Cardiomyopathy Echocardiogram Plaque 
Dr. Smith's ECG Blog
APRIL 12, 2023
Example here: DIffuse ST Elevation with Apical Ballooning: is it Takotsubo Stress Cardiomyopathy? Mild Plaque no angiographically significant obstructive coronary artery disease. Stress induced cardiomyopathy (Takotsubo like LV dysfunction) possible. Therefore, the cath lab was activated. The initial hs troponin was = 41 ng/L.
EMS 12-Lead
AUGUST 18, 2024
I interpreted the ECG as VT with two primary etiological possibilities: 1. Abrupt plaque ulceration of Type 1 ACS leading to VT. 2. Baseline fibrotic substrate from dilated cardiomyopathy leading to VT. Corresponding echocardiogram demonstrated LV systolic dysfunction with an EF 30%.
Dr. Smith's ECG Blog
DECEMBER 19, 2023
The commonest causes of MINOCA include: atherosclerotic causes such as plaque rupture or erosion with spontaneous thrombolysis, and non-atherosclerotic causes such as coronary vasospasm (sometimes called variant angina or Prinzmetal's angina), coronary embolism or thrombosis, possibly microvascular dysfunction. It is not rare.
Dr. Smith's ECG Blog
NOVEMBER 30, 2022
by making it clear to everyone that this is NOT an EKG that one sees with takotsubo cardiomyopathy. Hospital Course The patient was taken emergently to the cath lab which did not reveal any significant coronary artery disease, but she was noted to have reduced EF consistent with Takotsubo cardiomyopathy. It can only be seen by IVUS.
EMS 12-Lead
AUGUST 22, 2022
The combination of prolonged QT and deep T wave inversion throughout the precordium is typical of Takotsubo syndrome, or Stress Cardiomyopathy – which can occur in the context of a physiologically distressed ICU patient, further compromising their hemodynamics. The coronary angiogram revealed no critical stenosis, or acute plaque ulceration.
Dr. Sanjay Gupta
MARCH 6, 2022
So cardiomyopathies, valve problems, myocarditis and previous heart attacks all cause a problem with the pumping function of the heart. Overall though a normal cardiac MRI is even more reassuring than a normal echocardiogram. This is an ultrasound (a bit like the type that we use on pregnant women to look at the baby).
Dr. Smith's ECG Blog
JULY 31, 2018
These are reperfusion T-waves (the same thing as Wellens' waves) Echocardiogram Regional wall motion abnormality-distal septum and apex. Troponins may be negative with very rapid reperfusion, or measured too late, or chronically elevated due to cardiomyopathy or renal failure. Regional wall motion abnormality-distal inferior wall.
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