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As a result — IF no "fixable" cause is found ( ie, ischemia/infarction — electrolyte disturbance — rate-slowing medication ) — then because of the AV block and very slow heart rate, this patient will probably need a pacemaker. This is a free download ).
indicates inducible ischemia while an FFR above 0.80 excludes ischemia in 90% of cases. There is a strong correlation between FFR and inducible myocardial ischemia. It can also be calculated on a downloadable software. It recalculates SYNTAX score by incorporating ischemia producing lesions determined by FFR.
CLICK HERE — to download a PDF of the content in these 4 figures. ECG Blog #157 — Can you diagnose ischemia and/or infarction when there is WPW? CLICK HERE — to download a PDF of the content in these 4 figures. A cknowledgment : My appreciation to Magnus Nossen ( from Fredrikstad, Norway ) for the case and this tracing. =
Although as a general rule, there should be no ST elevation in RBBB in the absence of ischemia, there sometimes is ST elevation that looks like this. If the ECG findings are truly new compared to a baseline (unavailable), this could suggest persistent ECG findings of ischemia, meaning poor downstream perfusion ("no reflow" phenomenon).
A new feature this year is the Silent Poster Theater, where attendees will be able to listen to poster presentations by downloading the ACC24 app and listening along as they check out the posters, providing great engagement alongside the science presented. Session 510) To Treat or Not to Treat Anatomy and Ischemia?
A DDENDUM # 2 ( 3/8/2025 ) : I've included below an Audio Pearl a Video Pearl and links for download of PDFs reviewing the ECG diagnosis of AV Blocks. Section 2F ( 6 pages = the " short " Answer ) from my ECG-2014 Pocket Brain book provides quick written review of the AV Blocks ( This is a free download ).
Thus ongoing ischemia could have served as the substrate that precipitated the sustained episode of VT discussed in today's case. CLICK HERE to download a PDF of this 6-page file on Aberrant Conduction. If not recently done cardiac cath would seem to be indicated. =
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