Remove Coronary Angiogram Remove Echocardiogram Remove Physiology
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What Lies Beneath

EMS 12-Lead

The combination of prolonged QT and deep T wave inversion throughout the precordium is typical of Takotsubo syndrome, or Stress Cardiomyopathy – which can occur in the context of a physiologically distressed ICU patient, further compromising their hemodynamics. The coronary angiogram revealed no critical stenosis, or acute plaque ulceration.

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

Dr. Smith's ECG Blog

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. Any alteration in physiology can change "compensated" AS to "decompensated" AS. Am J Cardiol 2011;107:495-500.

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How do I get that elusive courage, to diagnose false positive TMT, without CAG ?

Dr. S. Venkatesan MD

Mostly, you can’t escape from a coronary angiogram” Next option is CT angiogram, Thallium or dobutamine stress. Out of 5 cardiologists I consulted, 4 asked me to go for an immediate angiogram. The shrewd cardiologist did a bicycle ergometry and simultaneous echocardiogram without any drugs or injections.

Anatomy 52