Medical Xpress - Cardiology

FEBRUARY 22, 2024

Treatment for infants who have severe pulmonary arterial hypertension (PAH) is sometimes limited. Because they haven't physically matured, a procedure could increase the risk of serious complications, including failure of the heart's right ventricle.

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Pulmonary Hypertension Stents Stent 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionDrug‐eluting stent (DES) use in symptomatic intracranial atherosclerosis disease (ICAD) has been described in the literature using different guiding and distal access catheters. Decision was made to deploy a drug eluting stent into the stenosed M1 segment. The Phenom intermediate catheter was then removed, and the 2.25

Stents 40

Stents Stent Blood Pressure Stenosis 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page ADP36-ADP36, February 1, 2025. All patients had headache, and funduscopic examination demonstrated papilledema for all patients. All patients had headache, and funduscopic examination demonstrated papilledema for all patients. Additional randomized and controlled clinical research is deserved.

Stents 40

Stents Stent Stenosis Angioplasty 40

Coronary Artery Disease Journal

NOVEMBER 20, 2023

The purpose of this report is to use propensity score matching to determine gender-specific differences in clinical outcomes after percutaneous coronary interventions with polymer-free sirolimus-coated stents. vs. 2.0%; P = 0.101), however, accumulated MACE rates were higher in females than in males (5.2% vs. 3.9%; P = 0.020).

Stents 52

Stents Stent Outcomes Coronary Artery Disease 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

XIENCE Skypoint™ stent was deployed within the left vertebral artery (V4 segment) with restoration of flow preceded by eptifibatide drip (Fig 2). Repeat CTA at six months showed patent left vertebral and basilar arteries.ConclusionRescue stenting using DES may be a successful and safe therapeutic intervention for challenging failed MT.

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Stents Stent Thrombosis Thrombolysis 40

Stroke Journal

FEBRUARY 1, 2024

Background:Persistent hypotension after carotid artery stenting (CAS) can lead to adverse outcomes, prolong length of stay (LOS), and increase hospital costs. Conclusion:Prior use of RASI for the treatment of hypertension is associated with persistent hypotension after CAS. Persistent hypotension prolonged LOS (P=0.014).Conclusion:Prior

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Stents Stent Blood Pressure Hypertension 40

Dr. Smith's ECG Blog

MAY 5, 2024

He learned more about the patient: A 77 year old female with a past medical history of hypertension and hyperlipidemia presented to the ED at around 0520 after waking up at 0400 with 10/10 chest heaviness radiating to both arms. There was a 100% proximal LAD occlusion that was opened and stented. The cath lab was activated.

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EKG Technician Chest Pain Blog STEMI 124

Stroke: Vascular and Interventional Neurology

FEBRUARY 19, 2024

Patients with mRS score 0–2 were less likely to have hypertension (61.4% On multivariate analysis, higher presentation National Institutes of Health Stroke Scale and hypertension were associated with worse functional outcomes. Multivariate logistic regression was performed to identify predictors of functional outcome.P <

Stents 40

Stents Stent Circulation Stroke 40

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

Stroke Journal

JANUARY 21, 2024

Various risk factors, including hypertension, diabetes, hyperlipidemia, smoking, and advanced age lead to ICAS, which in turn results in stroke through different mechanisms. Herein, we focus on current management strategies for ICAS-large vessel occlusion discussed, including the use of perfusion imaging, endovascular therapy, and stenting.

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Stenosis Stent Stents Risk Factors 66

Open Heart

JANUARY 21, 2025

Background Aortic coarctation (CoA) is a congenital anomaly leading to upper-body hypertension and lower-body hypotension. Despite surgical or interventional treatment, arterial hypertension may develop and contribute to morbidity and mortality. Results The study cohort’s age was 41.5±13.7 ±15.8 mm Hg (p<0.001).

Aortic 52

Aortic Blood Pressure Hypertension Angioplasty 52

Heart BMJ

AUGUST 14, 2024

Clinical introduction The patient was a man in his 40s with a medical history of hypertension, Behcet’s disease (BD) and chronic renal dysfunction.

Aneurysm 52

Aneurysm Chest Pain Myocardial Infarction Thrombosis 52

Dr. Smith's ECG Blog

JANUARY 27, 2024

Old ‘NSTEMI’ A history of coronary artery disease and a stent to the same territory further increases pre-test likelihood of acute coronary occlusion, including in-stent thrombosis. The patient had a history of ‘NSTEMI’ a decade prior, with an RCA stent. Does this change your interpretation?

Chest Pain 117

Chest Pain STEMI Aneurysm Stents 117

Frontiers in Cardiovascular Medicine

JANUARY 15, 2024

The overall prevalence of arterial hypertension was 33.2%, hyperlipidemia, 26.9%, smoking, 17.8%, and diabetes, 3.9%. SCAD-PCI revascularization frequently required three or more stents and had residual areas of dissection. Results The systematic review included 13 observational studies evaluating 1,801 patients with SCAD.

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SCAD Coronary Artery Bypass Graft Outcomes Myocardial Infarction 75

Frontiers in Cardiovascular Medicine

MAY 21, 2024

The transplant renal artery lesion was intervened with a stent. Urine output gradually returned after 3 weeks, and serum creatinine level was normalized after 2 months.ConclusionsTransplant recipients commonly have atherosclerosis and hypertension, which are risk factors for arterial dissection.

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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. Here are other very interesting posts: Wellens' syndrome: to stent or not?

Chest Pain 118

Chest Pain Myocardial Infarction Anatomy Angina 118

Dr. Smith's ECG Blog

APRIL 14, 2024

A 56 year old male with PMHx significant for hypertension had chest pain for several hours, then presented to the ED in the middle of the night. The culprit was opened and stented. He reported chest pain that developed several hours prior to arrival and was 5/10 in intensity.

Chest Pain 119

Chest Pain Ischemia Myocardial Infarction Ultrasound 119

Cardiometabolic Health Congress

SEPTEMBER 13, 2024

New guidelines also: Classify “Elevated BP” between non-elevated BP and hypertension. Measuring eGFR and albuminuria is recommended for assessing kidney disease in all hypertensive patients. Advise increased potassium intake for hypertensive patients.

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Hypertension Cardiovascular Disease Bicuspid/Mitral Arrhythmia 59

Stroke Journal

JANUARY 30, 2025

Common comorbidities included hypertension (62.5%), smoking (56.3%), and hyperlipidemia (46.9%). Of the 32 patients, 9(28.1%) had dissection with diagnostic angiograms, 6(18.8%) endovascular thrombectomy, 15(46.9%) aneurysm treatment, and 2(6.3%) angioplasty with or without stenting. Only 4(12.5%) were treated with hyperacute stenting.

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Stents Stent Angioplasty Aneurysm 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Angioplasty and stenting typically require the administration of glycoprotein IIb/IIIa inhibitors and/or dual‐antiplatelets which may increase the risk of hemorrhage in the setting of recent thrombolysis administration.MethodsWe conducted a retrospective analysis of a prospectively maintained patient registry at a comprehensive stroke center.

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Angioplasty Thrombolysis Hemorrhage Stents 40

The British Journal of Cardiology

APRIL 16, 2024

Intra-procedural data included access route, coronary anatomy, lesion complexity, number of stents deployed, door-to-balloon time for primary PCI, and any intra-procedural complications. and the average number of stents 2.6. Mean age was 60.9 ± 9.4 years, and 459/567 (81.0%) were male. The total number of PCI was 367 (122.3

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Outcomes Cardiogenic Shock Angina STEMI 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Baseline patient demographics and clinical characteristics recorded include age, gender, HbA1C level, National Institutes of Health Stroke Scale (NIHSS) at admission, manual CT ASPECTS and stroke risk factors (hypertension, atrial fibrillation, coronary artery disease, congestive heart failure, LDL, smoking, history of stroke/TIAs).

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Outcomes Angioplasty Atrial Fibrillation Diabetes 40

Dr. Smith's ECG Blog

SEPTEMBER 3, 2023

More past history: hypertension, tobacco use, coronary artery disease with two vessel PCI to the right coronary artery and circumflex artery several years prior. He has a h/o of 3 vessel disease and stents and his pain has been on and off for days. It is unknown when this pain recurred and became constant.

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Chest Pain Defibrillator STEMI Coronary Artery Disease 135

Dr. Smith's ECG Blog

DECEMBER 27, 2023

Written by Willy Frick A man in his 50s with a history of hypertension, dyslipidemia, type 2 diabetes mellitus, and prior inferior OMI status post DES to his proximal RCA 3 years prior presented to the emergency department at around 3 AM complaining of chest pain onset around 9 PM the evening prior. Peak troponin was 12 ng/mL.

Chest Pain 131

Chest Pain Myocardial Infarction Blog Stents 131

Cardiometabolic Health Congress

JULY 17, 2024

February 2024 FDA Approvals: Innovations in Cardiovascular Interventions XACT Carotid Stent System (Approved: 02/07/2024) This approval expands the indications to be used during a Transcarotid Artery Revascularization (TCAR) procedure to prevent future strokes.

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Tricuspid Open-Heart Surgery Kidney Disease Defibrillator 59

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. The reappearance of de Winter's pattern caused by acute stent thrombosis: A case report. Am J Emerg Med. 2014;32:e5–e8.

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Chest Pain Cardiogenic Shock Ischemia Myocardial Infarction 83

Circulation

NOVEMBER 11, 2024

Patients with dextrocardia present a diagnostic challenge, particularly in the context of acute coronary syndrome.Case Presentation:A 49-year-old male with a medical history of dextrocardia, hypothyroidism, dyslipidemia and hypertension was referred to a cardiologist by his primary physician due to a 3-week history of unstable angina.

Coronary Artery Disease 40

Coronary Artery Disease Angioplasty Anatomy Angina 40

Circulation

NOVEMBER 11, 2024

Optimal management is controversial, with options including medical therapy (MT), endovascular stenting (ES), and surgical revascularization (SR). Hypertension (HTN, 85.4%) and diabetes (DM, 18.9%) were prevalent. Background:Vertebrobasilar artery stenosis (VBAS) can cause posterior circulation strokes (PCS). Mean age was 69.45

Stenosis 40

Stenosis Inpatient Stents Stent 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Our case describes a patient with right extracranial internal carotid artery (ICA) thrombus secondary to later‐diagnosed CaW on close follow‐up imaging.MethodsWe report a 55‐year‐old African American man with history of hypertension, type 2 diabetes mellitus and hyperlipidemia presented with acute onset slurred speech and left facial droop (FP).

Atherosclerosis 40

Atherosclerosis Stents Stent Strokes 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. The image on the left shows the LAD before intervention, and the red circled portion on the right indicates the stented region.

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Plaque Angina Blog Stents 127

Dr. Smith's ECG Blog

NOVEMBER 25, 2017

Written by Pendell Meyers, edits by Smith: Case A 72 year old female with hypertension and COPD presented with sudden shortness of breath and chest pain. On day 3 of hospitalization she underwent coronary angiography, revealing a 95% lesion in the mid-LAD which was stented. There is sinus rhythm with PACs and PVCs.

Chest Pain 52

Chest Pain Pericarditis Embolism Stents 52

All About Cardiovascular System and Disorders

JANUARY 14, 2024

If the pulmonary anatomy is poor, there will be post repair right ventricular hypertension, which is deleterious and has long term seqeulae. Stenting of the patent ductus arteriosus can be considered in neonatal period for improving oxygen saturation till corrective surgery. If McGoon’s ratio is below 0.8,

Congenital Heart Disease 52

Congenital Heart Disease Pulmonary Anatomy Aortic 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

She was treated with intravenous hydration, permissive hypertension with head of bed in flat position and transferred for further evaluation. On arrival, she continued have mild right hemiparesis and aphasia. She was discharged home on HD20.ConclusionWe

Blood Pressure 40

Blood Pressure Stenosis Hemorrhage Thrombosis 40

Journal of Cardiothoracic Surgery

FEBRUARY 2, 2024

Univariate predictors of prolonged ICU stays included a left atrial diameter of &gt; 4& cm (P &lt; 0.001),chronic obstructive airway disease COPD (P = 0.005), hypertension (P = 0.006), diabetes mellitus (P = 0.009), having coronary stents (P = 0.006), B-blockers use (..)

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ICU Atrial Fibrillation Hospital Risk Factors 40

Dr. Smith's ECG Blog

SEPTEMBER 25, 2024

A 56 year old male with a history of diabetes, dyslipidemia, hypertension, and coronary artery disease presented to the emergency department with sudden onset weakness, fatigue, lethargy, and confusion. RAO Caudal View Post PCI This is the RAO Caudal view after thrombectomy and stent placement. The proximal LAD is now widely patent.

Chest Pain 120

Chest Pain Blog Hospital Tachycardia 120

Dr. Smith's ECG Blog

MAY 13, 2024

Written by Destiny Folk, MD, Adam Engberg, MD, and Vitaliy Belyshev MD A man in his early 60s with a past medical history of hypertension, type 2 diabetes, obesity, and hyperlipidemia presented to the emergency department for evaluation of chest pain. The culprit mid LAD lesion was stented. Chest Pain – Benign Early Repol or OMI?

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Chest Pain STEMI Ultrasound Heart Attack 120

Dr. Smith's ECG Blog

JUNE 11, 2021

Case submitted and written by Dr. Jesse McLaren (@ECGcases), of Emergency Medicine Cases Reviewed by Pendell Meyers and Steve Smith An 85yo with a history of hypertension developed chest pain and collapsed, and had bystander CPR. So the RCA was stented. But by this time the patient went into cardiogenic shock and passed away.

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Chest Pain Cardiac Arrest Ischemia Cardiogenic Shock 52