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

Dr. Smith's ECG Blog

The problem is difficult to study because angiographic visualization of arteries is not perfect, and not all angiograms employ intravascular ultrasound (IVUS) to assess for unseen plaque or for plaque whose rupture and ulceration cannot be seen on angiogram. Lindahl et al. Thus, intracoronary imaging modalities are crucial in this setting.

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

Dr. Smith's ECG Blog

This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. Takotsubo is a sudden event, not one with crescendo angina. Lindahl et al.

Plaque 52
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Pericarditis

Dr. Sanjay Gupta

This is termed a pericardial effusion and I feel that all patients admitted to hospital with pericarditis should have an ultrasound of the heart to look for this possible complication. If there is fluid but it is not causing extrinsic compression then just by controlling the inflammation with medications, the fluid will resolve.