Dr. Smith's ECG Blog

OCTOBER 24, 2019

Spontaneous coronary artery dissection Dissection of a coronary artery may occur in the context of atherosclerosis, or be iatrogennic during angiography or angioplasty. In the absence of these factors it is termed spontaneous coronary artery dissection ( SCAD ). A recent study found that SCAD causes almost 20% of STEMI in young women.

Chest Pain 52

Chest Pain SCAD STEMI Cardiogenic Shock 52

Dr. Smith's ECG Blog

APRIL 8, 2022

Her long term outcome (with very large LAD MI and EF of 30%) is unknown. Currently, SCAD is a diagnosis that can only be established emergently in the cath lab with angiography. Otherwise it results in a terrible outcome, as in this case, with devastating permanent loss of myocardium). Is this Left Bundle Branch Block?

Chest Pain 52

Chest Pain SCAD STEMI Blog 52

Dr. Anish Koka

MAY 16, 2023

Soviet biologist Trofim Lysenko famously rejected the objective reality of Mendelian genetics because it clashed with the Marxist philosophy that the environment, not genetics, was the primary determinant of outcomes. But what should matter is outcomes not diagnoses. Physician assessments often misclassify chest pain as nonanginal.

Chest Pain 52

Chest Pain Coronary Artery Disease Cancer Heart attacks 52