Frontiers in Cardiovascular Medicine

AUGUST 8, 2024

We performed coronary angiography for the patient with ECMO support, indicating that the patient had an 80% critical stenosis of the left main coronary artery and an 80%–90% stenosis in the middle section of the left anterior descending artery with an aneurysm. Fortunately, there was no obvious stenosis in the right coronary artery.

Cardiac Arrest 52

Cardiac Arrest Myocardial Infarction Coronary Artery Bypass Graft Stenosis 52

All About Cardiovascular System and Disorders

APRIL 13, 2024

Such a pattern is consistent with significant left main coronary artery stenosis. Angiography done after initial stabilization showed severe stenosis of distal left main coronary artery. ST segment elevation is noted in aVR. Clinical evaluation and X-Ray chest showed features of pulmonary edema. J Am Coll Cardiol. Engelen DJ et al.

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Stenosis Coronary Artery Bypass Graft Coronary Artery Disease Document 52

Dr. Smith's ECG Blog

AUGUST 26, 2024

Comparison Summary: ANTEROLATERAL ST CHANGES ARE NOW MORE PRONOUNCED, RATE DEPENDENT VS ISCHEMIC CHANGES Here is the Queen's diagnosis: The cath lab was activated: Culprit Lesion (s): Thrombotic 99% mid LAD stenosis with TIMI II flow Peak troponin not measured, unfortunately. So we don't have a good idea how large the final infarct size was.

Myocardial Infarction 122

Myocardial Infarction Critical Care Echocardiogram Ischemia 122

Cardiology Update

FEBRUARY 11, 2024

The NOTION trial, a pioneering study, sought to compare the long-term clinical and bioprosthesis outcomes of Transcatheter Aortic Valve Implantation (TAVI) versus Surgical Aortic Valve Replacement (SAVR) in patients with severe aortic valve stenosis (AS) at lower surgical risk.

Aortic valve 124

Aortic valve Aortic Outcomes Thrombosis 124

American College of Cardiology

MARCH 5, 2025

In this weeks View, Dr. Eagle looks at the optimal threshold for identifying a myocardial infarction (MI) after PCI.

Aortic valve 49

Aortic valve Myocardial Infarction Stenosis Cancer 49

Circulation

NOVEMBER 13, 2024

Advances in cardiovascular imaging have improved the ability to identify coronary artery stenosis in patients with KD, yet knowledge gaps remain regarding optimal frequency of serial imaging and the best imaging modality to identify those at risk for inducible myocardial ischemia.

Aneurysm 81

Aneurysm Myocardial Infarction Cardiovascular Imaging Ischemia 81

Journal of the American Heart Association

MARCH 13, 2025

BackgroundLp(a) (lipoprotein(a)) is an independent risk factor for calcific aortic valve stenosis (CAVS). Journal of the American Heart Association, Ahead of Print. Whether patients with CAVS and high Lp(a) levels are at higher risk of valvular or cardiovascular events is unknown. The maximal followup time was set to 5 years.

Aortic valve 45

Aortic valve Coronary Artery Bypass Graft Stenosis Aortic 45

Dr. Smith's ECG Blog

MARCH 19, 2024

Smith: This is an enormous myocardial infarction. The cath report showed: Significant stenosis with subtotal occlusion (99%) in the prox to mid Lcx, culprit of ACS, TIMI flow 1. Diagnosis of Occlusion Myocardial Infarction in Patients with Left Bundle Branch Block and Paced Rhythms. Next trop in AM. ng/mL - 80.0

Chest Pain 111

Chest Pain Myocardial Infarction Stent Stents 111

DAIC

MAY 8, 2024

6 This novel study marks a significant milestone in the field, evaluating the effectiveness of FFR CT in detecting ischemia-producing coronary stenosis in patients with severe PAD. 5 Revascularization to improve blood flow to the heart has been shown to reduce mortality in stable chest pain patients.

Coronary Artery Disease 111

Coronary Artery Disease Chest Pain Ischemia Myocardial Infarction 111

Cardiology Update

MARCH 25, 2024

Among the patients included, those with diabetes exhibited higher rates of adverse events, including death, spontaneous myocardial infarction (MI), and repeat revascularization. Patients were stratified based on diabetes status, and various outcome measures were assessed using Kaplan-Meier event rates and Cox model hazard ratios.

Diabetes 122

Diabetes Coronary Artery Bypass Graft Outcomes Coronary Artery Disease 122

DAIC

MARCH 31, 2025

mg tablet), ananti-inflammatory atheroprotective cardiovascular treatment, to reduce the risk of myocardial infarction (MI), stroke, coronary revascularization, and cardiovascular death in adult patients with established atherosclerotic disease or with multiple risk factors for cardiovascular disease.

Cardiovascular Disease 52

Cardiovascular Disease Plaque Coronary Artery Disease Heart Attack 52

Dr. Smith's ECG Blog

APRIL 22, 2024

A comparison of electrocardiographic changes during reperfusion of acute myocardial infarction by thrombolysis or percutaneous transluminal coronary angioplasty. Electrocardiographic diagnosis of reperfusion during thrombolytic therapy in acute myocardial infarction. Am Heart J. 2000;139:430–436. Am J Cardiol.

Chest Pain 118

Chest Pain Myocardial Infarction Anatomy Angina 118

Heart BMJ

JANUARY 10, 2024

Objective The optimal medical therapy after surgical aortic valve replacement (SAVR) for aortic stenosis remains unknown. Methods All patients undergoing SAVR due to aortic stenosis in Sweden 2006–2020 and surviving 6 months after surgery were included.

Aortic valve 40

Aortic valve Aortic ACE Inhibitor Stenosis 40

Coronary Artery Disease Journal

MARCH 7, 2024

Background Untreated multivessel disease (MVD) in acute myocardial infarction (AMI) has been linked to a higher risk of recurrent ischemia and death within one year.

Myocardial Infarction 40

Myocardial Infarction Ischemia Thrombosis Stent 40

All About Cardiovascular System and Disorders

APRIL 21, 2024

Coronary angiography gives a visual impression about the severity of the stenosis. But it need not imply the actual functional significance of the stenosis in terms of flow physiology. They had lower rates of mortality or myocardial infarction. myocardial infarction rate and 3.2% Normal FFR is 1.0

Myocardial Infarction 52

Myocardial Infarction Stent Stents Coronary Artery Disease 52

Frontiers in Cardiovascular Medicine

JANUARY 22, 2024

The timely detection of myocardial fibrosis is crucial for intervention and improved outcomes. 68 Ga-FAPI-04 PET/CT shows promise in assessing fibroblast activation in patients with early myocardial infarction characterized by prolonged myocardial ischemia.

Angina 69

Angina Ischemia Myocardial Infarction Electrocardiogram 69

Coronary Artery Disease Journal

JUNE 13, 2024

Coronary computed tomography angiography (CTA) showed diffuse stenosis in the left anterior descending and the first diagonal branch arteries. We reviewed English case reports of cardiac cephalalgia from 1982 to 2022 using PubMed ([link] Results A 69-year-old man presented with a sudden headache without triggers or typical symptoms.

Myocardial Infarction 40

Myocardial Infarction Chest Pain Coronary Artery Disease Electrocardiogram 40

Dr. Smith's ECG Blog

NOVEMBER 15, 2023

MINOCA may be due to: coronary spasm, coronary microvascular dysfunction, plaque disruption, spontaneous coronary thrombosis/emboli , and coronary dissection; myocardial disorders, including myocarditis, takotsubo cardiomyopathy, and other cardiomyopathies. There may be a chronic tight stenosis and a non-obstructed lesion that thrombosed.

Coronary Angiogram 109

Coronary Angiogram Plaque Thrombosis STEMI 109

DAIC

FEBRUARY 29, 2024

24: Joint American College of Cardiology/Journal of the American College of Cardiology Late-Breaking Clinical Trials (Session 402) Saturday, April 6 9:30 – 10:30 a.m.

Aortic valve 103

Aortic valve Myocardial Infarction Aortic Blood Pressure 103

Frontiers in Cardiovascular Medicine

MARCH 6, 2024

Results Clinical outcomes including mortality at 30 days, perioperative myocardial infarction, number of grafts, incidence of stroke, rate of further need for revascularisation, and patient-reported quality of life did not differ in CABG guided by functional testing from those guided by traditional angiography.

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Coronary Artery Bypass Graft Quality of Life Myocardial Infarction Stenosis 78

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). Emergency coronary angiography showed coronary spasm and moderate lumen stenosis in the middle segment of left anterior descending artery (LAD).

Coronary Artery Disease 64

Coronary Artery Disease Electrocardiogram Myocardial Infarction Thrombosis 64

Circulation: Cardiovascular Interventions

NOVEMBER 6, 2023

The incidence of the primary endpoint (death, MI, or repeat revascularization) was compared between FFR- and angiography-guided PCI according to non-IRA stenosis severity (QCA stenosis ≥70% or <70%).Results:A There was no significant interaction between treatment strategy and non-IRA stenosis severity (p for interaction=0.636).

Stenosis 40

Stenosis Myocardial Infarction Cardiovascular Interventions Circulation 40

Dr. Smith's ECG Blog

MARCH 1, 2024

What do you think the prehospital ECG showed (with pain)? __ Cardiology: culprits for the patient's non-ST elevation myocardial infarction and syncopal event with possible arrhythmic etiology include occlusion of the distal LAD (chronicity uncertain) and severe stenosis of the proximal first diagonal branch.

Chest Pain 109

Chest Pain Myocardial Infarction Tachycardia Stenosis 109

Stroke Journal

FEBRUARY 1, 2024

Objective:To compare the 1-month stroke, myocardial infarction (MI), and/or death rates among symptomatic patients undergoing either CAS or CEA according to the timing of the procedure in Carotid Revascularization Endarterectomy versus Stenting Trial (CREST).Methods:We

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Stents Stent Stenosis Myocardial Infarction 40

Dr. Smith's ECG Blog

SEPTEMBER 7, 2024

Timing of revascularization in patients with transient ST segment elevation myocardial infarction: a randomized clinical trial. A comparison of electrocardiographic changes during reperfusion of acute myocardial infarction by thrombolysis or percutaneous transluminal coronary angioplasty. Lemkes et al. Eur Heart J 2018.

Chest Pain 116

Chest Pain Myocardial Infarction STEMI Pericarditis 116

Dr. Smith's ECG Blog

MAY 8, 2023

Diagnosis of Acute Myocardial Infarction in the Presence of Left Bundle Branch Block using the ST Elevation to S-Wave Ratio in a Modified Sgarbossa Rule. Electrocardiographic Diagnosis of Acute Coronary Occlusion Myocardial Infarction in Ventricular Paced Rhythm Using the Modified Sgarbossa Criteria.

Chest Pain 52

Chest Pain Myocardial Infarction STEMI Pacemaker 52

Stroke Journal

FEBRUARY 1, 2024

The primary outcomes included a 30-day stroke or transient ischemic attack, myocardial infarction, and mortality. Furthermore, subgroup analyses were performed based on age and degree of stenosis. 1.82]) and myocardial infarction (OR, 1.29 [95% CI, 0.83–2.01]) 2.01]) but lower mortality (OR, 0.42 [95% CI, 0.22–0.81]).

Myocardial Infarction 40

Myocardial Infarction Stent Stents Stenosis 40

Circulation

NOVEMBER 11, 2024

Background:Myocardial infarction with nonobstructive coronary artery disease (MINOCA) is a special syndrome with clear evidence of myocardial ischemia, but no clear stenosis of coronary artery imaging sign. Circulation, Volume 150, Issue Suppl_1 , Page A4143007-A4143007, November 12, 2024.

Coronary Artery Disease 40

Coronary Artery Disease Atrial Fibrillation Myocardial Infarction Ischemia 40

DAIC

JANUARY 25, 2024

Coronary computed tomography angiography (CCTA) is routinely used to diagnose CAD caused by the narrowing (stenosis) or blockage of the coronary arteries that supply the heart with blood. More than 8 million Americans visit hospital emergency departments experiencing chest pain every year. In June 2023, the U.S.

Heart Attack 110

Heart Attack Heart attacks Technology Cardiovascular Disease 110

Open Heart

JANUARY 31, 2022

Objective Coronary angiography (CA) and percutaneous coronary intervention (PCI) is of great importance during non-ST-segment elevation myocardial infarction (NSTEMI) management. Conclusion Coronary lesions (>50% stenosis) are strong predictors of mortality in elderly patients with NSTEMI. –7.6) and HR 4.5 (1.6–12.5).

Myocardial Infarction 52

Myocardial Infarction Stenosis Angioplasty Heart Disease 52

Circulation

MARCH 11, 2024

Patients with diabetes experienced higher rates of 5-year death (158/1104 [Kaplan-Meier rate, 14.7%] versus 297/3289 [9.3%];P<0.001), spontaneous myocardial infarction (MI; 67/1104 [6.7%] versus 114/3289 [3.7%];P<0.001), and repeat revascularization (189/1104 [18.5%] versus 410/3289 [13.2%];P<0.001).

Coronary Artery Bypass Graft 81

Coronary Artery Bypass Graft Diabetes Coronary Artery Disease Stent 81

Journal of Cardiovascular Pharmacology

NOVEMBER 21, 2023

Abstract: Transcatheter aortic valve replacement (TAVR) is an interventional procedure performed in patients with severe aortic stenosis and often required perioperative antiplatelet therapy. There were no significant differences in the incidence of other bleeding events, transfusions, stroke, myocardial infarction, or all-cause death.

Aortic valve 40

Aortic valve Aortic TAVR Myocardial Infarction 40

DAIC

MARCH 28, 2024

The primary safety endpoint was incidence of early onset (within seven days) primary adverse events; atrio-esophageal fistula (within 90 days); cardiac tamponade or perforation (within 30 days); and PV stenosis (within 12 months).

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Atrial Fibrillation AFIB Ablation Pulmonary 110

Dr. Smith's ECG Blog

MARCH 9, 2013

In my experience, all Wellens' with significant myocardial infarction have evolution from type A waves to type B waves over 6-24 hours' time , so that the presence of type A or type B waves, I believe, are simply a matter of the timing of recording and the rapidity of evolution. Am Heart J (1989) 117 : pp 657-665. de Zwaan C.,

Chest Pain 52

Chest Pain Myocardial Infarction Ischemia Angina 52

Circulation: Cardiovascular Interventions

NOVEMBER 28, 2023

CONCLUSIONS:In patients with intermediate coronary artery stenosis, deferral of percutaneous coronary intervention based on IVUS-guided treatment decision showed comparable risk of clinical events with FFR-guided treatment decision.REGISTRATION:URL:[link] Unique identifier: NCT02673424. versus 5.9%; hazard ratio, 1.05 [95% CI, 0.61–1.80];P=0.86).CONCLUSIONS:In

Outcomes 40

Outcomes Myocardial Infarction Ultrasound Stenosis 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? Diagnosis of Type I vs. Type II Myocardial Infarction in Emergency Department patients with Ischemic Symptoms (abstract 102). The ST depressions in I and aVL have resolved. Murakami MM.

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Chest Pain Blood Pressure Ischemia STEMI 126

Stroke: Vascular and Interventional Neurology

DECEMBER 27, 2023

BACKGROUNDCarotid artery stenting (CAS) has emerged as a viable alternative to carotid endarterectomy for managing carotid artery stenosis in high‐risk patients. Outcomes of interest were stroke, transient ischemic attack, death, myocardial infarction, and access site complications. 1.96]; I2= 0%). 1.98]; I2= 0%).CONCLUSIONNo

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Stents Stent Myocardial Infarction Stenosis 40