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This case highlights the necessity of exercising extreme caution when utilizing hydrophilic-coated curved-tip guidewires during the advancement process in peripheral vascular procedures.
Given the rapid expansion of sports cardiology, cardiovascular care teams must understand contemporary care and practice management strategies for all athletes—from the elite to the exercise enthusiast.
Blood Clots: An enlarged heart is more prone to developing blood clots, which can lead to stroke or pulmonary embolism. Exercise regularly to keep the heart strong and healthy. Cardiac Arrest or Sudden Death: Cardiomegaly increases the risk of life-threatening arrhythmias, which can cause sudden cardiac arrest.
KEY Point: Prediction of the "culprit" artery is more than just an academic exercise: I believe trying to predict the culprit artery improves our ability at ECG interpretation — because it forces us to correlate ECG findings in all 12 leads with the clinical situation.
ET Room B406A Fractional Flow Reserve-guided Complete or Culprit-only PCI in Patients With ST-elevation Myocardial Infarction A Multicenter Prospective Randomized Study Comparing the Incidence of Periprocedural Cerebral Embolisms Caused by Catheter Ablation of Atrial Fibrillation Between Cryoballoon and Radiofrequency Ablation Transseptal Versus Retrograde (..)
They include myocardial ischemia, acute pericarditis, pulmonary embolism, external compression due to mass over the right ventricular outflow tract region, and metabolic disorders like hyper or hypokalemia and hypercalcemia. These are the conditions which have to be considered or excluded as they can sometimes manifest Brugada pattern on ECG.
Mid cavity obstruction in HCM is associated with apical aneurysm, systemic embolism, and arrhythmias. Dynamic gradient may be sought by glyceryl trinitrate, Valsalva manoeuvre, standing position or even symptom limited exercise. Obstruction may occur during recovery and post exercise monitoring of gradient is mandatory.
He visited an outpatient clinic for it and an echocardiogram and exercise stress test was normal. Bi-phasic scan showed no dissection or pulmonary embolism. His medical history is unremarkable except a similar pain occurred 4-5 times in the previous 3 months with less intensity, short duration, unrelated to exertion.
Sent by anonymous, written by Pendell Meyers A male in his teens presented with complaints of chest discomfort and dyspnea beginning while exercising but without obvious injury. He immediately stopped exercising and symptoms started to improve. CT angiogram chest: no aortic dissection or pulmonary embolism.
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