Remove 2016 Remove Coronary Angiogram Remove Ischemia
article thumbnail

Dark Side of the Moon

EMS 12-Lead

When “spot diagnosing” precordial ST-depression I instinctively evaluate aVR for any corresponding ST-elevation to see if an emerging pattern of broad subendocardial ischemia can be appreciated, in which the ST-depression should be otherwise global and demonstrably maximal in Leads II and V5. ST-elevation, etc.) is present. (A 1] Driver, B.

article thumbnail

Which patient needs a CT scan?

Dr. Smith's ECG Blog

But it also shows a massive area of total ischemia in the LAD territory: CT shows the infarct The CT is with contrast, which increases density (which looks more white). Angiogram Door to balloon time was 120 minutes (much too long) because of time taken for a CT. No ECG was recorded after pain resolution. 29, 2024 ).

article thumbnail

Electrical instability in a healthy 50 year old. How to manage?

Dr. Smith's ECG Blog

That said there were no clinical symptoms or ECG findings suggestive of ongoing ischemia. CT coronary angiogram showed a hypoplastic RCA and dominant LCx. In 2016, I doubled the number of night shifts and suddenly was having 10,000 PVCs per day, very distressingly symptomatic. Therefore A different approach is needed.