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Ostial Athero-sclerosis( Rare, but status of other areas of coronary artery will usually reveal evidence for atherosclerosis) True confirmation, is possible only during surgery , ie visulaing the absence of left coronary ostia. Aorto arteritis 3.Ostial it can result in both risky as well as protective events.
There is an area of dense white in the middle of the circle consistent with atherosclerosis. They too have dense white masses consistent with coronaryatherosclerosis. The angiogram showed scattered mild luminal irregularities of the LAD, the LCx, and the RCA and a 95% distal RCA occlusion in a right dominant system.
A CT CAC scan can only identify if there is calcified atherosclerosis, where it is and to what extent. A CTCA provides much more anatomical detail and can identify advanced plaque often missed by CT Coronary Artery Calcium Score scans alone. A CT CAC scan of 0 indicates no significant amount of calcified atherosclerosis.
There is appreciable STE aVR with near-global STD that appropriately maximizes in Leads II and V5, and thus suggesting a circumstance of generic, diffusely populated, circumferential subendocardial ischemia versus occlusive coronary thrombus. [1] It’s judicious, then, to arrange for coronaryangiogram. Does the ECG normalize?
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