Remove Aneurysm Remove Bicuspid/Mitral Remove Echocardiogram
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Pulmonary Edema, Hypertension, and ST Elevation 2 Days After Stenting for Inferior STEMI

Dr. Smith's ECG Blog

Of course, papillary muscle rupture and mitral regurgitation should be on the differential here, as in this case , but it is not very likely when the BP is so high. Inferior LV "aneurysm" morphology Electrocardiographic "LV Aneurysm" morphology simply means "persistent ST elevation after previous MI." Is this acute STEMI?

STEMI 52
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Echocardiographic evaluation in aortic regurgitation

All About Cardiovascular System and Disorders

Echocardiogram in parasternal long axis view shows dilated left ventricle, left atrium, aorta and a small portion of the right ventricle, which is usually the outflow region. Mitral valve leaflets seen in open position between the left ventricle and left atrium are thickened.

Aortic 40
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Hypertrophic Cardiomyopathy

All About Cardiovascular System and Disorders

The post ectopic increase in the murmur is a hallmark of hypertrophic obstructive cardiomyopathy, which differentiates it clinically from mitral valve prolapse. Echocardiography in HCM Important echocardiographic features include mitral regurgitation and left ventricular outflow tract obstruction.

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A young patient with diminishing pain with a subtle but diagnostic ECG.

Dr. Smith's ECG Blog

Next day echocardiogram showed inferolateral hypokinesia with an EF of %45-50. On echocardiogram you will not see a "posterior" hypokinesia (will see "inferolateral") and, as in this case, LCx may not give the blood supply of basal inferior segment (formerly called "posterior"). The patient recovered well.

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Cardiovascular Updates from the ESC Congress 2024 

Cardiometabolic Health Congress

Kawasaki Disease Case : Angela Khidhir, DO, MSc (USA) presented a compelling case on ACS and tamponade potentially linked to Kawasaki disease-related Coronary Artery Aneurysm. This debate underscored the growing role of CSP despite the current limited evidence supporting it.

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Pulmonary edema, with tachycardia and OMI on the ECG -- what is going on?

Dr. Smith's ECG Blog

There are no Q-waves to suggest old inferior MI, or inferior aneurysm as the etiology of the ST Elevation. The scan showed a bicuspid aortic valve with severe stenosis and coronary artery disease. However, there is also significant tachycardia , with heart rate of 116, and known hypoxia.