2014, Coronary Angiogram and Echocardiogram

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2014

Coronary Angiogram

Echocardiogram

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

See this case: what do you think the echocardiogram shows in this case? 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.

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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