Heart BMJ

FEBRUARY 12, 2024

The patient was managed medically and was referred to us in view of worsening symptoms with severe left ventricular dysfunction and moderate aortic regurgitation. The coronary angiogram was normal. Figure 1 (A) Two-dimensional echocardiogram short-axis basal view showing aortic valve; (B) volume-rendered CT aortogram.

Coronary Angiogram 75

Coronary Angiogram Aortic valve Echocardiogram Aortic 75

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

The diagnostic coronary angiogram identified only minimal coronary artery disease, but there was a severely calcified, ‘immobile’ aortic valve. Aortic angiogram did not reveal aortic dissection. If you see this, you should Doppler the valve. J Am Coll Cardiol 1994;23:1071-1075 8.

Ischemia 40

Ischemia Cardiogenic Shock Aortic Stenosis 40

Dr. Smith's ECG Blog

MARCH 3, 2025

The patient was finally weaned to room air on day 4 and taken for a CT scan to evaluate the possibility of aortic valve replacement. The scan showed a bicuspid aortic valve with severe stenosis and coronary artery disease. The top ECG is diagnostic of thrombotic type 1 OMI until proven otherwise.

Tachycardia 74

Tachycardia Pulmonary Chest Pain Stenosis 74