Heart attacks and STEMI - Cardiovascular Update

Heart Attack Patients Who Receive Heparin ASAP Are Better Primed for Cath Lab

Med Page Today

OCTOBER 29, 2024

(MedPage Today) -- The heparin frequently given before percutaneous coronary intervention (PCI) should be pushed to as early as possible in patients with ST-segment elevation myocardial infarction (STEMI), according to findings from the Chinese.

Heart attacks

Heart attacks Heart Attack Myocardial Infarction STEMI

Research Data from Minneapolis Heart Institute Foundation at ACC 2024 Reveal Trends in Cardiovascular Risk Factors and Preventive Medication Use Prior to Heart Attacks

DAIC

APRIL 6, 2024

The Minneapolis Heart Institute Foundation (MHIF) is presenting leading research focused on trends in ST-elevation myocardial infarction (STEMI), the most severe form of a heart attack, at the American College of Cardiology’s Annual Scientific Session (ACC.24), 24), being held April 6-8 in Atltanta, GA.

Heart attacks

Heart attacks Heart Attack Risk Factors Research

GHATI: Tracking QI Metrics Show Promise For Improving STEMI Care in LMIC

American College of Cardiology

DECEMBER 19, 2024

Implementing and tracking quality improvement (QI) metrics may lead to improved outcomes in patient care after STEMI in low- and middle-income countries (LMIC), according to an analysis of data from the ACC's Global Heart Attack Treatment Initiative (GHATI).

STEMI

STEMI Heart Attack Heart attacks Patient Care

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

MORE WEBINARS

New Research Shows Potential of GHATI to Improve STEMI Care in Low-, Middle-Income Countries

American College of Cardiology

SEPTEMBER 18, 2024

STEMI remains a major cause of morbidity, mortality, disability, and high health care costs in Latin America and the rest of the world. New data assessing the impact of ACC's Global Heart Attack Initiative (GHATI) on patient care outcomes at the CEDIMAT Cardiovascular Center in Santo Domingo, Dominican Republic.

STEMI

STEMI Heart Attack Heart attacks Research

Culprit Lesion PCI Before Diagnostic Angiography for Faster STEMI Reperfusion

Med Page Today

MARCH 29, 2024

(MedPage Today) -- Operators safely shaved a few minutes off heart attack reperfusion times by taking patients straight to culprit lesion percutaneous coronary intervention (PCI) when they arrived at the catheterization lab, according to a small.

STEMI

STEMI Heart Attack Heart attacks

Facility-based approach for the management of acute ST segment elevation myocardial infarction with cardiogenic shock in a rural medical centre: the Durango model

Open Heart

DECEMBER 7, 2023

Methods and analysis The Durango model is a prospective single-centre registry designed to enable early identification of patients with STEMI-CS to facilitate primary reperfusion therapy with a shock team management algorithm in a rural level II heart attack centre.

Cardiogenic Shock

Cardiogenic Shock Myocardial Infarction STEMI Heart attacks

Circumflex Occlusion May be Subtle or Invisible on the ECG

Dr. Smith's ECG Blog

MARCH 2, 2009

male presents because he "thought he might be having a heart attack." First, this patient had a known stent in the "marginal" artery and thought he was having a heart attack. By definition, this is a non-STEMI because there is not 1 mm of ST elevation in 2 consecutive leads. How can you make the diagnosis?

Heart attacks

Heart attacks Heart Attack STEMI Echocardiogram

A man in his 70s with chest pain

Dr. Smith's ECG Blog

NOVEMBER 23, 2022

He stated it was similar to prior heart attacks. Both hyperacute T waves and posterior OMI are now formally endorsed as "STEMI equivalents" by the ACC. == MY Comment, by K EN G RAUER, MD ( 11/23 /2022 ): == Cases in which initial ECG findings are subtle before undergoing dramatic change, — are always impressive.

Chest Pain

Chest Pain Cardiac Arrest Cardiogenic Shock Heart attacks

Heart Pump Improves Survival After Severe Heart Attacks

DAIC

APRIL 8, 2024

milla1cf Mon, 04/08/2024 - 18:07 April 8, 2024 — Implantation of the Impella CP micro-axial flow pump in the hours after a heart attack significantly increased the rate of survival at six months among people suffering cardiogenic shock, according to a study presented at the American College of Cardiology ’s Annual Scientific Session.

Heart attacks

Heart attacks Heart Attack Cardiogenic Shock Catheterization Laboratory

Early repol or anterior OMI?

Dr. Smith's ECG Blog

MAY 13, 2024

He noted that his father died from a heart attack in his early 50s prompting his presentation to the emergency department. This ECG is highly concerning for LAD occlusion despite it not showing a STEMI criteria. Here is the initial ECG at 13:17 with no prior ECG in the patient’s chart for comparison: What do you think?

Chest Pain

Chest Pain STEMI Ultrasound Heart attacks

46 year old with chest pain develops a wide complex rhythm -- see many examples

Dr. Smith's ECG Blog

AUGUST 9, 2024

He reported a history of “Wolf-Parkinson-White” and “heart attack” but said neither had been treated. The receiving emergency physician consulted with interventional cardiology who stated there was no STEMI. Is there STEMI? These diagnoses were not found in his medical records nor even a baseline ECG. What is the rhythm?

Chest Pain

Chest Pain Arrhythmia Myocardial Infarction STEMI

A teenager with chest pain, a troponin below the limit of detection, and "benign early repolarization"

Dr. Smith's ECG Blog

JANUARY 9, 2023

50% of LAD STEMIs do not have reciprocal findings in inferior leads, and many LAD OMIs instead have STE and/or HATWs in inferior leads instead. The ECG easily meets STEMI criteria in all leads V2-V6, as well. 24 yo woman with chest pain: Is this STEMI? This is not "diffuse", this is simply anterior, lateral, and likely apical.

Chest Pain

Chest Pain Aneurysm STEMI Thrombosis

A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

Dr. Smith's ECG Blog

OCTOBER 10, 2022

He reportedly told his family "I think I'm having a heart attack", then they immediately drove him to the ED, and he was able to ambulate into the triage area before he collapsed and became unresponsive. CPR was initiated immediately. He had multiple cardiac arrests with ROSC regained each time.

Cardiac Arrest

Cardiac Arrest Chest Pain Embolism Pulmonary

Pay now (in the evening) or pay later with interest (in the middle of the night).

Dr. Smith's ECG Blog

MARCH 1, 2025

He reports this was similar to how he felt when he had his heart attack 4 years prior, now s/p 4 stents. PMCardio Queen of Hearts AI Model: The Queen of course also thinks it is acute OMI, for the same reasons. 2/3 of STEMI have a peak 4th generation troponin I greater than 10.0 NSTEMI-OMI").

Chest Pain

Chest Pain STEMI Stent Stents

Heart Attack Patients Who Receive Heparin ASAP Are Better Primed for Cath Lab

Research Data from Minneapolis Heart Institute Foundation at ACC 2024 Reveal Trends in Cardiovascular Risk Factors and Preventive Medication Use Prior to Heart Attacks

GHATI: Tracking QI Metrics Show Promise For Improving STEMI Care in LMIC

Webinars

New Research Shows Potential of GHATI to Improve STEMI Care in Low-, Middle-Income Countries

Culprit Lesion PCI Before Diagnostic Angiography for Faster STEMI Reperfusion

Facility-based approach for the management of acute ST segment elevation myocardial infarction with cardiogenic shock in a rural medical centre: the Durango model

Circumflex Occlusion May be Subtle or Invisible on the ECG

A man in his 70s with chest pain

Heart Pump Improves Survival After Severe Heart Attacks

Early repol or anterior OMI?

46 year old with chest pain develops a wide complex rhythm -- see many examples

A teenager with chest pain, a troponin below the limit of detection, and "benign early repolarization"

A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

Pay now (in the evening) or pay later with interest (in the middle of the night).

Stay Connected