Remove Coronary Angiogram Remove Electrocardiogram Remove Stenosis
article thumbnail

A woman in her 50s with chest pain and dyspnea

Dr. Smith's ECG Blog

She had a prior history of "NSTEMI" one month ago, during which she had a coronary angiogram 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??)

article thumbnail

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

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?

article thumbnail

Hypertropic Cardiomyopathy: A Board Review Question Explained By Video

BoardVitals - Cardiovascular

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.

article thumbnail

The Bleeding Heart

EMS 12-Lead

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 coronary angiogram. elevated BP), but rather directly correlated with coronary obstruction and stymied TIMI flow. Does the ECG normalize?

article thumbnail

Hypertrophic Cardiomyopathy

EMS 12-Lead

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 coronary angiogram out of an abundance of caution. Pacing Clin Electrophysiol.