Angina Angioplasty Circulation 
Circulation
NOVEMBER 11, 2024
Circulation, Volume 150, Issue Suppl_1 , Page A4140682-A4140682, November 12, 2024. After guidewire crossing, balloon angioplasty was performed, and a drug-eluting stent was deployed. Introduction:Dextrocardia is a rare congenital condition where the heart's apex points to the right, with an incidence of about 0.01%.
Dr. Smith's ECG Blog
MARCH 9, 2013
All of Wellens' cases in his studies (1, 2) had all of: 1) preserved R-waves 2) resolution of pain 3) restored flow to the anterior wall through either a) an open artery or b) collateral circulation. In this case, the duration of ischemia was so brief that there was no such evolution, and there was near-normalization. Lessons: 1. de Zwaan C.,
Dr. Smith's ECG Blog
APRIL 18, 2024
Non-STEMI guidelines call for “urgent/immediate invasive strategy is indicated in patients with NSTE-ACS who have refractory angina or hemodynamic or electrical instability,” regardless of ECG findings.[1] Circulation 2014 2. 1] European guidelines add "regardless of biomarkers". But only 6.4% link] References 1. Amsterdam et al.
Dr. Smith's ECG Blog
JANUARY 1, 2013
A middle aged male with no h/o CAD presented with one week of crescendo exertional angina, and had chest pain at the time of the first ECG: Here is the patient's previous ECG: Here is the patient's presenting ED ECG: There is isolated ST depression in precordial leads, deeper in V2 - V4 than in V5 or V6. Circulation 2007;115(10):1306-24.
Dr. Smith's ECG Blog
AUGUST 9, 2019
Below are 6 anecdotal cases of true complete left main occlusion with no collateral circulation: 3 have STE in aVR 1 has no ST shift in aVR 2 have STD in aVR The ECG can have a variety of presentations in LM Occlusion. Beware crescendo angina in patient with known CAD ST Elevation in aVR Case 7. Widimsky P et al.
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