Dr. Smith's ECG Blog
NOVEMBER 15, 2023
Post cath ECG: Now there are hyperacute T-waves again, and recurrent ST depression in V2 This ECG would normally diagnostic of OMI until proven otherwise No further troponins were measured, but it looks like there is recurrent OMI Next day: A CT Coronary Angiogram was done (CTCA) CARDIAC MORPHOLOGY AND FUNCTION: 1. IMPRESSION: 1.
Dr. Smith's ECG Blog
JUNE 5, 2024
IMPRESSION: The finding of sinus bradycardia with 1st-degree AV block + marked sinus arrhythmia + the change in PR interval from beat #5-to-beat #6 — suggests a form of vagotonic block ( See My Comment in the October 9, 2020 post in Dr. Smith's ECG Blog ).
Ken Grauer, MD
JULY 15, 2023
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.
Dr. Smith's ECG Blog
MAY 24, 2022
CT coronary angiogram is excellent , but is rarely available outside of business hours, and hardly ever at night. But this is not the mix-up that occurred in today’s case — because we do not see global negativity ( of P wave, QRS and T wave ) in lead I ( See the February 11, 2020 post). I initially missed that one.
Dr. Smith's ECG Blog
SEPTEMBER 16, 2024
A coronary angiogram was done that did not show significant coronary artery disease. I have periodically called attention to examples of the Ashman phenomenon as they occur in Dr. Smith's ECG Blog ( See My Comments in the January 5, 2020 post — the June 17, 2020 post — and the March 30, 2023 post , among others ).
Dr. Smith's ECG Blog
JUNE 20, 2020
Discussion Thus, no further ECGs were recorded and there was no angiogram or stress test or CT coronary angiogram. IF you missed the KEY Findings on the pre-hospital ECG of todays case Please take another look at My Comment at the bottom of the page of that February 6, 2020 post.
Dr. Smith's ECG Blog
MAY 19, 2022
Ct coronary angiogram showed normal coronary arteries. Smith note: I think CT coronary angiogram is reasonable with the elevated troponins and symptoms. He was given aspirin and heparin and transferred to the local cardiac center for further evaluation. He was diagnosed with mild AKI which resolved.
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