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Journal of Cardiothoracic Surgery
APRIL 7, 2024
Pulmonary embolism is the most common cardiovascular disease after myocardial infarction and stroke. Konstantinides (Eur Heart J 41(4):543–603, 2020) Current guidelines categorize patients with PE as being at.
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Journal of Cardiothoracic Surgery
MARCH 10, 2024
Prosthetic valve thrombosis (PVT) in aortic valve and its complication coronary embolism is a very rare condition. We present a young patient with acute myocardi. Diagnosis and treatment process is challenging.
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Circulation: Cardiovascular Imaging
NOVEMBER 30, 2023
Circulation: Cardiovascular Imaging, Ahead of Print.
Frontiers in Cardiovascular Medicine
FEBRUARY 18, 2024
We report a 42-year-old male patient who was diagnosed with acute myocardial infarction (AMI), and subsequently underwent percutaneous coronary intervention (PCI) for revascularization. Then the patient experienced the most severe complications of IABP, including multiple organ embolism and intestinal necrosis.
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Journal of the American Heart Association
MARCH 21, 2025
Patients were stratified according to polygenic risk score tertiles and observed for the occurrence of ischemic stroke or systemic embolism, myocardial infarction, and heart failure hospitalization. P=0.011) for ischemic stroke or systemic embolism, 1.15 (95% CI, 0.821.61;P=0.422) During a median followup of 4.6
DAIC
FEBRUARY 29, 2024
ET Main Tent (Hall B1) - A Double-blind, Randomized Placebo Procedure-controlled Trial of an Interatrial Shunt in Patients with HFrEF and HFpEF: Principal Results From the RELIEVE-HF Trial - Empagliflozin After Acute Myocardial Infarction: Results of the EMPACT-MI Trial - CSL112 (Apolipoprotein A-I) Infusions and Cardiovascular Outcomes in Patients (..)
103 
Nature Reviews - Cardiology
APRIL 1, 2024
Nature Reviews Cardiology, Published online: 02 April 2024; doi:10.1038/s41569-024-01020-2 In ST-segment elevation myocardial infarction, the role of interventional modification of thrombi in the coronary arteries before stenting is controversial.
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Frontiers in Cardiovascular Medicine
FEBRUARY 1, 2024
The pooled risks for overall response rate (ORR), 1-year progression-free survival (PFS), adverse events (AEs), immune-related AEs, (irAEs), hypertension, and vascular events defined as stroke, myocardial infarction and pulmonary embolisms, were calculated.
Open Heart
NOVEMBER 28, 2023
COVID-19 likely increases relative risk (RR (95% CI)) of myocardial infarction (3.3 (1.0 to 10)), pulmonary embolism (24.6 Other RTIs also likely increase the RR of myocardial infarction (2.9 (95% to 11.0)), stroke (3.5 (1.2 to 44.9)) and deep venous thrombosis (7.8 (4.3 95% CI 1.8 to 4.9)) and stroke (2.6 (95%
Circulation
NOVEMBER 11, 2024
TTE showed a reduced EF with multiple segmental abnormalities concerning for myocardial infarction. A distinct feature of this case is the decompensation associated with ST elevation and segmental abnormalities, thought initially to be myocardial infarction (MI), after an initial response to steroids.
Stroke: Vascular and Interventional Neurology
NOVEMBER 9, 2023
Metadata was retrieved and transferred to bibliographic visualization software, VOSviewer, for co‐authorship and co‐occurrence analyses to identify trends in tenecteplase research.ResultsData visualization software identified three tenecteplase research clusters – myocardial infarction, pulmonary embolism, and acute ischemic stroke.
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Open Heart
SEPTEMBER 18, 2024
Methods We retrospectively assessed whether compliance to the ‘1–3–6–12 days rule’ was associated with the composite endpoint (recurrent stroke, systemic embolism, myocardial infarction, major bleeding or all-cause death).
Stroke Journal
DECEMBER 8, 2023
BACKGROUND:Aortic arch plaques are associated with an increased risk of ischemic stroke in patients with cryptogenic stroke or prior embolic events. The primary outcome was ischemic stroke; the secondary outcome was combined cardiovascular events (ischemic stroke, myocardial infarction, and cardiovascular death).
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Stroke Journal
JANUARY 30, 2025
Pooled analysis of primary and secondary endpoints showed that apixaban significantly reduced the risk of stroke or systemic embolism by 47% (OR, 0.53(95%CI: 1.53), P=0.88), myocardial infarction (OR, 0.97(95%CI: 1.53), P=0.88), myocardial infarction (OR, 0.97(95%CI: 0.75), P<0.001), stroke by 44% (OR, 0.56(95%CI:
Open Heart
JANUARY 19, 2023
Ischaemic events were defined as myocardial infarction, stroke, transient ischaemic attack or peripheral embolism at 1 year. We aimed to assess the accuracy of percutaneous coronary intervention (PCI)-derived models and the performance of a recalibrated model that included variables more applicable to TAVR.
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Stroke Journal
JANUARY 30, 2025
Pooled analysis of primary and secondary endpoints showed that DOAC significantly reduced the risk of stroke or systemic embolism by 18% (OR, 0.82(95%CI: Pooled analysis of primary and secondary endpoints showed that DOAC significantly reduced the risk of stroke or systemic embolism by 18% (OR, 0.82(95%CI: years, respectively.
Dr. Smith's ECG Blog
NOVEMBER 15, 2023
associated typical Myocardial Infarction therapies such as statins and ACE inhibitors with significantly decreased 1 year mortality in MINOCA patients, which suggests that they do indeed have a similar pathophysiology to MI patients with obstructive coronary disease. MINOCA I do not have the bandwidth here to write a review of MINOCA.
Stroke Journal
FEBRUARY 1, 2024
We used previously validated ICD-10-CM codes for acute ischemic stroke, intracerebral and subarachnoid hemorrhage, cerebral venous thrombosis, acute myocardial infarction, pulmonary embolism, and acute deep venous thrombosis to define our study outcome.Results:We identified a total of 747 patients with OHSS in HCUP.
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Circulation
NOVEMBER 11, 2023
Oral anticoagulation also reduced a composite of cardiovascular death, all-cause stroke, peripheral arterial embolism, myocardial infarction or pulmonary embolism (RR 0.85, 95% CI 0.73-1.00, The results from the two trials were consistent (I2statistic for heterogeneity=0%). 1.00, I2=0%; moderate-quality evidence).
Journal of the American Heart Association
FEBRUARY 23, 2024
BackgroundIn patients with acute cardiogenic cerebral embolism, a residual thrombus may still be present in the cardiac cavity even after reperfusion therapy. The secondary outcome was a composite end point event (cardiovascular death, nonfatal myocardial infarction, nonfatal stroke) at 90 days.
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Dr. Smith's ECG Blog
AUGUST 24, 2012
This is a good sign for myocardial infarction and does not happen in pericarditis. The distal inferior apical LAD was cut off by distal embolization from LAD culprit. Add that to "sharp" pain and a 33 year old, and it is easy to convince yourself that this is, indeed, pericarditis. However, look closely!
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Circulation
NOVEMBER 11, 2024
While intracardiac cardiac tumors and shunts are infrequent and typically asymptomatic, their existence can precipitate severe outcomes, including stroke, myocardial infarction and sudden death.Case Description:A 69-year-old female presented with left sided facial droop, slurred speech and left arm weakness.
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Dr. Smith's ECG Blog
MARCH 11, 2016
Appearance of abnormal Q waves early in the course of acute myocardial infarction: implications for efficacy of thrombolytic therapy. Both of these are very suggestive of " No-Reflow ," or poor microvascular reperfusion due to downstream embolization of microscopic platelet-fibrin aggregates. Raitt MH, et al. the GISSI trial).
Stroke Journal
FEBRUARY 1, 2024
Results:Among 10,652 ICH patients (median age [IQR]: 70 [58 - 80] years; 47.7% female; 43.2% lobar ICH), 3.3%, 3.1%, 0.5%, and 8.1%, respectively, experienced r-ICH, AIS, AMI, and MACE.
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Stroke Journal
JANUARY 30, 2025
We assessed for interaction between age and discharge disposition and performed stratified analysis among patients aged < 65 years and older patients 65 years.Results:A total of 17 647 ICH patients alive at discharge (median age [IQR]: 69[57-79]; 45.2% female; 55.5% non-Hispanic White; 23.2% non-Hispanic Black; 10.4% Hispanic; 4.9%
40 Stroke Journal
JANUARY 30, 2025
Model fit was assessed using the Hosmer-Lemeshow test.Results:Among 142 eligible pre-ICH statin users (median age [IQR]: 77.5 [72-86] 72-86] years; 57.0% female; 66.0% non-Hispanic White [NHW]), 59 (41.6%) continued using statin post-ICH (median age [IQR]: 76 [73-85] years; 57.6% female; 69.5%
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Stroke Journal
JANUARY 30, 2025
Adverse vascular outcomes used as endpoints include acute ischemic stroke, acute myocardial infarction, deep vein thrombosis/pulmonary embolism, AF, and carotid artery dissection.A Patients with any adverse vascular outcomes before the index ECG were excluded. The mean age at the time of the index ECG was 44.3
Circulation
NOVEMBER 11, 2024
Background:The no-reflow has been reported to be associated with larger infarct size and mortality after acute myocardial infarction (AMI).
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Dr. Smith's ECG Blog
NOVEMBER 13, 2022
The ECG in ER is shown below: ECG is still diagnostic but we are watching the natural course of myocardial infarction here. You may see a filling defect in distal LAD, most probably due to an embolization from proximal lesion. The lesion was successfully stented, but it was unfortunately done after a significant myocardial loss.
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Stroke: Vascular and Interventional Neurology
NOVEMBER 9, 2023
However, AKI patients had higher rates of deep vein thrombosis (6.36% vs. 3.54%, p < 0.01), pulmonary embolism (4.22% vs. 1.42%, p < 0.01), pneumonia (21.39% vs. 8.84%, p < 0.01), urinary tract infection (19.07% vs. 13.32%, p < 0.01), sepsis (20.27% vs. 4.18%, p < 0.01), acute myocardial infarction (12.14% vs. 3.21%, (..)
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Dr. Smith's ECG Blog
MAY 19, 2020
MINOCA: Myocardial Infarction in the Absence of Obstructive Coronary Artery Disease). pulmonary embolism, sepsis, etc.), Coronary thrombosis or embolism can result in MINOCA, either with or without a hypercoagulable state. I believe the latter (type II STEMI) is most likely. What is MINOCA? myocarditis).
Dr. Smith's ECG Blog
NOVEMBER 12, 2020
Clin Chem [Internet] 2020;Available from: [link] Smith mini-review: Troponin in Emergency Department COVID patients Cardiac Troponin (cTn) is a nonspecific marker of myocardial injury. In normal times, the most common use of cTni is in diagnosing, or ruling out, acute myocardial infarction (AMI, a subcategory of acute myocardial injury.
Dr. Smith's ECG Blog
DECEMBER 22, 2022
Smith , d and Muzaffer Değertekin a DIFOCCULT: DIagnostic accuracy oF electrocardiogram for acute coronary OCClUsion resuLTing in myocardial infarction. Bi-phasic scan showed no dissection or pulmonary embolism. As his pain was very severe, emergency physicians concerned of aortic dissection and ordered a thoracic CT scan.
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Dr. Smith's ECG Blog
NOVEMBER 30, 2022
Such cases are classified as MINOCA (Myocardial Infarction with Non-Obstructed Coronary Arteries). Transient and partial thrombosis at the site of a non-obstructive plaque with subsequent spontaneous fibrinolysis and distal embolization may be one of the mechanisms responsible for the occurrence of MINOCA. Learning Points: 1.
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Dr. Smith's ECG Blog
DECEMBER 14, 2016
Acute myocardial injury: Is it myocardial infarction, or perhaps myocarditis? The patient had been on a long drive, suggesting possible pulmonary embolism (this was unlikely given absence of tachyardia, hypoxia, or any other feature of PE), so we sent a d dimer. [We Is it acute or chronic? Is it STEMI or NonSTEMI?
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Dr. Smith's ECG Blog
MAY 23, 2023
And they of course activated the cath lab immediately, where he was found to have acute thrombotic occlusion (TIMI 0) of the proximal LAD, as well as embolic D1 occlusion. Instead, they reviewed the ECG immediately regardless of the computer interpretation of "normal." LCX and RCA were described as "normal" in the cath report.
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Dr. Smith's ECG Blog
MAY 10, 2023
ng/mL This single initial troponin at this level, in the context of chest pain, is high enough to be diagnostic of acute myocardial infarction. If there are T-wave inversions and elevated trops in the context of persistent pain, think of other pathologies such as pulmonary embolism. Her initial cTnI returned at 0.25
Dr. Smith's ECG Blog
JULY 11, 2018
However, by the time of the angiogram it had embolized distally, and had only done so after the right sided ECG was recorded. The “bottom line” conclusions of their case report were that transient J waves may on occasion be induced by an acute injury current from impending myocardial infarction.
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All About Cardiovascular System and Disorders
APRIL 30, 2024
Mid cavity obstruction in HCM is associated with apical aneurysm, systemic embolism, and arrhythmias. Thin posterior wall in inferior wall myocardial infarction causing abnormal septal to posterior wall ratio can also cause suspicion of ASH. Doppler echo showing LVOT gradient in HCM.
Dr. Sanjay Gupta
DECEMBER 19, 2022
The term MINOCA stands for Myocardial infarction with non-obstructive coronary arteries. Coronary artery embolism – In this scenario, a blood clot which forms elsewhere goes down a coronary artery, causing a blockage but by the time we do the angiogram, the clot has dissipated and we see unobstructed vessels.
Stroke Journal
DECEMBER 20, 2024
We used the Firth penalized likelihood method to perform a logistic regression, adjusted for age, sex, and history of myocardial infarction to determine the association between high-risk embolic sources and AIS. For the primary analysis, we excluded patients with a history of atrial fibrillation.
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Cardiometabolic Health Congress
DECEMBER 7, 2023
AF is associated with an increased risk of death as well as multiple adverse outcomes, including stroke, cognitive impairment or dementia, myocardial infarction, sudden cardiac death, heart failure (HF), chronic kidney disease (CKD), and peripheral artery disease (PAD). million.
Dr. Smith's ECG Blog
JANUARY 17, 2024
Hyperacute T waves can be a useful sign of occlusion myocardial infarction if appropriately defined. Accuracy of OMI ECG findings versus STEMI criteria for diagnosis of acute coronary occlusion myocardial infarction. Acad Emerg Med 2023 3. Smith, Meyers. Ann Emerg Med 2023 4. Meyers, Bracey et al.
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Stroke Journal
FEBRUARY 1, 2024
High-risk sources on cardiac CT were: cardiac thrombi, signs of endocarditis, recent myocardial infarction, prosthetic valve abnormalities, atrial myxomata and signs of rheumatic valvular disease. Stroke, Volume 55, Issue Suppl_1 , Page AWP283-AWP283, February 1, 2024.
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