Dr. Smith's ECG Blog
NOVEMBER 15, 2023
Post cath ECG: Now there are hyperacute T-waves again, and recurrent ST depression in V2 This ECG would normally diagnostic of OMI until proven otherwise No further troponins were measured, but it looks like there is recurrent OMI Next day: A CT Coronary Angiogram was done (CTCA) CARDIAC MORPHOLOGY AND FUNCTION: 1. IMPRESSION: 1.
Ken Grauer, MD
JULY 15, 2023
By the P s, Q s, 3 R Approach ( as reviewed in ECG Blog #185 ): The Q RS complex is obviously wide. CT coronary angiogram — No obstructive coronary disease. CT coronary angiogram showed no obstructive coronary disease. ECG Blog #185 — Systematic P s, Q s, 3 R Approach to Rhythm Interpretation.
Ken Grauer, MD
FEBRUARY 24, 2023
Hospital evaluation for this patient was negative for an acute coronary syndrome ( ie, CT coronary angiogram was normal — troponin was not elevated — and Echo was negative, with no sign of pericardial effusion ). See ECG Blog #215 — for more on the Cabrera format. = In contrast, the standard U.S.
Dr. Smith's ECG Blog
MAY 10, 2023
A CT Coronary angiogram was ordered. Here are the results: --Minimally obstructive coronary artery disease. --LAD Although a lesion is not visible anatomically on this CT scan, coronary catheter angiography could be considered based on Cardiology evaluation." A repeat troponin returned at 0.45 CAD-RADS category 1. --No
Dr. Smith's ECG Blog
SEPTEMBER 15, 2023
More cases can be found on the blog here. Here it is: So we looked for the followup: Cath lab was activated per protocol and coronary angiogram found no angiographic significant obstructive disease in the LAD, LCX, and RCA. "Look how bizarre it is." When bizarre, look at leads I, II, and III. So I explained APTA to him.
Dr. Smith's ECG Blog
JUNE 5, 2024
IMPRESSION: The finding of sinus bradycardia with 1st-degree AV block + marked sinus arrhythmia + the change in PR interval from beat #5-to-beat #6 — suggests a form of vagotonic block ( See My Comment in the October 9, 2020 post in Dr. Smith's ECG Blog ).
Dr. Smith's ECG Blog
SEPTEMBER 19, 2023
Cardiology was consulted and the patient underwent coronary angiogram which showed diffuse severe three-vessel disease. Coronary angiogram shows diffuse severe three-vessel disease. Episodes of angina over past couple of months had been progressive. High sensitivity troponin I rose to peak at 2900 ng/L.
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