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She had a prior history of "NSTEMI" one month ago, during which she had a coronaryangiogram reportedly showing no stenosis in any coronary artery. Electromechanical association: a subtle electrocardiogram artifact. Her vitals were within normal limits. Acute chest pain and a bizarre ECG Bizarre (Hyperacute??)
History sounds concerning for ACS (could be critical stenosis, triple vessel), but differential also includes dissection, GI bleed, etc. New insights into the use of the 12-lead electrocardiogram for diagnosing acute myocardial infarction in the emergency department. His response: “subendocardial ischemia. Anything more on history?
There is ventricular hypertrophy in the absence of abnormal loading conditions, such as aortic stenosis, or hypertension, for example – of which the most common variant is Asymmetric Septal Hypertrophy. Type II MI), however decided to pursue coronaryangiogram out of an abundance of caution. Pacing Clin Electrophysiol.
Explanation: Shown electrocardiogram suggests left ventricular hypertrophy. Shown electrocardiogram suggests left ventricular hypertrophy. On the other hand, the murmur in valvular aortic stenosis does not change substantially or decreases slightly following the Valsalva maneuver. Hypertrophic cardiomyopathy is one of them.
Advanced multi-vessel disease was found with stents deployed to the mid-LCx (80% stenosis), D1 (90% stensosis), and the pLAD (95% stenosis). It’s judicious, then, to arrange for coronaryangiogram. elevated BP), but rather directly correlated with coronary obstruction and stymied TIMI flow. Does the ECG normalize?
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