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

Circulation

Although he had a normal echocardiogram and stress test a year ago at a different hospital, due to his symptoms and intermediate-high risk probability of coronary artery disease (CAD), the decision was made to proceed with a cardiac catheterization using a trans-radial approach with a horizontal sweep technique.

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The Importance of Regular Heart Check-Ups: What You Need to Know

AMS Cardiology

Echocardiogram : Uses sound waves to create images of your heart. We offer a wide range of diagnostic and treatment services including: Coronary artery bypass surgery Angioplasty and stenting Heart valve surgery Pacemaker and defibrillator implantation Cardiac rehabilitation We believe every patient deserves personalized care.

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First ED ECG is Wellens' (pain free). What do you think the prehospital ECG showed (with pain)?

Dr. Smith's ECG Blog

A stent was placed. For those who depend on echocardiogram to confirm the ECG findings of ischemia, this should be sobering. A comparison of electrocardiographic changes during reperfusion of acute myocardial infarction by thrombolysis or percutaneous transluminal coronary angioplasty. The peak troponin I was 0.364 ng/ml.

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Precordial ST depression. What is the diagnosis?

Dr. Smith's ECG Blog

The OM-1 was opened and stented, then the LAD was stented 3 days later. Seventh , an immediate echocardiogram can make the distinction. New electrocardiographic criteria for posterior wall acute myocardial ischemia validated by a percutaneous transluminal coronary angioplasty model of acute myocardial infarction.

STEMI 52
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Why you should use the Queen of Hearts and record serial ECGs more often. If you wait for troponin.

Dr. Smith's ECG Blog

Successful primary angioplasty of the mid-circumflex artery towards the main marginal branch with the implantation of a drug-eluting stent. The echocardiogram shows a preserved left ventricular ejection fraction (LVEF) of 55% with marked basal and mid inferolateral and basal anterolateral hypokinesia. Good angiographic result.

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A dialysis patient with nonspecific symptoms and pseudonormalization of ST segments

Dr. Smith's ECG Blog

I think a good start would be a posterior EKG and a high quality contrast echocardiogram read by an expert. The lesion was intervened on with balloon angioplasty and had subsequent TIMI 3 flow. It was thought to be an in stent restenosis and thrombosis from a DES placed in the same region 6 months prior.