Remove AFIB Remove Coronary Angiogram Remove Echocardiogram
article thumbnail

90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

Dr. Smith's ECG Blog

See this case: what do you think the echocardiogram shows in this case? With the history of Afib, CTA abdomen was ordered to r/o mesenteric ischemia vs ischemic colitis vs small bowel obstruction. We investigated the incidence of an acutely occluded coronary in patients presenting with STE-aVR with multi-lead ST depression.