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.

Coronary Angiogram 102

Coronary Angiogram Plaque Thrombosis STEMI 102

Dr. S. Venkatesan MD

JUNE 26, 2024

2017 ) Clinical implication of such coronary anomalies Apart from angiographic surprises, these anomalous coronary arteries may under-perfuse the ventricle and present as unexplained cardiomyopathy , until we realize the anatomical errors in coronary anatomy. We know, how adverse is the outcome of Left main STEMI.

Coronary Angiogram 52

Coronary Angiogram Cardiothoracic Anatomy Atherosclerosis 52

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. This worried the crew of potential acute coronary syndrome and STEMI was activated pre-hospital. Diagnosis and management of hypertrophic cardiomyopathy: Expert analysis.

Cardiomyopathy 52

Cardiomyopathy Ischemia STEMI Coronary Angiogram 52

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.

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Blog Coronary Angiogram Cardiomyopathy Ischemia 78

Dr. Smith's ECG Blog

JANUARY 9, 2023

No family history of sudden cardiac death, cardiomyopathy, premature CAD, or other cardiac issues. 50% of LAD STEMIs do not have reciprocal findings in inferior leads, and many LAD OMIs instead have STE and/or HATWs in inferior leads instead. The ECG easily meets STEMI criteria in all leads V2-V6, as well. Covid PCR negative.

Chest Pain 52

Chest Pain Aneurysm STEMI Thrombosis 52

Dr. Smith's ECG Blog

MAY 19, 2022

Ct coronary angiogram showed normal coronary arteries. Smith note: I think CT coronary angiogram is reasonable with the elevated troponins and symptoms. Hypertrophic Cardiomyopathy or Normal ("Variant")? Anterior STEMI? He was diagnosed with mild AKI which resolved. What is it? Activate the Cath Lab?

Chest Pain 52

Chest Pain Exercise Pacemaker Coronary Angiogram 52