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A CTCA provides much more anatomical detail and can identify advanced plaque often missed by CT Coronary Artery Calcium Score scans alone. CT Coronary Artery Calcium Score Scan CT Coronary Artery Calcium Score CT CoronaryAngiogram As you can see from the above images, the CTCA provides far more anatomical detail.
The ECG in Figure-1 was obtained from a previously healthy middle-aged man — who while performing his regular exercise routine, developed "slight" chest discomfort and "palpitations". CT coronaryangiogram — No obstructive coronary disease. CT coronaryangiogram showed no obstructive coronary disease.
Furthermore, she denies any hydration since conclusion of exercise. There is broad subendocardial ischemia as demonstrated by STE aVR with concomitant STD that almost appears appropriately maximal in Leads II and V5. There is LBBB-like morphology with persistent patterns of subendocardial ischemia.
Sent by anonymous, written by Pendell Meyers A male in his teens presented with complaints of chest discomfort and dyspnea beginning while exercising but without obvious injury. He immediately stopped exercising and symptoms started to improve. The wall motion abnormalities of Takotsubo cardiomyopathy and LAD OMI can be similar.
Previously healthy, taking no medication and exercising regularly. No anginal symptoms asymptomatic during physical exercise. That said there were no clinical symptoms or ECG findings suggestive of ongoing ischemia. CT coronaryangiogram showed a hypoplastic RCA and dominant LCx. How will you manage this patient?
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