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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.
Pads were placed with ultrasound guidance, so they were in the correct position. Cardiology was consulted and the patient underwent coronaryangiogram which showed diffuse severe three-vessel disease. Episodes of angina over past couple of months had been progressive. However, this is not SVT. Shocked x 2 without effect.
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