2018 Chest Pain Coronary Angiogram 
Dr. Smith's ECG Blog
MARCH 17, 2023
Submitted by anonymous, written by Pendell Meyers A woman in her 50s presented to the Emergency Department with chest pain and shortness of breath that woke her from sleep, with diaphoresis. See these other cases of arterial pulse tapping artifact: A 60 year old with chest pain Are these Hyperacute T-waves? 2010.12.162.
Dr. Paddy Barrett
AUGUST 1, 2023
CT Coronary Artery Calcium Score Scan CT Coronary Artery Calcium Score CT Coronary Angiogram As you can see from the above images, the CTCA provides far more anatomical detail. Regardless, if you present with chest pain and get a stress test instead of a CTCA, you are arguably getting an inferior test.
Dr. Smith's ECG Blog
JUNE 5, 2024
The patient presented due to chest pain that was typical in nature, retrosternal and radiating to the left arm and neck. He denied any exertional chest pain. It is unclear if the patient was pain free at this time. Use ß-blockers with caution ( as they may aggravate coronary spasm ).
Dr. Smith's ECG Blog
SEPTEMBER 19, 2023
He had concurrent sharp substernal chest pain that resolved, but palpitations continued. Over past 3 months, he has had similar intermittent episodes of sharp chest pain while running, but none at rest. Past medical history includes coronary stenting 17 years prior.
Dr. Paddy Barrett
JANUARY 30, 2024
We look directly at the coronary arteries using a cardiac CT scan. Subscribe now Cardiac CT There are two types of cardiac CT: CT Coronary Artery Calcium (CAC) Scan CT Coronary Angiogram (CTCA). The CAC scan looks for deposits of calcium in the areas of the coronary arteries as a proxy marker for plaque.
Ken Grauer, MD
FEBRUARY 24, 2023
Hospital evaluation for this patient was negative for an acute coronary syndrome ( ie, CT coronary angiogram was normal — troponin was not elevated — and Echo was negative, with no sign of pericardial effusion ). I interpreted the ECG in Figure-1 as follows: The rhythm is sinus at ~65/minute.
Ken Grauer, MD
JULY 15, 2023
CT coronary angiogram — No obstructive coronary disease. CT coronary angiogram showed no obstructive coronary disease. Today's case is illustrative because it shows how high troponin may rise despite the absence of acute coronary occlusion! ( No sign of ARVC.
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