Circulation

APRIL 25, 2024

Unfortunately, patients will often present late in their disease course with severe right-sided heart failure, pulmonary hypertension, and life-limiting symptoms that have few durable treatment options. Tricuspid valve disease is an often underrecognized clinical problem that is associated with significant morbidity and mortality.

Tricuspid 80

Tricuspid Pacemaker Heart Failure Pulmonary 80

Dr. Smith's ECG Blog

JANUARY 22, 2020

This middle-aged patient presented with SOB, weakness, and mild pulmonary edema. She had a permanent pacemaker implanted. After pacer AND conversion to sinus rhythm: Computer diagnosis: IMPRESSION ELECTRONIC VENTRICULAR PACEMAKER ABNORMAL RHYTHM ECG What is missing from this interpretation? This shows atrial fibrillation.

Pulmonary 52

Pulmonary AFIB Atrial Fibrillation Pacemaker 52

Ken Grauer, MD

FEBRUARY 28, 2023

These 2 settings are: i ) In patients with severe , often longstanding pulmonary disease ; and / or , ii ) In acutely ill patients with multi-system disease ( ie, sepsis, shock, electrolyte and/or acid-base disorders ). MAT is not a Wandering Pacemaker. Hypoxic injury ( from pneumonia or other acute pulmonary complication ).

Blog 78

Blog COVID-19 AFIB Pulmonary 78

Journal of Cardiothoracic Surgery

FEBRUARY 15, 2024

Recently, improvements in the repair of tetralogy of Fallot have increased the need for reoperation in adulthood, and it’s not rare that these reoperation candidates suffer from biventricular failure. However,

Pacemaker 40

Pacemaker Cardiomyopathy Pulmonary 40

Dr. Smith's ECG Blog

JANUARY 2, 2025

CT of the chest showed no pulmonary embolism but bibasilar infiltrates. Place temporary pacemaker 3. (And of course Ken's comments at the bottom) An elderly obese woman with cardiomyopathy, Left bundle branch block, and chronic hypercapnea presented hypoxic with altered mental status. She was intubated.

Tachycardia 116

Tachycardia Cardiomyopathy Blog Bradycardia 116

Journal of Cardiovascular Electrophysiology

DECEMBER 7, 2023

Conclusions It is a feasible and safe approach with support of transesophageal echocardiography and multiple emerging technologies.

Atrial Fibrillation 40

Atrial Fibrillation Ablation Pacemaker Technology 40

Heart BMJ

DECEMBER 20, 2023

Tricuspid valve replacement was performed in 26 (53%) patients including 19 (73%) cases of combined pulmonary valve replacement. Epicardial pacemakers were systematically implanted in operated patients and 25% were permanently paced. A postoperative positive right ventricular remodelling was observed (p<0.001).

Heart Disease 40

Heart Disease Tricuspid Outcomes Heart Failure 40

European Journal of Heart Failure

DECEMBER 7, 2023

Patients with more severe obesity were more likely to have responder characteristics for atrial shunt therapy (fewer pacemakers and lower exercise pulmonary vascular resistance [PVR]). Pulmonary vascular resistance at rest and exercise decreased with higher BMI.

Preserved Ejection Fraction 40

Preserved Ejection Fraction Obesity Heart Failure BMI 40

Dr. Smith's ECG Blog

OCTOBER 23, 2023

T wave alternans is characterized by variation in T-wave morphology in the setting of consistent pacemaker and QRS morphology. (1) She had an uneventful ICU course and was extubated for ongoing care with the inpatient psychiatric service. Teaching Points: 1. NOTE : On occasion — Alternans may be seen with monomorphic VT ( Maury and Metzger ).

Tachycardia 131

Tachycardia Cardiac Arrest ICU Blog 131

Ken Grauer, MD

SEPTEMBER 15, 2024

I’d guess the overall rhythm is sinus, perhaps with a wandering atrial pacemaker and very frequent ventricular ectopy with multiple couplets. Perhaps the patient has pulmonary hypertension and/or tricuspid regurgitation? In the meantime, a pacemaker may be needed. =

Arrhythmia 78

Arrhythmia Bradycardia Heart Failure Pacemaker 78

Circulation

NOVEMBER 11, 2023

Oral anticoagulation also reduced a composite of cardiovascular death, all-cause stroke, peripheral arterial embolism, myocardial infarction or pulmonary embolism (RR 0.85, 95% CI 0.73-1.00, We used random-effects models for meta-analysis and rated the quality of evidence using the GRADE framework. 1.00, I2=0%; moderate-quality evidence).

Atrial Fibrillation 40

Atrial Fibrillation Stroke Strokes Embolism 40

European Journal of Heart Failure

JANUARY 20, 2025

Recursive feature elimination was employed to identify the most relevant features in predicting the risk of mortality. Abstract Aims Accurate selection of patients with severe heart failure (HF) who might benefit from advanced therapies is crucial.

Heart Failure 40

Heart Failure Coronary Artery Disease Myocardial Infarction Kidney Disease 40

Ken Grauer, MD

JULY 9, 2023

ECG Blog #65 — for an example of MAT in a patient with chronic pulmonary disease ( plus more on the differential diagnosis of MAT ). ECG Blog #200 — for an example of Wandering Atrial Pacemaker. CASE Follow-Up: Lab work that had been drawn before the cardiac arrest — came back after the arrest.

Blog 78

Blog Cardiac Arrest Pulmonary AFIB 78

Dr. Smith's ECG Blog

SEPTEMBER 30, 2019

It is also not a wandering pacemaker — because change in atrial pacing site is gradual with that disorder. Having observed this phenomenon over many years — I’ve noticed that rather than black-or-white classifications for rhythms such as wandering pacemaker; sinus with many PACs; and MAT — that there is a s pectrum for these rhythm disorders.

Chest Pain 52

Chest Pain Pulmonary ACE Inhibitor Pacemaker 52

All About Cardiovascular System and Disorders

MARCH 20, 2024

Thrombus can sometimes occur when there is a central venous catheter or a multiple pacemaker or defibrillator leads there that can cause thrombus formation. Right atrial hypertrophy as in tricuspid stenosis, pulmonary stenosis and pulmonary hypertension. But in a VSD with pulmonary hypertension A wave is not prominent.

Tricuspid 52

Tricuspid Pericarditis VSD Heart Failure 52

Dr. Smith's ECG Blog

JANUARY 5, 2020

MAT has at least 3 distinct P-wave morphologies, but there is no single dominant pacemaker (i.e., Given the significant tachycardia and this “middle-ground” irregular SVT rhythm ( regardless of what you call it ) — acute pulmonary disease is virtually certain to be an important contributing ( if not the sole ) cause of this tachyarrhythmia.

Atrial Fibrillation 52

Atrial Fibrillation Tachycardia Arrhythmia Pulmonary 52

Journal of Cardiovascular Electrophysiology

FEBRUARY 10, 2025

Methods Octogenarians with AF or consecutive atrial tachycardia undergoing index or re-ablation (pulmonary vein isolation [PVI] and ablation beyond PVI with different energy sources) in a single center, were analyzed. However, concomitant infections and pacemaker implantations occur in this cohort. Hospital stay after CA was 2.32

Atrial Fibrillation 40

Atrial Fibrillation Ablation Outcomes Pacemaker 40

Circulation: Heart Failure

JANUARY 20, 2025

We assess dLVEDPs accuracy in predicting pulmonary capillary wedge pressure (PCWP) and propose a corrective equation.METHODS:We included 29 consecutive patients treated with Impella 5.5: performance level, heart rhythm, pacemaker settings, sex, mechanical ventilation, and body mass index were recorded. Variables such as Impella 5.5

Heart Rhythm 40

Heart Rhythm Pacemaker Heart Failure Pulmonary 40

Dr. Smith's ECG Blog

APRIL 8, 2015

Negative predictors of adverse outcome: Pacemaker Pre-syncope or "near-syncope," but there is still some small risk (5, 18) These last two are identified in studies, but I consider them dangerous signs and symptoms in their own right, as above: 10. —QRS Aortic Dissection, Valvular (especially Aortic Stenosis), Tamponade. of ED visits.

Arrhythmia 52

Arrhythmia Outcomes Risk Factors Chest Pain 52

Wellnest

JULY 19, 2023

These issues can only be addressed in an ICCU (Intensive Coronary Care Unit) setting, where temporary pacemakers and defibrillators are available. Therefore, seeking early admission to the ICCU is the initial step toward addressing such problems.

Heart Attack 52

Heart Attack Heart attacks Blood Pressure Myocardial Infarction 52