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Indeed, bedside Echocardiogram revealed severe left ventricular impairment of Takotsubo cardiomyopathy. The coronaryangiogram revealed no critical stenosis, or acute plaque ulceration. Furthermore, pertinent electrolyte values (e.g. potassium) were within normal parameter. Friedman, M., Saini, A., Raymond-Paquin, A.,
See this case: what do you think the echocardiogram shows in this case? Can J of Cardiol 2018, 34: 132-145 Here are some other cases: LVH, LBBB, RBBB, and RVH may manifest ST depression without any ischemia! We investigated the incidence of an acutely occluded coronary in patients presenting with STE-aVR with multi-lead ST depression.
CT coronaryangiogram showed a hypoplastic RCA and dominant LCx. See the September 14, 2018 post for a nice overview of this subject by Dr. Meyers. It is reasonable to perform an echocardiogram to evaluate LV function. No PVCs are seen. A workup was undertaken in search of a cause of the patient's ventricular arrhythmia.
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