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CT coronaryangiogram — No obstructive coronary disease. Subsequent testing supported the presumption of apical cardiomyopathy as the cause of this patient's sustained VT. CT coronaryangiogram showed no obstructive coronary disease. That said — I was not 100% certain about this interpretation.
However some patients can develop heart failure, angina, and arrhythmia due to significant intracardiac shunt or coronary steal phenomenon. addition to diagnostic coronaryangiogram, advances in noninvasive cardiac imaging allow further identification and characterization of these fistulae.
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