Dr. Smith's ECG Blog
NOVEMBER 15, 2023
Post cath ECG: Now there are hyperacute T-waves again, and recurrent ST depression in V2 This ECG would normally diagnostic of OMI until proven otherwise No further troponins were measured, but it looks like there is recurrent OMI Next day: A CT Coronary Angiogram was done (CTCA) CARDIAC MORPHOLOGY AND FUNCTION: 1. IMPRESSION: 1.
Dr. Paddy Barrett
AUGUST 1, 2023
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 Coronary Angiogram As you can see from the above images, the CTCA provides far more anatomical detail.
Dr. Paddy Barrett
JANUARY 30, 2024
Risk factors such as high blood pressure, smoking, and inactivity are important because the longer you are exposed to them, the higher the odds you will develop coronary artery disease sooner in life. And, by extension, have a higher risk of a heart attack. But not everyone with risk factors develops early heart disease.
Dr. Smith's ECG Blog
MAY 20, 2024
However, in light of risk factors for atherosclerotic disease and dynamic EKG changes today, we will pursue a CTCA tomorrow for further evaluation of coronaries. Of course, writing “hypertensive emergency, underlying CAD with demand ischemia, or NSTEMI all remain on the differential” makes no sense.
EMS 12-Lead
JULY 24, 2023
Given the consistency of the clinical profile with typical angina, associated risk factors, and abnormal ECG findings, a cardiology consult was promptly requested. It’s judicious, then, to arrange for coronary angiogram. In this case, the problem is not purely a consequence of external factors (e.g.
Dr. Anish Koka
MAY 16, 2023
Diamond and Forrester accomplished this by first establishing the prevalence of coronary artery disease based on how clinically likely patients with chest pain symptoms were found to have coronary disease based on a coronary angiogram. Women also had more cardiovascular risk factors, including hypertension (66.6%
Dr. Smith's ECG Blog
JANUARY 9, 2023
Smith Major Learning Point: The worst risk factor for a bad outcome in OMI is young age because cardiologists cannot believe that a young person can have an OMI. Young people can suffer acute coronary occlusion, whether by typical atherosclerotic plaque rupture, or by coronary anomalies, coronary aneurysms, dissections, spasm, etc.
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