Remove 2022 Remove Coronary Angiogram Remove Echocardiogram
article thumbnail

See OMI vs. STEMI philosophy in action

Dr. Smith's ECG Blog

He visited an outpatient clinic for it and an echocardiogram and exercise stress test was normal. In the meantime, cardiology consultant sees the patient and performs a bedside echocardiogram which revealed no major wall motion abnormalities. Here is the coronary angiogram: A distal thrombotic right coronary artery (RCA) occlusion !

STEMI 52
article thumbnail

What Lies Beneath

EMS 12-Lead

Indeed, bedside Echocardiogram revealed severe left ventricular impairment of Takotsubo cardiomyopathy. The coronary angiogram revealed no critical stenosis, or acute plaque ulceration. Furthermore, pertinent electrolyte values (e.g. potassium) were within normal parameter. Saini, A., Circulation, Vol 137, No 11, 1192-94.

article thumbnail

90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

Dr. Smith's ECG Blog

See this case: what do you think the echocardiogram shows in this case? We investigated the incidence of an acutely occluded coronary in patients presenting with STE-aVR with multi-lead ST depression. All electrocardiograms (ECGs) and coronary angiograms were blindly analyzed by experienced cardiologists.

article thumbnail

Electrical instability in a healthy 50 year old. How to manage?

Dr. Smith's ECG Blog

CT coronary angiogram showed a hypoplastic RCA and dominant LCx. It is reasonable to perform an echocardiogram to evaluate LV function. References: [1] 2022 ESC Guidelines for Ventricular Arrhythmias : Key Points - American College of Cardiology. 2022, September 2) [2] Ward, R. No PVCs are seen. Van Zyl, M., &

article thumbnail

Pulmonary edema, with tachycardia and OMI on the ECG -- what is going on?

Dr. Smith's ECG Blog

More troponin values were measured at the cardiac center: 2327- 267 ng/L 0821- 355 ng/L 1108- 305 ng/L An echocardiogram on day three of the patients admission showed an ejection fraction of 46% with abnormal basal inferior and basal lateral segments, and severe aortic stenosis.