Dr. Smith's ECG Blog

APRIL 12, 2013

He was in acute distress from pulmonary edema, with a BP of 180/110, pulse 110. He had diffuse crackles on exam and B-lines on chest ultrasound, and chest x-ray also confirmed pulmonary edema. The hypertension alone is the likely etiology of the pulmonary edema. He had no chest pain. The cath lab was activated.

STEMI 52

STEMI Pulmonary Stents Stent 52

Frontiers in Cardiovascular Medicine

JANUARY 23, 2024

A transthoracic echocardiogram demonstrated a large left atrial mass extending into the right upper pulmonary veins. A 73-year-old woman presented to the emergency department with a syncopal episode and a history of dizzy spells.

Echocardiogram 64

Echocardiogram Pulmonary 64

Circulation

NOVEMBER 11, 2024

Animal studies have shown that mice with TBX1 gene mutations have smaller left pulmonary arteries compared to wild type mice, defined by a reduced left pulmonary artery (LPA) to right pulmonary artery (RPA) ratio. 0.27, p=0.002) echocardiogram. 0.18; p<0.001) and most recent (0.76±0.17

Pulmonary 40

Pulmonary Risk Factors Heart Disease Echocardiogram 40

All About Cardiovascular System and Disorders

MARCH 30, 2024

This is the schematic diagram of the heart in which you can see right atrium, right ventricle, left atrium, left ventricle, aorta and pulmonary artery. Similarly, another right sided valve is the pulmonary valve. There could also be some mild leak in the pulmonary valve, both these, in normal persons.

Tricuspid 52

Tricuspid Echocardiogram Bicuspid/Mitral Pulmonary 52

Dr. Smith's ECG Blog

JANUARY 2, 2025

CT of the chest showed no pulmonary embolism but bibasilar infiltrates. EKG with paced complexes shown below shows much narrower QRS complex and echocardiogram showed improved LV systolic function primarily due to improvement in LV dyssynchrony. (J She was intubated. Bedside cardiac ultrasound showed moderately decreased LV function.

Tachycardia 116

Tachycardia Cardiomyopathy Blog Bradycardia 116

Dr. Smith's ECG Blog

NOVEMBER 22, 2023

Xray was consistent with pulmonary vascular congestion. See this post: What do you think the echocardiogram shows in this case? Previously placed stents in the LAD (multiple) and mid circumflex and patent Formal echocardiogram: Normal left ventricular size and wall thickness. Lung exam showed diffuse B lines bilaterally.

Chest Pain 118

Chest Pain Ischemia Echocardiogram Myocardial Infarction 118

All About Cardiovascular System and Disorders

APRIL 1, 2024

Transcript of the video: Closure line of aortic valve on M-Mode echocardiogram, is seen as central line, while in bicuspid aortic valve, it is an eccentric closure, nearer to one of the walls of the aorta. That is an important feature of bicuspid aortic valve on M-Mode echocardiogram. It forms almost like a box or rhomboid shape.

Aortic valve 52

Aortic valve Bicuspid/Mitral Aortic Echocardiogram 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

All About Cardiovascular System and Disorders

JANUARY 14, 2024

Chance of precipitating a cyanotic spell are more when pulmonary angiography is attempted through the already narrow right ventricular outflow tract. Another important role is for detection of coronary anomalies, which can also be seen on echocardiogram sometimes. The image shows a MAPCA originating from right internal mammary artery.

Congenital Heart Disease 52

Congenital Heart Disease Pulmonary Anatomy Congenital 52

Frontiers in Cardiovascular Medicine

FEBRUARY 19, 2024

This comprehensive evaluation included the use of ultrasound echocardiograms, computed tomography (CT) scans, electrocardiograms, mutagenesis analysis, and structural analysis to gain insights into the patient's condition and the underlying mechanisms of PD. Further genetic testing identified a homozygous mutation c.2662G>T

Cardiogenic Shock 59

Cardiogenic Shock Quality of Life Heart Failure Laboratory 59

Circulation

NOVEMBER 11, 2024

Advanced cardiac imaging especially in atypical presentations, can aid in early diagnosis.Case:A 59 year-old man with history of biopsy-proven pulmonary sarcoidosis presented with non exertional chest pain for 2 months. EKG, cardiac enzymes, and Initial echocardiogram(TTE) was unremarkable. The enhancement raised suspicion for CS.

Chest Pain 40

Chest Pain Echocardiogram Document Ischemia 40

Society of Thoracic Surgeons - Early Career

NOVEMBER 19, 2024

This year's Boot Camp covered training in cardiopulmonary bypass skills, vessel anastomosis, diagnostic and therapeutic endoscopies, open pulmonary lobectomy, TAVR, and wire skills. The best parts of the Boot Camp were learning the basics of CT surgery, the vast topics covered (transthoracic echocardiogram, lobectomy, etc.)

Cardiothoracic 52

Cardiothoracic Blog Webinar Aortic valve 52

Circulation

NOVEMBER 11, 2024

CT Abdomen and Pelvis showed an enhancing heterogenous lesion at the left superior renal pole, left adrenal gland lesion, and a pulmonary artery filling defect. This defect, along with concern for metastasis, led to a CT chest angiogram that reported small left upper and lower lobe pulmonary emboli.

Pulmonary 40

Pulmonary Echocardiogram Embolism Circulation 40

BoardVitals - Cardiovascular

JUNE 14, 2017

Question banks are a favorite exam preparation resource for Cardiologists that want to practice in the format of the exam.

Congenital Heart Disease 52

Congenital Heart Disease Coronary Angiogram Coronary Artery Disease Cardiovascular Disease 52

Circulation

NOVEMBER 11, 2024

A pre-procedural transesophageal echocardiogram showed a left ventricular (LV) ejection fraction of 55%, mild concentric LV hypertrophy, and mild left atrial enlargement. A cardiac gated CT detailed the pulmonary vein structure and incidentally revealed bilateral cystic lung changes, leading to a pulmonology referral.

Atrial Fibrillation 40

Atrial Fibrillation Pulmonary Ablation Echocardiogram 40

Open Heart

SEPTEMBER 11, 2023

Methods Retrospective chart review of 200 patients admitted for ADHF from 2018 to 2019 with transthoracic echocardiogram during index hospitalisation. IVC diameter correlated to pulmonary arterial (PA) pressure (R=0.347, p<0.001) and body surface area (BSA) (R=0.424 p<0.001). Results The median age was 64, 30.5%

Heart Failure 52

Heart Failure Tricuspid Echocardiogram Pulmonary 52

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. Remarkably, 90.8% had elevated troponin levels. to 7.94, p<0.03).

COVID-19 52

COVID-19 Inpatient Risk Factors Echocardiogram 52

All About Cardiovascular System and Disorders

MARCH 18, 2024

Similarly, for echocardiogram, what we would do usually is, first we do a clinical history evaluation, then physical examination, and after that only we proceed with echocardiography in our routine work. You can see the two dimensional sector imaging from an echocardiogram and I have marked out the aorta.

Bicuspid/Mitral 52

Bicuspid/Mitral Aortic Academic Echocardiogram 52

Journal of Cardiovascular Electrophysiology

JANUARY 11, 2024

Afterward, a transesophageal echocardiogram guided implantation of both a Micra AV 2 (Medtronic) leadless pacemaker in the interventricular septum within the right ventricle and an Aveir (Abbott) leadless pacemaker in the superior base of the right atrial appendage was performed with successful pacing.

Pacemaker 40

Pacemaker Congenital Heart Disease Congenital Anatomy 40

Wellnest

AUGUST 8, 2023

Unfortunately, the traditional pulmonary valves have a fixed diameter that can’t match the size of the child’s heart over time. The prototype valve has two leaflets crafted from a polymer material that has a well-established history of being used as a leaflet for pediatric pulmonary valves.

Heart Valves 52

Heart Valves Artificial Heart Anatomy Pulmonary 52

Circulation

NOVEMBER 11, 2024

The CardioMEMS PA (pulmonary artery) sensor allows remote pulmonary artery diastolic (PAD) pressure monitoring to adjust diuresis in heart failure with preserved ejection fraction (HFpEF). LVOT obstruction resolved on follow up echocardiogram. Circulation, Volume 150, Issue Suppl_1 , Page A4123391-A4123391, November 12, 2024.

Preserved Ejection Fraction 40

Preserved Ejection Fraction Cardiomyopathy Heart Failure Pulmonary 40

Society of Thoracic Surgeons - Surgeon

MARCH 29, 2024

The Challenges Ascension Saint Thomas Hospital, based in Nashville, Tennessee, encountered persistent issues with missing documentation, including anesthesia records, Intraoperative Transesophageal Echocardiograms, perfusion records, and Pulmonary Function Test results.

Hospital 49

Hospital Document Echocardiogram Nursing 49

Circulation

NOVEMBER 11, 2024

After discharge, she was scheduled for a 2-week postpartum visit including echocardiogram, EKG, and NT-proBNP.Discussion:Given the patient's acute decompensation and fluid overload, medical optimization was essential prior to delivery. However, stabilization was expected to be temporary due to ongoing physiologic changes of pregnancy.

Heart Failure 40

Heart Failure Cardiogenic Shock ICU Cardiothoracic 40

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

JUNE 17, 2018

The patient underwent an emergent formal echocardiogram to look for wall motion abnormality: The estimated left ventricular ejection fraction is 63 %. Exclusion criteria were age less than 18, SBP less than 100 mmHg, echocardiogram with EF less than 50%, STEMI, pregnancy, and trauma. No wall motion abnormality.

Chest Pain 52

Chest Pain Pericarditis Tachycardia Myocardial Infarction 52

Dr. Smith's ECG Blog

SEPTEMBER 7, 2024

First troponin I returns at 48 ng/L ECG 5 143 min No significant change ECG 6 261 min Same hs Troponin I profile (peaked at 1849): Formal Echocardiogram SUMMARY The estimated left ventricular ejection fraction is 74 %. The estimated pulmonary artery systolic pressure is 27 mmHg + RA pressure. Normal left ventricular cavity size.

Chest Pain 115

Chest Pain Myocardial Infarction STEMI Pericarditis 115

Society of Thoracic Surgeons - Surgeon

MARCH 29, 2024

The Challenges Ascension Saint Thomas Health, based in Nashville, Tennessee, encountered persistent issues with missing documentation, including anesthesia records, Intraoperative Transesophageal Echocardiograms (TEE), perfusion records, and Pulmonary Function Test (PFT) results.

Document 40

Document Echocardiogram Nursing Hospital 40

All About Cardiovascular System and Disorders

APRIL 4, 2024

The image shown here is an animated 2 dimensional echocardiogram. This one is an older mode known as time-motion mode or M-Mode echocardiogram. The aorta, right ventricular outflow tract and pulmonary artery up to its bifurcation is imaged in the upward angulation shown in the left panel.

Bicuspid/Mitral 40

Bicuspid/Mitral Echocardiogram Tricuspid Aortic 40

Dr. Smith's ECG Blog

SEPTEMBER 30, 2019

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. A majority of patients with MAT have longstanding pulmonary disease. In the available view, the RCA appears fully occluded.

Chest Pain 52

Chest Pain Pulmonary ACE Inhibitor Pacemaker 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

A transthoracic echocardiogram showed an LV EF of less than 15%, critically severe aortic stenosis , severe LVH , and a small LV cavity. The patient was transported to the CCU for further medical optimization where a pulmonary artery catheter was placed. As with other cases of shock, initial fluid resuscitation may be considered.

Ischemia 40

Ischemia Cardiogenic Shock Aortic Stenosis 40

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. The estimated pulmonary artery systolic pressure is 29 mmHg + RA pressure.

Tachycardia 52

Tachycardia Ischemia Cardiac Arrest Echocardiogram 52

Dr. Smith's ECG Blog

DECEMBER 13, 2019

The next morning the patient went for his routine echocardiogram, where the operator noticed a dilated aortic root at 5.47 Patients with pulmonary embolism or aortic dissection who have normal variant ST elevation are at high risk of being diagnosed with pericarditis when what they have is far more serious!!

Pericarditis 52

Pericarditis Chest Pain Aortic Blog 52

MIBHS

OCTOBER 31, 2024

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. The following diagnostic tools are commonly used: 1.

Blood Pressure 52

Blood Pressure Blood Clot Heart Valves Heart Rhythm 52

Dr. Smith's ECG Blog

JUNE 17, 2024

He was started on a heparin drip and CTA of the chest was ordered to rule out pulmonary embolism. Echocardiogram showed severe RV dilation with McConnell’s sign and an elevated RVSP. Electrocardiographic Differentiation Between Acute Pulmonary Embolism and Acute Coronary Syndromes on the Basis of Negative T Waves - ScienceDirect.

Chest Pain 138

Chest Pain Embolism Pulmonary Tachycardia 138

Frontiers in Cardiovascular Medicine

JANUARY 10, 2024

The occurrence of pulmonary hypertension (PH) in ApHCM, due to elevated pressures on the left side of the heart, has been documented. Methods We sought to evaluate the prevalence, risk associations, and sex differences in elevated pulmonary pressures in the largest cohort of patients with ApHCM at a single tertiary center.

Pulmonary 59

Pulmonary Cardiomyopathy Hypertension Echocardiogram 59

Circulation

NOVEMBER 11, 2024

Among these, a fistula between the left anterior descending artery and the pulmonary artery is the rarest variant, comprising about 17% of all coronary artery fistula cases.Case:A 54-year-old male, with a known history of atrial fibrillation and hypertension, presented to our emergency department with non-rotatory dizziness.

Pulmonary 40

Pulmonary Open-Heart Surgery Atrial Fibrillation Myocardial Infarction 40

Circulation

NOVEMBER 11, 2024

On day 3 of hospitalization, he experienced a syncopal episode and had acute worsening of hypoxemia that prompted a CT angiography of the chest which revealed bilateral, large clot burden pulmonary emboli with proximal thrombus in both the right and left main pulmonary arteries.

Embolism 40

Embolism Pulmonary Ultrasound ICU 40