2014, Atrial Fibrillation and Coronary Angiogram

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2014

Atrial Fibrillation

Coronary Angiogram

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

NOVEMBER 4, 2022

Case submitted and written by Mazen El-Baba MD, with edits from Jesse McLaren and edits/comments by Smith and Grauer A 90-year old with a past medical history of atrial fibrillation, type-2 diabetes, hypertension, dyslipidemia, presented with acute onset chest/epigastric pain, nausea, and vomiting.

Ischemia

Ischemia STEMI Stenosis Chest Pain

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

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

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. 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease. Heart 2011; 97 : 838-843 [link] 14.

Ischemia

Ischemia Cardiogenic Shock Aortic Stenosis

Cardiovascular Update

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

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

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