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47🤠, symptomatic with an abnormal stress test (treadmill test - CP & ST depression at peak exercise). following angiogram... What are your next steps for evaluating this patient?

Evandro Martins F. MD

20,611 subscribers

47,917 görüntüleme • 3 yıl önce •via X (Twitter)

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Khalid Minhas, MD FACC profil fotoğrafı

Khalid Minhas, MD FACC3 yıl önce

Cardiac CT to determine the coronary artery course

Natalia Pinilla profil fotoğrafı

Natalia Pinilla3 yıl önce

Anomalous left coronary arising from right sinus. Cardiac CT to rule out course. Looks like a benign septal course by Angio. Intracoronary imaging and physiology not that helpful here. Indications for intervention include ventricular arrhythmias and ischemia in perfusion testing.

Mohaned Egred profil fotoğrafı

Mohaned Egred3 yıl önce

Malignant LMS course is a myth based on couple old case reports. The PAP never goes higher than aortic pressure to compress LM.

Praveen Nagula profil fotoğrafı

Praveen Nagula3 yıl önce

CT angio to see retoraortic or interarterial course of the anomalous artery. The LCA is anomalous.

Federico Campos R. MD profil fotoğrafı

Federico Campos R. MD3 yıl önce

very nice case. -IVUS could help when you got the patient in cath Lab. Now I do Cardiac CT. A good one form JACC

mandeep singh profil fotoğrafı

mandeep singh3 yıl önce

This is very typical left main from the right sinus and has an anterior course. The septal perforators indicate an intraseptal course and is an indication for unroofing. If patient has sx of SOB/angina/ex arrhythmias, then surgery. CT angio is the next step.

Erwin Mulia profil fotoğrafı

Erwin Mulia3 yıl önce

CTCA

Asim Hameedi MD MBA profil fotoğrafı

Asim Hameedi MD MBA3 yıl önce

Coronary ct ANGIO

Mamas A. Mamas profil fotoğrafı

Mamas A. Mamas3 yıl önce

Take an AL and try and shoot the anomolus cx. If okay, cardiac CT to see whether PA compression

د سامي الأسمري | Dr Sami Alasmari profil fotoğrafı

د سامي الأسمري | Dr Sami Alasmari3 yıl önce

CT to determine anomalous LM course arising from right coronary sinus which is likely malignant course

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