article thumbnail

See how bad the outcome can be if you don't know OMI findings on the ECG, and don't use the Queen of Hearts

Dr. Smith's ECG Blog

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. Image 2: This is the LAO cranial projection. I overread all ECGs for our 35 providers.

Outcomes 112
article thumbnail

Time to TAVI: streamlining the pathway to treatment

Open Heart

Introduction Severe aortic stenosis is a major cause of morbidity and mortality. Data were collected retrospectively for all outpatients referred for consideration of TAVI to a Heart Valve Centre from November 2020 to November 2021. Methods The centre performing local workup implemented a novel TAVI referral pathway.

article thumbnail

A Picture of Subendocardial Ischemia

Dr. Smith's ECG Blog

So here is the really interesting part: The patient had had an outpatient CT scan of the abdomen done one week earlier. There was no ECG done at the time of the scan or at the outpatient visit for abdominal pain which precipitated the CT scan. No evidence for watershed ischemia. This was only seen in retrospect.

article thumbnail

A woman in her 50s with multiple episodes of syncope

Dr. Smith's ECG Blog

She was discharged with plan for outpatient cardiac MRI for further evalution. The echocardiogram showed a normal EF without any abnormalities. Troponins were all negative. There was no apparent reversible cause found for the worsening heart block. Here is her ECG prior to discharge: This shows a ventricularly paced rhythm.

Blog 120
article thumbnail

Reinterventions in patients with congenital aortic stenosis and a commissurotomy

Open Heart

Background In congenital aortic stenosis (CAS), commissurotomy is an option in patients not suitable to receive a valve prosthesis. Our data strengthen the arguments for close outpatient follow-up among patients with a previous commissurotomy. However, there is often a need for future additional interventions on the aortic valve.

article thumbnail

Outpatient vascular care : Good, bad or ugly?

Dr. Anish Koka

Dr. 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. These studies revealed an 80% stenosis of the left superficial femoral artery and 100% occlusion of all three tibial vessels.

article thumbnail

Abstract TP29: Cognitive Impairment in Patients with Comorbid Carotid Stenosis and Cardiac Disease

Stroke Journal

Background:Previous reports have established a relationship between asymptomatic high-grade carotid artery stenosis (CAS) and impaired cognition. Conclusion:Cardiac disease is common among patients with asymptomatic high-grade carotid stenosis and may have a synergistic effect on impairments in memory in a manner not mediated by stroke.