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Finally, do a coronaryangiogram Possible alternative to pacing is to give a beta-1 agonist to increase heart rate. EKG with paced complexes shown below shows much narrower QRS complex and echocardiogram showed improved LV systolic function primarily due to improvement in LV dyssynchrony. (J J Am Coll Cardiol. J Am Coll Cardiol.
Circulation, Volume 150, Issue Suppl_1 , Page A4118882-A4118882, November 12, 2024. Her ejection fraction was 66% ejection fraction with a fistula between the right sinus of Valsalva and the right atrium on transthoracic echocardiogram (TTE) which was also seen on transesophageal echocardiogram (TEE).
Circulation, Volume 150, Issue Suppl_1 , Page A4135360-A4135360, November 12, 2024. Transthoracic echocardiogram (TTE) showed an ejection fraction (EF) of 40% and a moderate-large pericardial effusion with signs of tamponade. A repeat coronaryangiogram was unremarkable. Electrocardiogram (EKG) was unremarkable.
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