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See how bad the outcome can be if you don't know OMI findings on the ECG, and don't use the Queen of Hearts

Dr. Smith's ECG Blog

The attending provider wrote “Agree with electrocardiogram interpretation”. An echocardiogram showed severely reduced global systolic function with an EF of 20-25% and an LV apical thrombus. All three lesions had TIMI 2 flow prior to stenting. An echocardiogram showed an EF of 20-25%. Normal EKG”. Normal ECG.

Outcomes 113
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Abstract 4140682: Clinical Case: Flipping the Script: Tackling CAD in Dextrocardia During Cardiac Catheterization

Circulation

Electrocardiogram (ECG) showed a prominent S wave in the left-sided leads and a prominent R wave in the right-sided chest leads, suggesting dextrocardia. After guidewire crossing, balloon angioplasty was performed, and a drug-eluting stent was deployed. His vital signs were normal, and the physical examination was unremarkable.

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The Importance of Regular Heart Check-Ups: What You Need to Know

AMS Cardiology

These tests may include: Electrocardiogram (ECG) : Records the electrical activity of your heart. Echocardiogram : Uses sound waves to create images of your heart. A heart check-up is a comprehensive evaluation of your cardiovascular health. It typically includes a physical examination, medical history review and diagnostic tests.

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What if your system adopted the recommendation that a computer "normal" ECG need not be shown to the doctor?

Dr. Smith's ECG Blog

Successful drug-eluting stent placement opening up 95% mid RCA stenosis to 0% residual Nonobstructive left system disease. Formal echocardiogram: Systolic function is at the lower limits of normal. Below the limit of detection. Left-ventriculogram showed severe infero-apical hypokinesis with LV ejection fraction 50 to 55%.

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Cardiac arrest: even after the angiogram, the diagnosis is not always clear

Dr. Smith's ECG Blog

It was stented. An echocardiogram on day 3 showed no wall motion abnormality (but of course, these can resolved with reperfusion, and the more time it has to resolve from "stunning", the more likely it is to be resolved). Updates on the Electrocardiogram in Acute Coronary Syndromes. The troponin I peaked at 8.1. References : 1.

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Precordial ST depression. What is the diagnosis?

Dr. Smith's ECG Blog

The OM-1 was opened and stented, then the LAD was stented 3 days later. Seventh , an immediate echocardiogram can make the distinction. The LAD had a 75% proximal lesion that by fractional flow reserve was hemodynamically significant. So there was 3-vessel disease, but with an acute posterior STEMI. At lease 0.5

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See OMI vs. STEMI philosophy in action

Dr. Smith's ECG Blog

Smith , d and Muzaffer Değertekin a DIFOCCULT: DIagnostic accuracy oF electrocardiogram for acute coronary OCClUsion resuLTing in myocardial infarction. He visited an outpatient clinic for it and an echocardiogram and exercise stress test was normal. His first electrocardiogram ( ECG) is given below: --Sinus bradycardia.

STEMI 52