Dr. Smith's ECG Blog
JANUARY 5, 2024
Thus, the patient does not (yet) get a formal diagnosis of MI and must be called unstable angina unless further troponins return above the 99th percentile. On the basis of unresolved angina, cardiology decided to perform rescue PCI. Medically refractory angina should have immediate angiography, but this only happens 6.4%
Dr. Smith's ECG Blog
SEPTEMBER 18, 2024
Bedside cardiac ultrasound with no obvious wall motion abnormalities. He had a previous ECG on file: Proving the findings are new The cath lab was activated. He was given aspirin and sublingual nitro and the pain resolved. He was started on nitro gtt. BP initially 160s/90s, O2 sats 95% on room air.
Dr. Smith's ECG Blog
APRIL 22, 2024
Bedside ultrasound with no apparent wall motion abnormalities, no pericardial effusion, no right heart strain. Patient is pain free and clearly has Wellens' syndrome: 1) pain free episode following an episode of angina, typical Pattern A (biphasic, terminal T-wave inversion with an initial upsloping ST Segment) findings, preserved R-waves.
Dr. Smith's ECG Blog
DECEMBER 19, 2023
The commonest causes of MINOCA include: atherosclerotic causes such as plaque rupture or erosion with spontaneous thrombolysis, and non-atherosclerotic causes such as coronary vasospasm (sometimes called variant angina or Prinzmetal's angina), coronary embolism or thrombosis, possibly microvascular dysfunction.
Heart BMJ
JANUARY 29, 2024
There was no antecedent angina. Intravascular ultrasound was also performed ( figure 1B ). Clinical introduction Vignette A man in his 40s presented to our emergency department with sudden onset of severe central chest pain radiating to his left arm. He was sweaty, clammy and had accompanying breathlessness. fig loc="float".
Circulation: Cardiovascular Interventions
JANUARY 20, 2025
Six-month angiographic follow-up with optical coherence tomography and intravascular ultrasound was available in 74 patients. Intravascular ultrasound findings showed no difference in mean vessel area at the lesion site from baseline to follow-up in the scoring balloon group (16.82.9 versus 6.31.5 mm2;P=0.65), mean scaffold area (7.81.5
Coronary Artery Disease Journal
JUNE 2, 2024
A pulmonary ultrasound was performed on admission and was considered positive (PE+) when there were three or more B-lines in two quadrants or more of each hemithorax. Conclusion Lung ultrasound and a high NT-proBNP (3647 ng/L in our series) on admission are the best predictors of acute heart failure needing MV in the first 48 h of ACS.
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