Chest Pain Coronary Angiogram Coronary Artery Disease 
Dr. Paddy Barrett
AUGUST 1, 2023
CT coronary angiography, in addition to a CT CAC, is arguably the best test for estimating whether someone has evidence of coronary artery disease and what that means for their near-term risk of a heart attack. This article is part 2 of a series on cardiac CT. I would say yes. For very good reason. And it matters.
Dr. Smith's ECG Blog
NOVEMBER 15, 2023
A 70-something female with no previous cardiac history presented with acute chest pain. She awoke from sleep last night around 4:45 AM (3 hours prior to arrival) with pain that originated in her mid back. She stated the pain was achy/crampy. Over the course of the next hour, this pain turned into a pressure in her chest.
Dr. Smith's ECG Blog
MAY 24, 2022
A 30-something male presented in the middle of the night with several hours of sharp, non-radiating, left sided chest pain. No angiographically significant obstructive coronary artery disease. CT coronary angiogram is excellent , but is rarely available outside of business hours, and hardly ever at night.
Dr. Anish Koka
MAY 16, 2023
Knowledge of this fundamental pillar of biology should drive how cardiologists approach men and women being evaluated for the presence of significant coronary disease. Atypical angina is classified as having any two of the three symptoms, and non-anginal pain any one of the three symptoms. versus 66.3%; P =0.004), older age (62.4±7.9
Dr. Paddy Barrett
JANUARY 30, 2024
The key issue when it comes to the near-term risk of a heart attack is whether you already have coronary artery disease and how much of it. We look directly at the coronary arteries using a cardiac CT scan. When I say the near term, I am talking about 5 to 10 years. When I say long-term, I mean 50 years.
Dr. Smith's ECG Blog
MAY 10, 2023
A 34 yo woman with a history of HTN, h/o SVT s/p ablation 2006, and 5 months post-partum presented with intermittent central chest pain and SOB. She had one episode of pain the previous night and two additional episodes early on morning the morning she presented. Deep breaths are painful and symptoms come and go.
Dr. Smith's ECG Blog
NOVEMBER 4, 2022
The best course is to wait until the anatomy is defined by angio, then if proceeding to PCI, add Cangrelor (an IV P2Y12 inhibitor) I sent the ECG and clinical information of a 90-year old with chest pain to Dr. McLaren. Incidence of an acute coronary occlusion. His response: “subendocardial ischemia.
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