Dr. S. Venkatesan MD

JUNE 26, 2024

2017 ) Clinical implication of such coronary anomalies Apart from angiographic surprises, these anomalous coronary arteries may under-perfuse the ventricle and present as unexplained cardiomyopathy , until we realize the anatomical errors in coronary anatomy. Annu Rev Physiol. Some unanswered queries 1.

Coronary Angiogram 52

Coronary Angiogram Cardiothoracic Anatomy Atherosclerosis 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

The best course is to wait until the anatomy is defined by angio, then if proceeding to PCI, add Cangrelor (an IV P2Y12 inhibitor) I sent the ECG and clinical information of a 90-year old with chest pain to Dr. McLaren. All electrocardiograms (ECGs) and coronary angiograms were blindly analyzed by experienced cardiologists.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Smith's ECG Blog

JANUARY 9, 2023

Young people can suffer acute coronary occlusion, whether by typical atherosclerotic plaque rupture, or by coronary anomalies, coronary aneurysms, dissections, spasm, etc. The wall motion abnormalities of Takotsubo cardiomyopathy and LAD OMI can be similar.

Chest Pain 52

Chest Pain Aneurysm STEMI Thrombosis 52

Dr. S. Venkatesan MD

APRIL 6, 2025

Mostly, you can’t escape from a coronary angiogram” 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

Anatomy 52

Anatomy Physiology Document Academic 52

Dr. S. Venkatesan MD

JANUARY 22, 2025

Strangely, we are also taught , “No ACS should be considered benign, until you see the coronary anatomy” I wish patients realise, how difficult it is to practice cardiology, for that matter any field of emergency medicine. 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

FEBRUARY 6, 2025

CT coronary angiogram showed a hypoplastic RCA and dominant LCx. Figure-5: Long lead II recording on oral flecainide ( 10 minutes of continuous recording each line being 1-minute long ). No PVCs are seen. A workup was undertaken in search of a cause of the patient's ventricular arrhythmia. There were no plaques or stenoses.

Tachycardia 71

Tachycardia Arrhythmia Ablation Atrial Flutter 71