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Progression of aortic stenosis after an acute myocardial infarction

Open Heart

Background Myocardial infarction (MI) has been shown to induce fibrotic remodelling of the mitral and tricuspid valves. It is unknown whether MI also induces pathological remodelling of the aortic valve and alters aortic stenosis (AS) progression. Annualised progression rates of AS severity were compared between these 3 groups.

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Epigastric and Right Upper Quadrant pain after eating spicy food

Dr. Smith's ECG Blog

It is impossible to conclude from this that the infarct was VERY large, though it likely was very large since the time to intervention was long. Probably significant infarction.

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What do you think the echocardiogram shows in this case?

Dr. Smith's ECG Blog

Here is the ED ECG on arrival: Less STE/STD Provider's Clinical Impression: "findings concerning for myocardial infarction, likely proximal LAD or Left main." What do you think the echocardiogram shows? Cath lab activated Dual antiplatelet therapy and heparin given. NTG drip started. Pain better still.

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Infection and DKA, then sudden dyspnea while in the ED

Dr. Smith's ECG Blog

See this post: What do you think the echocardiogram shows in this case? Aslanger's pattern (Smith was co-author on this): A new electrocardiographic pattern indicating inferior myocardial infarction The next troponin returned at 8822 ng/L. Shortly thereafter , the troponin came back at 3,129 ng/L (very high).

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Abnormal echocardiographic finding mimicking paracardiac cystic lesion

Heart BMJ

He had no medical history of myocardial infarction (MI). Figure 1 Transthoracic echocardiogram. (A) The patient was receiving therapeutic doses of the following medications: sacubitril valsartan sodium tablets, prednisone acetate, cyclophosphamide and azathioprine. A) Parasternal long-axis view of the.

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PROTEUS and RAPIDxAI Studies Explore Use of AI in the ED

American College of Cardiology

Two late-breaking studies presented at ESC Congress 2024 in London looked at the use of artificial intelligence (AI) to aid in the identification of patients undergoing a stress echocardiogram who could benefit from further treatment, and to help with identifying and managing myocardial infarction (MI) in patients presenting to the emergency department (..)

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Rising Cardiac Troponin: A Prognostic Biomarker for Mortality After Acute Ischemic Stroke

Journal of the American Heart Association

In patients with AIS with rising cTn, acute ischemic myocardial infarction was present in 54%, compared with 33% in those with falling cTn (P<0.01). Twenty‐two percent of patients with a rising pattern had an isolated dynamic cTn in the absence of any ECG or echocardiogram changes, compared with 53% with falling cTn.