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Who Needs a CT Coronary Angiogram?

All About Cardiovascular System and Disorders

CT coronary angiograms are increasing in popularity as a non-invasive screening test for detecting blocks in coronary arteries. Coronary arteries are blood vessels supplying oxygenated blood to the heart. Angiograms are images of blood vessels, usually obtained by injecting medications for contrast from body structures.

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Torsade in a patient with left bundle branch block: is there a long QT? (And: Left Bundle Pacing).

Dr. Smith's ECG Blog

Finally, do a coronary angiogram Possible alternative to pacing is to give a beta-1 agonist to increase heart rate. Use Lidocaine instead (lidocaine prevents the PVCs which cause R on T, and does not prolong the QT.) Discontinue all QT proloning medications, including azithromycin 6. Dobutamine is an acceptable alternative.

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See OMI vs. STEMI philosophy in action

Dr. Smith's ECG Blog

He visited an outpatient clinic for it and an echocardiogram and exercise stress test was normal. Here is the coronary angiogram: A distal thrombotic right coronary artery (RCA) occlusion ! He has 40 packs-year of smoking history. There was no premature cardiovascular diseases or sudden death in his family.

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Trust the coronaries : There are benign forms of ACS too !

Dr. S. Venkatesan MD

Mind you, even a coronary angiogram will not bail you out in terms of decision-making and risk prediction. Many low-risk categories can be managed as outpatients; it is still true. Real concern then) Final message Clinical, biochemical, and overall risk profile assessments do help us risk stratify ACS.