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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

The diagnostic coronary angiogram identified only minimal coronary artery disease, but there was a severely calcified, ‘immobile’ aortic valve. Aortic angiogram did not reveal aortic dissection. Heart 2011; 97 : 838-843 [link] 14. J Am Coll Cardiol. 1985;5(3):711-716. Nishimura RA and Otto CM, et al.

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Electrical instability in a healthy 50 year old. How to manage?

Dr. Smith's ECG Blog

CT coronary angiogram showed a hypoplastic RCA and dominant LCx. It is reasonable to perform an echocardiogram to evaluate LV function. Figure-5: Long lead II recording on oral flecainide ( 10 minutes of continuous recording each line being 1-minute long ). No PVCs are seen. There were no plaques or stenoses.