Dr. Smith's ECG Blog

MAY 10, 2023

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

Coronary Angiogram 52

Coronary Angiogram Chest Pain Stenosis STEMI 52

Journal of Cardiothoracic Surgery

DECEMBER 18, 2024

Six months following modified Bentall procedure a patient presented with angina and acute ST depression. CT coronary angiogram revealed severe narrowing of the left main coronary artery. Minimal invasive off p.

Coronary Artery Bypass Graft 52

Coronary Artery Bypass Graft Coronary Angiogram Angina Stenosis 52

Dr. Smith's ECG Blog

SEPTEMBER 19, 2023

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.

Tachycardia 139

Tachycardia Cardiogenic Shock Angina Coronary Angiogram 139

EMS 12-Lead

JULY 24, 2023

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

Angina Ischemia Coronary Angiogram Stenosis 52

Dr. Smith's ECG Blog

JULY 2, 2023

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.

Chest Pain 52

Chest Pain Angina Coronary Angiogram Blog 52

Dr. Smith's ECG Blog

MAY 20, 2024

The scan also showed “scattered coronary artery plaques”. __ Smith comment 1 : the appropriate management at this point is to lower the blood pressure (lower afterload, which increases myocardial oxygen demand). If it is angina, lowering the BP with IV Nitroglycerine may completely alleviate the pain and the (unseen) ECG ischemia.

Chest Pain 126

Chest Pain Blood Pressure Ischemia STEMI 126

Circulation

NOVEMBER 11, 2024

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.

Coronary Artery Bypass Graft 40

Coronary Artery Bypass Graft ACE Inhibitor Coronary Angiogram Aneurysm 40