Remove Echocardiogram Remove Outpatient Remove Stenosis
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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

An echocardiogram showed severely reduced global systolic function with an EF of 20-25% and an LV apical thrombus. The red arrow shows a roughly 80% stenosis of the proximal LAD. The blue arrow shows another stenosis of the LAD distal to the first diagonal branch of about 99%. An echocardiogram showed an EF of 20-25%.

Outcomes 112
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A woman in her 50s with multiple episodes of syncope

Dr. Smith's ECG Blog

The echocardiogram showed a normal EF without any abnormalities. She was discharged with plan for outpatient cardiac MRI for further evalution. She required intermittent pacing from the temp wire numerous times overnight so a permanent pacemaker was placed the next day. Troponins were all negative.

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