DAIC

MARCH 21, 2024

Providing exceptional cardiovascular care for patients to achieve the best possible outcomes is the number one goal for cardiologists, hands-down. The best possible outcome of this situation is inefficient workflow, driving higher overall cost of care and resulting in widespread physician and patient frustration. Why is that?

Pediatrics 86

Pediatrics Outcomes Patient Care Anatomy 86

Circulation

NOVEMBER 11, 2024

Although he had a normal echocardiogram and stress test a year ago at a different hospital, due to his symptoms and intermediate-high risk probability of coronary artery disease (CAD), the decision was made to proceed with a cardiac catheterization using a trans-radial approach with a horizontal sweep technique.

Coronary Artery Disease 40

Coronary Artery Disease Angioplasty Anatomy Angina 40

Dr. Smith's ECG Blog

APRIL 12, 2013

He had diffuse crackles on exam and B-lines on chest ultrasound, and chest x-ray also confirmed pulmonary edema. Not all such ECGs represent anatomic aneurysms (on echo this is "diastolic dyskinesis"), but do generally represent an area of dense akinesis on echocardiogram. Blood pressure was 215/124 and HR 115 (on metoprolol).

STEMI 52

STEMI Pulmonary Stents Stent 52

Dr. Smith's ECG Blog

OCTOBER 24, 2019

Troponins, echocardiogram An echocardiogram showed inferobasilar hypokinesis, further supporting a diagnosis of regional ischemia , likely of the area supplied by the RCA. Often, intravascular ultrasound or intravascular optical coherence tomography is requeried to make the diagnosis. The initial troponin I was elevated at 0.75

Chest Pain 52

Chest Pain SCAD STEMI Cardiogenic Shock 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. This entire case is not consistent with takotsubo. It can only be seen by IVUS.

Plaque 52

Plaque Chest Pain Thrombosis Stenosis 52

GEMMS

JANUARY 2, 2024

This enables early intervention, minimizes hospital admissions, and helps improve patient outcomes. OMS EHR features can improve chronic care management and principal care management, and they include: Offering cloud-based cardiology-focused EHR Accessing a color-coded dashboard that highlights those patients in need of attention first.

Document 52

Document Patient Care Private Practice Reimbursement 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

See this case: what do you think the echocardiogram shows in this case? As a result — cardiac cath was not performed — since results of a cath would not have altered the unfortunate outcome. Widespread ST-depression with reciprocal aVR ST-elevation can be cause by: Heart rate related: tachyarrhythmia (e.g.,

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

DAIC

JANUARY 16, 2024

Developed at Children’s National Hospital and detailed in the latest edition of the Journal of the American Heart Association , the new AI system combines the power of novel ultrasound probes with portable electronic devices installed with algorithms capable of diagnosing RHD on echocardiogram.

Heart Disease 105

Heart Disease Ultrasound Technology Echocardiogram 105

Dr. Smith's ECG Blog

JULY 7, 2013

and these are associated with larger MI and worse outcomes (2. If detected early by ultrasound, the patient can be saved. Our own Dave Plummer of HCMC reported on survival of 2 of 6 patients with free wall myocardial rupture diagnosed by bedside ultrasound in the ED.(3) Very unlikely. Raitt et al.) [and 3) Oliva et al. (3)

STEMI 52

STEMI Myocardial Infarction Pericarditis Ultrasound 52

Dr. Smith's ECG Blog

JULY 18, 2014

such Q-waves are associated with larger MI and worse outcomes (2. An echocardiogram showed no hemopericardium, but D oppler showed a new small ventricular septal defect with left to right shunting. If detected early by ultrasound, the patient can be saved. Very unlikely. Raitt et al.), Armstrong et al.), 3) Oliva et al. (4)

STEMI 52

STEMI Pericarditis Myocardial Infarction Cardiogenic Shock 52

Dr. Smith's ECG Blog

OCTOBER 2, 2021

After rethinking the case, he remained concerned about ACS and subsequently performed a point-of-care ultrasound in order to evaluate for regional wall motion abnormality. He underwent formal echocardiogram several days later, which confirmed the findings of anterior, and apical wall motion abnormalities. Do NOT use them.

Chest Pain 52

Chest Pain Ultrasound STEMI Myocardial Infarction 52

Dr. Smith's ECG Blog

APRIL 3, 2019

Case continued: All the physicians were very worried about LAD occlusion and recorded a couple bedside ultrasounds: This shows a profound apical and septal wall motion abnormality, perfectly consistent with LAD OMI. These ultrasounds confirm LAD occlusion. Journal of the American College of Cardiology 25 (5): 1084–88.

STEMI 40

STEMI Chest Pain Ischemia Aneurysm 40

Dr. Smith's ECG Blog

APRIL 8, 2015

Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). Cardiac Syncope ("True Syncope") Independent Predictors of Adverse Outcomes condensed from multiple studies 1.

Arrhythmia 52

Arrhythmia Outcomes Risk Factors Chest Pain 52

Dr. Smith's ECG Blog

MARCH 17, 2025

Nevertheless, the operator performed intravascular ultrasound and saw erupted calcium nodule consistent with plaque erosion. Echocardiogram showed inferior hypokinesis. As you can see, the lesion is not very angiographically impressive , more on this below. Troponin was rising when last checked, 8928 ng/L.

STEMI 80

STEMI Chest Pain Myocardial Infarction Document 80

Dr. Smith's ECG Blog

MARCH 3, 2025

I suspect pulmonary edema, but we are not given information on presence of B-lines on bedside ultrasound, or CXR findings. Severe AS markedly complicates management and portends poorer longterm outcome when associated with acute MI ( Abraham et al Cath Cardiovasc Interv 102(1): 159-165, 2023 Paquin et al Open Heart 9(1):e002046, 2022 ).

Tachycardia 73

Tachycardia Pulmonary Chest Pain Stenosis 73