Dr. Smith's ECG Blog

APRIL 22, 2024

Patient is pain free and clearly has Wellens' syndrome: 1) pain free episode following an episode of angina, typical Pattern A (biphasic, terminal T-wave inversion with an initial upsloping ST Segment) findings, preserved R-waves. Angiography : --Culprit for the patient's unstable angina/Wellen syndrome is a ruptured plaque in the mid LAD. --As

Chest Pain 118

Chest Pain Myocardial Infarction Anatomy Angina 118

Dr. S. Venkatesan MD

JANUARY 14, 2024

In addition, the criteria require the absence of precordial Q waves, the presence of history of angina, and normal or slightly elevated cardiac serum markers. It is generally believed it is more of a mechanical plaque lesion. Wellens is a glorified subset of ACS. It can be referred to as an ACS in a confused state of evolution.

Anatomy 52

Anatomy Angina STEMI Thrombosis 52

MIBHS

OCTOBER 15, 2024

For example, if a coronary artery becomes blocked due to plaque buildup (a condition known as coronary artery disease), the heart muscle may not receive enough oxygen, leading to chest pain (angina) or, in more severe cases, a heart attack. Any interruption in this process can result in serious consequences.

Circulation 52

Circulation Heart Attack Heart attacks Chest Pain 52

DAIC

MARCH 25, 2024

Session 510) To Treat or Not to Treat Anatomy and Ischemia? (Session 508) Battle of the Imagers - Jeopardy Edition! Session 509) Who Wants to Be a Millionaire in Eradicating Vascular Medicine Disparities?

Education 59

Education Cardiogenic Shock Heart Failure Plaque 59

Dr. S. Venkatesan MD

JANUARY 22, 2025

One big chunk of ACS-UA is secondary UA where there is increased demand as in stable angina with tachycardia*. In these patients there is no plaque triggered ACS. For example, in a febrile patient who has associated HT, anemia, etc., You can’t err at the same time , you are not supposed to treat inappropriate as well.

Coronary Angiogram 52

Coronary Angiogram Chest Pain Anatomy Angina 52

Dr. Smith's ECG Blog

MARCH 17, 2025

First in slow motion with a freeze frame with annotated vessel anatomy, then at normal speed. Nevertheless, the operator performed intravascular ultrasound and saw erupted calcium nodule consistent with plaque erosion. Even though guidelines say that patients with high-risk features, refractory angina, instability, etc.

STEMI 81

STEMI Chest Pain Myocardial Infarction Document 81