Anatomy Stenosis Ultrasound 
Dr. Smith's ECG Blog
APRIL 22, 2024
Bedside ultrasound with no apparent wall motion abnormalities, no pericardial effusion, no right heart strain. First hs troponin I returned 108 minutes after ED arrival and was normal : (12 ng/L) _ No "upstream" P2Y12 were given in the ED ("upstream" means "before the angiogram "defines" the coronary anatomy).
Circulation
NOVEMBER 11, 2024
The left circumflex had 80% proximal stenosis with minimal luminal irregularities in the mid to distal portion. An intravascular ultrasound was also performed, which was negative for vessel dissection. After guidewire crossing, balloon angioplasty was performed, and a drug-eluting stent was deployed.
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. 2 cases of Aortic Stenosis: Diffuse Subendocardial Ischemia on the ECG. His response: “subendocardial ischemia.
All About Cardiovascular System and Disorders
APRIL 4, 2024
During echocardiography, a transducer transmits the ultrasound beam towards the heart. A good knowledge of the anatomy of the heart is needed for interpretation of images from each view. Planimetry of mitral valve area can be obtained in parasternal short axis view in case of mitral stenosis.
Dr. Smith's ECG Blog
JANUARY 23, 2023
PMID: 34775811; PMCID: PMC9075358 A bedside ultrasound was performed, shown here: Parasternal short axis view demonstrating inferior LV wall motion akinesis Apical 2 chamber view again demonstrating inferior LV wall akinesis The cath lab was not activated based on the ECG and bedside echo. J Am Heart Assoc. 2021 Dec 7;10(23):e022866.
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