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Here is the post shock ECG: Cardiology was called stat for ischemic VT, query SCAD vs thrombotic occlusion vs coronary vasospasm. Cath lab was activated: There was no coronary artery disease, but there was spontaneous coronary artery dissection (SCAD) of the distal LAD, which was narrowed by 95%, and treated medically.
In other words: 1) infarct of the LAD territory (much of which could be old) and 2) inferior-posterior-lateral infarct. == MY Comment , by K EN G RAUER, MD ( 9/27 /2024 ): == I found today's case insightful for a number of reasons. See Discussion in the June 29, 2024 post of Dr. Smith' ECG Blog ). But because Dr.
Stroke, Volume 55, Issue Suppl_1 , Page ATP172-ATP172, February 1, 2024. Introduction:A recent regional study suggested an upward trend in the incidence rates of spontaneous cervical artery dissection (sCAD).
It was not SCAD (coronary dissection) Highest troponin I was 37,000 ng/L, but it was not measured to peak. Available from: [link] == MY Comment , by K EN G RAUER, MD ( 12/16 /2024 ): == Today's post features 2 highly insightful cases. 29, 2024 ). This was ruptured plaque with thrombus. JEM Reports [Internet]. 2023;2:100029.
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