.

Tachycardia 115

Tachycardia Dysrhythmia Atrial Fibrillation Bradycardia 115

Dr. Smith's ECG Blog

JANUARY 1, 2024

His medical history includes hypertension, a decade-long battle with diabetes, ischemic heart disease, a coronary bypass graft surgery ten years ago, a diagnosis of congestive heart failure for the last five years, and a prior ICD implantation five years ago. The initial troponin T level was measured at 30 ng/L.

Tachycardia 112

Tachycardia Blog Ischemia Heart Failure 112

Dr. Smith's ECG Blog

SEPTEMBER 25, 2024

A 56 year old male with a history of diabetes, dyslipidemia, hypertension, and coronary artery disease presented to the emergency department with sudden onset weakness, fatigue, lethargy, and confusion. This is another case sent by the undergraduate (who is applying to med school) who works as an EKG tech.

Chest Pain 120

Chest Pain Blog Hospital Tachycardia 120

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Remaining work‐up including A1c, LDL, urine drug screen, EKG, transthoracic echocardiogram, and telemetry was unrevealing other than for an LDL of 152. Routine EEG showed moderate generalized showing.

Blood Pressure 40

Blood Pressure Blood Clot Atherosclerosis Circulation 40

Dr. Smith's ECG Blog

DECEMBER 19, 2023

link] A 62 year old man with a history of hypertension, type 2 diabetes mellitus, and carotid artery stenosis called 911 at 9:30 in the morning with complaint of chest pain. His echocardiogram showed normal wall motion. This is written by Willy Frick, an amazing cardiology fellow in St. Before and after of the LAD shown below.

Plaque 127

Plaque Angina Blog Stents 127

Dr. Smith's ECG Blog

OCTOBER 28, 2013

A woman in her 40's who was healthy, except for hypertension, was at work when she suddenly complained of neck and shoulder pain and then collapsed. It was witnessed, and CPR was performed by trained individuals. It was stented. Here is the post cath ECG T-wave inversions consistent with anterior MI, but not diagnostic.

Cardiac Arrest 52

Cardiac Arrest Ischemia Defibrillator Electrocardiogram 52

All About Cardiovascular System and Disorders

APRIL 30, 2024

in hypertensives are some of the features. Echocardiogram showing thickened interventricular septum and mitral regurgitation in HCM. 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.

Cardiomyopathy 40

Cardiomyopathy Bicuspid/Mitral Document Arrhythmia 40

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.

Chest Pain 52

Chest Pain Thrombosis Myocardial Infarction STEMI 52

Dr. Smith's ECG Blog

JULY 27, 2023

hours ECG: Not much change hs troponin I peaks at 500 ng/L 8 hours Next morning Urine drug screen: Amphetamine, Methamphetamine, Fentanyl, Fentanyl metabolite Formal Bubble Contrast Echocardiogram: Indications for Study: Silent Ischemia. SUMMARY Normal left ventricular cavity size. Normal estimated left ventricular ejection fraction.

Tachycardia 52

Tachycardia Ischemia Cardiac Arrest Echocardiogram 52

EMS 12-Lead

JULY 24, 2023

Tortuous LAD consistent with hypertensive cardiac disease and luminal irregularities, but free of stenosis 3. Echocardiogram findings (pre-procedure) 1. The angiographer noted “marked ST depressions on telemetry with injection of contrast” 2. Normal LV/RV systolic function, EF 60-65 2.

Angina 52

Angina Ischemia Coronary Angiogram Stenosis 52

GEMMS

JANUARY 2, 2024

Cupid EHR from Epic boasts the following: Cloud-based EHR Offers integrated order entry, scheduling, procedure documentation, structured reporting, and data analytics for cardiology practices Supports a wide range of workflows, including Echocardiograms, Ultrasound vascular, Cardiac Cath, stress testing, Electrophysiology, and structured documentation (..)

Document 52

Document Patient Care Private Practice Reimbursement 52

Dr. Smith's ECG Blog

SEPTEMBER 30, 2019

The patient stated he had a long history of well-controlled hypertension for which he was compliant with his ACE-inhibitor. Unfortunately there is no echocardiogram accessible because the patient checked himself out of the hospital in order to get back to his home state before it could be completed.

Chest Pain 52

Chest Pain Pulmonary ACE Inhibitor Pacemaker 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

Case submitted and written by Mazen El-Baba MD, with edits from Jesse McLaren and edits/comments by Smith and Grauer A 90-year old with a past medical history of atrial fibrillation, type-2 diabetes, hypertension, dyslipidemia, presented with acute onset chest/epigastric pain, nausea, and vomiting. BP was 110 and oxygen saturation was normal.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chest pain, weakness and nausea. A transthoracic echocardiogram showed an LV EF of less than 15%, critically severe aortic stenosis , severe LVH , and a small LV cavity.

Ischemia 40

Ischemia Cardiogenic Shock Aortic Stenosis 40

Dr. Smith's ECG Blog

DECEMBER 29, 2015

Her vitals signs were remarkable for marked hypertension. No prior echocardiogram was available for comparison. Case history A middle-aged woman with a history of HTN, but no prior CAD, presented to the ED with chest pain. The pain had been mild and intermittent for 2 weeks, but had become more intense on the night of presentation.

STEMI 40

STEMI Myocardial Infarction Chest Pain Aneurysm 40

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

This patient, who is a mid 60s female with a history of hypertension, hyperlipidemia and GERD, called 911 because of chest pain. A mid 60s woman with history of hypertension, hyperlipidemia, and GERD called 911 for chest pain. EF is 30-35% Troponins The high sensitivity troponin I peaked at 9,324 ng/L (approximately equivalent to 9.32

Plaque 52

Plaque Chest Pain Thrombosis Stenosis 52

Dr. Smith's ECG Blog

FEBRUARY 6, 2020

Next day, a stress echo was done: The exercise stress echocardiogram is normal. The complete lack of chest pain in the history in this patient who has longstanding hypertension strongly suggests that rather than ischemia, this symmetric T wave inversion reflects LV “strain” from marked LVH. No wall motion abnormality at rest.

Chest Pain 40

Chest Pain Ischemia Angina Electrocardiogram 40

MIBHS

OCTOBER 31, 2024

High Blood Pressure (Hypertension) Persistent high blood pressure forces the heart to work harder to pump blood. Chronic Pulmonary Disease Lung diseases like chronic obstructive pulmonary disease (COPD) can lead to pulmonary hypertension, which in turn can cause the right side of the heart to enlarge, a condition known as cor pulmonale.

Blood Pressure 52

Blood Pressure Blood Clot Heart Valves Heart Rhythm 52

MIBHS

FEBRUARY 28, 2025

Maintain a Healthy Weight: Obesity amplifies the effects of genetic predispositions by contributing to high cholesterol, hypertension, and diabetes. Heart imaging, such as echocardiograms or CT scans. Medication and Medical Interventions Sometimes, lifestyle changes alone may not be enough to counteract genetic risks.

Genetic predisposition 52

Genetic predisposition Heart Disease Cholesterol Blood Pressure 52