Remove 2023 Remove Angina Remove Coronary Angiogram
article thumbnail

A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?

Dr. Smith's ECG Blog

Cardiology was consulted and the patient underwent coronary angiogram which showed diffuse severe three-vessel disease. Episodes of angina over past couple of months had been progressive. Coronary angiogram shows diffuse severe three-vessel disease. High sensitivity troponin I rose to peak at 2900 ng/L.

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
article thumbnail

A 30-something woman with intermittent CP, a HEART score of 2 and a Negative CT Coronary Angiogram on the same day

Dr. Smith's ECG Blog

A CT Coronary angiogram was ordered. Here are the results: --Minimally obstructive coronary artery disease. --LAD Although a lesion is not visible anatomically on this CT scan, coronary catheter angiography could be considered based on Cardiology evaluation." A repeat troponin returned at 0.45 CAD-RADS category 1. --No

article thumbnail

Rise of the Lysenkoist Cardiologists

Dr. Anish Koka

Diamond and Forrester accomplished this by first establishing the prevalence of coronary artery disease based on how clinically likely patients with chest pain symptoms were found to have coronary disease based on a coronary angiogram. But these are words you won’t find in the chest pain guidelines of 2023.