Wellnest

DECEMBER 18, 2023

These groundbreaking developments offer a paradigm shift in the management of resistant hypertension, especially when it is extremely difficult to achieve blood pressure control through conventional means, such as lifestyle modifications and various drug therapies. But what is resistant hypertension, and why does it require renal denervation?

Hypertension 52

Hypertension Blood Pressure Ablation Reimbursement 52

Dr. Smith's ECG Blog

SEPTEMBER 23, 2024

Written by Willy Frick with edits by Ken Grauer A woman in her 70s with a history of hypertension presented with acute onset shortness of breath. Answer : Bedside ultrasound! Smith : RV infarct may also have this appearance on ultrasound. So hypoxia without B lines on lung ultrasound strongly weights toward PE.

Cardiogenic Shock 127

Cardiogenic Shock Ultrasound Tachycardia Pulmonary 127

American College of Cardiology

FEBRUARY 22, 2024

The U.S. (..)

Blood Pressure 61

Blood Pressure Ultrasound Ablation Hypertension 61

Medical Xpress - Cardiology

MAY 6, 2024

A new screening algorithm for preeclampsia combining maternal history, ultrasound data and several tests for blood markers may better predict the majority of preeclampsia cases in the first trimester of pregnancy, when it may still be preventable, according to new research published in Hypertension.

Ultrasound 52

Ultrasound Hypertension Research 52

Stroke Journal

FEBRUARY 1, 2024

Introduction:Transcranial Doppler Ultrasound (TCD) has proven to be useful in monitoring vasospasm after intracerbral hemorrhage (ICH), predicting delayed ischemic stroke (AIS) (sensitivity 91.2%, specificity 80.8%), and assessing recanalization post-thrombolysis for AIS. (91%, 1.3), hypertensives(1.05, 1.01-1.1), 91%, 93%).

Ultrasound 40

Ultrasound Strokes Stroke Hospital 40

Dr. Smith's ECG Blog

APRIL 12, 2013

He had diffuse crackles on exam and B-lines on chest ultrasound, and chest x-ray also confirmed pulmonary edema. Furthermore, the patient has no chest pain (certainly many STEMI do not have chest pain, but it should always make you especially scrutinize the ECG and the clinical situation) and there was severe hypertension.

STEMI 52

STEMI Pulmonary Stents Stent 52

Circulation

NOVEMBER 11, 2024

Background:In Central Asia, hypertension accounts for 14.5% Second group (n=24) consisted of pregnant women with chronic hypertension/CHT. Endothelial function was analyzed using a flow-mediated dilation (FMD) test by using ultrasound system Simens Acuson X700 and the level of nitric oxide (NO) concentration.

Hypertension 40

Hypertension Blood Pressure Ultrasound Obesity 40

Circulation

OCTOBER 26, 2023

Background:The RADIANCE-HTN SOLO, RADIANCE-HTN TRIO, and RADIANCE II randomized, sham-controlled trials independently met their primary endpoint of a greater reduction in daytime ambulatory systolic blood pressure (SBP) at 2 months after ultrasound renal denervation (uRDN) in patients with hypertension.

Ultrasound 40

Ultrasound Blood Pressure Hypertension Outcomes 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 125

Chest Pain Blood Pressure Ischemia STEMI 125

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. A bedside cardiac ultrasound performed by a true EM expert (Robert Reardon, who wrote the cardiac ultrasound chapter in Ma and Mateer) showed an inferior wall motion abnormality.

Chest Pain 119

Chest Pain Ischemia Myocardial Infarction Ultrasound 119

CardiacWire

NOVEMBER 8, 2023

Renal denervation (RDN) is intended for hypertension that can’t be controlled by conventional therapies, either due to ineffectiveness, side effects, or adherence issues RDN lowers blood pressure by denervating the sympathetic nerves surrounding renal arteries, reducing overactivity that can lead to hypertension Recor’s ultrasound-based Paradise System (..)

Blood Pressure 52

Blood Pressure Reimbursement Hypertension Ultrasound 52

Dr. Smith's ECG Blog

MARCH 28, 2024

male with pertinent past medical history including Atrial fibrillation, atrial flutter, cardiomyopathy, Pulmonary Embolism, and hypertension presented to the Emergency Department via ambulance for respiratory distress and tachycardia. Bedside ultrasound showed volume depletion and no pulmonary edema.

Tachycardia 128

Tachycardia Atrial Fibrillation AFIB Atrial Flutter 128

Cardiovascular Ultrasound

JANUARY 2, 2025

Right ventricular myocardial work (RVMW) assessed by transthoracic echocardiography allows to study the right ventricular (RV) function using RV pressure-strain loops. The assessment of these novel indexes of.

Pulmonary 52

Pulmonary Hypertension Research 52

Dr. Smith's ECG Blog

MARCH 26, 2024

A 30-something woman with chest pain and h/o pulmonary hypertension due to chronic pulmonary emboli A 30-something with 8 hours of chest pain and an elevated troponin Syncope, Shock, AV block, Large RV, "Anterior" ST Elevation. Cardiac Ultrasound may be a surprisingly easy way to help make the diagnosis Answer: pulmonary embolism.

Chest Pain 68

Chest Pain Embolism Pulmonary Ischemia 68

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

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. Bedside ultrasound with no apparent wall motion abnormalities, no pericardial effusion, no right heart strain.

Chest Pain 117

Chest Pain Myocardial Infarction Anatomy Angina 117

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

Dr. Smith's ECG Blog

OCTOBER 22, 2017

This was sent by a recent ultrasound fellow, asking for my ECG diagnosis. He stated that it is "an acute change from previous" in an elderly smoker with hypertension, syncope, and abdominal pain. First, there is some lead placement problem with V2, but I'm not sure exactly where it belongs!

Chest Pain 52

Chest Pain STEMI Cardiomyopathy Ultrasound 52

Dr. Smith's ECG Blog

APRIL 26, 2017

My opinion was that it was not a cath lab case, but I did suggest they do a bedside ultrasound to look for an anterior wall motion abnormality. I had not seen the cardiac ultrasounds at this time. I did not have more information at the time. To the ED providers, the patient denied CP, SOB, or drug use.

Chest Pain 52

Chest Pain STEMI Ultrasound Pulmonary 52

DAIC

MAY 8, 2024

Stavros Zanos is the senior author on the new bioelectronic medicine ultrasound paper. Credit: Feinstein Institutes) milla1cf Wed, 05/08/2024 - 10:57 May 8, 2024 — Ultrasound could one day complement or even replace drugs to treat diseases.

Ultrasound 115

Ultrasound Pulmonary Research Hypertension 115

All About Cardiovascular System and Disorders

APRIL 14, 2024

Tricuspid regurgitation jet velocity and pulmonary regurgitation end diastolic velocity indicating pulmonary hypertension are also taken as surrogates of left atrial pressure in the absence of pulmonary disease. J Cardiovasc Ultrasound. J Cardiovasc Ultrasound. Ha J et al. 2009 Sep;17(3):86-95. Park JH et al. Møller JE et al.

Bicuspid/Mitral 52

Bicuspid/Mitral Pulmonary Atrial Fibrillation Ultrasound 52

Dr. Smith's ECG Blog

JUNE 27, 2021

A 50-something man with history only of alcohol abuse and hypertension (not on meds) presented with sudden left chest pain, sharp, radiating down left arm, cramping, that waxes and wanes but never goes completely away. A bedside ultrasound was done, with dozens of clips, and was even done with Speckle Tracking. Here are a few clips.

Myocardial Infarction 40

Myocardial Infarction Ischemia STEMI Pulmonary 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. This is written by Willy Frick, an amazing cardiology fellow in St. He described it as "10/10" intensity, radiating across his chest from right to left.

Plaque 127

Plaque Angina Blog Stents 127

Dr. Smith's ECG Blog

FEBRUARY 12, 2023

This suggests that there is pulmonary hypertension and thus possibly RVH. So we did a bedside cardiac ultrasound. In a patient with RVH — the finding of a qR pattern has been closely correlated with pulmonary hypertension. As per Dr. Smith — Chart review and repeat formal Echo confirmed marked RVH with pulmonary hypertension.

Pulmonary 40

Pulmonary Chest Pain Hypertension Tricuspid 40

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. On medic arrival, she walked out of the house in no distress, but was diaphoretic.

Plaque 52

Plaque Chest Pain Thrombosis Stenosis 52

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. The patient was brought to the ED as a possible Code STEMI and was seen directly by cardiology.

Chest Pain 52

Chest Pain Cardiac Arrest Ischemia Cardiogenic Shock 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chest pain, weakness and nausea. Smith comment: This patient did not have a bedside ultrasound. In fact, bedside ultrasound might even find severe aortic stenosis. What should be done?

Ischemia 40

Ischemia Cardiogenic Shock Aortic Stenosis 40

Dr. Smith's ECG Blog

OCTOBER 17, 2024

I would do bedside ultrasound to look at the RV, look for B lines as a cause of hypoxia (which would support OMI, and argue against PE), and if any doubt persists, a rapid CT pulmonary angiogram. Past medical history included diabetes and hypertension. As for the ECG, it could represent OMI, but RBBB is also a clue that it may be PE.

Chest Pain 73

Chest Pain STEMI Pulmonary Embolism 73

GEMMS

JANUARY 2, 2024

Cupid EHR from Epic boasts the following: Cloud-based EHR Offers integrated order entry, scheduling, procedure documentation, structured reporting, and data analytics for cardiology practices Supports a wide range of workflows, including Echocardiograms, Ultrasound vascular, Cardiac Cath, stress testing, Electrophysiology, and structured documentation (..)

Document 52

Document Patient Care Private Practice Reimbursement 52

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

FEBRUARY 6, 2020

ALL TROPS WERE UNDETECTABLE A formal ultrasound was done: Normal estimated left ventricular ejection fraction at rest. The complete lack of chest pain in the history in this patient who has longstanding hypertension strongly suggests that rather than ischemia, this symmetric T wave inversion reflects LV “strain” from marked LVH.

Chest Pain 40

Chest Pain Ischemia Angina Electrocardiogram 40

Journal of the American Heart Association

FEBRUARY 3, 2025

BackgroundArterial hypertension is characterized by microvasculature changes and reduced tissue perfusion. It is unknown whether a sexual dimorphism of renal microcirculation is present in patients with arterial hypertension. We measured the PI at rest and during a 2minute CPT in patients with arterial hypertension.

Hypertension 40

Hypertension Ultrasound 40

European Journal of Heart Failure

FEBRUARY 26, 2024

Abstract Aims Recent studies have shown that lung ultrasound-assessed pulmonary congestion is worse in heart failure when pulmonary vascular resistance (PVR) is increased, suggesting a paradoxical relationship between right heart failure and increased lung water content.

Pulmonary 40

Pulmonary Heart Failure Hypertension Ultrasound 40

DAIC

APRIL 1, 2024

“We are witnessing a paradigm shift in how valvular heart diseases are diagnosed and treated,” said Partho Sengupta , Henry Rutgers Professor of Cardiology and chief of the Division of Cardiovascular Disease and Hypertension at Rutgers Robert Wood Johnson Medical School.

Technology 105

Technology Heart Disease Innovation Ultrasound 105

Cardiovascular Diabetology

APRIL 1, 2025

All subjects underwent a lipidomic analysis using ultra-high performance liquid chromatography–electrospray ionization tandem mass spectrometry, carotid ultrasound (mode B) to assess SCA, and clinical assessment.

Atherosclerosis 52

Atherosclerosis Diabetes Ultrasound Hypertension 52

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. Chest Pain – Benign Early Repol or OMI?

Chest Pain 120

Chest Pain STEMI Ultrasound Heart attacks 120

Cardiometabolic Health Congress

AUGUST 8, 2024

Key contributions: Advanced cardiac imaging (e.g., high-sensitivity troponin, NT-proBNP) in risk stratification Utilization of advanced echocardiographic techniques (e.g., Key contributions: Advanced cardiac imaging (e.g., high-sensitivity troponin, NT-proBNP) in risk stratification Utilization of advanced echocardiographic techniques (e.g.,

Education 59

Education Cardiovascular Disease Diabetes Kidney Disease 59