Coronary Artery Bypass Graft, Dysrhythmia and Echocardiogram

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Coronary Artery Bypass Graft

Dysrhythmia

Echocardiogram

An athletic 30-something woman with acute substernal chest pressure

Dr. Smith's ECG Blog

JULY 31, 2018

Now you have ECG and troponin evidence of ischemia, AND ventricular dysrhythmia, which means this is NOT a stable ACS. These are reperfusion T-waves (the same thing as Wellens' waves) Echocardiogram Regional wall motion abnormality-distal septum and apex. Again, cath lab was not activated. What does this troponin level mean?

SCAD

SCAD Chest Pain Myocardial Infarction Ischemia

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

A transthoracic echocardiogram showed an LV EF of less than 15%, critically severe aortic stenosis , severe LVH , and a small LV cavity. The patient was transported to the CCU for further medical optimization where a pulmonary artery catheter was placed. Aortic angiogram did not reveal aortic dissection.

Ischemia

Ischemia Cardiogenic Shock Aortic Stenosis

Cardiovascular Update

An athletic 30-something woman with acute substernal chest pressure

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

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