Remove Aortic Remove Coronary Angiogram Remove Echocardiogram
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Young adult with left ventricular dysfunction

Heart BMJ

The patient was managed medically and was referred to us in view of worsening symptoms with severe left ventricular dysfunction and moderate aortic regurgitation. Echocardiogram, CT aortogram and late gadolinium imaging of the aorta have been shown in figure 1. The coronary angiogram was normal.

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Critical Left Main

EMS 12-Lead

Category 1 : Sudden narrowing of a coronary artery due to ACS (plaque rupture with thrombosis and/or downstream showering of platelet-fibrin aggregates. It’s judicious, then, to arrange for coronary angiogram. Supply-demand mismatch (non-occlusive coronary disease, or exacerbation of preexisting flow insufficiency) a.

Angina 52
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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

Look at the aortic outflow tract. 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. What do you see? Answer below in the still shot.

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90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

Dr. Smith's ECG Blog

See this case: what do you think the echocardiogram shows in this case? Hgb 11g/dL (110g/L) and leukocytosis, and a mildly elevated troponin (36 ng/L, with normal 1mm STE in aVR due to ACS will require coronary artery bypass surgery for revascularization, the infarct artery is often not the LM, but rather the LAD or severe 3-vessel disease.

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Hypertropic Cardiomyopathy: A Board Review Question Explained By Video

BoardVitals - Cardiovascular

Echocardiogram is indicated (Correct) C. Start aspirin and Plavix Correct answer: (B) (B) Echocardiogram is indicated. While the first one may radiate to the axilla and base, but usually not into the neck, it does reflect both aortic outflow obstruction and mitral regurgitation in patients with a large gradient.

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See OMI vs. STEMI philosophy in action

Dr. Smith's ECG Blog

He visited an outpatient clinic for it and an echocardiogram and exercise stress test was normal. As his pain was very severe, emergency physicians concerned of aortic dissection and ordered a thoracic CT scan. Here is the coronary angiogram: A distal thrombotic right coronary artery (RCA) occlusion !

STEMI 52
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Pulmonary edema, with tachycardia and OMI on the ECG -- what is going on?

Dr. Smith's ECG Blog

More troponin values were measured at the cardiac center: 2327- 267 ng/L 0821- 355 ng/L 1108- 305 ng/L An echocardiogram on day three of the patients admission showed an ejection fraction of 46% with abnormal basal inferior and basal lateral segments, and severe aortic stenosis. What "initiates" the aortic stenosis cascade?