Dr. Smith's ECG Blog

MAY 10, 2023

A CT Coronary angiogram was ordered. Here are the results: --Minimally obstructive coronary artery disease. --LAD No signs for aortic dissection or pulmonary embolus. --"Results were discussed with the ordering physician. A repeat troponin returned at 0.45 ng/mL, consistent with reperfused OMI, or Non-OMI.

Coronary Angiogram 52

Coronary Angiogram Chest Pain Stenosis STEMI 52

Heart BMJ

FEBRUARY 12, 2024

Clinical introduction A patient in their 30s had been diagnosed with peripartum cardiomyopathy, pulmonary oedema, with severe left ventricular dysfunction at the seventh month of gestation in the third pregnancy in their late 20s. The coronary angiogram was normal.

Coronary Angiogram 75

Coronary Angiogram Aortic valve Echocardiogram Aortic 75

Dr. Smith's ECG Blog

MAY 30, 2024

Will you accept this patient for emergent coronary angiogram based on the ECG changes? Putting all the findings together; dyspnea, slight tachycardia, delayed R-wave progression, prominent lateral S waves and ST depression maximal where the P waves are largest all point toward pulmonary disease as the cause of the ECG findings.

Ischemia 87

Ischemia Coronary Angiogram Pulmonary STEMI 87

Dr. Smith's ECG Blog

JANUARY 2, 2025

CT of the chest showed no pulmonary embolism but bibasilar infiltrates. Finally, do a coronary angiogram Possible alternative to pacing is to give a beta-1 agonist to increase heart rate. She was intubated. Bedside cardiac ultrasound showed moderately decreased LV function. Dobutamine is an acceptable alternative.

Tachycardia 115

Tachycardia Cardiomyopathy Blog Bradycardia 115

BoardVitals - Cardiovascular

JUNE 14, 2017

Question banks are a favorite exam preparation resource for Cardiologists that want to practice in the format of the exam.

Congenital Heart Disease 52

Congenital Heart Disease Coronary Angiogram Coronary Artery Disease Cardiovascular Disease 52

Dr. Smith's ECG Blog

MAY 20, 2024

In SCAPE (sympathetic crashing acute pulmonary edema), Emergency providers seem now to regularly give high dose NTG, but when the BP is 170/105 in a patient who is not crashing, we often fail to give something to lower afterload. __ Here are some Images: The red circle shows the LAD coursing down the anterior interventricular sulcus.

Chest Pain 124

Chest Pain Blood Pressure Ischemia STEMI 124

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

The diagnostic coronary angiogram identified only minimal coronary artery disease, but there was a severely calcified, ‘immobile’ aortic valve. Aortic angiogram did not reveal aortic dissection. The patient was transported to the CCU for further medical optimization where a pulmonary artery catheter was placed.

Ischemia 40

Ischemia Cardiogenic Shock Aortic Stenosis 40