American College of Cardiology

FEBRUARY 1, 2025

7 The use of antiplatelet agents to prevent stent thrombosis, moderate- to high-dose statin therapy after acute coronary syndromes, or antihypertensive agents in asymptomatic patients may all be perceived by patients as not providing benefit because they may not feel the effects.8

Cardiovascular Disease 40

Cardiovascular Disease Coronary Artery Disease CMS Hospital 40

Dr. Smith's ECG Blog

AUGUST 11, 2024

Cath lab was activated, and found a 95% proximal LAD occlusion which was stented. Learn the full progression of ECG findings of occlusion and reperfusion that have been hidden from your education due to the STEMI paradigm. First troponin I was 18ng/L which is in the normal range, which is common with only 2 hours of chest pain.

Chest Pain 100

Chest Pain STEMI Bradycardia Article 100

Dr. Smith's ECG Blog

JUNE 12, 2017

This was sent by : Jacob Smith, DO Emergency Medicine Resident Ohio Health Doctors Hospital Emergency Residency Christopher Lloyd, DO, FACEP Director of Clinical Education, USACS Midwest Case A 30 year old patient presents to triage with chest pain. He was found to have a 100% circumflex lesion for which a bare metal stent was placed.

Chest Pain 52

Chest Pain STEMI Myocardial Infarction Electrocardiogram 52

Dr. Smith's ECG Blog

JANUARY 9, 2024

The patient is female in her 80s with a medical hx of previous MI with PCI and stent placement. The patient also has a history of AFib and HFmrEF ( = H eart F ailure with M inimally- R educed E jection F raction ). She also has a hx of paroxysmal atrial fibrillation and is on oral anticoagulant treatment.

Tachycardia 119

Tachycardia Electrophysiology Atrial Flutter Ischemia 119

Dr. Smith's ECG Blog

AUGUST 17, 2019

100% proximal LAD successfully stented. I thank you for constantly updating your blog and allowing free open access education on EKG interpretation. "Cardiology agreed to take the pt to the lab but thought it would likely be negative. Defibrillated out of v fib in the cath lab. Initial TnI was negative. "I

Chest Pain 52

Chest Pain STEMI Blog Ischemia 52

Dr. Smith's ECG Blog

DECEMBER 15, 2023

The culprit lesion was opened and stented. In addition to educational insights — Dr. Nossen's contributions periodically serve as a source for review of the Cabrera Format , recorded at 50 mm/second — as is the customary ECG recording format in his country. The QoH now recognizes the OMI with mid confidence.

Chest Pain 60

Chest Pain Blog Ischemia Risk Factors 60

Dr. Smith's ECG Blog

SEPTEMBER 30, 2019

Slow TIMI 2 initially with brisk flow status post percutaneous coronary intervention with 18mm drug-eluting stent. He was taken emergently to the cardiac catheterization lab and found to have multi-vessel coronary artery disease with a near-occlusive culprit lesion in the RCA, possibly reperfused. To our knowledge, the patient did well.

Chest Pain 52

Chest Pain Pulmonary ACE Inhibitor Pacemaker 52

Dr. Smith's ECG Blog

DECEMBER 23, 2019

They had a history of non-ischemic cardiomyopathy (EF 30%), as well as PCI with one stent. In this case — I favor a subjective relative probability estimate , based on my best educated guess. Home medications included metoprolol, but no calcium- or sodium-channel blocking agents.

Tachycardia 52

Tachycardia Atrial Flutter Cardiomyopathy Atrial Fibrillation 52

DAIC

MARCH 13, 2024

suggest that the drug-coated balloon offers an effective treatment strategy for the management of coronary in-stent restenosis, or blockages recurring within previously placed stents. In particular, patients with multiple prior stents have very poor long-term outcomes.

Angioplasty 116

Angioplasty Stents Stent Myocardial Infarction 116

DAIC

FEBRUARY 24, 2025

As a result, healthcare faces rising expenses from frequent emergency room visits, lengthy hospital stays, costly procedures like stent placements and bypass surgeries, as well as the long-term management of chronic conditions like heart failure (HF). These costs represent a massive portion of total health expenditures.

Hospital 52

Hospital Cardiovascular Disease Heart Failure Heart Attack 52

Cardiometabolic Health Congress

JULY 17, 2024

February 2024 FDA Approvals: Innovations in Cardiovascular Interventions XACT Carotid Stent System (Approved: 02/07/2024) This approval expands the indications to be used during a Transcarotid Artery Revascularization (TCAR) procedure to prevent future strokes.

Tricuspid 59

Tricuspid Open-Heart Surgery Kidney Disease Pediatrics 59

Cardiometabolic Health Congress

SEPTEMBER 13, 2024

INFINITY-SWEDEHEART Trial: This randomized controlled trial, developed by Elixir Medical, compared the DynamX® Coronary Bioadaptor System with the Resolute Onyx drug-eluting stent. Attendees will have the chance to personally interact with renowned figures like Drs.

Hypertension 59

Hypertension Cardiovascular Disease Bicuspid/Mitral Arrhythmia 59

Dr. Anish Koka

MAY 16, 2023

The Soviet party was enamored by Lysenko because his “Science” said that soaking crops in freezing water would educate them to sprout at different times of the year, and even more startlingly, this “education” would be passed down to future generations of crops.

Chest Pain 52

Chest Pain Coronary Artery Disease Cancer Heart Attack 52

Dr. Sanjay Gupta

MARCH 6, 2022

Fourthly, we need to educate the patient on the condition in jargon-free and reassuring language on what risk factors and lifestyle choices may have led to the development of the condition and on practical ways to modify those risk factors as aggressively as possible.

Chronic Disease 40

Chronic Disease Quality of Life Heart Failure Nursing 40

Dr. Anish Koka

JULY 15, 2023

Heartflow is a California based company that claims to be able to identify heart vessels leading to a lack of blood to the heart muscle that need coronary stents to fix. Does Brad need a Heartflow scan?

Plaque 52

Plaque Heart Disease Outcomes Heart Attack 52

Dr. Smith's ECG Blog

APRIL 11, 2025

"I was using this post (below) to educate my scribe, maybe Ill send to the cardiologist, if Im feeling brave" 7 steps to missing posterior Occlusion MI, and how to avoid them. Here is the Queen of Hearts interpretation: Here is the cardiologist's impression: "EKG does not show a STEMI."

STEMI 120

STEMI Angina Chest Pain Bradycardia 120

Cardiometabolic Health Congress

JANUARY 2, 2025

August 2024 Approvals Minima Stent System (P240003) (Approval Date: August 28, 2024) The Minima Stent System is an expandable cobalt-chromium metal mesh tube to reopen blood vessels in neonates, infants, and children with Coarctation of the Aorta and Pulmonary Artery Stenosis, specifically designed to expand as younger patients grow.

Coronary Artery Disease 52

Coronary Artery Disease Stents Stent Innovation 52

Dr. Smith's ECG Blog

MARCH 9, 2025

EKG interpretation skills have little to do with one's level of education. In fact, much of what passes for EKG education can actually harm one's interpretation skills. The proximal and mid LAD stenoses were stented and the OM 2 was left alone. Written by Hans Helseth Hans is an EKG tech who is applying to medical school.

Ischemia 88

Ischemia Blog STEMI Coronary Angiogram 88

Dr. Smith's ECG Blog

APRIL 6, 2025

BEST way to avoid overlooking important landmarks of the cardiac rhythm is to begin your interpretation of every ECG you encounter, by spending 3-4 seconds letting your "educated eye" focus on the long lead II rhythm strip to ensure that upright P waves precede each QRS with fixed PR interval. Today's patient was in persistent shock.

Blood Pressure 111

Blood Pressure Cardiogenic Shock Ischemia Cardiac Arrest 111

Dr. Smith's ECG Blog

MARCH 8, 2025

After stent deployment, we often see improvement in the ST-T within seconds or minutes. Here is the final angiogram following placement of a stent in the ostial RCA. 2:04 PM, post stent deployment You can see that even after complete restoration of flow, the ECG still looks terrible, V most of all.

Cardiomyopathy 75

Cardiomyopathy Myocardial Infarction Defibrillator Bradycardia 75