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The scan also showed “scattered coronary artery plaques”. __ Smith comment 1 : the appropriate management at this point is to lower the blood pressure (lower afterload, which increases myocardial oxygen demand). Smith comment : Is the ACS (rupture plaque) with occlusion that is now reperfusing? Murakami MM.
CT coronaryangiogram showed a hypoplastic RCA and dominant LCx. There were no plaques or stenoses. A workup was undertaken in search of a cause of the patient's ventricular arrhythmia. As noted above echocardiography was completely normal. Once the arrhythmia was under control cardiac MRi was performed.
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