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Young man with chest pain and an abnormal echocardiogram

Heart BMJ

Physical examination, an ECG, basic laboratories and a chest X-ray were unremarkable. The patient was referred for an exercise nuclear study and did 11 min on the Bruce protocol without angina or ischaemic ECG changes. He did not smoke or use alcohol or illicit drugs. There was no pertinent family history.

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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. 3-vessel disease with a culprit lesion [Typical angina, multiple risk factors] b. If they all return normal, then this is unstable angina. Anemia [Normal Hgb] g.

Angina 52
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The “open data” movement runs aground on FOURIER

Dr. Anish Koka

🤨 20% reduction in traditional MACE (CV death, MI, stroke) 4:49 AM ∙ Jan 14, 2023 13 Likes 2 Retweets But the primary endpoint here was a composite endpoint of cardiovascular death, myocardial infarction, stroke, hospitalization for unstable angina, or coronary revascularization.

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Case Report: Painful left bundle branch block syndrome complicated with vasovagal syncope

Frontiers in Cardiovascular Medicine

BackgroundPainful left bundle branch block (LBBB) syndrome is an uncommon disease that is defined as intermittent episodes of angina associated with simultaneous LBBB changes on an electrocardiogram (ECG) with the absence of flow-limiting coronary artery disease or ischemia on functional testing.

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Association between asthma and cardiovascular disease: evidence from the national health and nutrition examination survey 1999–2018

Frontiers in Cardiovascular Medicine

This study aimed to investigate the association between asthma and CVD.MethodsThis cross-sectional study included demographic, laboratory, and questionnaire data from the National Health and Nutrition Examination Survey (NHANES) 19992018. CVD included stroke, congestive heart failure, coronary heart disease, and angina.

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Normal ACS care, everything by the book! But normal ACS care could be much better. This post explains everything.

Dr. Smith's ECG Blog

The patient was given aspirin 325 mg and laboratory workup was initiated. Even though guidelines say that patients with high-risk features, refractory angina, instability, etc. Initial high sensitivity troponin I (hsTnI) was 41 ng/L (reference: 35 ng/L). It is not clear what was done in response to this, if anything.

STEMI 81