Cardiomyopathy Coronary Angiogram Thrombosis 
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. Cardiology felt her chest pain to be, most likely, the result of coronary supply-demand mismatch in the context of HCM endothelial remodeling (i.e. References Naidu, S. Tower-Rader, A.
Circulation
NOVEMBER 11, 2024
Patient underwent surgical closure of fistula and a 2-vessel coronary artery bypass graft surgery, with a LIMA pedicle graft to the LAD, and SV graft to the LCx.Postoperatively, patient was continued on medical therapy with improvement of symptoms.
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.
Dr. Smith's ECG Blog
JUNE 20, 2020
He was admitted for monitoring, as his risk of a ventricular dysrhythmia as cause of the syncope is high ( very high due to HFrEF and ischemic cardiomyopathy ). Discussion Thus, no further ECGs were recorded and there was no angiogram or stress test or CT coronary angiogram. The estimated LV ejection fraction is 35%.
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