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Electrovectorcardiographic study of left ventricular aneurysm in ischemic heart disease

Frontiers in Cardiovascular Medicine

The aim was to characterize the electrovectorcardiographic pattern of ventricular aneurysms in ischemic cardiopathy by analyzing the cardiac ventricular repolarization. The electrovectorcardiographic parameters showed high accuracy for recognizing left ventricular aneurysms in ischemic heart disease.

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Case Report: Percoronary device occlusion of right coronary artery fistula into left ventricle in an infant

Frontiers in Cardiovascular Medicine

The large, tortuous, and aneurysmal fistula was treated using a minimally invasive percoronary approach, avoiding the high risks of surgery and the challenges of percutaneous closure. Over 10years of follow-up, the patients troponin I levels and electrocardiograms remained normal, with no ST-T abnormalities.

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ECG Changes in Intracranial Hemorrhage

All About Cardiovascular System and Disorders

Sometimes cardiac troponin elevation may accompany ECG changes in aneurysmal subarachnoid hemorrhage. It was found that cardiac injury was incrementally worse with increasing severity of aneurysmal subarachnoid hemorrhage and was associated with persistent prolongation of QTc and ventricular arrhythmias. PMID: 7355693. Maedica (Bucur).

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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

The attending provider wrote “Agree with electrocardiogram interpretation”. The LV aneurysm morphology persists. The computer diagnostic algorithm diagnosed “Sinus rhythm. Normal EKG”. The cardiologist overread was: Sinus Rhythm. Normal ECG. Smith : All physicians, including cardiologists, have a hard time with subtle OMI ECG findings.

Outcomes 112
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Four anterior STEMIs: acute and reperfused vs. won't reperfuse, subacute and reperfused vs. not reperfused

Dr. Smith's ECG Blog

Persistent ST elevation 3 days after a nearly transmural MI portends possible LV aneurysm. It is very unlikely to be LV aneurysm morphology when the ST elevation is so high and the T-Wave inversion is so deep. Clinical value of 12-lead electrocardiogram after successful reperfusion therapy for acute myocardial infarction.

STEMI 52
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Abstract 4120434: A Rare Case Of Localized Ventricular Tachycardia Due To Mitral Annular Disjunction And a Subvalvular Aneurysm

Circulation

Electrocardiogram (ECG) showed sustained monomorphic VT at a rate of 160 bpm. There was near transmural late gadolinium enhancement (LGE) of the aneurysm and an associated 7 mm of MAD with posterior mitral valve prolapse (MVP). The scar and aneurysm that develop can serve as substrate for reentrant VA.

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Initial Reperfusion T-waves, Followed by Pseudonormalization. Diagnosis?

Dr. Smith's ECG Blog

Perhaps she will not develop an LV aneurysm. Prognostic significance of the initial electrocardiogram in patients with acute myocardial infarction. You would see this with either PIRP or re-occlusion This was recorded 30 hours after the first: Still less ST elevation Much less STE, a good sign. That remains to be seen.