Dr. Smith's ECG Blog

MAY 20, 2024

A 63 year old man with a history of hypertension, hyperlipidemia, prediabetes, and a family history of CAD developed chest pain, shortness of breath, and diaphoresis after consuming a large meal at noon. He called EMS, who arrived on scene about two hours after the onset of pain to find him hypertensive at 220 systolic.

Chest Pain 126

Chest Pain Blood Pressure Ischemia STEMI 126

Frontiers in Cardiovascular Medicine

MARCH 7, 2024

Background Although the impact of hypertension on carotid intima-media thickness (IMT) and plaques has been well established, its association with femoral IMT and plaques has not been extensively examined. Ultrasonography was applied to assess the AS, including thickened IMT (TIMT) and plaque in the carotid and femoral arteries.

Atherosclerosis 49

Atherosclerosis Plaque Hypertension Blood Pressure 49

Heart 2023 Conference

APRIL 20, 2022

(Arteriosclerosis, Thrombosis and Vascular Biology) A role for hemoglobin in atherosclerosis is supported by a study that used serial coronary CT angiography to demonstrate an association between persistently low serum hemoglobin levels and greater changes in coronary plaque volume.

Pulmonary 52

Pulmonary Hypertension AFIB COVID-19 52

NEJM Journal Watch - Cardiology

OCTOBER 24, 2024

Any atherosclerotic plaque is bad, and its presence portends a worse prognosis if modifiable risk factors like hypertension and smoking are not addressed.

Atherosclerosis 40

Atherosclerosis Plaque Risk Factors Hypertension 40

Dr. Smith's ECG Blog

DECEMBER 19, 2023

link] A 62 year old man with a history of hypertension, type 2 diabetes mellitus, and carotid artery stenosis called 911 at 9:30 in the morning with complaint of chest pain. Smith's comments in the May 19, 2020 post : — Non-obstructive coronary disease does not ne cessarily imply no plaque rupture with thrombus. It is not rare.

Plaque 127

Plaque Angina Blog Stent 127

MIBHS

FEBRUARY 28, 2025

Specific genetic variants, such as those affecting cholesterol metabolism, can increase the likelihood of plaque buildup in the arteries. Maintain a Healthy Weight: Obesity amplifies the effects of genetic predispositions by contributing to high cholesterol, hypertension, and diabetes.

Genetic predisposition 52

Genetic predisposition Heart Disease Cholesterol Blood Pressure 52

MIBHS

OCTOBER 31, 2024

High Blood Pressure (Hypertension) Persistent high blood pressure forces the heart to work harder to pump blood. Coronary Artery Disease (CAD) CAD, which involves the narrowing or blockage of coronary arteries due to plaque buildup, can reduce blood flow to the heart. Here are some of the most common causes: 1.

Blood Pressure 52

Blood Pressure Blood Clot Heart Valves Heart Rhythm 52

Hypertension Journal

NOVEMBER 14, 2024

Hypertension, Ahead of Print. BACKGROUND:In the absence of outcome-based ambulatory blood pressure (BP) data hypertension guidelines provide 24-hour mean BP values corresponding to trial-validated office BP values.

Hypertension 40

Hypertension Blood Pressure Plaque Atherosclerosis 40

Frontiers in Cardiovascular Medicine

MAY 21, 2024

Angiography showed a donor renal artery dissection distal to the moderately stenosed anastomosis site with calcified atherosclerotic plaque confirmed by IVUS. The transplant renal artery lesion was intervened with a stent.

Transplant 52

Transplant Ultrasound Plaque Atherosclerosis 52

Dr. Smith's ECG Blog

APRIL 22, 2024

A 50-something male with hypertension and 20- to 40-year smoking history presented with 1 week of stuttering chest pain that is worse with exertion, which takes many minutes to resolve after resting and never occurs at rest. Angiography : --Culprit for the patient's unstable angina/Wellen syndrome is a ruptured plaque in the mid LAD. --As

Chest Pain 118

Chest Pain Myocardial Infarction Anatomy Angina 118

Dr. Paddy Barrett

JUNE 21, 2024

Therefore, if someone presents with an event earlier than this age, they likely have been building up plaque for a considerable period prior to this. A CT CAC score of 0 means a person has no calcified coronary artery plaque and also means their risk of a heart attack over the next ten years is probably less than 2%. Genes (Basel).

Heart Disease 82

Heart Disease Heart Attack Heart attacks Coronary Artery Disease 82

Frontiers in Cardiovascular Medicine

FEBRUARY 7, 2024

The vessels with reduced CFR presented a significantly higher prevalence of obstructive CAD (37% vs. 26%; P  < 0.001), diffused atherosclerosis (22% vs. 11%; P  < 0.001), low-attenuation plaque (6% vs. 3%; P  = 0.030), and positive remodeling (7% vs. 2%; P  = 0.001). FAI was higher in vessels with reduced CFR (−80.8 HU HU vs. −81.8 HU;

Coronary Artery Disease 64

Coronary Artery Disease Atherosclerosis Plaque Stenosis 64

Stroke Journal

JANUARY 30, 2025

Results:Among the 36,403 participants (14,676 males, 40.3%), the prevalence of stroke, heart disease, hypertension, diabetes mellitus, and dyslipidemia was 7.4%, 6.4%, 55.7%, 17.3%, and 40.2% 2021-KY-1289-001).Results:Among respectively.

Atherosclerosis 40

Atherosclerosis Plaque Stenosis Cardiovascular Disease 40

All About Cardiovascular System and Disorders

MAY 22, 2024

About a fifth of all ischemic strokes are attributed to embolization of ruptured atherosclerotic plaque from carotid arterial stenosis. It has been mentioned that risk due to clonal hematopoiesis is equal in magnitude to conventional risk factors like smoking, hypertension, dyslipidemia and diabetes.

Stenosis 52

Stenosis Stroke Strokes Risk Factors 52

Stroke Journal

JANUARY 30, 2025

Confirmed CWs were defined as a shelf-like, thin, linear filling defect on the posterior wall of the ICA bulb within 3cm of the bifurcation, visible as a septum on axial view, and without calcification/atherosclerotic plaque adjacent to the filling defect on multiplanar reconstruction view. The remaining cases were classified as no CW.

Plaque 40

Plaque Stroke Strokes Diabetes 40

MIBHS

JULY 31, 2024

While this response is adaptive in the short term, chronic stress keeps your blood pressure elevated for extended periods, increasing your risk of hypertension (high blood pressure) and its associated complications, such as heart disease and stroke.

Blood Pressure 52

Blood Pressure Heart Attack Heart attacks Heart Rhythm 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

This patient, who is a mid 60s female with a history of hypertension, hyperlipidemia and GERD, called 911 because of chest pain. A mid 60s woman with history of hypertension, hyperlipidemia, and GERD called 911 for chest pain. To prove there is no plaque rupture, you need to do intravascular ultrasound (IVUS).

Plaque 52

Plaque Chest Pain Thrombosis Stenosis 52

Circulation

NOVEMBER 11, 2024

eGC shedding could contribute to atherosclerotic plaque vulnerability and acute myocardial infarction (AMI) installation. The integrity of this structure sustains some vascular properties such as shear stress-induced nitric oxide release and the prevention of platelets and neutrophils adhesion on the vessel surface. The PBR [1.96±0.22µm

Myocardial Infarction 40

Myocardial Infarction Plaque Technology Diabetes 40

Cardiometabolic Health Congress

JUNE 20, 2024

Giovanna Liuzzo (Italy) revealed that advancements in noninvasive imaging recently allow for direct visualization of coronary atherosclerotic plaques. Here are some notable highlights: Prof. This has major potential to refine risk stratification and enhance patient management.

Atherosclerosis 59

Atherosclerosis Cardiovascular Disease Coronary Artery Disease Myocardial Infarction 59

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

A 69‐year‐old woman with a history of lung cancer, hypertension, chronic tobacco use, atherosclerosis, and known calcified plaque at the left carotid bifurcation on dual antiplatelet therapy presented with acute onset of expressive aphasia and right hemiparesis due to acute left CCAO.

Outcomes 40

Outcomes Chest Pain Coronary Artery Disease Aortic 40

Circulation

NOVEMBER 11, 2024

We present a complex case of NSTEMI with multi-vessel coronary artery disease treated with PCI via the Carlino technique.Case Description:A 60-year-old female with a history of hypertension, diabetes mellitus, and ischemic heart disease presented with severe chest pain that radiated to the neck and was associated with nausea and vomiting.

Coronary Artery Disease 40

Coronary Artery Disease Chest Pain Myocardial Infarction Thrombolysis 40

Dr. S. Venkatesan MD

JANUARY 14, 2024

Since Wellens patients exhibit dynamic symptoms akin to their T waves (often in an inverse relation), it is natural that cardiologists are also tentative, especially if these patients have hypertension and LVH as well. It is generally believed it is more of a mechanical plaque lesion. How to manage Wellen syndrome?

Anatomy 52

Anatomy Angina STEMI Thrombosis 52

Dr. Smith's ECG Blog

OCTOBER 20, 2024

Written by Magnus Nossen The patient in today's case is a male in his 70s with hypertension and type II diabetes mellitus. There are multiple possible clinical situations that could account for diffuse subendocardial ischemia that is not due to ACS and plaque rupture. The syncope lasted about 2-3 minutes according to his wife.

Cardiogenic Shock 128

Cardiogenic Shock Ischemia Chest Pain Cardiac Arrest 128

AMS Cardiology

AUGUST 15, 2023

High blood pressure – Hypertension is a significant risk factor for heart disease. High cholesterol levels – Elevated levels of bad cholesterol can contribute to plaque buildup in your arteries, increasing the risk of heart disease.

Heart Disease 52

Heart Disease Blood Pressure Risk Factors Cholesterol 52

DAIC

FEBRUARY 29, 2024

ET Main Tent (Hall B1) Effect of Gamification, Financial Incentives or Both Combined to Increase Physical Activity Among Patients with Elevated Risk For Major Adverse Cardiovascular Events.

Aortic valve 103

Aortic valve Myocardial Infarction Aortic Blood Pressure 103

EMS 12-Lead

JULY 24, 2023

Category 1 : Sudden narrowing of a coronary artery due to ACS (plaque rupture with thrombosis and/or downstream showering of platelet-fibrin aggregates. elevated BP), but rather directly correlated with coronary obstruction (due to plaque rupture and thrombosis) and, potentially, stymied TIMI flow. This results in Type I MI.

Angina 52

Angina Ischemia Coronary Angiogram Stenosis 52

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). Episodes always occurred after activity and only upon sitting.

Stenosis 40

Stenosis Peripheral Arterial Disease Pacemaker Atherosclerosis 40

GEMMS

NOVEMBER 22, 2023

Over time, chronic stress can lead to the development of conditions like hypertension and heart disease. Cholesterol is a waxy substance found in your blood that is necessary for the production of hormones and vitamin D, but high levels of LDL (bad) cholesterol can lead to plaque buildup in your arteries, increasing the risk of heart disease.

Blood Pressure 52

Blood Pressure Cholesterol Diet Exercise 52

Dr. Smith's ECG Blog

DECEMBER 14, 2022

Sent by Drew Williams, written by Pendell Meyers A man in his 50s with history of hypertension was standing at the bus stop when he developed sudden onset severe pressure-like chest pain radiating to his neck and right arm, associated with dyspnea, diaphoresis, and presyncope. EMS arrived and administered aspirin and nitroglycerin.

Chest Pain 52

Chest Pain STEMI Blog Stenosis 52

Dr. Smith's ECG Blog

MARCH 22, 2024

Written by Willy Frick A man in his 50s with history of hypertension, hyperlipidemia, and a 30 pack-year smoking history presented to the ER with 1 hour of acute onset, severe chest pain and diaphoresis. His ECG is shown: What do you think? This was the cost of preventing infarction of the anterior wall.) ng/mL (ref.

Chest Pain 114

Chest Pain STEMI Bradycardia Ischemia 114

Dr. Smith's ECG Blog

NOVEMBER 3, 2023

A man in his 70s with past medical history of hypertension, dyslipidemia, CAD s/p left circumflex stent 2 years prior presented to the ED with worsening intermittent exertional chest pain relieved by rest. Therefore it means acute type 1 ACS plaque rupture with impeded flow and impending full occlusion until proven otherwise.

Chest Pain 83

Chest Pain Cardiogenic Shock Ischemia Myocardial Infarction 83

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

Case submitted and written by Mazen El-Baba MD, with edits from Jesse McLaren and edits/comments by Smith and Grauer A 90-year old with a past medical history of atrial fibrillation, type-2 diabetes, hypertension, dyslipidemia, presented with acute onset chest/epigastric pain, nausea, and vomiting. BP was 110 and oxygen saturation was normal.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Smith's ECG Blog

OCTOBER 10, 2022

As in all ischemia interpretations with OMI findings, the findings can be due to type 1 AMI (example: acute coronary plaque rupture and thrombosis) or type 2 AMI (with or without fixed CAD, with severe regional supply/demand mismatch essentially equaling zero blood flow).

Cardiac Arrest 52

Cardiac Arrest Chest Pain Embolism Pulmonary 52

Dr. Smith's ECG Blog

NOVEMBER 26, 2018

He was hypertensive and tachycardic, with mildly increased work of breathing. The axiom of "type 1 (ACS, plaque rupture) STEMIs are not tachycardic unless they are in cardiogenic shock" is not applicable outside of sinus rhythm. Here is his initial ECG: What do you think? What will you do for this patient?

Ischemia 52

Ischemia Atrial Flutter Arrhythmia Tachycardia 52

All About Cardiovascular System and Disorders

JANUARY 7, 2025

Adiposity activates inflammatory cytokines, enhances risk of hypertension, dyslipidemia and diabetes mellitus. Inflammatory cytokines causing unstable plaques lead on to cardiovascular events [1]. Less quantities of healthier food may be consumed in the diet by those with higher intake of sugar sweetened beverages.

Cardiovascular Disease 52

Cardiovascular Disease Diabetes Education Chronic Disease 52

Stroke Journal

DECEMBER 28, 2023

Recent evidence suggests that nonstenotic carotid plaque (nsCP) may be a substantial contributor to the risk for ESUS. 5.17]) and hypertension (adjusted odds ratio, 2.49 [95% CI, 0.56–11.1]) Stroke, Ahead of Print. BACKGROUND:Many ischemic strokes are diagnosed as embolic strokes of undetermined source (ESUS).

Risk Factors 75

Risk Factors Plaque Embolism Stroke 75

Stroke Journal

JANUARY 30, 2025

However, whether this relationship persists in individuals with carotid artery atherosclerosis of acute ischemic stroke is unknown. individually. individually.

Plaque 40

Plaque Atherosclerosis Kidney Disease Hypertension 40