Coronary Angiogram Pulmonary Stenosis 
Dr. Smith's ECG Blog
MAY 10, 2023
A CT Coronary angiogram was ordered. Here are the results: --Minimally obstructive coronary artery disease. --LAD LAD plaque with 0-25 percent stenosis. No signs for aortic dissection or pulmonary embolus. --"Results were discussed with the ordering physician. A repeat troponin returned at 0.45
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.
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.
BoardVitals - Cardiovascular
MAY 1, 2017
On the other hand, the murmur in valvular aortic stenosis does not change substantially or decreases slightly following the Valsalva maneuver. A decrease in intensity, due to attenuation of obstruction, is heard after going from a standing to a sitting or squatting position, with a handgrip, and following passive elevation of the legs.
Dr. Smith's ECG Blog
MARCH 3, 2025
I suspect pulmonary edema, but we are not given information on presence of B-lines on bedside ultrasound, or CXR findings. Anything that causes pulmonary edema: poor LV function, fluid overload, previous heart failure (HFrEF or HFpEF), valvular disease. What "initiates" the aortic stenosis cascade? She was started on lasix.
Expert insights. Personalized for you.
52 
Let's personalize your content