Remove 2014 Remove Arrhythmia Remove Coronary Angiogram
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90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

Dr. Smith's ECG Blog

We investigated the incidence of an acutely occluded coronary in patients presenting with STE-aVR with multi-lead ST depression. Methods STEMI activations between January 2014 and April 2018 at the University of Arizona Medical Center were identified.

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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. myocardial infarction), arrhythmias, valvular pathology, shunts, or outflow obstructions.