Heart BMJ

JULY 25, 2024

1 In 320 patients, the availability of vFFR data led to a significant reduction in the number of vessels considered to have important disease and changed the management in 22% of cases when compared with their classification using angiography alone.

Physiology 52

Physiology Coronary Angiogram Myocardial Infarction 52

Heart BMJ

FEBRUARY 12, 2024

The coronary angiogram was normal. The patient was managed medically and was referred to us in view of worsening symptoms with severe left ventricular dysfunction and moderate aortic regurgitation. Echocardiogram, CT aortogram and late gadolinium imaging of the aorta have been shown in figure 1.

Aortic valve 75

Aortic valve Coronary Angiogram Echocardiogram Aortic 75

Frontiers in Cardiovascular Medicine

JUNE 3, 2024

Workup including routine laboratory results, 12-lead electrocardiogram (ECG), echocardiogram, and coronary angiogram was non-specific. During the intravenous lacosamide infusion, the patient developed sudden cardiac arrest caused by ventricular arrhythmias necessitating resuscitation. 2893C>T, p.Arg965Cys) in the SCN5A gene.

Sudden Cardiac Death 52

Sudden Cardiac Death Coronary Angiogram Cardiac Arrest Laboratory 52

Frontiers in Cardiovascular Medicine

MARCH 14, 2024

The routine laboratory results, imaging study, coronary angiogram, and echocardiogram (ECG) were normal. Case We report the case of a 20-year-old man with variants in SCN5A and RyR2 genes who was resuscitated from sudden cardiac death during sleep due to a ventricular fibrillation. The patient did not have underlying diseases.

Sudden Cardiac Death 59

Sudden Cardiac Death Coronary Angiogram Laboratory Echocardiogram 59

Frontiers in Cardiovascular Medicine

FEBRUARY 9, 2024

Patients undergoing coronary angiography between January 2014 and December 2015 were included in the analysis. Eligible patients had at least one inpatient coronary angiogram for suspected coronary artery disease between January 2014 and December 2015.

Coronary Angiogram 64

Coronary Angiogram Coronary Artery Disease Inpatient Cardiovascular Disease 64

Open Heart

MAY 2, 2023

Objective The training of interventional cardiologists (ICs), non-interventional cardiologists (NICs) and cardiac surgeons (CSs) differs, and this may be reflected in their interpretation of invasive coronary angiography (ICA) and management plan.

Physiology 52

Physiology Coronary Artery Bypass Graft Coronary Angiogram Chest Pain 52

Dr. Paddy Barrett

JANUARY 30, 2024

We look directly at the coronary arteries using a cardiac CT scan. Subscribe now Cardiac CT There are two types of cardiac CT: CT Coronary Artery Calcium (CAC) Scan CT Coronary Angiogram (CTCA). The CAC scan looks for deposits of calcium in the areas of the coronary arteries as a proxy marker for plaque.

Heart Disease 72

Heart Disease Heart Attack Heart attacks Plaque 72

Dr. Smith's ECG Blog

MAY 10, 2023

A CT Coronary angiogram was ordered. Here are the results: --Minimally obstructive coronary artery disease. --LAD Although a lesion is not visible anatomically on this CT scan, coronary catheter angiography could be considered based on Cardiology evaluation." A repeat troponin returned at 0.45 CAD-RADS category 1. --No

Coronary Angiogram 52

Coronary Angiogram Chest Pain Stenosis Pulmonary 52

All About Cardiovascular System and Disorders

APRIL 30, 2024

Same catheter is used for engaging right and left coronary artery. Tiger catheter is the most popular catheter for transradial coronary angiography. Same catheter can be used for the right and left coronary angiograms. Picture of a tiger diagnostic coronary catheter.

Coronary Angiogram 40

Coronary Angiogram General Cardiology 40

Dr. Smith's ECG Blog

MAY 30, 2024

Will you accept this patient for emergent coronary angiogram based on the ECG changes? The patient is a 70 something female with chest discomfort and dyspnea. How would you interpret the ST changes seen in this ECG? Does the ECG represent STEMI-negative OMI findings? How would you mange this patient?

Ischemia 69

Ischemia Coronary Angiogram Pulmonary STEMI 69

European Journal of Heart Failure

JANUARY 21, 2024

Images on the left panel show an example of coronary angiography, first-pass perfusion maps and stress and rest myocardial perfusion maps of a patient with cardiac amyloidosis. The coronary angiogram is unobstructed and visual analysis of first-pass perfusion shows a global reduction in myocardial blood flow.

Coronary Angiogram 40

Coronary Angiogram Biomarkers Outcomes Research 40

Dr. Paddy Barrett

MARCH 21, 2024

Sleep & Heart Disease Cardiac CT - CAC Scores & CT Coronary Angiograms. Understanding Blood Pressure. The Role of Inflammation. Formulas For Estimating Benefit & Risk. I'm Interested The Reducing Risk module is where we put it all together.

Heart Disease 52

Heart Disease Cholesterol Blood Pressure Coronary Angiogram 52

Dr. Smith's ECG Blog

SEPTEMBER 15, 2023

Here it is: So we looked for the followup: Cath lab was activated per protocol and coronary angiogram found no angiographic significant obstructive disease in the LAD, LCX, and RCA. Then he said: "No wonder the next EKG we recorded just before she left for the cath lab was normal."

Chest Pain 124

Chest Pain Diabetes STEMI Blog 124

Ken Grauer, MD

JULY 15, 2023

CT coronary angiogram — No obstructive coronary disease. CT coronary angiogram showed no obstructive coronary disease. But immediate resolution of chest pain once VT was converted — and — the normal CT coronary angiogram — essentially ruled out acute coronary disease as the cause.

Blog 78

Blog Coronary Angiogram Cardiomyopathy Ischemia 78

EMS 12-Lead

JULY 24, 2023

It’s judicious, then, to arrange for coronary angiogram. Coronary occlusion, however, might be present concurrently with subendocardial ischemia on the time-zero ECG, or evolve into such. Proximal LAD disease with/without a) and b) It seemed quite apparent that this was an Acute Coronary Syndrome. Coronary Angiogram 1.

Angina 52

Angina Ischemia Coronary Angiogram Stenosis 52

Dr. S. Venkatesan MD

JUNE 26, 2024

It is an acceptable diagnosis, if you thought an anomalous LCA, a LAD CTO or a single coronary artery. Video source and courtesy: Leizhi Ku,, Xiaojing Ma, From the Departments of Radiology (L.K.) and Echocardiography (X.M.), Wuhan Asia Heart Hospital, Wuhan, China Did you guess the diagnosis correctly? But, the true diagnosis is different.

Coronary Angiogram 52

Coronary Angiogram Cardiothoracic Anatomy Atherosclerosis 52

Dr. Smith's ECG Blog

JULY 2, 2023

Outcome The only followup we got was that the patient is undergoing Coronary Bypass (CABG) of LAD, 2nd Obtuse Marginal, and Left Posterolateral coronaries. We don't know if he had a stress test, a CT Coronary angiogram, or they just decided to do an angiogram.

Chest Pain 52

Chest Pain Angina Coronary Angiogram Stents 52

BoardVitals - Cardiovascular

JUNE 14, 2017

Question banks are a favorite exam preparation resource for Cardiologists that want to practice in the format of the exam.

Congenital Heart Disease 52

Congenital Heart Disease Coronary Angiogram Coronary Artery Disease Cardiovascular Disease 52

Dr. Smith's ECG Blog

SEPTEMBER 19, 2023

Cardiology was consulted and the patient underwent coronary angiogram which showed diffuse severe three-vessel disease. Coronary angiogram shows diffuse severe three-vessel disease. Episodes of angina over past couple of months had been progressive. High sensitivity troponin I rose to peak at 2900 ng/L.

Tachycardia 132

Tachycardia Cardiogenic Shock Angina Coronary Angiogram 132

EMS 12-Lead

APRIL 8, 2022

Cardiology admitted him for observation with plans for next-day coronary angiogram. Unfortunately, due to the patient’s abrupt exodus from the PCI center – without benefit of coronary angiogram, or echo, for example – the disposition will forever remain unknown. [1] The peak Troponin I confirmed myocardial infarction. (A

Myocardial Infarction 52

Myocardial Infarction Coronary Angiogram STEMI Ischemia 52

Dr. Smith's ECG Blog

MAY 20, 2024

The cardiology fellow wrote in their note “unclear etiology of troponin elevation at this time, but hypertensive emergency, underlying CAD with demand ischemia , or NSTEMI all remain on the differential… In light of his risk factors, concerning clinical presentation and troponin trend -- we favor coronary angiogram over CTCA at this time.”

Chest Pain 120

Chest Pain Blood Pressure Ischemia STEMI 120

Dr. Smith's ECG Blog

JUNE 5, 2024

Written by Magnus Nossen The patient in todays case is a 50 year old male. He has a medical hx notable for hypertension, hyperlipidemia and previous tobacco use disorder. The patient presented due to chest pain that was typical in nature, retrosternal and radiating to the left arm and neck. He denied any exertional chest pain.

Chest Pain 101

Chest Pain Cardiac Arrest Blog Cardiomyopathy 101

Dr. Paddy Barrett

DECEMBER 19, 2023

All patients had CT coronary angiograms at the start of the study and repeated after about one year. The DISCO trial is a more recent study that attempted to assess the role of nutrition in reversing plaque buildup 6. There was no increase in overall plaque in the intervention arm, but there was a small increase in the control arm.

Coronary Artery Disease 105

Coronary Artery Disease Plaque Exercise Heart Attack 105

Dr. Smith's ECG Blog

DECEMBER 9, 2023

A Coronary angiogram from 8 years prior revealed that he had had an inferior posterior STEMI at the time due to 100% occlusion of the proximal RCA. Regional wall motion abnormality- inferior and inferolateral.

Aneurysm 102

Aneurysm Chest Pain Echocardiogram STEMI 102

Dr. Smith's ECG Blog

MARCH 17, 2023

She had a prior history of "NSTEMI" one month ago, during which she had a coronary angiogram reportedly showing no stenosis in any coronary artery. Her vitals were within normal limits. Here is her triage ECG: PM Cardio Version (see original screenshot I received below) Original image.

Chest Pain 52

Chest Pain Coronary Angiogram Circulation Electrocardiogram 52

CineECG

MAY 18, 2023

But in real life Physicians may decide to wait for more information (take another ECG at a later moment), use other diagnostics methods (blood test, X-ray, Echo, stress ECG, CRT) or take a closer look inside the artery (coronary angiogram).

Blog 52

Blog Coronary Angiogram Heart Disease 52

Dr. Anish Koka

MAY 16, 2023

Diamond and Forrester accomplished this by first establishing the prevalence of coronary artery disease based on how clinically likely patients with chest pain symptoms were found to have coronary disease based on a coronary angiogram.

Chest Pain 52

Chest Pain Coronary Artery Disease Cancer Heart Attack 52

EMS 12-Lead

MARCH 19, 2023

Perhaps a more balanced approach is that this could equally have been a case where the patient arrives to the ED, is worked up for “non-specific” ST changes and, in the process of such a disposition, is allowed to infarct transmurally while awaiting next-day coronary angiogram where reduced LV systolic function is encountered.

Myocardial Infarction 52

Myocardial Infarction STEMI Coronary Angiogram Coronary Artery Disease 52

Ken Grauer, MD

FEBRUARY 24, 2023

Hospital evaluation for this patient was negative for an acute coronary syndrome ( ie, CT coronary angiogram was normal — troponin was not elevated — and Echo was negative, with no sign of pericardial effusion ). CT Coronary Angiogram showed no sign of underlying coronary disease.

Pericarditis 78

Pericarditis Blog Chest Pain Coronary Angiogram 78

Dr. Smith's ECG Blog

JUNE 19, 2023

NSTEMI paradigm doesn't care if you have imminently deadly acute coronary occlusion, unless you have STEMI criteria, ongoing ischemia after hours of delay, or until you start to have shock or arrest from it. Just another NSTEMI.

Chest Pain 52

Chest Pain STEMI Cardiogenic Shock Ischemia 52

Dr. Smith's ECG Blog

SEPTEMBER 16, 2024

A coronary angiogram was done that did not show significant coronary artery disease. Had there been recurrent episodes of pause-dependent TdP, temporary ventricular pacing at a higher heart rate would have been indicated to suppress the pauses and in that way decreasing the risk of further episodes of TdP.

Cardiac Arrest 70

Cardiac Arrest Cardiomyopathy Arrhythmia Atrial Fibrillation 70

SoftCath

OCTOBER 2, 2021

The duration of radiation exposure depends on diagnostic coronary angiogram, interventional procedure, the fluoroscopic and cine screening times. The cath lab management should ensure that a minimum amount of time is spent by the staff in the radiation area.

Technology 52

Technology Ultrasound Coronary Angiogram Interventional Cardiology 52

Dr. Smith's ECG Blog

JUNE 19, 2024

The patient was taken emergently to the cath lab for a pericardiocentesis instead of a coronary angiogram. The ED provider canceled the STEMI protocol and updated the cath lab on the finding. In the cath lab, 150 CCs of bloody fluid were drained from the pericardium.

Chest Pain 62

Chest Pain Pericarditis Pacemaker STEMI 62

Dr. Smith's ECG Blog

MAY 24, 2022

CT coronary angiogram is excellent , but is rarely available outside of business hours, and hardly ever at night. If suspicion of Non-OMI etiology is high, then emergent formal bubble contrast echo is very useful, but in myocarditis, it usually reveals a wall motion abnormality.

Chest Pain 52

Chest Pain Blog Coronary Angiogram Coronary Artery Disease 52

Dr. Smith's ECG Blog

DECEMBER 22, 2022

Here is the coronary angiogram: A distal thrombotic right coronary artery (RCA) occlusion ! Cath lab was not activated because we diagnosed a "high risk" NSTEMI; rather, it was because we suspected, actively searched for, and could not refute an OMI that needs to be immediately reperfused.

STEMI 52

STEMI Chest Pain Myocardial Infarction Electrocardiogram 52

EMS 12-Lead

MAY 20, 2022

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. Type II MI), however decided to pursue coronary angiogram out of an abundance of caution. A mid-LAD culprit lesion was identified and stented.

Cardiomyopathy 52

Cardiomyopathy Ischemia STEMI Coronary Angiogram 52

EMS 12-Lead

AUGUST 22, 2022

The coronary angiogram revealed no critical stenosis, or acute plaque ulceration. Takotsubo should be a diagnosis of exclusion after angiography reveals no obstructive coronary disease, and repeat Echo displays left ventricular recovery. Furthermore, pertinent electrolyte values (e.g. potassium) were within normal parameter.

Tachycardia 52

Tachycardia Cardiomyopathy Electrophysiology ICU 52