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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. N Engl J Med 2003; 348:1756-1763, 5/1/2013. In the cath lab, the patient’s blood pressure remained low. Khot, MD; et al.