Circulation

NOVEMBER 11, 2024

Once stabilized, intravascular ultrasound showed significant thrombus and plaque in the LAD. This was treated with a drug-eluting stent, but TIMI 3 flow was not achieved. While preparing for transport to the cardiac ICU, the Impella device malfunctioned, and function could not be restored.

Aortic valve 40

Aortic valve TAVR Aortic Chest Pain 40

Dr. Smith's ECG Blog

JANUARY 6, 2023

Smith comment: Point of Care ultrasound is not adequate to rule out wall motion abnormality; moreover, diffuse subendocardial ischemia often has no wall motion abnormality because the epicardium is still contracting. A single DES stent was placed, and the patient did well post-procedure. Academic Emergency Medicine 27(S1): S220.

Chest Pain 52

Chest Pain Ischemia Myocardial Infarction ICU 52

Dr. Smith's ECG Blog

SEPTEMBER 29, 2018

His ED cardiac ultrasound (which is not at all ideal for detecting wall motion abnormalities, and is also very operator dependent for this finding) was significant for depressed global EF. It was thought to be an in stent restenosis and thrombosis from a DES placed in the same region 6 months prior.

Chest Pain 52

Chest Pain Myocardial Infarction Cardiac Arrest Ischemia 52