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To reveal clinical features associated with RLS in ESUS, we aimed to compare clinical features including transthoracic echocardiography findings and imaging findings with and without RLS in ESUS.Methods:Consecutive ischemic stroke patients in a comprehensive stroke center were screened between April 2013 and April 2023.
Another important role is for detection of coronary anomalies, which can also be seen on echocardiogram sometimes. 2013 Dec;23(6):883-7. Finding out the origin and insertion of MAPCAs is important prior to surgical repair of tetralogy of Fallot. Magnetic resonance imaging is another way of documenting coronary anomalies. 2018.76824.
On echocardiogram, there was a 40% ejection fraction with anterior wall motion abnormality. For clarity in Figure-1 — I've labeled the initial ECG in this June 18, 2013 post. Figure-1: I've labeled the initial ECG from this June 18, 2013 post. His ECG was repeated at this point: This shows a well developed anterior STEMI.
His echocardiogram showed normal wall motion. Additional Points about MINOCA: I found it surprising to learn that the initial description of acute MI despite normal coronary vessels is not a new concept — having been first described ~80 years ago ( with eventual adoption of the term, "MINOCA" in 2013 ).
An echocardiogram on day 3 showed no wall motion abnormality (but of course, these can resolved with reperfusion, and the more time it has to resolve from "stunning", the more likely it is to be resolved). Current Emergency and Hospital Medicine Reports (2013) 1:4352. It was stented. The troponin I peaked at 8.1. References : 1.
Formal echocardiogram showed normal EF, no wall motion abnormalities, no pericardial effusion. This definition was changed following an expert consensus panel in 2013 — so that all that is currently needed to diagnose Brugada Syndrome is a spontaneous or induced Brugada-1 ECG pattern, without need for additional criteria.
A formal echocardiogram was completed the next day and again showed a normal ejection fraction without any focal wall motion abnormalities to suggest CAD. Cardiology was consulted and they agreed that the EKG had an atypical morphology for STEMI and did not activate the cath lab.
See this case: what do you think the echocardiogram shows in this case? ST elevation (STE) in lead augmented vector right (aVR), coexistent with multilead ST depression, was endorsed as a sign of acute occlusion of the left main or proximal left anterior descending coronary artery in the 2013 STEMI guidelines.
A transthoracic echocardiogram showed an LV EF of less than 15%, critically severe aortic stenosis , severe LVH , and a small LV cavity. N Engl J Med 2003; 348:1756-1763, 5/1/2013. Aortic angiogram did not reveal aortic dissection. Circulation 1970;41:623-627 9. Khot, MD; et al. Claveau, D; et al. Annals of Emergency Medicine.
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