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Abstract 4140682: Clinical Case: Flipping the Script: Tackling CAD in Dextrocardia During Cardiac Catheterization

Circulation

Circulation, Volume 150, Issue Suppl_1 , Page A4140682-A4140682, November 12, 2024. Electrocardiogram (ECG) showed a prominent S wave in the left-sided leads and a prominent R wave in the right-sided chest leads, suggesting dextrocardia. After guidewire crossing, balloon angioplasty was performed, and a drug-eluting stent was deployed.

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Is OMI an ECG Diagnosis?

Dr. Smith's ECG Blog

Refractory ischemic chest pain continued and trop increased to 160,000ng/L, with subtle convex anterior ST elevation: The patient was brought back to cath lab for stenting of LAD and balloon angioplasty to OM. Circulation 2014 2. It is not yet available, but this is your way to get on the list. link] References 1. Amsterdam et al.

STEMI 121
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Four anterior STEMIs: acute and reperfused vs. won't reperfuse, subacute and reperfused vs. not reperfused

Dr. Smith's ECG Blog

Determinants and prognostic implications of persistent ST-segment elevation after primary angioplasty for acute myocardial infarction: importance of microvascular reperfusion injury on clinical outcome. Circulation 1999;99(15):1972-7. Circulation 2000;101(2):125-30. Circulation 1998;97(23):2303-6.

STEMI 52
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How does Acute Total Left Main Coronary occlusion present on the ECG?

Dr. Smith's ECG Blog

Below are 6 anecdotal cases of true complete left main occlusion with no collateral circulation: 3 have STE in aVR 1 has no ST shift in aVR 2 have STD in aVR The ECG can have a variety of presentations in LM Occlusion. You'll see that there is collateral circulation from the RCA. Widimsky P et al. Below is the angiogram. References 7.

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Precordial ST depression. What is the diagnosis?

Dr. Smith's ECG Blog

Circulation 2007;115(10):1306-24. New electrocardiographic criteria for posterior wall acute myocardial ischemia validated by a percutaneous transluminal coronary angioplasty model of acute myocardial infarction. Kligfield P, Gettes LS, Bailey JJ, et al. Taha B, Reddy S, Agarwal J, Khaw K. J Electrocardiol 1998;31 Suppl:178-9.

STEMI 52
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Right precordial ST depression in a patient with chest pain

Dr. Smith's ECG Blog

New electrocardiographic criteria for posterior wall myocardial ischemia validated by percutaneous transluminal coronary angioplasty model of acute myocardial infarction. Circulation. About half of patients receiving elective balloon angioplasty of the circumflex will show posterior STE ≥ 1mm. (8-12) Neth Heart J. O'Gara et al.