ACE Inhibitor, Plaque and STEMI - Cardiovascular Update

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ACE Inhibitor

Plaque

STEMI

What does the angiogram show? The Echo? The CT coronary angiogram? How do you explain this?

Dr. Smith's ECG Blog

NOVEMBER 15, 2023

MINOCA may be due to: coronary spasm, coronary microvascular dysfunction, plaque disruption, spontaneous coronary thrombosis/emboli , and coronary dissection; myocardial disorders, including myocarditis, takotsubo cardiomyopathy, and other cardiomyopathies. Lindahl et al. Thus, intracoronary imaging modalities are crucial in this setting.

Coronary Angiogram

Coronary Angiogram Plaque Thrombosis STEMI

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting."

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

To prove there is no plaque rupture, you need to do intravascular ultrasound (IVUS). An angiogram is a "lumenogram;" most plaque is EXTRALUMINAL!! One of the most common is rupture of a non-obstructive plaque, with thrombus formation and OMI that spontaneously lyses and leaves a wide open artery. It can only be seen by IVUS.

Plaque

Plaque Chest Pain Thrombosis Stenosis

What does the angiogram show? The Echo? The CT coronary angiogram? How do you explain this?

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting."

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