Frontiers in Cardiovascular Medicine

JANUARY 14, 2024

In the validation dataset (2,229 patients), the rate of in-hospital mortality was 18.4%. The rate of composite outcome (in-hospital death, stroke/global ischemia, dialysis, and/or acute heart failure) was 41.2%, and 10-year mortality rate was 47.0%.

Risk Factors 64

Risk Factors Hospital Aortic Ischemia 64

Journal of the American Heart Association

JANUARY 19, 2024

BackgroundLittle is known about treatment variability across US hospitals for patients with chronic limb‐threatening ischemia (CLTI).Methods All patients aged ≥18 years, admitted to nonfederal US hospitals with a primary diagnosis of CLTI, were identified. Journal of the American Heart Association, Ahead of Print.

Inpatient 40

Inpatient Ischemia Hospital Outcomes 40

DAIC

MARCH 27, 2025

ii to show blood flow through the heart muscle and evaluate the presence, extent and degree of myocardial ischemia or infarction. Around 6 million MPI procedures are undertaken each year in theU.S. Flyrcado is now available in selectU.S.markets.

Coronary Artery Disease 52

Coronary Artery Disease CMS Innovation Ischemia 52

Journal of Cardiovascular Electrophysiology

NOVEMBER 15, 2024

Central illustration: In those presenting With monomorphic VT, undergoing coronary ischemia assessment was associated With improved 12-month event-free survival from the primary endpoint of VT recurrence, ICD therapy, heart failure hospitalization, and death. vs 51.5%, respectively, p =0.01).

Ischemia 40

Ischemia Tachycardia Outcomes Heart Failure 40

Dr. Smith's ECG Blog

NOVEMBER 22, 2023

He was treated for infection and DKA and admission to hospital was planned. Important point: when there is diffuse subendocardial ischemia but no OMI, a wall motion abnormality will not necessarily be present. They agreed ischemia was likely in the setting of demand given DKA and infection. 40 mg of furosemide was given.

Chest Pain 119

Chest Pain Ischemia Echocardiogram Myocardial Infarction 119

Ken Grauer, MD

DECEMBER 15, 2023

About 20 minutes later ( on the way to the hospital ) — the patient's CP resolved, and ECG #1 was recorded. ECG Blog #184 — illustrates the "magical" mirror-image opposite relationship with acute ischemia between lead III and lead aVL ( featured in Audio Pearl #2 in this blog post ). ECG Blog #337 — an OMI misdiagnosed as an NSTEMI.

Blog 148

Blog STEMI Ischemia Chest Pain 148

Dr. Smith's ECG Blog

OCTOBER 25, 2023

A prior ECG was available for comparison: Normal One might be tempted to interpret the ST depression as ischemia, but as Smith says, "when the QT is impossibly long, think of hypokalemia and a U-wave rather than T-wave." The patient was admitted to the ICU for close monitoring and electrolyte repletion and had an uneventful hospital course.

Ischemia 124

Ischemia Chest Pain Cardiac Arrest Blog 124

DAIC

JULY 23, 2024

Brittany Weber, MD, PhD , of Brigham and Women’s Hospital, is the 2024 YIA winner for her abstract, "The Frequency, Prevalence, And Outcomes Of Incidentally Detected Coronary Artery Calcium Using Artificial Intelligence Analysis Among Patients With Immune Mediated Inflammatory Diseases.”

Chest Pain 105

Chest Pain Plaque Coronary Artery Disease Ischemia 105

Ken Grauer, MD

DECEMBER 8, 2023

Instead, he left the hospital — only to be found dead at home 36 hours later. For full discussion of this case — See ECG Blog #292 — == The 2 ECGs shown in Figure-1 were obtained from a man in his 30s — who presented to the ED ( E mergency D epartment ) with chest pain that began several hours earlier. ECG #2 was recorded 1 hour after ECG #1.

Blog 159

Blog Chest Pain STEMI Ischemia 159

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

DISCUSSION: The 12-lead EKG EMS initially obtained for this patient showed severe ischemia, with profound "infero-lateral" ST depression and reciprocal ST elevation in lead aVR. Author continued : STE in aVR is often due to left main coronary artery obstruction (OR 4.72), and is associated with in-hospital cardiovascular mortality (OR 5.58).

Ischemia 40

Ischemia Cardiogenic Shock Aortic Stenosis 40

DAIC

FEBRUARY 14, 2025

10, 2025 A generous gift of $5 million from Lorraine and Bill Dodero will establish the Lorraine and Bill Dodero Limb Preservation Center at University Hospitals Harrington Heart & Vascular Institute in Cleveland, Ohio. Lorraine and Bill Dodero tim.hodson Fri, 02/14/2025 - 15:33 Feb. When we save a limb, we save a life.

Hospital 52

Hospital Peripheral Arterial Disease Cancer Innovation 52

Journal of Cardiothoracic Surgery

APRIL 11, 2024

Discussion Whereas the younger patient, who was clinically stable at hospital admission received delayed surgery and did not survive treatment, the older patient, clinically unstable at presentation, went into immediate surgery and had a flawless postoperative course. One year after the operation, he is living at home, symptom free.

Ischemia 52

Ischemia Myocardial Infarction ICU Aortic 52

DAIC

FEBRUARY 13, 2024

He is a Professor of Radiology and prior to joining Cleerly full-time, served as Vice-Chairman of Radiology at George Washington University (GWU) Hospital in Washington, DC. High Diagnostic Accuracy Of AI-Ischemia in Comparison To PET, FFR-CT, SPECT, and Invasive FFR: A PACIFIC Sub-Study. In Press European Heart Journal CV Imag 2024.This

Coronary Artery Disease 103

Coronary Artery Disease Ischemia Atherosclerosis Cardiovascular Imaging 103

Dr. Smith's ECG Blog

MARCH 31, 2024

The patient survived the hospitalization. non-occlusive ischemia) Ongoing ischemic symptoms in NSTEMI is already an indication for emergent cath, regardless of the ECG. A woman in her 50s with chest pain and lightheadedness and "anterior subendocardial ischemia" A man in his 50s with acute chest pain who is lucky to still be alive.

Chest Pain 111

Chest Pain STEMI Ischemia Myocardial Infarction 111

Stroke Journal

JANUARY 30, 2025

The study was aimed to test the effects of GSNO in ischemia/reperfusion (I/R) Injury through relieving thrombo-inflammation.Methods:Male C57BL/6 mice (n=160) were 10-week-old (20-25 g) at the time of surgery. All animals received humane care in compliance with Beijing Tiantan Hospitals guidance.

Ischemia 40

Ischemia Stroke Strokes Hospital 40

Ken Grauer, MD

JANUARY 13, 2024

My written interpretation on a tracing such as this one would read, "Marked LVH and 'strain' and/or ischemia — with need for clinical correlation." BOTTOM LINE: ECG changes of LV "strain" and/or ischemia that we see on today's initial ECG — were not present 9 years earlier. Please see ECG Blog #73 for additional details ).

Blog 159

Blog Ischemia AFIB Hypertension 159

DAIC

APRIL 11, 2024

PCI is commonly used to open blocked arteries to treat significant myocardial ischemia , which occurs when the heart muscle does not get enough oxygenated blood.

Plaque 111

Plaque Heart attacks Heart Attack Coronary Artery Disease 111

Dr. Smith's ECG Blog

OCTOBER 20, 2024

The first task when assessing a wide complex QRS for ischemia is to identify the end of the QRS. The ST segment changes are compatible with severe subendocardial ischemia which can be caused by type I MI from ACS or potentially from type II MI (non-obstructive coronary artery disease with supply/demand mismatch). What do you think?

Cardiogenic Shock 128

Cardiogenic Shock Ischemia Chest Pain Cardiac Arrest 128

Ken Grauer, MD

DECEMBER 29, 2023

The "good news" — is that after an extended hospitalization, the patient was finally discharged home, and doing well. = Shark Fin" ST segment elevation is most often a sign of severe transmural ischemia that results from acute coronary occlusion. The ECG in Figure-1 — was obtained following successful resuscitation.

Blog 172

Blog Cardiac Arrest Ischemia Hospital 172

Ken Grauer, MD

APRIL 5, 2024

As a result, the ST elevation ( with especially tall, peaked T wave in lead V2) — is not indication of acute ischemia. As suggested by Figure-4 below in the ADDENDUM — assessment of the ST-T waves in leads V2,V3 and V5,V6 — is consistent with ischemia and / or LV "strain". A picture is worth 1,000 words.

Blog 95

Blog Ischemia Chest Pain Hypertension 95

DAIC

MAY 16, 2024

FAHA , co-director of the Vascular Center at the University Hospitals Harrington Heart & Vascular Institute and a professor of medicine at Case Western Reserve University School of Medicine , both in Cleveland, Ohio. It has been estimated that less than 5% of patients with PAD in the U.S.

Peripheral Arterial Disease 105

Peripheral Arterial Disease Exercise Ischemia Quality of Life 105

Dr. Smith's ECG Blog

MAY 3, 2024

When I was shown this ECG, I said it looks like such widespread ischemia that is might be a left main occlusion, or LM ischemia plus circumflex occlusion (high lateral and posterior OMI). In fact, most do not make it to the hospital alive, which explains why only a tiny percent of OMI are due to full LM occlusion.

Cardiogenic Shock 127

Cardiogenic Shock Cardiac Arrest Hospital Ischemia 127

Dr. Smith's ECG Blog

AUGUST 6, 2024

In any case, the ECG is diagnostic of severe ischemia and probably OMI. So this could be myocarditis but in my opinion needs an angiogram before making that diagnosis. == Dr. Nossen Comment/Interpretation: Evaluation of ischemia on an ECG can be very challenging. Concordant STE of 1 mm in just one lead or 2a.

Chest Pain 104

Chest Pain Ischemia Pericarditis Tachycardia 104

Dr. Smith's ECG Blog

JANUARY 9, 2024

Are you confident there is no ischemia? Primary VT , and the VT with tachycardia is causing ischemia with chest discomfort (supply-demand mismatch/type 2 MI)? Ischemia from ACS causing the chest discomfort, with VT another consequence (or coincidence)? Do you agree with this strategy? How can you better assess the ST segments?

Tachycardia 119

Tachycardia Electrophysiology Atrial Flutter Ischemia 119

Medical Xpress - Cardiology

JANUARY 20, 2025

Persistent over-dilation of muscle microvasculature may be one cause of chronic limb-threatening ischemia, recent studies by Kuopio University Hospital and the University of Eastern Finland show.

Ischemia 40

Ischemia Hospital 40

Stroke: Vascular and Interventional Neurology

FEBRUARY 17, 2025

The accuracy to identify ischemia compared with hemorrhage was 0.91 (0.870.93). The main analysis was the accuracy with which they distinguished vascular from nonvascular causes using the discharge diagnosis as a reference.

Hemorrhage 75

Hemorrhage Stroke Strokes Ischemia 75

Dr. Smith's ECG Blog

SEPTEMBER 26, 2023

See these 2 articles Association between pre-hospital chest pain severity and myocardial injury in ST elevation myocardial infarction: A post-hoc analysis of the AVOID study Author links open overlay panel [link] 1 Background We sought to determine if an association exists between prehospital chest pain severity and markers of myocardial injury.

Chest Pain 119

Chest Pain STEMI Myocardial Infarction Electrocardiogram 119

DAIC

FEBRUARY 12, 2024

However, many hospitals don't offer thrombectomy because it requires specialist doctors, leaving the majority of patients ineligible for conventional treatment. Histological analysis at 72 hours post-stroke confirmed a significant reduction of edema and area of necrosis in both early and delayed therapy groups.

Stroke 98

Stroke Strokes Innovation Ischemia 98

Dr. Smith's ECG Blog

JULY 21, 2024

The patient was extubated on Day-3 of the hospital stay. The patient improved, and on Day-11 of the hospital stay — he was off inotropes and on a small dose of a ß-blocker. There is no definite evidence of acute ischemia. (ie, Some residual ischemia in the infarct border might still be present.

Arrhythmia 131

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 131

Frontiers in Cardiovascular Medicine

MARCH 17, 2024

Background Refractory angina (RA) is a chronic condition characterized by the presence of debilitating angina symptoms due to established reversible ischemia in the presence of obstructive coronary artery disease (CAD).

Angina 64

Angina Quality of Life Coronary Artery Disease Ischemia 64

Dr. Smith's ECG Blog

APRIL 24, 2015

Again, it is common to have an ECG that shows apparent subendocardial ischemia after resuscitation from cardiac arrest, after defibrillation, and after cardioversion. and repeat the ECG, to see if the apparent ischemia persists. A third ECG was done about 25 minutes after the first: This shows resolution of all apparent ischemia.

Cardiac Arrest 52

Cardiac Arrest Defibrillator Atrial Fibrillation Ischemia 52

Dr. Smith's ECG Blog

DECEMBER 7, 2023

On hospital day 3, the patient had recurrence of symptoms and the following EKG was obtained. This proves effective treatment of the recurrent ischemia. The patient had no further symptoms of ischemia. EKG 3 is diagnostic for developing re-occlusion, and EKG 4 proves that the nitrates relieved the ischemia. =

SCAD 124

SCAD Ischemia Coronary Artery Disease Cardiomyopathy 124

Dr. Smith's ECG Blog

OCTOBER 18, 2023

A few days into her hospital stay she developed chest discomfort and the following ECG was recorded. The ECG below was on file and was taken a few days earlier, on the day of admission to the hospital. Most such rhythms in the setting of ischemia are VF and will not convert without defibrillation. Acute ischemia?

Cardiac Arrest 122

Cardiac Arrest Tachycardia Cardiomyopathy Bradycardia 122

DAIC

FEBRUARY 14, 2025

10, 2025 A generous gift of $5 million from Lorraine and Bill Dodero will establish the Lorraine and Bill Dodero Limb Preservation Center at University Hospitals Harrington Heart & Vascular Institute in Cleveland, Ohio. Lorraine and Bill Dodero tim.hodson Fri, 02/14/2025 - 15:33 Feb. When we save a limb, we save a life.

Peripheral Arterial Disease 52

Peripheral Arterial Disease Cancer Innovation Best Practices 52

DAIC

MARCH 3, 2025

Dr. Mouaz Al-Mallah, MD, MSc, MASNC, Director of Cardiac PET at Houston Methodist Hospital, said, Flyrcado opens new frontiers for cardiac PET with a significantly longer half-life than existing PET MPI tracers, and we are proud to be one of the first to use it in our cardiac PET lab. National Center for Health Statistics. link] Miller, R.

Coronary Artery Disease 52

Coronary Artery Disease Ischemia Exercise Hospital 52

Dr. Smith's ECG Blog

JUNE 18, 2011

When flow is restored, wall motion may completely recover so that echocardiogram does not detect the previous ischemia. Even when the serial troponins are negative, the ECG is critical to the diagnosis of ACS. This is not pericarditis because: a. Pain was typical for MI (substernal, not postional or sharp, resolved with NTG) b.

STEMI 52

STEMI Pericarditis Hospital Aneurysm 52

Dr. Smith's ECG Blog

JUNE 23, 2024

He was intubated in the field and sedated upon arrival at the hospital. This was interpreted by the treating clinicians as not showing any evidence of ischemia. At his family's request, he was transferred to a hospital closer to his home to continue care. They shocked him twice before return of spontaneous circulation.

Chest Pain 118

Chest Pain Cardiac Arrest Sudden Cardiac Death Blog 118