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According to the analysis of receiver operating characteristic (ROC) curve, AUC, DCA and sensitivity, all seven machine learning models perform well and random forest (RF) machine model was found to perform best (AUC-ROC=0.9008, Accuracy: 0.9008, Precision: 0.6905; Recall: 0.7532, F1: 0.7205).
Such a pattern is consistent with significant left main coronaryarterystenosis. Clinical evaluation and X-Ray chest showed features of pulmonary edema. Angiography done after initial stabilization showed severe stenosis of distal left main coronaryartery.
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 pulmonaryartery catheter was placed. If you see this, you should Doppler the valve.
Program Designations Access and Publications (A&P) 1 Participant User File (PUF) 2 Task Force on Funded Research (TFR) 3 Special Projects 4 Adult Cardiac Surgery Database Lead Author Title Publication Date William Keeling 2 National Trends in Emergency CoronaryArteryBypassGrafting European Journal of Cardiothoracic Surgery October 2023 Jake (..)
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.
Angiogram: Severe two-vessel coronaryartery disease of a left dominant system including 70 to 80% stenosis involving the distal left main/bifurcation. By itself seeing this ECG pattern does not necessarily mean that the patient has a pulmonary embolism. The estimated left ventricular ejection fraction is 64%.
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