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Case submitted and written by Mazen El-Baba MD, with edits from Jesse McLaren and edits/comments by Smith and Grauer A 90-year old with a past medical history of atrial fibrillation, type-2 diabetes, hypertension, dyslipidemia, presented with acute onset chest/epigastric pain, nausea, and vomiting. His response: “subendocardial ischemia.
By creating detailed two-dimensional cross-sectional images and three-dimensional views of the coronary arteries and blockages, IVUS and OCT provide a more accurate and specific picture of the coronary arteries than when the coronaryangiogram is used alone.
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 coronaryangiogram. Women also had more cardiovascular risk factors, including hypertension (66.6%
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