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He was admitted for monitoring, as his risk of a ventricular dysrhythmia as cause of the syncope is high ( very high due to HFrEF and ischemic cardiomyopathy ). Discussion Thus, no further ECGs were recorded and there was no angiogram or stress test or CT coronaryangiogram.
The diagnostic coronaryangiogram identified only minimal coronary artery disease, but there was a severely calcified, ‘immobile’ aortic valve. Aortic angiogram did not reveal aortic dissection. Heart 2011; 97 : 838-843 [link] 14. In the cath lab, the patient’s blood pressure remained low.
If you don't know what the dysrhythmia is, then try procainamide. Cardiology was consulted and the patient underwent coronaryangiogram which showed diffuse severe three-vessel disease. Coronaryangiogram shows diffuse severe three-vessel disease. What to do now? So I would give procainamide.
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Coronary Angiogram 
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