Cardiomyopathy Coronary Angiogram Ischemia 
Dr. Smith's ECG Blog
NOVEMBER 15, 2023
hours T-wave are getting larger again The patient went for an angiogram at about 7 hours after arrival. Angiogram No obstructive epicardial coronary artery disease Cannot exclude non-ACS causes of troponin elevation including coronary vasospasm, stress cardiomyopathy, microvascular disease, etc. IMPRESSION: 1.
EMS 12-Lead
MAY 20, 2022
She reports a known history of Hypertrophic Cardiomyopathy (HCM) with left ventricular outflow tract obstruction and is on daily beta blocker therapy. There is broad subendocardial ischemia as demonstrated by STE aVR with concomitant STD that almost appears appropriately maximal in Leads II and V5.
Dr. Smith's ECG Blog
JUNE 5, 2024
The ECG does not show any definite signs of ischemia. I thought the complete lack of QTc prolongation and anatomic localization of ECG findings made Takotsubo cardiomyopathy unlikely. The patient presented due to chest pain that was typical in nature, retrosternal and radiating to the left arm and neck. The below ECG was recorded.
Ken Grauer, MD
JULY 15, 2023
CT coronary angiogram — No obstructive coronary disease. Subsequent testing supported the presumption of apical cardiomyopathy as the cause of this patient's sustained VT. CT coronary angiogram showed no obstructive coronary disease. That said — I was not 100% certain about this interpretation.
Dr. Smith's ECG Blog
JANUARY 9, 2023
No family history of sudden cardiac death, cardiomyopathy, premature CAD, or other cardiac issues. Pattern consistent with Takotsubo's cardiomyopathy." Young people can suffer acute coronary occlusion, whether by typical atherosclerotic plaque rupture, or by coronary anomalies, coronary aneurysms, dissections, spasm, etc.
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