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Hopefully a repeat echocardiogram will be performed outpatient. See these publications for more information Overall, management for cardiac contusion is mostly supportive unless surgical complications develop, involving appropriate treatment of dysrhythmias and hemodynamic instability. Circulation: Cardiovascular Imaging.
Formal echocardiogram showed normal EF, no wall motion abnormalities, no pericardial effusion. There were no dysrhythmias on cardiac monitor during observation. Circulation, 117, 1890–1893. [3]: Another troponin was drawn around the time of cath, troponin T (older generation), which was normal at less than 0.01
A formal echocardiogram was completed the next day and again showed a normal ejection fraction without any focal wall motion abnormalities to suggest CAD. Circulation, 117, 1890–1893. [3]: Cardiology was consulted and they agreed that the EKG had an atypical morphology for STEMI and did not activate the cath lab.
Now you have ECG and troponin evidence of ischemia, AND ventricular dysrhythmia, which means this is NOT a stable ACS. These are reperfusion T-waves (the same thing as Wellens' waves) Echocardiogram Regional wall motion abnormality-distal septum and apex. Circulation. Circulation, 137(19), p.e523. 2012;126:579–588.
A transthoracic echocardiogram showed an LV EF of less than 15%, critically severe aortic stenosis , severe LVH , and a small LV cavity. Circulation. Circulation 67, No. Circulation 1970;41:623-627 9. Aortic angiogram did not reveal aortic dissection. Contemporary Reviews in Cardiovascular Medicine. 2008;118:1047-1056.
Later, he underwent a formal echocardiogram: Very severe left ventricular enlargement (LVED diameter 7.4 Because the AP lies outside of the AV node — the time to circulate around the reentry pathway and conduct back to the atria ( retrograde ) is longer than when the entire reentry circuit is contained within the AV node.
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