Dr. Smith's ECG Blog

DECEMBER 7, 2023

The final diagnosis was spontaneous coronary artery dissection (SCAD) starting in the mid LAD and continuing distally where it wraps around the apex. SCAD wasn't on my differential per se , but in retrospect it should have been. Most patients presenting with SCAD report a preceding emotional or physical stressor. Buller, C.

SCAD 123

SCAD Ischemia Coronary Artery Disease Cardiomyopathy 123

Dr. Smith's ECG Blog

MAY 19, 2020

distal stenosis or occluded small branches), and 3) nonischemic causes for myocyte injury (e.g., Spontaneous coronary artery dissection (SCAD) should be considered as a cause of MINOCA. The diagnosis of MINOCA should exclude: 1) other overt causes for elevated troponin (e.g., pulmonary embolism, sepsis, etc.), myocarditis).

Defibrillator 52

Defibrillator Circulation Plaque Cardiac Arrest 52

Dr. Smith's ECG Blog

SEPTEMBER 29, 2024

On follow up angiography, there was a large OM1 and small AV groove Cx/LPL visible as the vessel re-canalized LAD is noted to have diffuse 50% stenosis in the proximal segment and is occluded immediately beyond a small D1 RCA is a medium-large caliber vessel and supplies a medium rPDA, medium rPLA1, and three small rPLA branches. TIMI-0 flow.

Cardiac Arrest 109

Cardiac Arrest STEMI Ischemia SCAD 109