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. Smith's ECG Blog
JANUARY 2, 2025
Bedside cardiac ultrasound showed moderately decreased LV function. Finally, do a coronary angiogram Possible alternative to pacing is to give a beta-1 agonist to increase heart rate. She was intubated. CT of the chest showed no pulmonary embolism but bibasilar infiltrates. Dobutamine is an acceptable alternative.
Dr. Smith's ECG Blog
MAY 20, 2024
The cardiology fellow wrote in their note “unclear etiology of troponin elevation at this time, but hypertensive emergency, underlying CAD with demand ischemia , or NSTEMI all remain on the differential… In light of his risk factors, concerning clinical presentation and troponin trend -- we favor coronary angiogram over CTCA at this time.”
Dr. Paddy Barrett
DECEMBER 19, 2023
All patients had CT coronary angiograms at the start of the study and repeated after about one year. 4 Coronary atheroma regression and plaque characteristics assessed by grayscale and radiofrequency intravascular ultrasound after aerobic exercise. Springer, Cham. Sci Rep 11 , 7999 (2021). Am J Cardiol. 5 Ornish, D.;
SoftCath
OCTOBER 2, 2021
Instead, use ultrasound, intravascular ultrasound IVUS, optical coherence tomography OCT or transesophageal echo (TEE). The duration of radiation exposure depends on diagnostic coronary angiogram, interventional procedure, the fluoroscopic and cine screening times. Minimize the frame rate. FPS, if possible.
Dr. Smith's ECG Blog
NOVEMBER 19, 2016
Smith comment: This patient did not have a bedside ultrasound. Had one been done, it would have shown a feature that is apparent on this ultrasound (however, this patient's LV function would not be as good as in this clip): This is recorded with the LV on the right. Aortic angiogram did not reveal aortic dissection.
Dr. Smith's ECG Blog
NOVEMBER 4, 2022
We investigated the incidence of an acutely occluded coronary in patients presenting with STE-aVR with multi-lead ST depression. All electrocardiograms (ECGs) and coronary angiograms were blindly analyzed by experienced cardiologists. A emergent cardiology consult can be helpful for equivocal cases.
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