Remove 2020 Remove Chest Pain Remove Coronary Angiogram
article thumbnail

What does the angiogram show? The Echo? The CT coronary angiogram? How do you explain this?

Dr. Smith's ECG Blog

A 70-something female with no previous cardiac history presented with acute chest pain. She awoke from sleep last night around 4:45 AM (3 hours prior to arrival) with pain that originated in her mid back. She stated the pain was achy/crampy. Over the course of the next hour, this pain turned into a pressure in her chest.

article thumbnail

The Advantages Of A CT Coronary Angiogram

Dr. Paddy Barrett

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.

article thumbnail

Normal angiogram one week prior. Must be myocarditis then?

Dr. Smith's ECG Blog

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. He has a medical hx notable for hypertension, hyperlipidemia and previous tobacco use disorder.

article thumbnail

A teenager with chest pain, a troponin below the limit of detection, and "benign early repolarization"

Dr. Smith's ECG Blog

No prior exertional complaints of chest pain, dizziness, lightheadedness, or undue shortness of breath. He denied headache or neck pain associated with exertion. I sent this ECG to Dr. Smith, with the only information that it is a 17 year old with chest pain. 24 yo woman with chest pain: Is this STEMI?

article thumbnail

Chest pain, shortness of breath, T wave inversion, and rising troponin in a young healthy runner.

Dr. Smith's ECG Blog

Written by Pendell Meyers, edits by Smith and Grauer A man in his late 20s with history of asthma presented to the ED with a transient episode of chest pain and shortness of breath after finishing a 4-mile run. Ct coronary angiogram showed normal coronary arteries. He typically runs 4 to 8 miles per day.

article thumbnail

A 30-something with Chest pain, elevated troponin, with Subtle ST Elevation and hyperacute T-waves.

Dr. Smith's ECG Blog

A 30-something male presented in the middle of the night with several hours of sharp, non-radiating, left sided chest pain. CT coronary angiogram is excellent , but is rarely available outside of business hours, and hardly ever at night. He is a smoker and has some family history of early MI.

article thumbnail

ECG Blog #386 — OMI or Something Else?

Ken Grauer, MD

CT coronary angiogram — No obstructive coronary disease. CT coronary angiogram showed no obstructive coronary disease. But immediate resolution of chest pain once VT was converted — and — the normal CT coronary angiogram — essentially ruled out acute coronary disease as the cause.

Blog 78