Coronary Angiogram, Coronary Artery Bypass Graft and Pulmonary

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

The patient was brought directly to the cardiac catheterization lab for PCI, bypassing the ED. The diagnostic coronary angiogram identified only minimal coronary artery disease, but there was a severely calcified, ‘immobile’ aortic valve. Aortic angiogram did not reveal aortic dissection.

Ischemia

Ischemia Cardiogenic Shock Aortic Stenosis

Pulmonary edema, with tachycardia and OMI on the ECG -- what is going on?

Dr. Smith's ECG Blog

MARCH 3, 2025

I suspect pulmonary edema, but we are not given information on presence of B-lines on bedside ultrasound, or CXR findings. Anything that causes pulmonary edema: poor LV function, fluid overload, previous heart failure (HFrEF or HFpEF), valvular disease. Or I suspect that there is OMI simultaneous with another pathology.

Tachycardia

Tachycardia Pulmonary Chest Pain Stenosis

Cardiovascular Update

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Pulmonary edema, with tachycardia and OMI on the ECG -- what is going on?

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