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Past medical history includes coronary stenting 17 years prior. A b rief chart review revealed his most recent echo in 2018, with LV EF 67%, “very small” inferior wall motion abnormality. Pads were placed with ultrasound guidance, so they were in the correct position. Initial ED ECG: What do you think? However, this is not SVT.
Calcified, Non Calcified, Mixed (A combination of the two) Calcified, Fibrous, Non-Calcifed (Fibrofatty + Necrotic Core plaque) Cleveland Clinic Journal Of Clinical Medicine Sept 2018. All patients had CT coronaryangiograms at the start of the study and repeated after about one year. Springer, Cham. Sci Rep 11 , 7999 (2021).
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. A emergent cardiology consult can be helpful for equivocal cases.
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