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A 30-something woman with intermittent CP, a HEART score of 2 and a Negative CT Coronary Angiogram on the same day

Dr. Smith's ECG Blog

A CT Coronary angiogram was ordered. Here are the results: --Minimally obstructive coronary artery disease. --LAD Although a lesion is not visible anatomically on this CT scan, coronary catheter angiography could be considered based on Cardiology evaluation." A repeat troponin returned at 0.45 CAD-RADS category 1. --No

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Abstract 4142012: Ectasias of Multiple Coronary Arteries and a Coronary Cameral Fistula Between Right Coronary Artery and Coronary Sinus

Circulation

Patient was planned to gradually start cardiac rehab.Discussion:CCF is a rare anomalous connection between coronary arteries and a cardiac chamber or other major blood vessels of the heart. However some patients can develop heart failure, angina, and arrhythmia due to significant intracardiac shunt or coronary steal phenomenon.

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Critical Left Main

EMS 12-Lead

Given the consistency of the clinical profile with typical angina, associated risk factors, and abnormal ECG findings, a cardiology consult was promptly requested. It’s judicious, then, to arrange for coronary angiogram. Severe Tachycardia [HR 75 bpm] Acute Coronary Syndrome (occlusive coronary disease) a.

Angina 52
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63 year old with "good story for ACS" but negative troponins.

Dr. Smith's ECG Blog

I said that this is unstable angina until proven otherwise. Outcome The only followup we got was that the patient is undergoing Coronary Bypass (CABG) of LAD, 2nd Obtuse Marginal, and Left Posterolateral coronaries. We don't know if he had a stress test, a CT Coronary angiogram, or they just decided to do an angiogram.

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A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?

Dr. Smith's ECG Blog

Cardiology was consulted and the patient underwent coronary angiogram which showed diffuse severe three-vessel disease. Episodes of angina over past couple of months had been progressive. Coronary angiogram shows diffuse severe three-vessel disease. High sensitivity troponin I rose to peak at 2900 ng/L.

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ECG Blog #386 — OMI or Something Else?

Ken Grauer, MD

CT coronary angiogram — No obstructive coronary disease. CT coronary angiogram showed no obstructive coronary disease. But immediate resolution of chest pain once VT was converted — and — the normal CT coronary angiogram — essentially ruled out acute coronary disease as the cause.

Blog 78
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Rise of the Lysenkoist Cardiologists

Dr. Anish Koka

Diamond and Forrester accomplished this by first establishing the prevalence of coronary artery disease based on how clinically likely patients with chest pain symptoms were found to have coronary disease based on a coronary angiogram. The results of this dataset by age and gender follow.