Coronary Angiogram and Echocardiogram

Young adult with left ventricular dysfunction

Heart BMJ

FEBRUARY 12, 2024

Echocardiogram, CT aortogram and late gadolinium imaging of the aorta have been shown in figure 1. The coronary angiogram was normal. Figure 1 (A) Two-dimensional echocardiogram short-axis basal view showing aortic valve; (B) volume-rendered CT aortogram. The renal and carotid Doppler tests were normal.

Coronary Angiogram

Coronary Angiogram Aortic valve Echocardiogram Aortic

Torsade in a patient with left bundle branch block: is there a long QT? (And: Left Bundle Pacing).

Dr. Smith's ECG Blog

JANUARY 2, 2025

Finally, do a coronary angiogram Possible alternative to pacing is to give a beta-1 agonist to increase heart rate. EKG with paced complexes shown below shows much narrower QRS complex and echocardiogram showed improved LV systolic function primarily due to improvement in LV dyssynchrony. (J J Am Coll Cardiol.

Tachycardia

Tachycardia Cardiomyopathy Blog Bradycardia

Case Report: Lacosamide unmasking SCN5A-associated Brugada syndrome in a young female with epilepsy

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.

Sudden Cardiac Death

Sudden Cardiac Death Coronary Angiogram Cardiac Arrest Laboratory

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

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Syncope While Driving. Activate the Cath Lab?

Dr. Smith's ECG Blog

DECEMBER 9, 2023

And then a slightly more remote past ECG Old inferior MI The patient's previous echocardiogram report was viewed: Decreased LV systolic performance, estimated left ventricular ejection fraction is 35%. Case continued The patient underwent an emergency formal echocardiogram and it was unchanged. Cath Lab activation was cancelled.

Aneurysm

Aneurysm Chest Pain Echocardiogram STEMI

Case Report: Comprehensive evaluation of ECG phenotypes and genotypes in a family with Brugada syndrome carrying SCN5A-R376H

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

Sudden Cardiac Death Coronary Angiogram Laboratory Echocardiogram

6 Cardiology Board Review Questions That Will Help You Pass the Boards

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

Congenital Heart Disease Coronary Angiogram Coronary Artery Disease Cardiovascular Disease

Abstract 4118882: Decompensated Heart Failure Secondary to a Non-Coronary Sinus of Valsalva to Right Atrium Fistula: A Case Report

Circulation

NOVEMBER 11, 2024

Her ejection fraction was 66% ejection fraction with a fistula between the right sinus of Valsalva and the right atrium on transthoracic echocardiogram (TTE) which was also seen on transesophageal echocardiogram (TEE). Her heart failure was due to the fistula as she had no coronary artery disease on coronary angiogram.

Heart Failure

Heart Failure Coronary Angiogram Echocardiogram Aneurysm

Abstract 4135360: Eosinophilic Myocarditis: An Atypical Presentation with a Labile Course: A Case Report

Circulation

NOVEMBER 11, 2024

Transthoracic echocardiogram (TTE) showed an ejection fraction (EF) of 40% and a moderate-large pericardial effusion with signs of tamponade. Intra-operative transesophageal echocardiogram (TEE) post-decannulation showed a normal EF without segmental abnormalities. A repeat coronary angiogram was unremarkable.

Myocardial Infarction

Myocardial Infarction Coronary Angiogram Echocardiogram Chest Pain

Hypertropic Cardiomyopathy: A Board Review Question Explained By Video

BoardVitals - Cardiovascular

MAY 1, 2017

Echocardiogram is indicated (Correct) C. Start aspirin and Plavix Correct answer: (B) (B) Echocardiogram is indicated. Which of the following is the best statement to describe further clinical management? No further workup is indicated B. Start furosemide for diuresis D. Start with a Free Trial.

Cardiomyopathy

Cardiomyopathy Sudden Cardiac Death Bicuspid/Mitral Electrocardiogram

Critical Left Main

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

Angina Ischemia Coronary Angiogram Stenosis

See OMI vs. STEMI philosophy in action

Dr. Smith's ECG Blog

DECEMBER 22, 2022

He visited an outpatient clinic for it and an echocardiogram and exercise stress test was normal. In the meantime, cardiology consultant sees the patient and performs a bedside echocardiogram which revealed no major wall motion abnormalities. Here is the coronary angiogram: A distal thrombotic right coronary artery (RCA) occlusion !

STEMI

STEMI Chest Pain Myocardial Infarction Electrocardiogram

A man with chest pain off and on for two days, and "No STEMI" at triage.

Dr. Smith's ECG Blog

JUNE 19, 2023

Angiogram showed a culprit lesion of 100% stenosis to the right coronary artery and 100% stenosis of the right posterior descending artery, both with TIMI 0 flow. Echocardiogram the following day showed a left ventricular ejection fraction of 52% (+/- 5%) with hypokinesis of the basal-mid inferior and inferoseptal myocardium.

Chest Pain

Chest Pain STEMI Cardiogenic Shock Bradycardia

What Lies Beneath

EMS 12-Lead

AUGUST 22, 2022

Indeed, bedside Echocardiogram revealed severe left ventricular impairment of Takotsubo cardiomyopathy. The coronary angiogram revealed no critical stenosis, or acute plaque ulceration. Furthermore, pertinent electrolyte values (e.g. potassium) were within normal parameter.

Tachycardia

Tachycardia Cardiomyopathy Electrophysiology ICU

90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

See this case: what do you think the echocardiogram shows in this case? We investigated the incidence of an acutely occluded coronary in patients presenting with STE-aVR with multi-lead ST depression. All electrocardiograms (ECGs) and coronary angiograms were blindly analyzed by experienced cardiologists.

Ischemia

Ischemia STEMI Stenosis Chest Pain

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

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

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. During the procedure, the patient had an increasing oxygen requirement and was intubated for airway protection and oxygenation.

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

More troponin values were measured at the cardiac center: 2327- 267 ng/L 0821- 355 ng/L 1108- 305 ng/L An echocardiogram on day three of the patients admission showed an ejection fraction of 46% with abnormal basal inferior and basal lateral segments, and severe aortic stenosis.

Tachycardia

Tachycardia Pulmonary Chest Pain Stenosis

Electrical instability in a healthy 50 year old. How to manage?

Dr. Smith's ECG Blog

FEBRUARY 6, 2025

CT coronary angiogram showed a hypoplastic RCA and dominant LCx. It is reasonable to perform an echocardiogram to evaluate LV function. Figure-5: Long lead II recording on oral flecainide ( 10 minutes of continuous recording each line being 1-minute long ). No PVCs are seen. There were no plaques or stenoses.

Tachycardia

Tachycardia Arrhythmia Ablation Atrial Flutter

Cardiovascular Update

Young adult with left ventricular dysfunction

Torsade in a patient with left bundle branch block: is there a long QT? (And: Left Bundle Pacing).

Case Report: Lacosamide unmasking SCN5A-associated Brugada syndrome in a young female with epilepsy

Webinars

Syncope While Driving. Activate the Cath Lab?

Case Report: Comprehensive evaluation of ECG phenotypes and genotypes in a family with Brugada syndrome carrying SCN5A-R376H

6 Cardiology Board Review Questions That Will Help You Pass the Boards

Abstract 4118882: Decompensated Heart Failure Secondary to a Non-Coronary Sinus of Valsalva to Right Atrium Fistula: A Case Report

Abstract 4135360: Eosinophilic Myocarditis: An Atypical Presentation with a Labile Course: A Case Report

Hypertropic Cardiomyopathy: A Board Review Question Explained By Video

Critical Left Main

See OMI vs. STEMI philosophy in action

A man with chest pain off and on for two days, and "No STEMI" at triage.

What Lies Beneath

90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

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?

Electrical instability in a healthy 50 year old. How to manage?

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