Remove Aneurysm Remove Echocardiogram Remove Exercise
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Young man with chest pain and an abnormal echocardiogram

Heart BMJ

The patient was referred for an exercise nuclear study and did 11 min on the Bruce protocol without angina or ischaemic ECG changes. A transthoracic echocardiogram was performed ( figure 1 ). Figure 1 Transthoracic echocardiogram ((A) apical four-chamber view; (B) parasternal short-axis view).

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See how bad the outcome can be if you don't know OMI findings on the ECG, and don't use the Queen of Hearts

Dr. Smith's ECG Blog

On this visit, he expressed worsening exercise tolerance, new orthopnea, and he told his provider that the omeprazole did not relieve any symptoms. An echocardiogram showed severely reduced global systolic function with an EF of 20-25% and an LV apical thrombus. The LV aneurysm morphology persists.

Outcomes 112
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Hypertrophic Cardiomyopathy

All About Cardiovascular System and Disorders

Echocardiogram showing thickened interventricular septum and mitral regurgitation in HCM. Mid cavity obstruction in HCM is associated with apical aneurysm, systemic embolism, and arrhythmias. Dynamic gradient may be sought by glyceryl trinitrate, Valsalva manoeuvre, standing position or even symptom limited exercise.

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Watch what happens when "pericarditis" and morphine cloud your judgment

Dr. Smith's ECG Blog

As an exercise, lets calculate the equation for differentiating the ST elevation between benign early repolarization and LAD occlusion. No further echocardiograms were available after cath. The full thickness infarction with LV aneurysm morphology places him at a higher risk for short and long term complications (e.g.,