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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 coronaryangiogram: A distal thrombotic right coronary artery (RCA) occlusion !
Indeed, bedside Echocardiogram revealed severe left ventricular impairment of Takotsubo cardiomyopathy. The coronaryangiogram 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.
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 coronaryangiograms were blindly analyzed by experienced cardiologists.
CT coronaryangiogram 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., &
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.
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