Aortic valve, Coronary Angiogram and Coronary Artery Bypass Graft

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

The patient was brought directly to the cardiac catheterization lab for PCI, bypassing the ED. 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.

Ischemia

Ischemia Cardiogenic Shock Aortic Stenosis

Pulmonary edema, with tachycardia and OMI on the ECG -- what is going on?

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

Tachycardia Pulmonary Chest Pain Stenosis

Cardiovascular Update

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Pulmonary edema, with tachycardia and OMI on the ECG -- what is going on?

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