Dr. Smith's ECG Blog

DECEMBER 7, 2023

Given her lack of risk factors for coronary disease, and the fact that she was a 53 year old woman with compatible history and echo findings, stress cardiomyopathy rose to the top of my differential. Of course, stress cardiomyopathy is a diagnosis of exclusion. This proves effective treatment of the recurrent ischemia.

SCAD 123

SCAD Ischemia Coronary Artery Disease Cardiomyopathy 123

Dr. Smith's ECG Blog

DECEMBER 14, 2018

This appears to be a classic Wellens' ECG, Pattern A, with terminal T-wave inversion in V2-V4, preserved R-waves, and it appears to be Wellens' syndrome, as it occurred after resolution of typical angina pain. When this happens, troponins are negative, there is no wall motion abnormality, and it is true unstable angina.

Chest Pain 52

Chest Pain Angina Ischemia Stenosis 52

DAIC

FEBRUARY 29, 2024

ET Main Tent (Hall B1) This session offers more insights from key clinical trials presented at ACC.24 24 and find out what it all means for your patients. 12:15 p.m.

Aortic valve 103

Aortic valve Myocardial Infarction Aortic Blood Pressure 103

Ken Grauer, MD

JULY 15, 2023

Subsequent testing supported the presumption of apical cardiomyopathy as the cause of this patient's sustained VT. CT coronary angiogram showed no obstructive coronary disease. Today's case is illustrative because it shows how high troponin may rise despite the absence of acute coronary occlusion! (

Blog 78

Blog Coronary Angiogram Cardiomyopathy Tachycardia 78

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

by making it clear to everyone that this is NOT an EKG that one sees with takotsubo cardiomyopathy. Takotsubo is a sudden event, not one with crescendo angina. The impact of ST-segment elevation on the prognosis of patients with Takotsubo cardiomyopathy. I need to innoculate you against the subsequent opinions below.

Plaque 52

Plaque Chest Pain Thrombosis Stenosis 52

Dr. Smith's ECG Blog

JULY 31, 2018

Now you have ECG and troponin evidence of ischemia, AND ventricular dysrhythmia, which means this is NOT a stable ACS. It they are static, then they are not due to ischemia. This is better evidence for ischemia than any other data point. Again, cath lab was not activated. What does this troponin level mean? Int J Cardiol.

SCAD 52

SCAD Chest Pain Myocardial Infarction Ischemia 52

Journal of the American Heart Association

APRIL 7, 2025

True MINOCA was defined by evidence of ischemia or infarction on CMR. MACEs included allcause death, recurrent myocardial infarction, stroke, heart failure, atrial fibrillation, and angina pectoris. LA and left ventricular strains varied by pathogenesis, with the lowest strain in patients with cardiomyopathy.

Myocardial Infarction 45

Myocardial Infarction Atrial Fibrillation Angina Ischemia 45