Stroke Journal

JANUARY 30, 2025

Background:Patients with atrial fibrillation were excluded from clinical trials evaluating carotid artery stent(CAS) or carotid endarterectomy (CEA).We Background:Patients with atrial fibrillation were excluded from clinical trials evaluating carotid artery stent(CAS) or carotid endarterectomy (CEA).We

Atrial Fibrillation 40

Atrial Fibrillation Stents Stent Outcomes 40

Dr. Smith's ECG Blog

JANUARY 31, 2020

I immediately looked for old charts, which were only available from another hospital, and an old echo confirmed inferior "akinesis" (which may also have persistent ST elevation). Angiogram: Widely patent RCA and LAD stents. Therefore, no stent was placed. (No He was treated with aspirin and heparin.

Angina 52

Angina Stents Stent Aneurysm 52

Frontiers in Cardiovascular Medicine

FEBRUARY 5, 2024

Anaphylaxis leads to plaque rupture or erosion leading to acute myocardial infarction (type II) and acute coronary stent thrombosis (type III). Case presentation A 47-year-old woman was admitted to the hospital due to an insect bite for 2 days and chest distress for more than 3 h. ng/ml(0–0.5 ng/ml).

Coronary Artery Disease 64

Coronary Artery Disease Electrocardiogram Myocardial Infarction Thrombosis 64

Dr. Smith's ECG Blog

OCTOBER 12, 2023

She was admitted to the hospital with clinical signs of infection. The following day in the cath lab a borderline significant mid LAD stenosis was found. Decision was made to stent the lesion. ECG#4 (below) was recorded about one year after the hospital stay described above. The patient is a 60 something female.

Cardiomyopathy 111

Cardiomyopathy Stenosis Chest Pain Hospital 111

Stroke Journal

JANUARY 30, 2025

Background:Carotid artery stenting (CAS) and carotid endarterectomy (CEA) are two types of carotid revascularization procedures performed on symptomatic patients. Frequently, carotid artery stenosis is found during stroke workup and these patients undergo revascularization during the same nonelective admission. vs 10.3%, P=0.582).

Stents 40

Stents Stent Lipid disorders Heart Failure 40

Dr. Smith's ECG Blog

MAY 20, 2024

Or is it a very tight stenosis that does not allow enough flow to perfuse myocardium that has a high oxygen demand from severely elevated BP? So the patient was admitted to the hospital with no plan for an angiogram. This was a presumed culprit and a stent was placed. The ST depressions in I and aVL have resolved.

Chest Pain 126

Chest Pain Blood Pressure Ischemia STEMI 126

Dr. Smith's ECG Blog

APRIL 22, 2024

Here are other very interesting posts: Wellens' syndrome: to stent or not? Two ECG patterns were described by the original investigators in 1982 as being consistent with a Wellens’ Syndrome prediction of high-grade LAD stenosis. Total coronary occlusion, if very brief, may have minimal infarction and yet be very dangerous.

Chest Pain 118

Chest Pain Myocardial Infarction Anatomy Angina 118

Dr. Smith's ECG Blog

JULY 11, 2024

The red arrow shows a roughly 80% stenosis of the proximal LAD. The blue arrow shows another stenosis of the LAD distal to the first diagonal branch of about 99%. The green arrow shows a 95% stenosis of the ostium of the first diagonal branch. All three lesions had TIMI 2 flow prior to stenting.

Outcomes 113

Outcomes Stenosis Outpatient Echocardiogram 113

Dr. Smith's ECG Blog

SEPTEMBER 25, 2024

He was admitted to the hospital for evaluation of these symptoms — but no ECG was done at that time. The red arrow points to a 90% stenosis in the proximal segment of the LAD. RAO Caudal View Post PCI This is the RAO Caudal view after thrombectomy and stent placement. An ECG was finally done at 9:17am on the 2nd hospital day.

Chest Pain 120

Chest Pain Blog Hospital Tachycardia 120

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

However, CTA head and neck 4 days later demonstrated 90 percent stenosis of the mid left V2 at the C3‐4 level and a 75‐90 percent stenosis of the left mid V2 segment at the C5‐6 level (hard and soft plaque in these areas). He also had moderate stenosis of the right V4 segment.

Stenosis 40

Stenosis Peripheral Arterial Disease Pacemaker Atherosclerosis 40

Dr. Anish Koka

JULY 23, 2023

Vascular surgeons at nearby hospitals had complained because they were seeing “a lot” of his patients having complications. Dormu performed an aortogram of the bilateral lower extremity with bilateral iliac runoff, which revealed a 90% stenosis of the right superficial femoral artery and 100% occlusion of all three tibial vessels.

Vascular Care 52

Vascular Care Outpatient Peripheral Arterial Disease Stents 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

years) underwent surgery for unruptured anterior communicating artery aneurysms in our hospital between January 2018 and January 2023.ResultsThe Coil embolization was performed for fifty‐four patients using various adjunctive techniques (simple, 7; double catheter, 15; balloon neck remodeling, 7; stent‐assisted, 26 (LVIS Jr.,

Aneurysm 40

Aneurysm Embolism Stents Stent 40

Dr. Smith's ECG Blog

OCTOBER 15, 2024

A prehospital “STEMI” activation was called on a 75 year old male ( Patient 1 ) with a history of hyperlipidemia and LAD and Cx OMI with stent placement. Angiography revealed a 30% nonobstructive stenosis of the mid LAD. Patient 1 remained in the hospital overnight. It was stented. This was a large OMI.

Chest Pain 116

Chest Pain STEMI Echocardiogram Stents 116

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

MRA head demonstrated multifocal arterial stenosis. Repeat CTA head/neck and CT perfusion showed severe stenosis of bilateral M1 segments and left greater than right A1 segments as well as ischemic penumbra in left ACA/MCA watershed territory. Her neurological exam improved to baseline on hospital day(HD) 9.On

Blood Pressure 40

Blood Pressure Stenosis Hemorrhage Thrombosis 40

Circulation

NOVEMBER 11, 2024

Although he had a normal echocardiogram and stress test a year ago at a different hospital, due to his symptoms and intermediate-high risk probability of coronary artery disease (CAD), the decision was made to proceed with a cardiac catheterization using a trans-radial approach with a horizontal sweep technique.

Coronary Artery Disease 40

Coronary Artery Disease Angioplasty Anatomy Angina 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

CT angiography (CTA) showed near occlusive stenosis of the left carotid bulb with an acute thrombus within Supraclinoid Internal Carotid Artery (ICA) extending into the Left MCA and origin of Left Anterior Cerebral Artery (ACA). He underwent single pass complete recanalization, TICI 2C using Stent retriever and aspiration.

Hemorrhage 40

Hemorrhage Thrombolysis Stroke Strokes 40

Dr. Smith's ECG Blog

SEPTEMBER 4, 2016

It was opened and stented. LM: No significant stenosis. LAD: luminal irregularities with a 40% stenosis at the take-off of a D3. D3 has a 95% tubular ostial stenosis. Culprit, stented) 3. LCX: Luminal irregularities, no significant stenosis. Two OM branches without significant stenosis. RCA: dominant.

Ischemia 40

Ischemia Chest Pain STEMI Stenosis 40

Cardiology Update

APRIL 9, 2024

Investigators assessed if empagliflozin could lower the risk of hospitalization for heart failure (HF) or death from cardiovascular disease (CVD). SMART 4 ( NCT04722250 ) studied patients with severe aortic stenosis and a small aortic annulus who underwent transcatheter aortic valve replacement (TAVR).

Angina 52

Angina Myocardial Infarction Aortic valve Coronary Artery Disease 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Patient underwent emergent mechanical thrombectomy with ADAPT to TICI3 revascularization with future plan for possible angioplasty and stenting of R vertebral stenosis. Subsequently admitted to neurocritical care unit and treated with dual antiplatelet therapy.

Angioplasty 40

Angioplasty Stroke Strokes Circulation 40

Dr. Smith's ECG Blog

SEPTEMBER 20, 2018

Written by Pendell Meyers, edits by Steve Smith A man in his 60s with history of hypertension and MI 10 years ago, with PCI, presented to an outside hospital complaining of chest pain that started while mowing the lawn. The LAD lesion was acute and required 3 stents to restore flow. Here is his ECG on arrival: What do you think?

Chest Pain 52

Chest Pain STEMI Cardiac Arrest Aneurysm 52

Dr. Smith's ECG Blog

DECEMBER 14, 2016

The patient had no hypertension, no tachycardia, a normal hemoglobin, no drug use, no hypotension/shock, no murmur of aortic stenosis. What do you want to do now, considering you will need to awaken the hospital's only catheterization team, which must be alert for the next long day in the cath lab? Is it STEMI or NonSTEMI?

Chest Pain 52

Chest Pain STEMI Aortic Myocardial Infarction 52

Dr. Smith's ECG Blog

OCTOBER 28, 2013

It was stented. Also, anterior MI could result from 1) ACS, but also from 2) severe ischemia due to combination of a hemodynamically significant LAD stenosis + severe hypotension during cardiac arrest. Current Emergency and Hospital Medicine Reports (2013) 1:4352. The troponin I peaked at 8.1. References : 1. J Electrocardiol.

Cardiac Arrest 52

Cardiac Arrest Ischemia Defibrillator Electrocardiogram 52

Dr. Anish Koka

MAY 16, 2023

Marked differences can be seen in the prevalence of coronary artery stenosis at autopsy by age and gender. In 30-39 year old women the rate of coronary stenosis at autopsy was 5/1,545 (0.3%) while 60-69 year old men had a prevalence of 12%, almost 40 times higher. The results of this dataset by age and gender follow.

Chest Pain 52

Chest Pain Coronary Artery Disease Cancer Heart Attack 52

EMS 12-Lead

MAY 20, 2022

There is ventricular hypertrophy in the absence of abnormal loading conditions, such as aortic stenosis, or hypertension, for example – of which the most common variant is Asymmetric Septal Hypertrophy. This worried the crew of potential acute coronary syndrome and STEMI was activated pre-hospital.

Cardiomyopathy 52

Cardiomyopathy Ischemia STEMI Coronary Angiogram 52

Dr. Smith's ECG Blog

OCTOBER 23, 2022

She was treated medically for NonSTEMI, pending next day cath, which showed ulcerated plaque and a 60% thrombotic stenosis in the LAD distal to the first diagonal. It was stented. For clarity — I've taken the chest leads from the 3 pre-hospital tracings in this case, and placed them side-by-side in Figure-1. Learning Points : 1.

STEMI 40

STEMI Chest Pain Hospital Risk Factors 40

Dr. Smith's ECG Blog

AUGUST 9, 2019

61,62) The interventional community defines occlusive LM disease as >50% by FFR, or ≥75% stenosis,(63) but urgent or emergent intervention on lesions not meeting these thresholds is only imperative if it is a thrombotic lesion and the patient has refractory ischemic symptoms (i.e. TIMI 0/1 flow).(61,62) Knotts et al.

Myocardial Infarction 52

Myocardial Infarction Ischemia STEMI Cardiogenic Shock 52

Dr. Smith's ECG Blog

NOVEMBER 3, 2017

Case 4 Transient STEMI, serial ECGs prehospital to hospital, all troponins negative (less than 0.04 Angiogram showed a critical LAD thrombotic stenosis. The patient went to cath and had a distal LAD 99% stenosis with thrombus and TIMI-2 flow. It was stented. 100% LAD occlusion. He underwent CABG. Peak was 8.1

Chest Pain 52

Chest Pain STEMI Bradycardia Stenosis 52

Dr. Smith's ECG Blog

OCTOBER 7, 2019

He was taken to the cath lab and underwent emergent intervention: Thrombotic stenosis of the proximal RCA (95% with evidence of plaque rupture) is the culprit for the patient's inferoposterior STEMI. He was successfully stented. The patient never arrested during his time at the hospital and his prognosis is good.

Bradycardia 40

Bradycardia STEMI Cardiogenic Shock Ischemia 40

DAIC

JANUARY 22, 2024

Kown, Asan Medical Center, Seoul, Korea Golden Bridge II Effect of an Artificial Intelligence-Based Clinical Decision Support System on Stroke Care Quality and Outcomes in Patients With Acute Ischemic Stroke : A Cluster-Randomized Clinical Trial: Zixiao Li, Beijing Tiantan Hospital, Capital Medical University, Beijing, China Friday, Feb.

Stroke 100

Stroke Strokes Hospital Stents 100

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Adult Cardiac Surgery Database Lead Author Title Publication Date Jacob Raphael Red Blood Cell Transfusion and Pulmonary Complications: The Society of Thoracic Surgeons Adult Cardiac Surgery Database Analysis The Annals of Thoracic Surgery January 2024 Joseph Sabik Multi-Arterial versus Single-Arterial Coronary Surgery: Ten Year Follow-up of One Million (..)

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Institutional Coronary Artery Bypass Case Volumes and Outcomes European Journal of Heart Failure October 2023 Makoto Mori 1 Robotic Mitral Valve Repair for Degenerative Mitral Regurgitation The Annals of Thoracic Surgery August 2023 Carlos Diaz-Castrillion 2 Volume-Failure to Rescue Relationship in Acute Type A Aortic Dissections: An Analysis of The (..)

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Dr. Smith's ECG Blog

OCTOBER 31, 2024

He works in a small hospital in Northern Michigan. The patient was transferred to a hospital with PCI capability. Here is the angiogram: Very tight stenosis in circumflex, but with TIMI-3 flow, thanks to thrombolytics. Here is the circumflex after stenting: Wide open The cardiologist called Dr. Lufkin back and said "Great call!!"

STEMI 117

STEMI Arrhythmia Stents Stent 117

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. S. Venkatesan MD

JANUARY 1, 2025

Top 10 Clinical Trials Preventive PCI on Stenosis With Functionally Insignificant Vulnerable Plaque PREVENT (ACC.24) Top 10 Clinical Trials Preventive PCI on Stenosis With Functionally Insignificant Vulnerable Plaque PREVENT (ACC.24) 24) Microaxial Flow Pump in Infarct-Related Cardiogenic Shock DanGer Shock (ACC.24)

Cardiogenic Shock 59

Cardiogenic Shock Plaque Academic Bicuspid/Mitral 59