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A coronaryangiogram was done that did not show significant coronary artery disease. But there are 3 other wide beats in the tachycardia that begins with beat #6 ( = beats #7; 13,14 ). Post ROSC the patient was alert and cooperative. Echocardiography showed apical ballooning with hypokinesis.
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. See this case: what do you think the echocardiogram shows in this case?
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