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Source: International Journal of Cardiology
Procedure: Electrocardiogram
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Total 18 results found since Jan 2013.
Community screening for atrial fibrillation in the era of smart devices
Atrial fibrillation (AF) associated strokes can be effectively prevented by oral anticoagulant therapy, but patients often miss opportunities for adequate thromboprophylaxis due to lack of symptoms or electrocardiographic (ECG) documentation of AF. Early identification of AF has become an important issue not only from the healthcare perspective but also in the social aspect, given the burden of disabling stroke related to this common arrhythmia. The latest guidelines have therefore recommended the opportunistic screening for AF by pulse palpation or single ‑lead ECG in individuals aged>65 years or in individuals with ...
Source: International Journal of Cardiology - January 9, 2019 Category: Cardiology Authors: Seung Yong Shin, Gregory Y.H. Lip Tags: Editorial Source Type: research
Disentangling the risk of atrial fibrillation detected after ischemic stroke (AFDAS): A real challenge in clinical practice
Atrial fibrillation (AF) can be newly-diagnosed in up to 24% of patients with ischemic stroke [1]. The entity so called “AF detected after stroke” (AFDAS) has been created to acknowledge the complexity of diagnosing and managing these patients [2]. AFDAS may be a pre-existing AF condition that is unknown and/or asymptomatic, and is only diagnosed because of thorough post-stroke electrocardiographic monitoring in a yet unknown proportion of patients. Conversely, it may also be the consequence of neurogenic AF mechanisms triggered by the presence of a stroke.
Source: International Journal of Cardiology - April 26, 2018 Category: Cardiology Authors: Luciano A. Sposato, Renato D. Lopes Tags: Editorial Source Type: research
Coronary artery calcium score as a predictor for incident stroke: Systematic review and meta-analysis
The objective of this study was to investigate the predictive value of CACS obtained by non-contrast electrocardiogram-gated computed tomography for incident stroke.
Source: International Journal of Cardiology - February 7, 2017 Category: Cardiology Authors: Kongkiat Chaikriangkrai, Hye Yeon Jhun, Ghanshyam Palamaner Subash Shantha, Aref Bin Abdulhak, Gardar Sigurdsson, Faisal Nabi, John J. Mahmarian, Su Min Chang Source Type: research
Simplifying electrocardiographic assessment in STEMI reperfusion management: Pros and Cons
Current guidelines on STEMI reperfusion management do not incorporate further electrocardiographic details over the presence of significant ST elevation. Fibrinolysis is considered an alternative therapy to primary PCI if there is a long PCI-related delay, but the 2 therapies should not be combined. Meanwhile, reperfusion for ischemic stroke has evolved on mechanistic understanding - reperfusion benefit being greatest in the patient with small “core” infarct and large ischemic “penumbra”. Fibrinolysis is not regarded as an alternative to mechanical thrombectomy, and the 2 therapies can be combined.
Source: International Journal of Cardiology - November 9, 2016 Category: Cardiology Authors: Cheuk-Kit Wong Tags: Review Source Type: research
Electrocardiographic differentiation between takotsubo syndrome and acute myocardial infarction
It is crucial to differentiate between acute myocardial infarction (AMI), particularly of the ST-segment elevation (STE) AMI variety, and takotsubo syndrome (TTS), in order as swiftly as possible to implement thrombolytic therapy and/or percutaneous coronary interventions for the former. Also the potential benefits accrued by such an early diagnostic differentiation has a bearing on the urgency and timing of coronary arteriography, and the use of antiplatelet/anticoagulation regimen, particularly in patients “with multiple comorbidities such as those presenting after physical stressors such as subarachnoid hemorrhage or ...
Source: International Journal of Cardiology - August 7, 2016 Category: Cardiology Authors: John E. Madias Source Type: research
Reversal of cardiac remodeling after treatment of IgG4 related cholangitis
A 38-year-old woman visited the doctor in our hospital for complete left bundle branch block (CLBBB) on electrocardiography(ECG) during physical examination in May 2014. She did not have any symptoms. The patient's past history included cholecystectomy due to cholecystitis in 2012 and resection of extrahepatic bile duct due to IgG4 related cholangitis in May 2013. She took orally 250mg of ursodeoxycholic acid twice daily for long-term after operation. The patient denied history of hyptension, diabetes, stroke, dyslipidemia, smoking and drinking habit.
Source: International Journal of Cardiology - July 29, 2016 Category: Cardiology Authors: Zhonghai Wei, Jie Song, Xuebing Feng, Ning Zhang, Lian Wang, Biao Xu Tags: Correspondence Source Type: research
Resting 12-lead electrocardiogram reveals high-risk sources of cardioembolism in young adult ischemic stroke
The diagnostic work-up to reveal etiology in a young ischemic stroke (IS) patient includes evaluation for high-risk source of cardioembolism (HRCE), since this subtype associates with high early recurrence rate and mortality. We investigated the association of ECG findings with a final etiologic subgroup of HRCE in a cohort of young patients with first-ever IS.
Source: International Journal of Cardiology - June 29, 2015 Category: Cardiology Authors: Jani Pirinen, Jukka Putaala, Aapo L. Aro, Ida Surakka, Anita Haapaniemi, Markku Kaste, Elena Haapaniemi, Turgut Tatlisumak, Mika Lehto Source Type: research
Recurrent coronary vasospasm-induced acute coronary syndrome complicated by cardiac arrest
We report a case of a 62-year-old male patient who was transferred to the emergency department after a successfully resuscitated cardiac arrest. He presented with persistent retrosternal chest pain. In the electrocardiogram ST-segment elevations and negative T waves in precardial leads were found (Fig. 1). The patient was current smoker, with a history of previous stroke and arterial hypertension. During emergency angiography, critical stenosis within the proximal left anterior descending coronary artery was found (Fig. 2A).
Source: International Journal of Cardiology - March 4, 2015 Category: Cardiology Authors: Michał Chyrchel, Artur Dziewierz, Dariusz Dudek Tags: Letter to the Editor Source Type: research
Acute Myocardial Infarction and Acute Stroke: Between a Rock and a Hard Place
A 53year-old woman developed severe chest pain, breathlessness and palpitations whilst being told some very devastating news. As the symptoms persisted for more than 15minutes, electrocardiography was undertaken in the community confirming an anterolateral STEMI. Following the electrocardiographic findings the patient was loaded orally in the community with aspirin 300mg and clopidogrel 600mg and was urgently transferred via the community activation primary PCI route to our institution for emergency coronary angiography.
Source: International Journal of Cardiology - October 22, 2014 Category: Cardiology Authors: Vassilios Vassiliou, Bushra Rana, Martin Goddard, Denise Braganza Tags: Letter to the editor Source Type: research
A Brugada-like electrocardiogram pattern induced after radiofrequency catheter ablation of atrial fibrillation
Radiofrequency catheter ablation (RFCA) of the left atrium (LA) targeting the initiating triggers inside the pulmonary vein (PV) to disconnect PVs has become a very promising and successful treatment in patients with symptomatic and drug refractory atrial fibrillation (AF) of no or minimal structural heart disease [1]. Known complications of RFCA have been defined and investigated, including pulmonary vein stenosis, aortic root and atrial perforation, stroke and pericardial effusion and so on [1,2].
Source: International Journal of Cardiology - August 23, 2014 Category: Cardiology Authors: Chunying Jiang, Rui Wang, Wen Lu, Bing Han Tags: Letter to the Editor Source Type: research
Simultaneous onset of myocardial infarction and ischemic stroke in a patient with atrial fibrillation: Multiple territory injury revealed on angiography and magnetic resonance
An 84-year-old man with a history of hypertension and paroxysmal atrial fibrillation (AF) who received no anticoagulant drugs experienced acute chest pain and transient loss of consciousness. He was transferred to our emergency room. His initial electrocardiogram showed sinus rhythm with ST-segment elevation in the I, aVL, and V1–V6 leads. His blood pressure was 158/92mmHg and his pulse was regular at 70beats per minute. A chest radiograph showed increased heart size and pulmonary vascular congestion. His troponin T level was elevated (more than 0.1ng/mL). He was diagnosed with ST-elevation myocardial infarction (MI) and...
Source: International Journal of Cardiology - February 4, 2014 Category: Cardiology Authors: Osamu Hashimoto, Kozo Sato, Yohei Numasawa, Joji Hosokawa, Masahiro Endo Tags: Online Letters to the Editor Source Type: research
Diagnostic value of portable electrocardiogram (Cardiophone) in patients complaining of palpitation
In this study, we retrospectively analyzed 6years of experience to determine the diagnostic value of Cardiophone.
Source: International Journal of Cardiology - May 6, 2013 Category: Cardiology Authors: Yoshiyasu Aizawa, Seiji Takatsuki, Yuko Suenaga, Takehiro Kimura, Nobuhiro Nishiyama, Kotaro Fukumoto, Yoko Tanimoto, Kojiro Tanimoto, Shun Kohsaka, Yukiko Fukuda, Mitsushige Murata, Shunichiro Miyoshi, Toshiaki Sato, Shiro Iwanaga, Satoshi Ogawa, Keiichi Tags: Letters to the Editor Source Type: research
Stroke and ventricular arrhythmias
Abstract: Electrocardiographic abnormalities and cardiac arrhythmias are commonly noted after acute stroke. Risk of malignant ventricular arrhythmias is increased after a stroke and is associated with sudden cardiac death. Autonomic imbalance modulated by direct injury to neurogenic structures and enhanced by catecholamine storm can lead to myocardial damage and arrhythmogenesis. Experimental and clinical evidence suggests that insular cortex infarcts play a key role in autonomic dysregulation that lead to arrhythmias in the acute setting. Management of ventricular arrhythmias associated with acute stroke should focus on c...
Source: International Journal of Cardiology - April 19, 2013 Category: Cardiology Authors: Sahil Koppikar, Adrian Baranchuk, Juan Camilo Guzmán, Carlos A. Morillo Tags: Reviews Source Type: research
