ACE Inhibitor, STEMI and Thrombosis - Cardiovascular Update

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ACE Inhibitor

STEMI

Thrombosis

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. This is in spite of the known proclivity of tighter stenoses to thrombose.

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

MINOCA may be due to: coronary spasm, coronary microvascular dysfunction, plaque disruption, spontaneous coronary thrombosis/emboli , and coronary dissection. link] We know that most type 1 acute MI due to plaque rupture and thrombosis occurs in lesions that are less than 50% (see Libby reference). Lindahl et al.

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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