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. This usually done by a pacer lead placed through the coronary sinus (LV venous system). Use Lidocaine instead (lidocaine prevents the PVCs which cause R on T, and does not prolong the QT.)

Tachycardia 115

Tachycardia Cardiomyopathy Blog Bradycardia 115

Circulation

NOVEMBER 11, 2024

Her heart failure was due to the fistula as she had no coronary artery disease on coronary angiogram. Postoperatively, she developed complete heart block requiring a permanent pacemaker. She had cardiothoracic surgery for fistula repair.

Heart Failure 40

Heart Failure Coronary Angiogram Echocardiogram Aneurysm 40

BoardVitals - Cardiovascular

JUNE 14, 2017

In preparation for the ABIM Cardiovascular Disease exam, check out the BoardVitals Cardiology Board Review Question Bank and we’ll make sure you’re well versed in the following 13 areas covered on the exam: Multiple-Choice Component Arrhythmias 15% Coronary Artery Disease 23% Heart Failure and Cardiomyopathy 17% Valvular Disease 15% Pericardial (..)

Congenital Heart Disease 52

Congenital Heart Disease Coronary Angiogram Coronary Artery Disease Cardiovascular Disease 52

Circulation

NOVEMBER 11, 2024

However some patients can develop heart failure, angina, and arrhythmia due to significant intracardiac shunt or coronary steal phenomenon. In this case presentation, it is likely that his heart failure was caused by the significant left to right shunt due to the fistula. It is often clinically silent.

Coronary Artery Bypass Graft 40

Coronary Artery Bypass Graft ACE Inhibitor Coronary Angiogram Aneurysm 40

Dr. Smith's ECG Blog

MAY 20, 2024

Smith comment 2: I frequently see failure to control BP in patients with acute chest pain or acute heart failure. If you are worried about aortic dissection, you also want the BP to be lowered, though you would do it first with esmolol to decrease the dP/dT (change in pressure over change in time).

Chest Pain 124

Chest Pain Blood Pressure Ischemia STEMI 124

Dr. Smith's ECG Blog

DECEMBER 9, 2023

He has a history of STEMI and heart failure. A Coronary angiogram from 8 years prior revealed that he had had an inferior posterior STEMI at the time due to 100% occlusion of the proximal RCA. A 50-something had syncope while driving. He was belted and it was low speed. He had a prehospital ECG.

Aneurysm 114

Aneurysm Chest Pain Echocardiogram STEMI 114

European Journal of Heart Failure

JANUARY 21, 2024

Images on the left panel show an example of coronary angiography, first-pass perfusion maps and stress and rest myocardial perfusion maps of a patient with cardiac amyloidosis. The coronary angiogram is unobstructed and visual analysis of first-pass perfusion shows a global reduction in myocardial blood flow.

Coronary Angiogram 40

Coronary Angiogram Biomarkers Outcomes Research 40