Remove Bradycardia Remove SCAD Remove Ultrasound
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1 hour of CPR, then ECMO circulation, then successful defibrillation.

Dr. Smith's ECG Blog

There is sinus bradycardia with one PVC. The ways to tell for certain include intravascular ultrasound (to look for extra-luminal plaque with rupture) or "optical coherence tomography," something I am entirely unfamiliar with. Spontaneous coronary artery dissection (SCAD) should be considered as a cause of MINOCA.