2018 Coronary Angiogram Stenosis 
Dr. Smith's ECG Blog
MARCH 17, 2023
She had a prior history of "NSTEMI" one month ago, during which she had a coronary angiogram reportedly showing no stenosis in any coronary artery. This case was published in Circulation on January 22, 2018 (thanks to Brooks Walsh for finding this!) 2018; 137: 402-404. Her vitals were within normal limits.
Dr. Smith's ECG Blog
NOVEMBER 4, 2022
History sounds concerning for ACS (could be critical stenosis, triple vessel), but differential also includes dissection, GI bleed, etc. 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! His response: “subendocardial ischemia. POCUS will be helpful.”
EMS 12-Lead
APRIL 21, 2022
Advanced multi-vessel disease was found with stents deployed to the mid-LCx (80% stenosis), D1 (90% stensosis), and the pLAD (95% stenosis). It’s judicious, then, to arrange for coronary angiogram. elevated BP), but rather directly correlated with coronary obstruction and stymied TIMI flow. Does the ECG normalize?
EMS 12-Lead
MAY 20, 2022
There is ventricular hypertrophy in the absence of abnormal loading conditions, such as aortic stenosis, or hypertension, for example – of which the most common variant is Asymmetric Septal Hypertrophy. Type II MI), however decided to pursue coronary angiogram out of an abundance of caution. Pacing Clin Electrophysiol.
EMS 12-Lead
AUGUST 22, 2022
The coronary angiogram revealed no critical stenosis, or acute plaque ulceration. Takotsubo should be a diagnosis of exclusion after angiography reveals no obstructive coronary disease, and repeat Echo displays left ventricular recovery. Furthermore, pertinent electrolyte values (e.g. Friedman, M., Saini, A.,
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