2011, Coronary Angiogram and Ultrasound

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2011

Coronary Angiogram

Ultrasound

An undergraduate who is an EKG tech sees something. The computer calls it completely normal. How about the physicians?

Dr. Smith's ECG Blog

MAY 20, 2024

Annals of Emergency Medicine 2011; Suppl 58(4): S211. And angiographers tell me that it is sometimes difficult to say for certain based on angiogram alone, without intravascular ultrasound or, better yet, optical coherence tomography. Murakami MM. Assuming that was indeed a culprit, then this was ACS.

Chest Pain

Chest Pain Blood Pressure Ischemia STEMI

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

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Smith comment: This patient did not have a bedside ultrasound. Had one been done, it would have shown a feature that is apparent on this ultrasound (however, this patient's LV function would not be as good as in this clip): This is recorded with the LV on the right. Aortic angiogram did not reveal aortic dissection.

Ischemia

Ischemia Cardiogenic Shock Aortic Stenosis

Cardiovascular Update

An undergraduate who is an EKG tech sees something. The computer calls it completely normal. How about the physicians?

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

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