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Mostly, you can’t escape from a coronaryangiogram” Next option is CT angiogram, Thallium or dobutamine stress. Out of 5 cardiologists I consulted, 4 asked me to go for an immediate angiogram. We are obsessed with anatomy. A good epicardial anatomy rarely guarantee good physiology. (It
CT coronaryangiogram showed a hypoplastic RCA and dominant LCx. CT angiogram showing a "hypoplastic" RCA and dominant LCx ( with distinction between what is a "smaller" RCA in a left-dominant circulation vs an RCA with a lumen that is "too small" sometimes being difficult ). No PVCs are seen.
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